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Adherence to Treatment in Stroke Patients

Author

Listed:
  • Emmanouela Cheiloudaki

    (School of Social Sciences, Hellenic Open University, 26335 Patra, Greece)

  • Evangelos C. Alexopoulos

    (School of Social Sciences, Hellenic Open University, 26335 Patra, Greece
    Occupational Health Department, Metropolitan General Hospital, 15562 Athens, Greece)

Abstract

Background : Compliance with medication in patients who have suffered stroke is usually not-optimal. This study aims to measure the level of compliance with the treatment and to identify socio-demographic, clinical, and subjective factors related to the long-term compliance of stroke patients with their treatment. Methods : 140 patients (66.4% males) suffered an ischemic stroke at least six months old, participated in the survey. Compliance was measured using the Medication Adherence Report Scale and the quality of life by the Stroke Specific Quality of Life questionnaire. Furthermore, the Beliefs about Medicines Questionnaire and the Brief Illness Perception Questionnaire on perceptions about the disease were assessed. The doctor–patient relationship was assessed by the Common-Sense Model of Self-Regulation questionnaire and the family support was assessed by the FSS scale. Univariate and multivariate analysis was employed to identify the significant factors affecting compliance in these stroke patients. Results : In 68.6% of patients the compliance was classified as optimal, in 25.7% as partial and as poor in 5.7%; the last two categories were treated as sub-optimal compliance in multivariate analysis. The high compliance was related to patient’s mental state (OR:3.94 95% CI: 1.84–4.46), the perception medication necessity (OR:1.26 95% CI: 1.01–1.56), and the doctor–patient communication (OR:1.76 95% CI: 1.15–2.70). Men showed a lower compliance than women, as well as increased concerns about taking medication (OR: 0.83, 95% CI: 0.69–0.99). Paradoxically, the work /productivity related quality of life was inversely associated with compliance (OR (95% CI): 0.44 (0.23 to 0.82)). Conclusions : The perception of medication necessity and the doctor–patient communication are manageable factors associated with compliance in treating patients who have suffered stroke. In addition, rehabilitation and return to work programs should consider these factors when providing support to those persons.

Suggested Citation

  • Emmanouela Cheiloudaki & Evangelos C. Alexopoulos, 2019. "Adherence to Treatment in Stroke Patients," IJERPH, MDPI, vol. 16(2), pages 1-11, January.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:2:p:196-:d:196982
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    Cited by:

    1. Mohd Azzuan Ahmad & Devinder Kaur Ajit Singh & Nor Azlin Mohd Nordin & Khor Hooi Nee & Norliza Ibrahim, 2019. "Virtual Reality Games as an Adjunct in Improving Upper Limb Function and General Health among Stroke Survivors," IJERPH, MDPI, vol. 16(24), pages 1-9, December.

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