印度尼西亚万隆a型私立医院COVID-19大流行期间冠状动脉疾病患者服药依从性与生活质量的关系

M. Ramadhan, Eny Kusmiran, Isti Istianah, Destiya Dwi Pangestika
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摘要

冠状动脉疾病(CAD)的发病率不断上升,已成为当今社会的一大健康问题。CAD对患者生活的各个方面都有影响,包括身体、心理和精神方面,从而影响患者的生活质量(QOL)。维持或改善生活质量的主要努力是患者的药物依从性。COVID-19大流行期间存在的社会限制已成为当前CAD患者在医院获得治疗的一个问题,因此在大流行期间,特别是在印度尼西亚,没有描述CAD患者的药物依从性和生活质量。本研究旨在分析COVID-19大流行期间CAD患者服药依从性与生活质量之间的关系。使用的研究方法是分析观察与横断面方法。主要数据收集于印度尼西亚万隆A型私立医院心脏病科门诊的CAD患者,采用偶然抽样技术。该研究于2022年1月进行,最小样本为70名受访者(斯洛文公式)。数据收集采用改良morisky依从性量表-8 (MMAS-8)问卷评估药物依从性,西雅图心绞痛问卷-7 (SAQ-7)问卷评估冠心病患者的生活质量。统计检验采用卡方检验。结果显示,34例(48.6%)患者依从性较低,43例(61.4%)患者生活质量良好。服药依从性与生活质量存在相关性(p值0.009)。坚持治疗可提高冠心病患者的生活质量。
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ASSOCIATION BETWEEN MEDICATION ADHERENCE AND QUALITY OF LIFE AMONG PATIENTS WITH CORONARY ARTERY DISEASE DURING PANDEMIC COVID-19 AT PRIVATE HOSPITAL TYPE A BANDUNG-INDONESIA
The prevalence of coronary artery disease (CAD) is increasing and becomes a major health problem nowadays. CAD has an impact on various aspects of the sufferer's life, both physical, psychosocial, and spiritual which affect the patient's Quality of Life (QOL). The main effort that can be done to maintain or improve the quality of life is with the patient's medication adherence. The existence of social restrictions during the COVID-19 pandemic has become a current issue regarding access to treatment of patients with CAD in hospitals so it has not been depicted regarding medication adherence and quality of life of patients with CAD during the pandemic, especially in Indonesia. This study aims to analyze the association between medication adherence and the quality of life of patients with CAD during the COVID-19 pandemic. The study method used is analytical observational with a cross-sectional approach. Primary data were collected from patients with CAD who were outpatient at the Cardiology Clinic of Private Hospital Type A in Bandung, Indonesia with accidental sampling technique. The study was conducted in January 2022 with the minimum sample being 70 respondents (Slovin formula). Data collection uses The Modified-Morisky Adherence Scale-8 (MMAS-8) questionnaire to assess medication adherence and the Seattle Angina Questionnaire-7 (SAQ-7) Questionnaires to assess the quality of life of patients with CAD. The statistical test is Chi-Square. The result showed that 34 (48.6%) respondents had low medication adherence and 43 (61.4%) respondents had good QOL. There was an association between medication adherence and QOL (p-value 0.009). Adhering to treatment can improve the quality of life of patients with CAD.    
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