Factors Affecting Adherence to Direct Oral Anticoagulant Medications among Patients Attending Al Ain Hospital
Date
2020Item Type
ThesisAbstract
Abstract
Background:
In Al Ain Hospital, anticoagulation therapy applies to the treatment of patients with different conditions such as stroke, myocardial infarction, atrial fibrillation, pulmonary embolism, deep vein thrombosis, and peripheral artery disease. However, many patients do not adhere to medications due to a variety of factors. A high rate of non-adherence to the anticoagulant medicines has made it difficult to achieve the desired health outcomes.
Aim:
The study aimed to establish the factors that affect adherence to direct oral anticoagulant (DOAC) medications among patients attending Al Ain Hospital.
Material and Method:
The research employs a prospective cohort study design for participants in Al Ain Hospital. A quantitative method involving questionnaires was used to collect data. All analyses were performed using Microsoft Excel version 2010 and SPSS version 20.0.
Results:
The collected data showed more than half of the respondents, around 57% recorded adherence, and many of them were knowledgeable about adherence to DOAC doses and
modes. However, it was found that the proportion of non-adherence with DOAC among patients was 38%. The leading factors were economic constrains, forgetting to take medications while traveling, and discontinuation of DOAC due to side effects without informing the physician or clinical pharmacist.
Conclusion:
In patients undertaking DOAC, adherence is one of the critical aspects that can impact anticoagulation management. More stress is needed in patient-directed educational approaches in anticoagulation healthcare institutions. A need to design more stretchered counseling services and Clinical pharmacists should focus more on patients on this group of medications and involve the patient in the process of the management plan
Author
Blooshi, Mariam Ibrahim.