DIFFERENCES IN ADHERENCE BEHAVIOUR PATTERNS IN PATIENTS WITH PRIMARY AND RECURRENT MYOCARDIAL INFARCTION

Abstract

Aim.To compare adherence behavior patterns in patients with primary and recurrent myocardial infarction before hospital discharge.Methods.145 patients with myocardial infarction admitted to the Kemerovo Regional Clinical in the period from November to December 2016 were included in a single-centre, nonrandomized, prospective study. All the patients were interviewed using the original adherence questionnaire. All the patients were divided into 2 groups: patients with primary myocardial infarction (n = 74) and recurrent (n = 71) myocardial infarction.Results.Both, patients with primary and recurrent myocardial infarction, had low adherence to treatment and healthy lifestyle, poor disease awareness which appeared to be a signifcant factor worsening their long-term prognosis. Recurrent myocardial infarction was associated with increased readiness to adhere the treatment regimen more strictly (62%), but it was not accompanied by any improvements in patients’ awareness on the causes of the disease (36.6%), their health status (30.9%) and secondary prevention (63.3%). The great number of subjective factors affecting patients’ adherence to the long-term therapy prescribed by a healthcare professional requires the implementation of additional information management for patients with any type of myocardial infarction about the importance of subsequent therapy, special education programs, and group psychotherapy.Conclusion.Poor adherence in patients with any myocardial infarction to the prescribed therapy after discharge (less than 80%) requires a preventive use of educational and psychological programs improving medical and social awareness and readiness to adhere to treatment prescribed by the healthcare professional.