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Medication adherence early after stroke: using the Perceptions and Practicalities Framework to explore stroke survivors’, informal carers’ and nurses’ experiences of barriers and solutions
- Source :
- Journal of Research in Nursing. 26:499-514
- Publication Year :
- 2021
- Publisher :
- SAGE Publications, 2021.
-
Abstract
- Background Secondary prevention medication after stroke reduces risk of recurrence, but adherence is often poor. Stroke survivors’, carers’ and nurses’ perspectives of early post-stroke medication adherence are unexplored. Aim The aim of this study was to explore stroke survivors’, carers’ and nurses’ views and experiences about adhering to medication early after post-stroke hospital discharge. Methods Qualitative individual and group interviews, utilising the Perceptions and Practicalities Framework, were employed. Nine people Results There were four main themes with two sub-themes. (1) Perceptions of medication taking after stroke. Factors affecting adherence included depression, imperceptible benefits and concerns about adverse effects. (2) Perceptions about those at higher risk of poor medication adherence. Nurses suggested that poor adherence might be more likely in those living alone or with previous non-adherence. (3) Practicalities of taking medication early after stroke; these included post-stroke disabilities, cognition, polypharmacy and lack of information. (4a) Practicalities of addressing poor medication adherence during the hospital stay. Solutions included multidisciplinary co-ordination, but nurses and stroke survivors described suboptimal use of opportunities to promote adherence. (4b) Practicalities of addressing poor medication adherence post-discharge. Solutions included modifications and support from carers, but stroke survivors reported difficulties in evolving systems for taking medications. Conclusions Stroke survivors and informal carers lack knowledge and support needed to manage medication early after discharge. Nurses’ opportunities to promote medication adherence are under-exploited. Medication adherence strategies to support stroke survivors early after discharge are needed.
- Subjects :
- Secondary prevention
Patient discharge
Polypharmacy
medicine.medical_specialty
Research and Theory
business.industry
media_common.quotation_subject
B770
Medication adherence
medicine.disease
03 medical and health sciences
0302 clinical medicine
Perception
Physical therapy
medicine
cardiovascular diseases
030212 general & internal medicine
Stroke survivor
business
Stroke
030217 neurology & neurosurgery
media_common
Subjects
Details
- ISSN :
- 1744988X and 17449871
- Volume :
- 26
- Database :
- OpenAIRE
- Journal :
- Journal of Research in Nursing
- Accession number :
- edsair.doi.dedup.....5f6e7f627041ee541038c7a8838512dd