University of Oulu

Kähkönen, O., Kyngäs, H., Saaranen, T., Kankkunen, P., Miettinen, H., & Oikarinen, A. (2020). Support from next of kin and nurses are significant predictors of long-term adherence to treatment in post-PCI patients. European Journal of Cardiovascular Nursing, 19(4), 339–350.

Support from next of kin and nurses are significant predictors of long-term adherence to treatment in post-PCI patients

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Author: Kähkönen, Outi1; Kyngäs, Helvi1; Saaranen, Terhi2;
Organizations: 1Research Unit of Nursing Science and Health Management, University of Oulu, Finland
2Department of Nursing Science, University of Eastern Finland, Finland
3Kuopio University Hospital, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.3 MB)
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Language: English
Published: SAGE Publications, 2020
Publish Date: 2019-12-16


Background: Adherence to treatment is a crucial factor in preventing the progression of coronary heart disease. More evidence of the predictors of long-term adherence is needed.

Aims: The purpose of this study was to identify the predictive factors of adherence to treatment six years after percutaneous coronary intervention.

Methods: Baseline data (n=416) was collected in 2013 and follow-up data in 2019 (n=169) at two university hospitals and three central hospitals in Finland. The self-reported Adherence of Patients with Chronic Disease Instrument was used. Data were analysed using descriptive statistics and binary logistic regression analysis.

Results: The respondents reported higher adherence to a healthy lifestyle six years after percutaneous coronary intervention in comparison to four months post-percutaneous coronary intervention; adherence was seen in their healthy behaviour, such as decreased smoking and reduced alcohol consumption. Participating in regular follow-up control predicted adherence. Support from next of kin predicted physical activity and normal cholesterol levels; this outcome was associated with close relationships, which also predicted willingness to be responsible for treatment adherence. Women perceived lower support from nurses and physicians, and they had more fear of complications. Fear was more common among respondents with a longer duration of coronary heart disease. Physical activity and male gender were associated with perceived results of care.

Conclusion: Support from next of kin, nurses and physicians, results of care, responsibility, fear of complication and continuum of care predicted adherence to treatment in long term. These issues should be emphasised among women, patients without a close relationship, physically inactive and those with a longer duration of coronary heart disease.

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Series: European journal of cardiovascular nursing
ISSN: 1474-5151
ISSN-E: 1873-1953
ISSN-L: 1474-5151
Volume: 19
Issue: 4
Pages: 339 - 350
DOI: 10.1177/1474515119887851
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
Funding: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study has supported by Finnish Cultural Foundation and Finnish Foundation of Nursing Education.
Copyright information: © The European Society of Cardiology 2019. Reprinted by permission of SAGE Publications. The Definitive Version of Record can be found online at: