School of Social Sciences, Hellenic Open University, 26335 Patra, Greece.
Occupational Health Department, Metropolitan General Hospital, 15562 Athens, Greece.
Int J Environ Res Public Health. 2019 Jan 11;16(2):196. doi: 10.3390/ijerph16020196.
: 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. : 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. : 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)). : 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.
: 中风患者对药物的依从性通常并不理想。本研究旨在测量患者对治疗的依从性水平，并确定与中风患者长期治疗依从性相关的社会人口学、临床和主观因素。 : 140 名（66.4%为男性）至少 6 个月前发生缺血性中风的患者参与了这项调查。采用用药依从性报告量表和中风特定生活质量问卷来评估依从性。此外，还评估了对疾病的看法的信念药物问卷和简短疾病感知问卷。采用自我调节的常识模型问卷评估医患关系，采用家庭支持量表评估家庭支持。采用单变量和多变量分析来确定影响这些中风患者依从性的显著因素。 : 在 68.6%的患者中，依从性被分类为最佳，25.7%为部分，5.7%为差；在后两种情况下，在多变量分析中被视为依从性不佳。高依从性与患者的精神状态有关（OR：3.94 95%CI：1.84⁻4.46）、对药物必要性的认识（OR：1.26 95%CI：1.01⁻1.56）和医患沟通（OR：1.76 95%CI：1.15⁻2.70）。与女性相比，男性的依从性较低，对服药的担忧也增加（OR：0.83，95%CI：0.69⁻0.99）。矛盾的是，与工作/生产力相关的生活质量与依从性呈负相关（OR（95%CI）：0.44（0.23 至 0.82））。 : 对药物必要性的认识和医患沟通是与中风患者治疗依从性相关的可管理因素。此外，康复和重返工作方案在为这些人员提供支持时应考虑这些因素。
