Document Type : Original Article
Authors
1 Department of Community Health and Gerontological Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
2 Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran
Abstract
BACKGROUND: Nonadherence with the medication regimen in patients with heart disease can
lead to treatment failure. The purpose of this study was to identify the causes of nonadherence in
people with myocardial infarction.
MATERIALS AND METHODS: This study is a qualitative conventional content analysis. Data were
collected through semistructured interviews. Thirteen individual interviews and a focus group were
conducted with nurses, patients, and doctors. Data were analyzed using conventional content analysis.
RESULTS: Four main themes were identified, which are organizational‑managerial causes and
factors (drug‑related problems, educational system‑related problems, weak performance of hospitals,
and problems related to insurance companies); sociocultural causes and factors (factors related
to cultural problems and factors related to social problems); causes and factors related to care
providers (skill problems of care providers and functional problems of care providers); and causes
and factors associated with caregivers (factors related to social characteristics of the patient, factors
related to patient characteristics, and factors related to the patient’s belief).
CONCLUSIONS: Many individual and organizational factors affect nonadherence, which can be
reduced by fundamental changes.
Keywords
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