Current Situation and Countermeasures of Medication Compliance of Stroke Patients in Rural Henan Province
Objective To understand the status and influencing factors of medication compliance of rural stroke patients in Henan Province,and propose corresponding countermeasures.Methods A convenience sampling method was used to select 646 stroke patients from rural areas in Henan Province.The general data questionnaire,the knowledge and attitude questionnaire of stroke patients,and the Chinese version of Morisky medication compliance questionnaire were used in survey.Descriptive statistics,Pearson method and Ordinal regression were used to analyze the influencing factors of medication compliance of rural stroke patients.Results The average awareness rate of disease-related knowledge in rural stroke patients was only 48.60%,the average knowledge score was(12.67±5.1),the average attitude score was(34.54±6.52),and 565(87.5%)patients'medication adherence was at a low level,only 19 patients(2.9%)had high medication adherence.Ordinal regression analysis showed that stroke patients with high medication attitude scores,high education level,and comorbidities with chronic disease had high level of medication adherence,while stroke patients with widows had low level of medication adherence,with the pseudo-determination coefficient was R2=0.111.Conclusion The rural patients with stroke in Henan Province have low level of disease cognition and low medication compliance.They suggest innovative measures to promote the participation of patients through the network platform,and play the role of family caregivers and medical staff of primary medical organizations,at the same time,famous hospital experts go to the rural,improve the ability of primary health care services,provide effective health services for rural home stroke patients,improve their medication compliance,and reduce the burden of disease.