An Investigation into Factors Influencing Adherence to Cardiovascular Medications and the Effectiveness of a Nurse-Led Intervention in Improving Medication Compliance Among Cardiac Patients Attending Outpatient Departments in Selected Bangalore Hospitals

An Investigation into Factors Influencing Adherence to Cardiovascular Medications and the Effectiveness of a Nurse-Led Intervention in Improving Medication Compliance Among Cardiac Patients Attending Outpatient Departments in Selected Bangalore Hospitals

Volume: 11 | Issue: 02 | Year 2025 | Subscription

International Journal of Cardiovascular Nursing

Received Date: 09/27/2025

Acceptance Date: 10/12/2025

Published On: 2025-10-27

First Page: 7

Last Page: 13

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By: Monita Lopis, Vinoli S. G., and Hemalatha R..

1.Nursing Officer, Department of Nursing, Urban Primary Health Center, Bengaluru, Karnataka, India.
2.Professor, Department of Nursing, Universal College of Nursing Bangalore, Arekere, Bengaluru, Karnataka, India.
3.Principal, Department of Nursing, Universal College of Nursing Bangalore, Arekere, Bengaluru, Karnataka, India.

Abstract

Cardiovascular diseases (CVDs) remain the leading cause of mortality worldwide, contributing substantially to healthcare burdens. Medication plays a pivotal role in both the prevention and management of CVDs. However, poor adherence to prescribed treatment continues to hinder optimal patient outcomes, contributing to increased hospital readmissions, emergency visits, and reduced quality of life. This study aimed to identify factors influencing adherence to cardiovascular medications, evaluate compliance levels before and after a nurse-led intervention, compare pre- and post-intervention adherence scores, and explore associations with socio-demographic variables. A pre-experimental one-group pre-test and post-test design was adopted at the Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore. Initially, 205 cardiac patients were screened using the Morisky 8-item Medication Adherence Scale (MMAS-8), from which 65 participants with low to medium adherence were purposively selected. A pre-test was conducted on day one, followed by a nurse-led adherence-promoting intervention. A post-test was administered 30 days later. Findings revealed that low adherence levels decreased from 65% to 20%, while medium adherence increased from 35% to 65%. Notably, high adherence rose from 0% to 15% post-intervention. The Wilcoxon signed-rank test showed a statistically significant improvement in adherence (pre-test mean = 3.12, SD ± 1.027; post-test mean = 1.67, SD ± 1.003; p < 0.001). The study concluded that nurse-led interventions are effective in enhancing medication adherence among cardiac patients, highlighting the critical role of nursing in chronic disease management.

Keywords: Medication adherence, cardiovascular disease, nurse-led intervention, patient compliance, chronic illness management

Citation:

How to cite this article: Monita Lopis, Vinoli S. G., and Hemalatha R. An Investigation into Factors Influencing Adherence to Cardiovascular Medications and the Effectiveness of a Nurse-Led Intervention in Improving Medication Compliance Among Cardiac Patients Attending Outpatient Departments in Selected Bangalore Hospitals. International Journal of Cardiovascular Nursing. 2025; 11(02): 7-13p.

How to cite this URL: Monita Lopis, Vinoli S. G., and Hemalatha R., An Investigation into Factors Influencing Adherence to Cardiovascular Medications and the Effectiveness of a Nurse-Led Intervention in Improving Medication Compliance Among Cardiac Patients Attending Outpatient Departments in Selected Bangalore Hospitals. International Journal of Cardiovascular Nursing. 2025; 11(02): 7-13p. Available from:https://journalspub.com/publication/ijcn/article=22978

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