Effect of Health Literacy Intervention on Medication Adherence among Older Adults with Cardiac Disease.

Authors

1 Ph. D student of Community Health Nursing, Faculty of Nursing, Benha University

2 Professor of Community Health Nursing, Faculty of Nursing, Benha University

3 Assistant Professor of Community Health Nursing, Faculty of Nursing, Benha University.

Abstract

        Background: Cardiac diseases are leading causes of morbidity and mortality worldwide. Medication adherence is a critical component of disease management for older adults with cardiac diseases. Aim: The study aimed to evaluate the effect of health literacy intervention on medication adherence among older adults with cardiac disease. Design: A quasi-experimental research design was utilized to conduct this study. Setting: This study was conducted at Cardiac Outpatient Clinic, Benha University Hospital, in Benha City. Sample: A convenience sample included 150 older adults with cardiac diseases. Tools: Three tools were used (I): An interviewing questionnaire to assess socio demographic characteristics of older adults, their medical history and their knowledge about cardiac disease and medication adherence. (II): Morisky Medication Adherence Scale to assess medication adherence for older adults with cardiac disease. (III): (a): Reported practices of older adults toward cardiac disease. (b): Observational checklist to assess older adults’ practices for measuring pulse and blood pressure. Results: Showed that; 40.7% of the studied patients aged from 60 to less than 65years with mean age was 64.52±6.44 and 24.7% of them were performed cardiac stent for only once. More over; only 10.7% of the studied patients had good total knowledge level regarding cardiac diseases and medication adherence pre implementation of health literacy intervention. Also, only 35.3% of the studied patients had satisfactory total practices level toward medication adherence and cardiac diseases pre implementation of health literacy intervention. Conclusion: Health literacy intervention program succeeded to improve knowledge, practices of the studied older adult toward cardiac disease and medication and their adherence to medication related to cardiac diseases. Recommendations: Continuous health literacy intervention is recommended to increase older adults' knowledge and practices about medication adherence related to cardiac disease.

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