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Factors That Influence Compliance to Long-Term Remote Ischemic Conditioning Treatment in Patients With Ischemic
Jie Zhao1, Kaiting Fan1, Wenbo Zhao1
1Department of Neurology, Xuanwu Hospital, Capital Medical University, National Clinical Research Center for Geriatric Disease, Beijing, China.
Insights
Patient compliance with remote ischemic conditioning (RIC) for stroke recovery is influenced by follow-up frequency and physiological discomfort. Improving these factors can enhance treatment adherence for ischemic stroke patients undergoing RIC therapy.
Area of Science:
- Neurology
- Cardiovascular Medicine
- Rehabilitation Medicine
Background:
- Ischemic stroke poses a significant global health challenge.
- Remote ischemic conditioning (RIC) is a potential therapeutic intervention for stroke recovery.
- Understanding patient compliance with RIC is crucial for optimizing treatment outcomes.
Purpose of the Study:
- To assess treatment compliance in ischemic stroke patients undergoing RIC.
- To identify factors influencing patient adherence to RIC therapy over one year.
- To provide insights for improving RIC protocols and nursing support.
Main Methods:
- Retrospective analysis of 91 ischemic stroke patients treated with RIC.
- Evaluation of treatment compliance after one year of RIC training.
- Univariate and multivariate regression analyses to determine influencing factors.
Main Results:
- Higher baseline Kolcaba comfort scale scores were observed in patients with good compliance.
- Number of follow-up visits and physiological discomfort independently influenced compliance.
- Adjusted OR for follow-ups was 2.498 (95% CI 1.257-4.964); for physiological discomfort, it was 1.128 (95% CI 1.029-1.236).
Conclusions:
- Treatment compliance with RIC in ischemic stroke patients is significantly affected by the number of follow-up visits.
- Physiological discomfort during RIC independently impacts patient compliance.
- Further research into RIC protocols and associated nursing models is warranted.
Abstract:
Objectives: To investigate the treatment compliance of patients with ischemic stroke to remote ischemic conditioning (RIC) and to determine the factors that influence compliance. Methods: We conducted a retrospective study of patients with ischemic stroke who were treated with RIC. Treatment compliance was determined and analyzed in patients who had received 1 year of RIC training. Factors that influenced patient compliance were also determined using univariate and multivariate regression analyses. Results: Between March 2017 and February 2018, 91 patients were recruited into this study. The mean (±SD) age was 57.98 ± 10.76 years, and 78 (85.7%) patients were male. The baseline Kolcaba comfort scale of patients with good compliance scores were higher than those with poor compliance. The scores of the four dimensions in the scale and the total score are as follows: physiological dimensions, 15.0 (12.0,17.0) vs 17.0 (13.0,19.0); psychological dimensions, 30.0 (25.0,34.0) vs 31.0 (27.0,35.0); sociological dimensions, 20.0 (18.0,24.0) vs 21.0 (18.0,23.0); environmental dimensions, 19.0 (12.0,24.0) vs 20.0 (17.0,22.0); and total points, 82.0 (69.0,94.0) vs 91.0 (78.0,98.0). the differences between the groups were significant (p < 0.05), except for the sociological dimensions. A history of hypertension, number of follow-ups, and the physiological, psychological, and environmental dimensions of the comfort scale were related to patient compliance, out of which the number of follow-ups (Adjusted OR = 2.498, 95% confidence interval (CI) 1.257-4.964) and the physiological discomfort (Adjusted OR = 1.128, 95% CI 1.029-1.236) independently influenced compliance (p < 0.05). Conclusion: In patients with ischemic cerebrovascular disease who were treated with RIC, the number of follow-up visits and physiological discomfort associated with RIC treatment independently influenced patient compliance. Further studies are needed to investigate the RIC protocols and their corresponding nursing models.
