Exploration of the factors in treatment adherence to coronary heart diseases diagnosis among the multi-ethnic patients: A qualitative study

Nor Firdous Mohamed, M. Azman Shahadan, Rahmatullah Khan Abdul Wahab, Oteh Maskon, Aizai Azan Abdul Rahim

Research output: Contribution to journalArticle

Abstract

Introduction: Introduction: Coronary heart disease (CHD) is the leading cause of death in Malaysia. This study aims to explore the treatment experiences of patients with recurrent coronary heart disease during hospital admission and after discharge. This research also attempts to understand patients’ adherence to the prescribed treatment. Method: The main sample for this study includes inpatients and outpatients with recurrent CHD who have undergone secondary prevention treatment at certain tertiary hospitals which were purposively sampled. The transcripts of one-to-one semi-structured interviews (N=22) were analyzed using the Interpretative Phenomenological Analysis (IPA). Results: Three themes emerged in the analysis of treatment adherence among multi-ethnic patients with CHD: (i) doctor-patient relationships; (ii) information-seeking behaviour; and (iii) psychosocial beliefs. Other factors that influence treatment adherence include patients’ cultural, religious, or spiritual beliefs-based complementary alternative medicines (CAM), if these factors were inadequately addressed by their respective heath professional. Conclusion: The results demonstrate that for future cardiac rehabilitation program development, health professionals must not only focus on the patient’s care improvement but must also be knowledgeable on the patient’s preferred alternative treatment.

Original languageEnglish
Pages (from-to)117-125
Number of pages9
JournalMalaysian Journal of Medicine and Health Sciences
Volume15
Issue number3
Publication statusPublished - 1 Jan 2019

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Coronary Disease
Patient Compliance
Complementary Therapies
Therapeutics
Information Seeking Behavior
Program Development
Malaysia
Secondary Prevention
Tertiary Care Centers
Inpatients
Cause of Death
Patient Care
Outpatients
Interviews
Health
Research

Keywords

  • Coronary heart diseases
  • Interpretative Phenomenological Analysis
  • Multi-ethnic
  • Psychosocial beliefs
  • Treatment Adherence

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Exploration of the factors in treatment adherence to coronary heart diseases diagnosis among the multi-ethnic patients : A qualitative study. / Mohamed, Nor Firdous; Azman Shahadan, M.; Wahab, Rahmatullah Khan Abdul; Maskon, Oteh; Rahim, Aizai Azan Abdul.

In: Malaysian Journal of Medicine and Health Sciences, Vol. 15, No. 3, 01.01.2019, p. 117-125.

Research output: Contribution to journalArticle

Mohamed, Nor Firdous ; Azman Shahadan, M. ; Wahab, Rahmatullah Khan Abdul ; Maskon, Oteh ; Rahim, Aizai Azan Abdul. / Exploration of the factors in treatment adherence to coronary heart diseases diagnosis among the multi-ethnic patients : A qualitative study. In: Malaysian Journal of Medicine and Health Sciences. 2019 ; Vol. 15, No. 3. pp. 117-125.
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