Knowledge of stroke and medication adherence among patients with recurrent stroke or transient ischemic attack in Indonesia: a multi-center, cross-sectional study
| Main Authors: | Kumaladewi, Karina, Chulavatnatol, Suvatna, Suansanae, Thanarat, Wibowo, Yosi Irawati, Sani, Achmad Firdaus, Islamiya, Wardah Rahmatul, Nathisuwan, Surakit |
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| Format: | Article PeerReviewed application/pdf |
| Bahasa: | eng |
| Terbitan: |
Springer Link
, 2020
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| Subjects: | |
| Online Access: |
http://repository.ubaya.ac.id/40724/ http://doi.org/10.1007/s11096-020-01178-y |
Daftar Isi:
- Background: There is a limited data in Indonesia regarding the stroke knowledge and medication adherence among stroke survivors. Objective: To assess the level of stroke knowledge and medication adherence along with their relationship among stroke survivors. Setting: Two tertiary-care hospitals in Surabaya, East Java, Indonesia. Methods: A prospective, cross-sectional study was conducted among 215 stroke survivors. Stroke Knowledge Test and the Morisky Green Levine Adherence Scale questionnaires were used to evaluate stroke knowledge and medication adherence, respectively. Binary logistic regression was performed to assess the relationship between stroke knowledge and medication adherence.Main outcome measures: Relationship between stroke knowledge and medication adherence.ResultsA total of 215 patients with mean age of 56.34 ± 8.69 years were recruited into this study. Mean Stroke Knowledge Test score was 7.89 ± 3.38 with 76.7% had low level of stroke knowledge. Mean Morisky Green Levine Adherence Scale was 3.05 ± 1.11 with 52.1% had low to medium medication adherence.Education and duration of stroke correlated with stroke knowledge level (Spearman’s correlation coefficient: 0.307, p = 0.001 and 0.128, p = 0.041, respectively). Age and disability correlated with medication adherence (Spearman’s correlation coefficient:0.169; p = 0.013 and 0.171; p = 0.012), respectively. After adjustment for covariates, stroke knowledge level was independently associated with medication adherence (adjusted OR: 4.37, 95% CI 2.00–9.53; p < 0.001).Conclusion: Stroke knowledge was low among Indonesian stroke survivors and independently related to medication adherence. Attempts should be made to increase stroke knowledge which may improve medication adherence among stroke survivors.