Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, 622 W. 168th St. PH9-319, New York, NY, 10032, USA.
VA Puget Sound Healthcare System, Seattle, WA, USA.
J Behav Med. 2020 Jun;43(3):402-410. doi: 10.1007/s10865-020-00139-0. Epub 2020 Jan 29.
Stressful health situations may compromise spouses'/partners' ability to provide patients with support. We tested whether partner status/partner presence in the emergency department (ED) were associated with patients' adherence to daily cardiovascular medications and whether effects differed by age/gender. Participants were 189 patients evaluated for acute coronary syndrome at an urban academic ED (M = 62.18; 57.1% male; 58.7% Hispanic). Participants self-reported partner status/partner presence. Medication adherence was measured using an electronic pillcap. For male patients, having a partner was associated with increased adherence in the first month post-discharge, OR 1.94, p < .001, but having a partner present in the ED was associated with lower adherence, OR 0.33, p < .001. The opposite effect was evident for female patients. Partner status/partner presence in the ED are associated with medication adherence during the first month post discharge, with opposing effects for male and female patients.
紧张的健康状况可能会影响配偶/伴侣为患者提供支持的能力。我们测试了患者在急诊科（ED）的伴侣状况/伴侣存在是否与患者对每日心血管药物的依从性相关，以及这些效果是否因年龄/性别而异。参与者为在城市学术 ED 评估急性冠状动脉综合征的 189 名患者（M = 62.18；57.1%为男性；58.7%为西班牙裔）。参与者自我报告了伴侣状况/伴侣存在。药物依从性使用电子药盒测量。对于男性患者，出院后第一个月有伴侣与更高的依从性相关，OR 1.94，p < .001，但 ED 中有伴侣存在与较低的依从性相关，OR 0.33，p < .001。对于女性患者，效果则相反。ED 中的伴侣状况/伴侣存在与出院后第一个月的药物依从性相关，对男性和女性患者有相反的影响。
