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2022: Two-year Impact Factor: 4.4
Scopus Journal Metrics
CiteScore (2022): 5.3
SNIP(2022):1.389
SJR(2022): 0.78
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Open Access

Health Promot Perspect. 2021;11(4): 467-475.
doi: 10.34172/hpp.2021.59
PMID: 35079592
PMCID: PMC8767076
Scopus ID: 85122591656
  Abstract View: 1031
  PDF Download: 671
  Full Text View: 329

Original Article

Experience of adherence to treatment among patients with coronary artery disease during the COVID-19 pandemic: A qualitative study

Nasrin Zahmatkeshan 1 ORCID logo, Zahra Khademian 1* ORCID logo, Ladan Zarshenas 2 ORCID logo, Mahnaz Rakhshan 1 ORCID logo

1 Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
2 Department of Nursing, School of Nursing and Midwifery, Community based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
*Corresponding Author: *Corresponding Author: Zahra Khademian, Emails: zahra.khademian22@ outlook.com, , Email: khademian@sums.ac.ir

Abstract

Background: The coronavirus disease 2019 (COVID-19) pandemic has caused patients with chronic diseases to face various challenges. The present qualitative study aimed to explore adherence to treatment in patients with coronary artery disease (CAD) during the COVID-19 pandemic.

Methods: This qualitative content analysis was conducted from September 2020 to February 2021. Online in-depth interviews were conducted with 15 patients with CAD after discharge from Nemazi and Al-Zahra heart hospitals, Shiraz, Iran. Data management was done via MAXQDA 12 software using conventional content analysis based on the method proposed by Graneheim and Lundman.

Results: The results revealed three main categories, nine subcategories, and 431 primary codes. The first category was ‘improved self-care in the shadow of COVID-19‘ (Improving self-care due to fear of COVID-19, ‘utilization of alternative strategies, and reinforcement of self-care beliefs). The second category was ‘redefinition of support systems’ (need for a support system, seeking for alternative support systems, and changes in social interactions). The last category was ‘barriers to treatment adherence’ (shortage of financial resources, need to adjust with working conditions, and mental conflicts).

Conclusion: The results indicated that the COVID-19 threats encouraged the patients with CAD to adhere to their care principles. Nonetheless, the restrictions resulting from the pandemic caused problems in adherence to treatment. Thus, redefinition of the support systems in accordance with the present conditions are recommended.

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Submitted: 03 May 2021
Accepted: 12 Jun 2021
ePublished: 19 Dec 2021
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