อิทธิพลของการรับรู้ความเจ็บป่วยต่อความร่วมมือในการรับประทานยาของผู้ป่วยมุสลิมโรคกล้ามเนื้อหัวใจตายหลังได้รับการสวนขยายหลอดเลือดหัวใจ

Abstract

Descriptive Study Objectives: To investigate the level of medication adherence among Muslim patients with myocardial infarction after undergoing coronary angioplasty. To explore the predictive power of illness perception factors—symptom perception, timeline or duration of illness, causes of illness, impact of illness, and treatment or symptom control perception—on medication adherence among Muslim patients with myocardial infarction after undergoing coronary angioplasty. Methodology: The sample consisted of 60 Muslim patients with myocardial infarction after undergoing coronary angioplasty, selected from the outpatient department of the Yala Cardiovascular Center using Cohen’s formula and purposive sampling. The data collection instruments included: A general information questionnaire. A questionnaire on illness perception among Muslim patients with myocardial infarction after undergoing coronary angioplasty, divided into two parts: Part 1: A questionnaire on symptom perception related to myocardial infarction. Part 2: A questionnaire on perceptions of the timeline/duration of illness, causes of illness, impact of illness, and treatment or control of myocardial infarction symptoms.A questionnaire on medication adherence among Muslim patients with myocardial infarction after undergoing coronary angioplasty. The content validity of the questionnaires was evaluated by three experts, with a CVI (Content Validity Index) ranging from 0.84 to 0.93. The reliability was tested using Cronbach's alpha, with coefficients ranging from 0.80 to 0.81. Data were analyzed using descriptive statistics and Enter multiple regression analysis.Results: The findings indicated that the participants had a high level of medication adherence overall (M = 3.72, SD = 0.21). Illness perception of myocardial infarction was found to be a significant predictor of medication adherence (R2 = .245, F (5, 52) = 5.950, < .05). Specifically, illness perception related to treatment or symptom control was a statistically significant predictor of medication adherence (< .05). However, the variables of illness timeline/duration perception and illness impact perception were not statistically significant.Conclusion: The results of this study can serve as valuable information for designing programs to promote medication adherence and self-care behaviors to prevent myocardial infarction. It is suggested to develop communication materials or channels to provide guidance on self-care and continuous health promotion, with the aim of reducing illness recurrence and the rate of myocardial infarction.