THE EFFECTIVENESS OF DISCHARGE INSTRUCTION TOWARDS MEDICATION COMPLIANCE AMONG ADULT SERVICE CARDIAC PATIENTS OF THE PHILIPPINE HEART CENTER (2018)

Bernadette L. Bautista, RN; Robert John S. Gonzales, RN; Elgine C. Molina, RN

      

Philippine Heart Center

 

 Background of  the  Study

Effective discharge planning is very crucial to care continuity. Compliance with medical recommendation is a complex challenge for every discharged patient as far as patient safety is concerned.   Failure to conform with instruction can lead to worse medical repercussions, hence,  excellent planning  and  good  follow-up can  improve  patient’s health, reduce readmissions and decrease healthcare costs.

 

Objective

To determine the effectiveness of medication discharge instructions among adult cardiac service patients.

 

Methods

Descriptive research design was used to evaluate significant difference in comprehension and compliance on discharge instructions among cardiac patients. The study considered total enumeration of adult social service patients (n=24) diagnosed with cardiac disease. Survey adapted Test for Knowledge Questionnaire used by Clarke including Discharge Instruction Evaluation; Test for Medication Compliance; and Guideline to Measure the Knowledge of Patients to Medications. Comparison of pretest and post-test knowledge scores were compared using dependent t-test. Factors associated with compliance were analyzed using logistic regression analysis.

 

Results

Findings of this study showed a remarkable increase in knowledge and compliance with discharge  instruction  on medications.  Home  medication  regimen  among  the  respondents exhibited more comprehensive understanding with anti-hypertension, anti-coagulants, cardiac glycosides, diuretics, and cholesterol lowering medications.