Factors Influencing 1-Year Medication Adherence of Korean Ischemic Stroke Survivors

Kim, Gye-Gyoung; Chae, Duckhee; Park, Man‐Seok; Yoo, Sung Hee

doi:10.1007/s12529-020-09854-z

Cited by 10 publications

(22 citation statements)

References 53 publications

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“…Of the 31 studies, 12 focused on CAM usage among patients with stroke, (Lee et al, 2004;Shin et al, 2008;Shaikh et al, 2009;Chang et al, 2011;Liao et al, 2012;Pandian et al, 2012;Ali et al, 2015;Kadir et al, 2015;Chang et al, 2016;Teo et al, 2016;Weng et al, 2016;Yeh et al, 2017), 15 reported medication adherence, (De Schryver et al, 2005;Osterberg and Blaschke, 2005;Arif et al, 2007;Khan et al, 2010;Bushnell et al, 2011;Chambers et al, 2011;Kronish et al, 2013;Sjölander et al, 2013;Jiang et al, 2017;Kim et al, 2017;Wei et al, 2017;Cheiloudaki and Alexopoulos, 2019;Rohde et al, 2019;Han et al, 2020;Saade et al, 2021), and only 4 investigated CAM usage and patients' adherence to stroke medications (Johnson et al, 2012;Karuniawati et al, 2017;Alhawsawi et al, 2020;Kim et al, 2020). The study design and country settings are summarized in Table 2, Table 3, Table 4 to Table 5.…”

Section: Resultsmentioning

confidence: 99%

Use of Complementary and Alternative Medicine and Adherence to Medication Therapy Among Stroke Patients: A Meta-analysis and Systematic Review

et al. 2022

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Purpose: To identify the use patterns of complementary and alternative medicine (CAM) and its impact on medication adherence among patients with stroke.Method: A systematic search through Science Direct, Google Scholar, and PubMed was performed to identify potential studies up to June 2021.The primary outcome was CAM use, and the secondary outcome was medication adherence among patients with stroke. Articles included in the review met the following criteria: 1) patients with stroke ≥18 years old on prescribed medications, and 2) medication adherence reported status. Meta-analyses were conducted to estimate the pooled prevalence of complementary and alternative medicine and adherence in stroke patients using a random-effects model.Results: A total of 1,330 studies were screened, of which 22 were included in the final analysis. The type of studies included were cross-sectional surveys, cohort studies, retrospective studies and prospective survey. The pooled prevalence of CAM usage was at 38% (29–48% CI) and medication non-adherence among stroke patients was at 29% (20–48% CI). The most common reason for inadequate stroke therapy and higher dependence on CAM was the patients’ lack of knowledge and the regimen complexity of the medication. Other factors for medication non-adherence were forgetfulness, side effects, cost, and lack of doctor-patient communication.Conclusion: A low prevalence of CAM usage and non-adherence to medications was observed among patients with stroke. Studies investigating the association between CAM usage and medication adherence among patients with stroke are scarce and future researches are needed to explore the influence of CAM use on stroke medication adherence.

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Section: Resultsmentioning

confidence: 99%

Use of Complementary and Alternative Medicine and Adherence to Medication Therapy Among Stroke Patients: A Meta-analysis and Systematic Review

et al. 2022

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“…Some studies reported that increased duration of the illness reduced MA. 16,18 In addition, some studies showed that recurrent stroke was a factor affecting MA 3,12 and recurrence of a stroke caused an increase in patients' attention and awareness of taking medication. 12 The reason for the absence of a relationship in this study may be due to the low rate (13.1%) of patients with a history of recurrent stroke.…”

Section: Discussionmentioning

confidence: 99%

“…For example, there is no agreement on which subgroup makes a difference in terms of age, sex, level of education, and availability of social support. [11][12][13]16,17 Some of the factors affecting MA include advanced age, smoking, too many prescribed medications, frequency of daily doses, beliefs about medicines, 18 the severity of the stroke, 10 side effects of medicines, 3,[9][10][11] poor perception of the illness, 10 low level of knowledge about medication therapy, 9,11,15 depression, 11 2 or more strokes, 12 low perception of medication requirement, and poor doctor-patient communication. 16 Although there is no study examining the relationship between the MA of patients with stroke and their beliefs about medication in Turkey, a study examining the daily living activity levels of patients with stroke and their MA has been found.…”

