Association Between Social Support and Medication Literacy in Chinese Patients With Coronary Heart Disease

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Abstract

Background: The level of medication literacy is very important to control symptoms and improve the prognosis of patients with coronary heart disease (CHD). The positive role of social support is able to promote patient health outcomes. However, few studies have addressed the association between social support and medication literacy in patients with CHD. The purpose of this study is to investigate the status of medication literacy and social support, and confirm the association between them in patients with CHD.

Methods: This cross-sectional study investigated 416 participants, and was conducted in a grade a hospital in China. Three different survey instruments were applied: The Demographic Characteristics Questionnaire, the Chinese Version of the Medication Literacy Scale, and the Social Support Rating Scale. Pearson correlation analysis and ordinal logistic regression analysis were performed to analyze data.

Results: The results showed that the mean score of medication literacy among the 416 participants was 4.96 ± 4.68, 48.8% (203) participants with inadequate medication literacy. The independent determinants of medication literacy include gender, education level, course of disease, number of medicines, and subjective support in social support. The mean score of social support was 41.05 ± 6.16. The Pearson correlation analysis indicated that social support was positively correlated with medication literacy ( r = 0.398, P < 0.01).

Conclusion: The study shows that the level of medication literacy and social support for patients with CHD are inadequate. Social support levels could have a positive effect on medication literacy of patients.

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Medication Adherence Measures: An Overview

Wai Lam, Paula Fresco (2015)

WHO reported that adherence among patients with chronic diseases averages only 50% in developed countries. This is recognized as a significant public health issue, since medication nonadherence leads to poor health outcomes and increased healthcare costs. Improving medication adherence is, therefore, crucial and revealed on many studies, suggesting interventions can improve medication adherence. One significant aspect of the strategies to improve medication adherence is to understand its magnitude. However, there is a lack of general guidance for researchers and healthcare professionals to choose the appropriate tools that can explore the extent of medication adherence and the reasons behind this problem in order to orchestrate subsequent interventions. This paper reviews both subjective and objective medication adherence measures, including direct measures, those involving secondary database analysis, electronic medication packaging (EMP) devices, pill count, and clinician assessments and self-report. Subjective measures generally provide explanations for patient's nonadherence whereas objective measures contribute to a more precise record of patient's medication-taking behavior. While choosing a suitable approach, researchers and healthcare professionals should balance the reliability and practicality, especially cost effectiveness, for their purpose. Meanwhile, because a perfect measure does not exist, a multimeasure approach seems to be the best solution currently.

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The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice: the emerging field of behavioral cardiology.

Alan Rozanski, James Blumenthal, Karina Davidson … (2005)

Observational studies indicate that psychologic factors strongly influence the course of coronary artery disease (CAD). In this review, we examine new epidemiologic evidence for the association between psychosocial risk factors and CAD, identify pathologic mechanisms that may be responsible for this association, and describe a paradigm for studying positive psychologic factors that may act as a buffer. Because psychosocial risk factors are highly prevalent and are associated with unhealthy lifestyles, we describe the potential role of cardiologists in managing such factors. Management approaches include routinely screening for psychosocial risk factors, referring patients with severe psychologic distress to behavioral specialists, and directly treating patients with milder forms of psychologic distress with brief targeted interventions. A number of behavioral interventions have been evaluated for their ability to reduce adverse cardiac events among patients presenting with psychosocial risk factors. Although the efficacy of stand-alone psychosocial interventions remains unclear, both exercise and multifactorial cardiac rehabilitation with psychosocial interventions have demonstrated a reduction in cardiac events. Furthermore, recent data suggest that psychopharmacologic interventions may also be effective. Despite these promising findings, clinical practice guidelines for managing psychosocial risk factors in cardiac practice are lacking. Thus, we review new approaches to improve the delivery of behavioral services and patient adherence to behavioral recommendations. These efforts are part of an emerging field of behavioral cardiology, which is based on the understanding that psychosocial and behavioral risk factors for CAD are not only highly interrelated, but also require a sophisticated health care delivery system to optimize their effectiveness.

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Presidential Address-1976. Social support as a moderator of life stress.

S. Cobb (1976)

Social support is defined as information leading the subject to believe that he is cared for and loved, esteemed, and a member of a network of mutual obligations. The evidence that supportive interactions among people are protective against the health consequences of life stress is reviewed. It appears that social support can protect people in crisis from a wide variety of pathological states: from low birth weight to death, from arthritis through tuberculosis to depression, alcoholism, and the social breakdown syndrome. Furthermore, social support may reduce the amount of medication required, accelerate recovery, and facilitate compliance with prescribed medical regimens.

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Author and article information

Contributors

Li Qiao: URI : http://loop.frontiersin.org/people/1328144/overview

Zhuqing Zhong: URI : http://loop.frontiersin.org/people/871188/overview

Lin Lai: URI : http://loop.frontiersin.org/people/1297048/overview

Journal

Journal ID (nlm-ta): Front Cardiovasc Med

Journal ID (iso-abbrev): Front Cardiovasc Med

Journal ID (publisher-id): Front. Cardiovasc. Med.

Title: Frontiers in Cardiovascular Medicine

Publisher: Frontiers Media S.A.

ISSN (Electronic): 2297-055X

Publication date (Electronic): 25 November 2021

Publication date Collection: 2021

Volume: 8

Electronic Location Identifier: 705783

Affiliations

[1] ¹Department of Nursing, The Third Xiangya Hospital of Central South University, Xiangya School of Nursing, Central South University , Changsha, China

[2] ²Department of Nursing, The Third Xiangya Hospital of Central South University , Changsha, China

[3] ³Department of Cardiology, The Third Xiangya Hospital of Central South University , Changsha, China

Author notes

Edited by: Shi Wu Wen, Ottawa Hospital Research Institute (OHRI), Canada

Reviewed by: Roger Watson, University of Hull, United Kingdom; Xiaoxu Huo, Tianjin Medical University, China

*Correspondence: Feng Zheng 1030185308@ 123456qq.com

This article was submitted to Coronary Artery Disease, a section of the journal Frontiers in Cardiovascular Medicine

Article

DOI: 10.3389/fcvm.2021.705783

PMC ID: 8655157

SO-VID: d80868bd-b684-4e5c-b37e-c39227e8bdc7

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This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

History

Date received : 06 May 2021

Date accepted : 22 October 2021

Page count

Figures: 0, Tables: 5, Equations: 0, References: 40, Pages: 7, Words: 5866

Funding

Funded by: Science and Technology Program of Hunan Province, doi 10.13039/501100019081;

Funded by: National Health and Family Planning Commission of the People's Republic of China, doi 10.13039/501100004572;

Association Between Social Support and Medication Literacy in Chinese Patients With Coronary Heart Disease

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Most cited references 38

Medication Adherence Measures: An Overview

The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice: the emerging field of behavioral cardiology.

Presidential Address-1976. Social support as a moderator of life stress.

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