Akhtar Sumera Saeed, Anwar Mudassir, Coppell Kirsten J, Parackal Sherly Mathew
Centre for International Health, University of Otago, 55 Hanover Street, Dunedin, New Zealand.
School of Pharmacy, University of Otago, 18 Frederick Street, Dunedin North, Dunedin, New Zealand.
J Prim Health Care. 2024 Dec;16(4):390-397. doi: 10.1071/HC24084.
Introduction Globally, cardiovascular disease (CVD) is a common cause of death. The highest CVD rate is among South Asian populations and South Asian immigrants have a higher risk of developing CVD than other ethnic groups. While treatment of established CVD risk factors is recommended, medication adherence may be poor. Aim This qualitative study aimed to explore medication adherence practices of New Zealand South Asians who are prescribed medications for type 2 diabetes, and/or hypertension, and/or dyslipidaemia, established risk factors for CVD. Method Twenty-one semi-structured telephone interviews were conducted with South Asians with type 2 diabetes, and/or hypertension, and/or dyslipidaemia. Data were transcribed, then analysed thematically using NVivo12. Codes and inductively derived themes were discussed. Results Five themes with 12 subthemes were identified. The five themes included daily routine and medication adherence practices, perceived necessity of medications and concerns about side effects, concern and hesitancy to start conventional medications, integration of herbal and alternative therapies, and the role of healthcare providers and communication. Discussion These findings highlight the importance of personalised approaches to medication management that consider patients' beliefs, daily routines, and cultural contexts to reduce CVD risk and improve health outcomes among South Asians.
引言
在全球范围内，心血管疾病（CVD）是常见的死亡原因。心血管疾病发病率最高的是南亚人群，南亚移民患心血管疾病的风险高于其他种族群体。虽然建议对已确定的心血管疾病风险因素进行治疗，但药物依从性可能较差。
目的
本定性研究旨在探讨新西兰南亚人中，那些被开了治疗2型糖尿病、和/或高血压、和/或血脂异常（心血管疾病的既定风险因素）药物的人的用药依从性情况。
方法
对患有2型糖尿病、和/或高血压、和/或血脂异常的南亚人进行了21次半结构化电话访谈。数据被转录，然后使用NVivo12进行主题分析。讨论了编码和归纳得出的主题。
结果
确定了五个主题和12个子主题。这五个主题包括日常生活与用药依从性情况、对药物必要性的认知以及对副作用的担忧、对开始使用传统药物的担忧和犹豫、草药和替代疗法的整合以及医疗服务提供者的作用和沟通。
讨论
这些发现凸显了个性化药物管理方法的重要性，这种方法要考虑患者的信念、日常生活和文化背景，以降低南亚人的心血管疾病风险并改善健康结果。
