WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Chonrin H. (M.Sc CTVN, NHI), Deepa C. (M. Phil, Principal NHI) and Murugan V. Asst. Prof NHI)

ABSTRACT

Background: Non-compliance of the patient with prescribed treatment is considered as a barrier to effective health care. Non-compliance contributes to relapse and re-hospitalization. India, being a rural country, has unique problems regarding the treatment compliance which is a serious risk of morbidity and mortality. As the population continues to age and cost containment pressure increases, the health care industry will be challenged to find ways to empower patients to play a greater role in the management of their illness. The aim of this study was to assessed the degree of compliance and factors affecting compliance to discharge advice. Design: A descriptive exploratory design was utilized, Setting: the study was conducted in a Tertiary Cardiac Centre NHI, New Delhi. Sample: A purposive sample of 60 patients, three tools were used to collect the study data. A self administered structure questionnaires, compliance determinants scale questionnaire and a self assessment medication handbook was used. Results: Out of the total sample (n=60), 82% were compliance and 18% were partially compliance to discharge advice provided to them during discharge. Also out of the compliance determinants, wound care determinants (50.83%) have the least compliance as compared to other determinants followed by physical exercise (82%). Patient centered, socio economic and health management factor were found to be statistically significant (p=0.005). Conclusion: Majority of the patients have compliance to discharge advice in terms of medication, wound care, diet, physical exercise and follow-up, provided to them during the time of discharge. Therapy –related factor and psychological factor has no association with the degree of compliance.

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