The Effect of Assessing Barriers and Self-efficacy Enhancement Program on Medication Adherence

2.50
Hdl Handle:
http://hdl.handle.net/10755/616503
Title:
The Effect of Assessing Barriers and Self-efficacy Enhancement Program on Medication Adherence
Other Titles:
Patient Safety: Promoting Knowledge and Processes
Author(s):
Polsook, Rapin
Lead Author STTI Affiliation:
Phi Omega-at-Large
Author Details:
Rapin Polsook, rapin.p@chula.ac.th
Abstract:
Session presented on Friday, July 22, 2016: Acute myocardial infarction is leading cause of death in developed country. After receiving acute treatment, post- acute myocardial infarction patients must adhere to specific medication regimens because they play a crucial role in treating post- acute myocardial infarction and maintaining health. Medication adherence defines as post-AMI patients continuing to take medication according to post- acute myocardial infarction patients agreed recommendations from a health care provider during they are in treatment after discharge. Effective medication adherence reduces cardiac events, morbidity, mortality, rehospitalization rates, healthcare costs, and enhances well-being among patients with acute myocardial infarction. Studies have reported that adherence to medications after hospital discharge for myocardial infarction is poor with about 12% to 20% of patients discontinue their medications six months after discharge. Purpose: This study 'aimed to examine the effect of self-efficacy enhancement program on medication adherence in post- acute myocardial infarction patients.' Methods: A total 44 patient with post-acute myocardial infarction were recruited from the in-patient department, Police General Hospital. The participants were random assigned into control group and experimental group. The control group received conventional care while the experimental group attended a four-week self-efficacy enhancement program, which included motivation, skill practice, and monitoring skills. The mean self-efficacy score between groups was assessed. The pill count was used to measure medication adherence. Correlations between self-efficacy and medication adherence were examined. Data were analyzed using descriptive statistic, Pearson?s correlation, and t-test.' Results: The mean score on medication adherence of the experiment group who attended the self-efficacy enhancement program was significantly greater than the control group (t = -2.77; df= 21; p = 0.01). The mean score of self-efficacy between the experimental and control group were 35.73 (SD= 4.11) and 35.41 (SD= 3.78). The correlations between self-efficacy and medication adherence was significantly (r=1.00, p =0.00). Conclusion: The effectiveness of self-efficacy enhancement program was effective in improving medication adherence in Thai post-acute myocardial infarction.
Keywords:
self-efficacy; medication adherence; Thai
Repository Posting Date:
13-Jul-2016
Date of Publication:
13-Jul-2016 ; 13-Jul-2016
Other Identifiers:
INRC16D05
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.titleThe Effect of Assessing Barriers and Self-efficacy Enhancement Program on Medication Adherenceen
dc.title.alternativePatient Safety: Promoting Knowledge and Processesen
dc.contributor.authorPolsook, Rapinen
dc.contributor.departmentPhi Omega-at-Largeen
dc.author.detailsRapin Polsook, rapin.p@chula.ac.then
dc.identifier.urihttp://hdl.handle.net/10755/616503-
dc.description.abstractSession presented on Friday, July 22, 2016: Acute myocardial infarction is leading cause of death in developed country. After receiving acute treatment, post- acute myocardial infarction patients must adhere to specific medication regimens because they play a crucial role in treating post- acute myocardial infarction and maintaining health. Medication adherence defines as post-AMI patients continuing to take medication according to post- acute myocardial infarction patients agreed recommendations from a health care provider during they are in treatment after discharge. Effective medication adherence reduces cardiac events, morbidity, mortality, rehospitalization rates, healthcare costs, and enhances well-being among patients with acute myocardial infarction. Studies have reported that adherence to medications after hospital discharge for myocardial infarction is poor with about 12% to 20% of patients discontinue their medications six months after discharge. Purpose: This study 'aimed to examine the effect of self-efficacy enhancement program on medication adherence in post- acute myocardial infarction patients.' Methods: A total 44 patient with post-acute myocardial infarction were recruited from the in-patient department, Police General Hospital. The participants were random assigned into control group and experimental group. The control group received conventional care while the experimental group attended a four-week self-efficacy enhancement program, which included motivation, skill practice, and monitoring skills. The mean self-efficacy score between groups was assessed. The pill count was used to measure medication adherence. Correlations between self-efficacy and medication adherence were examined. Data were analyzed using descriptive statistic, Pearson?s correlation, and t-test.' Results: The mean score on medication adherence of the experiment group who attended the self-efficacy enhancement program was significantly greater than the control group (t = -2.77; df= 21; p = 0.01). The mean score of self-efficacy between the experimental and control group were 35.73 (SD= 4.11) and 35.41 (SD= 3.78). The correlations between self-efficacy and medication adherence was significantly (r=1.00, p =0.00). Conclusion: The effectiveness of self-efficacy enhancement program was effective in improving medication adherence in Thai post-acute myocardial infarction.en
dc.subjectself-efficacyen
dc.subjectmedication adherenceen
dc.subjectThaien
dc.date.available2016-07-13T11:14:06Z-
dc.date.issued2016-07-13-
dc.date.issued2016-07-13en
dc.date.accessioned2016-07-13T11:14:06Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
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