ผลของโปรแกรมส่งเสริมความเชื่อด้านสุขภาพในการรับประทานยาต้านเกล็ดเลือดร่วมกับการใช้กล่องเตือนกินยาออนไลน์ ต่อความร่วมมือในการรับประทานยาของผู้ป่วยกล้ามเนื้อหัวใจขาดเลือดหลังได้รับการขยายหลอดเลือดโคโรนารี

Niracha Srisuwattananun; Khachee  Pongsathonviboon

Authors

Niracha Srisuwattananun Kuakarun Faculty of Nursing, Navamindradhiraj University, Bangkok
Khachee Pongsathonviboon Kuakarun Faculty of Nursing, Navamindradhiraj University, Bangkok

Keywords:

medication adherence, health-belief model, antiplatelet medication, myocardial infarction, percutaneous coronary intervention

Abstract

This quasi-experimental research aimed to study the effects of a health-belief-promoting program for antiplatelet medication combined with online pillbox reminders on medication adherence among patients with myocardial infarction undergoing percutaneous coronary intervention by applying the health-belief model as a conceptual framework. The sample consisted of 46 patients with myocardial infarction, aged 18 years and above, undergoing percutaneous coronary intervention at the intensive medical care unit of a tertiary hospital in Bangkok. The sample was divided into 23 persons in an experimental group receiving the health-belief-promoting program for antiplatelet medication combined with online pillbox reminders, and 23 persons in a control group receiving a regular program. The instruments in this study were the health-belief-promoting program for antiplatelet medication combined with online pillbox reminders and a medication adherence assessment. The content validity index (CVI) of the assessment equaled .94, and its Cronbach’s alpha coefficient was .96. The data were analyzed using descriptive statistics. The differences between the experimental group and the control group were compared using analysis of covariance (ANCOVA) and pairwise comparison by the Bonferroni method.

The research results indicated that medication adherence among the experimental group after receiving the health-belief-promoting program for antiplatelet medication, together with the use of online pill box reminders, was statistically significantly higher than before receiving the program at .05 (M = 87.39, SD = .94, and M = 51.52, SD = 3.79, respectively; t = 44.069, p = .001) as well as the control group who received regular nursing care (M = 87.39, SD = .94, and M = 51.17, SD = 2.86, respectively; t = 53.729, p = .001). It can be concluded that the health-belief-promoting program for antiplatelet medication combined with online pillbox reminders could encourage patients to have better medication adherence. Healthcare teams are able to use this program to promote medication adherence among other groups of patients accordingly.

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