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Illness representations, treatment beliefs, medication adherence and hospital readmission in elderly individuals with chronic heart failure
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Turrise, Stephanie. Illness representations, treatment beliefs, medication adherence and hospital readmission in elderly individuals with chronic heart failure. Retrieved from https://doi.org/doi:10.7282/T3B56GTR

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TitleIllness representations, treatment beliefs, medication adherence and hospital readmission in elderly individuals with chronic heart failure
NameTurrise, Stephanie (author); Thomas-Hawkins, Charlotte (chair); Eller, Lucille (internal member); D'Alonzo, Karen (internal member); Robinson, Joanne P (outside member); Rutgers University; Graduate School - Newark
Date Created2014
Other Date2014-01 (degree)
SubjectNursing, Heart failure, Heart--Diseases--Patients, Heart--Diseases--Relapse, Heart--Diseases--Treatment, Older people--Medical care, Older people--Diseases--Treatment
Extentix, 133 p. : ill.
DescriptionThe purpose of this study was to investigate the relationships among illness representations, treatment beliefs, medication nonadherence, and hospital readmission in elderly individuals with chronic heart failure (HF). Theoretically derived antecedents to hospital readmission included illness identity, illness consequences, illness timeline, illness control, the difference between specific medication necessity and concern beliefs and medication adherence. The sample was comprised of 96 patients, discharged to home from a medical surgical or cardiac telemetry unit between August 2012 and March 2013. Data were collected during telephone surveys and from electronic medical record reviews. Hypotheses were tested using correlational and regression analyses. Significant correlations indicated that the belief that one has little to no personal control over their HF is significantly related to medication adherence, when medication necessity beliefs were stronger than medication concerns. Subjects were highly adherent to their medications, and individuals who did not believe their treatment was effective in controlling their HF were readmitted within 30 days of hospital discharge. In logistic regression analysis, necessity- concern differential remained a significant predictor of medication adherence while personal control was not a significant predictor. This study contributed to the body of knowledge regarding factors related to 30-day hospital readmission in older individuals with chronic heart failure. Additional investigation is needed to further explore these relationships using objective measures of medication adherence and additional dimensions of illness representations, such as emotional factors.
NotePh.D.
NoteIncludes bibliographical references
NoteIncludes vita
Noteby Stephanie Turrise
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/T3B56GTR
Languageeng
CollectionGraduate School - Newark Electronic Theses and Dissertations
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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