University of Oulu

Kähkönen, O, Kankkunen, P, Saaranen, T, Miettinen, H, Kyngäs, H. Hypothetical model of perceived adherence to treatment among patients with coronary heart disease after a percutaneous coronary intervention. Nursing Open. 2020; 7: 246– 255.

Hypothetical model of perceived adherence to treatment among patients with coronary heart disease after a percutaneous coronary intervention

Saved in:
Author: Kähkönen, Outi1; Kankkunen, Päivi2; Saaranen, Terhi2;
Organizations: 1Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
2Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
3Kuopio University Hospital, Kuopio, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.6 MB)
Persistent link:
Language: English
Published: John Wiley & Sons, 2020
Publish Date: 2019-11-22


Aim: To test the hypothetical model of adherence to treatment among patients with coronary disease after percutaneous coronary intervention.

Design: A descriptive, explanatory, cross‐sectional survey.

Methods: The study was conducted in 2013 with 416 patients in five hospitals in Finland. The adherence of patients with chronic disease instrument, the adherence visual analogue scale, the social support for people with coronary heart disease instrument, the EuroQoL five‐dimensional scale and EuroQoL visual analogue scale were used. The data were analysed using descriptive statistic. The hypothetical model was tested using structural equation modelling.

Results: The hypothetical model explained 30% of perceived adherence to treatment. Structural equation modelling confirmed that motivation, support from physicians and next of kin had direct associations with adherence. Indirectly, informational support, results of care, perceived health, anxiety and depression were associated with adherence. The background variables associated with adherence were gender, relationship, physical activity, consumption of vegetables and consumption of alcohol.

see all

Series: Nursing open
ISSN: 2054-1058
ISSN-E: 2054-1058
ISSN-L: 2054-1058
Volume: 7
Issue: 1
Pages: 246 - 255
DOI: 10.1002/nop2.381
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
Funding: The present study was supported by an educational grant from the Finnish Foundation of Cardiovascular Disease (16.4.2012) and Finnish Nursing Associations (6.6.2014).
Copyright information: © 2019 The Authors. Nursing Open published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.