Stroke Patients’ Adherence to Nurses’ Advice and Their Quality of Life After Admittance to Hospital Tengku Ampuan Afzan

  • Wisam Nabeel Ibrahim
  • Sufi Md Nawi
  • Sinan Mohammed Abdullah Al-Mahmood
  • Noratikah Othman
Keywords: Adherence, Stroke, Quality of Life

Abstract

Objective: The objective of this study is to identify stroke patients’ adherence toward nurses’ advice and quality of life. Methodology: This was a cross-sectional study conducted at a medical ward in Hospital Tengku Ampuan Afzan, Kuantan, Pahang; it used the Quality of Life Index Stroke Version-III and Medical Outcome Study Measure of Patient Adherence. The data were collected using the purposive sampling method and were analysed using SPSS version 19. Results: A total of 54 respondents, ranging in age from 50 to 80 years old, (46.3% male and 53.7% female) with 94.4% being Malays. Returned surveys indicated that 50% of the respondents have no formal education. A total of 64.8% patients adhered to the nurss’ advice and the remaining 35.2% were non-adherents. There is a positive correlation between adherence and the quality of life. Male patients demonstrated a better adherence level compared to women (p=0.019). However, there was no association between age, race and education level with adherence. Conclusion: Healthcare professionals, such as nurses, have substantial roles in ensuring stroke patients adhere to rehabilitation guidelines with a view to maximising quality of life.

References

1. Sabih A, Dulebohn SC. Stroke, Prevention. StatPearls. Treasure Island (FL)2017.
2. MacDougall NJ, Amarasinghe S, Muir KW. Secondary prevention of stroke. Expert review of cardiovascular therapy. 2009 Sep;7(9):1103-15. PubMed PMID: 19764863.
3. Lawrence M, Fraser H, Woods C, McCall J. Secondary prevention of stroke and transient ischaemic attack. Nursing standard. 2011 Nov 2-8;26(9):41-6. PubMed PMID: 22165550.
4. Schmid AA, Andersen J, Kent T, Williams LS, Damush TM. Using intervention mapping to develop and adapt a secondary stroke prevention program in Veterans Health Administration medical centers. Implementation science : IS. 2010 Dec 15;5:97. PubMed PMID: 21159171. Pubmed Central PMCID: 3057184.
5. Ministry of Health M. Clinical Practice Guidelines 2012. Available from: www.moh.gov.my/penerbitan/CPG2017/8612.pdf.
6. Cameron V. Best practices for stroke patient and family education in the acute care setting: a literature review. Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses. 2013 Jan-Feb;22(1):51-5, 64. PubMed PMID: 23469500.
7. Aziz ZA, Lee YY, Ngah BA, Sidek NN, Looi I, Hanip MR, et al. Acute Stroke Registry Malaysia, 2010-2014: Results from the National Neurology Registry. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. 2015 Dec;24(12):2701-9. PubMed PMID: 26338106.
8. Dayapoglu N, Tan M. Quality of life in stroke patients. Neurology India. 2010 Sep-
Oct;58(5):697-701. PubMed PMID: 21045490.
9. Baumann M, Lurbe K, Leandro ME, Chau N. Life satisfaction of two-year post-stroke survivors: effects of socio-economic factors, motor impairment, Newcastle stroke-specific quality of life measure and World Health Organization quality of life: bref of informal caregivers in Luxembourg and a rural area in Portugal. Cerebrovascular diseases. 2012;33(3):219-30. PubMed PMID: 22261643.
10. Franzen-Dahlin A, Laska AC. Gender differences in quality of life after stroke and TIA: a cross-sectional survey of out-patients. Journal of clinical nursing. 2012 Aug;21(15-16):2386-91. PubMed PMID: 22788569.
11. Chow SK, Wong FK, Poon CY. Coping and caring: support for family caregivers of stroke survivors. Journal of clinical nursing. 2007 Jul;16(7B):133-43. PubMed PMID: 17584422.
12. T.D. W. The effectiveness of perceived social support and adherence on activities of daily living performance (ADL) and functional outcomes in first time stroke survivors Southern University and Agricultural and Mechanical College; 2012.
13. Rohde D, Merriman NA, Doyle F, Bennett K, Williams D, Hickey A. Does cognitive impairment impact adherence? A systematic review and meta-analysis of the association between cognitive impairment and medication non-adherence in stroke. PloS one. 2017;12(12):e0189339. PubMed PMID: 29220386. Pubmed Central PMCID: 5722379.
14. Carod-Artal FJ, Egido JA. Quality of life after stroke: the importance of a good recovery. Cerebrovascular diseases. 2009;27 Suppl 1:204-14. PubMed PMID: 19342853.
15. Basaraba JE, Picard M, George-Phillips K, Mysak T. Pharmacists as Care Providers for Stroke Patients: A Systematic Review. The Canadian journal of neurological sciences Le journal canadien des sciences neurologiques. 2017 Sep 20:1-7. PubMed PMID: 28929979.
16. Szymczyk I, Wojtyna E, Lukas W, Kepa J, Pawlikowska T. How does gender influence the recognition of cardiovascular risk and adherence to self-care recommendations?: A study in Polish primary care. BMC family practice. 2013 Nov 1;14:165. PubMed PMID: 24175983. Pubmed Central PMCID: 3818445.
Published
2018-02-02
How to Cite
Ibrahim, W., Nawi, S., Al-Mahmood, S., & Othman, N. (2018). Stroke Patients’ Adherence to Nurses’ Advice and Their Quality of Life After Admittance to Hospital Tengku Ampuan Afzan. INTERNATIONAL JOURNAL OF CARE SCHOLARS, 1(1), 1-4. Retrieved from http://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/36
Section
Articles

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