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Understanding alcohol-related liver disease patients' illness beliefs and views about their medicine
Jonathan Presky1, Ian Webzell2, Trevor Murrells3
1Hepatobilary Clinical Nurse Specialist, Guy's and St Thomas' NHS Foundation Trust, London.
Background:
people with alcohol-related liver disease require complex treatment plans that often include the need for medication for the rest of their lives. Between 30% and 50% of all patients do not take their treatment as prescribed, leading to a significantly increased risk of morbidity and mortality.
Aim:
to consider the factors which influence beliefs held by patients with alcohol-related liver disease about their medication to provide an evidence base to support interventions to reduce medication non-adherence.
Method:
an observational cross-sectional patient survey.
Results:
statistically significant associations were found between positive attitudes towards medication and the illness representation dimensions of 'illness identity' and 'illness comprehension'.
Conclusions:
medication adherence in patients with alcohol-related liver disease is likely to be improved by an intervention that strives to improve the patient's understanding of their illness condition and their perception of their illness symptoms.
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