Predictors of Medication Adherence in Ischemic Stroke Patients

Main Article Content

Chuanphit Julsri
Ratsiri Thato

Abstract

          The objectives of this descriptive predictive research were to study medication adherence in stroke patients and identify its predictive factors, including age, beliefs about the necessity of medication, concern of medication, perceived severity, knowledge, depression, and doctor-patients relationship. A simple random sampling was used to recruit subjects from Rajavithi hospital and Prasat Neurological Institute, totally 130 subjects. Data were collected by using 8 questionnaires: 1) demographic data form, 2) health data sheet, 3) beliefs about medication questionnaire (BMQ), 4) stroke knowledge, 5) perceived severity of stroke, 6) doctor-patients relationship, 7) depression questionnaire (9Q), and 8) medication adherence. The questionnaires were tested for content validity by 5 experts, their CVIs were .80, 1.00, 1.00, 1.00, 1.00, and 1.00, respectively. Cronbach’s alpha coefficients of questionnaire number 3, 5, 6, 7 and 8 were .78, .87, .78, .83 and .74, respectively. KR-20 of questionnaire number 4 was .74. Data were analyzed using stepwise multiple regression.


          The findings revealed that: 1) Overall, 35.38% of stroke patients was classified as adherent to medication., 2) Four variables were significant predictors of medication adherence in stroke patients at level .05. They were perceived severity (Beta = .676), knowledge (Beta = .168), depression (Beta = -.162), and beliefs about the necessity of medication (Beta = .140). They could explain 46.30% of medication adherence in stroke patient (p < .05). However, age, doctor-patients relationship, and concern of medication were not able to predict medication adherence in stroke patients. The recommendations from this study are that using the data to support medication adherence in stroke patients by focusing on perceived severity of ischemic stroke.

Article Details

How to Cite
Julsri, C., & Thato, R. . (2020). Predictors of Medication Adherence in Ischemic Stroke Patients. Kuakarun Journal of Nursing, 27(2), 77–89. Retrieved from https://he01.tci-thaijo.org/index.php/kcn/article/view/195513
Section
Research Articles

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