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confidence: 99%

Investigation of Medication Adherence and Factors Affecting It in Patients With Stroke

Arkan

Ordin

Öztürk

et al. 2021

Journal of Neuroscience Nursing

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BACKGROUND: Medication adherence is important in reducing the rate of secondary stroke in patients previously given a diagnosis of stroke. Therefore, there is a need to examine medication adherence and the factors affecting it in these patients. This study aimed to examine medication adherence in patients with stroke and the factors affecting it. METHODS: This study adopted a descriptive and cross-sectional design carried carried out on 183 stroke patients. Data were obtained between January and December 2019 using a sociodemographic and clinical characteristics form, the Morisky's Questions -Self-Reported Measure of Medication Adherence, the Turkish translation of the Beliefs about Medicines Questionnaire, the Nottingham Extended Activities of Daily Living Scale, and the revised Turkish version of Mini-Mental State Examination. RESULTS: The proportion of patients with high medication adherence was 33.9%. The sociodemographic and clinical characteristics of patients with stroke were found as not effective factors in medication adherence. Specific concerns and general overuse in the Turkish translation of the Beliefs about Medicines Questionnaire were found as factors affecting medication adherence. The Nottingham Extended Activities of Daily Living Scale and its subscales were found to be not effective factors in medication adherence. CONCLUSION: According to the results, the proportion of patients with high medication adherence was low. Patients' concerns about the possible side effects of their prescribed medications and beliefs about the overuse of medications negatively affected their medication adherence. It is recommended that nurses evaluate patients' medication adherence and beliefs about medications during hospitalization, discharge, or home visits. Structured nurse-led intervention programs are needed to enhance patients' medication adherence and beliefs about their medications.

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“…Beliefs about medication were studied as a predictive factor for medication adherence, and a representative factor that can be influenced by medical personnel [5][6][7]. Horne reports that the necessity of, and concerns about, medication determines participants' belief in medical treatment, which in turn affects medication adherence [8].…”

Section: Introductionmentioning

confidence: 99%

“…For this reason, it is important to identify factors that influence patients' medication concerns, and those that influence their perception of the medication's necessity. However, while previous studies examine beliefs about medication as an antecedent factor affecting medication adherence [6,7], few studies investigate factors that affect beliefs about medication [10][11][12], especially in stroke patients.…”

Section: Introductionmentioning

confidence: 99%

Factors Related to Beliefs about Medication in Ischemic Stroke Patients

Kim

Yoo

Park

et al. 2022

JCM

Self Cite

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Background: Medication beliefs are known as predictors of medication adherence. However, understanding of the relevance of these beliefs is lacking. Therefore, this study aimed to identify medication beliefs, and their influencing factors, in stroke survivors. Methods: This was a secondary analysis, using baseline data from a longitudinal study conducted to predict long-term medication adherence in Korean stroke survivors, and included 471 patients. Medication beliefs were investigated using the Belief about Medicine Questionnaire (BMQ), and the belief score and attitudes were derived from the “necessity” and “concern” scores, which are subscales of the BMQ. Multiple linear regression was used to determine independent factors influencing medication beliefs. Results: The mean score of medication beliefs is 7.07 ± 6.32, and the accepting group comprises 288 patients (61.1%). Medication beliefs are significantly higher in older adults (p < 0.001), females (p = 0.001), and patients with non-type D personality (p = 0.023), low-state anxiety (p < 0.001), high stroke severity (p = 0.001), a high number of medications (p < 0.001), and high knowledge about medications (p = 0.001). Conclusion: This study shows that type D personality, state anxiety, and knowledge about medication are major mediating factors for improving medication beliefs. These results may help healthcare professionals develop strategies to enhance medication adherence, by improving patients’ medication beliefs.

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Factors Influencing 1-Year Medication Adherence of Korean Ischemic Stroke Survivors

Cited by 10 publications

References 53 publications

Use of Complementary and Alternative Medicine and Adherence to Medication Therapy Among Stroke Patients: A Meta-analysis and Systematic Review

Use of Complementary and Alternative Medicine and Adherence to Medication Therapy Among Stroke Patients: A Meta-analysis and Systematic Review

Investigation of Medication Adherence and Factors Affecting It in Patients With Stroke

Factors Related to Beliefs about Medication in Ischemic Stroke Patients

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