Evid Based Nurs 10:127 doi:10.1136/ebn.10.4.127
  • Qualitative

People with cardiovascular disease identified 5 areas of medication-related problems that influenced adherence and informed decision making

 Q What are the perspectives of people with cardiovascular disease regarding medication-related problems?


Qualitative study.


5 general medical surgeries and 4 community pharmacies in south London, UK.


98 patients >18 years of age (mean age 67 y, range 32–89; 58% women), who were prescribed medicines for a cardiovascular condition. 65% of participants reported ⩾1 medication-related problem.


In-depth home interviews addressed participants’ use of each prescribed medication, how this fit into daily activities, concerns or problems, and actions taken to resolve problems. Interviews were audiotaped, transcribed verbatim, and analysed thematically using an inductive method.


Participants identified 5 major categories of medication-related problems. (1) Perceptions of side effects and methods of coping. Participants accepted the possibility of side effects and described how they coped with them. Concerns included the possibility of becoming dependent with long-term use of drugs. Patients usually waited to see if side effects persisted before consulting with their physician; if problems persisted after …

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