Factors Related to Antiepileptic Drug Adherence in Post-Neurosurgeries Patients
Keywords:
adherence, antiepileptic drug, side effect, self-management, illness perception, depressionAbstract
Background and Objective: Convulsion was frequently reported in patients after neurosurgeries. Taking antiepileptic drug among the patients lasted for a while. Medication adherence was the extent to which a patient's behavior taking medication corresponds with the agreed recommendations from a healthcare provider. Therefore, it was significant to study factors affecting adherence of antiepileptic drugs. This study aimed to investigate factors relating to adherence of epileptic drugs among patients post neurosurgeries.
Materials and Methods: The samples consisted of 110 post neurosurgeries patients; aged between 18-59 years. both male and female attending at Surgical Outpatient Department. The research instruments consisted of the demographic questionnaire, the illness perception questionnaire, the self-management questionnaire, the depression questionnaire, the adverse drug reaction questionnaire, the social support questionnaire, and the medication adherence questionnaire.
Results: Most patients (77.3%) had a high level of antiepileptic drug adherence. Illness perception (r = -.340) and adverse drug reaction (r = -.242) were significantly associated with antiepileptic drug adherence (p<.05). However, no statistically significant association between self-management, depression, social support and adherence to antiepileptic drug were found.
Conclusion: Nurses should provide knowledge about disease, treatment, drug side effect, medication adherence behaviors, drug storage, and abnormal symptoms leading them to see doctors. Moreover, nurses should promote patients’ illness perception aiming to their appropriate self-management behaviors after neurosurgeries.
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