Adherence to Analgesic Therapy after Discharge from the Emergency Department.

Kasteel, L.E. (Laura Elisa) (2014) Adherence to Analgesic Therapy after Discharge from the Emergency Department. thesis, Medicine.

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Abstract

Acute pain is the most common complaint in the Emergency Department (ED). Inadequately treated pain can lead to complications, delays recovery and thereby increases healthcare costs. Patient adherence plays an important part in adequate treatment. However, the prevalence of patient non-adherence to analgesic therapy in acute pain, as well as reasons for it, remain unclear. Therefore the aim of this study is to determine frequencies and reasons for primary and secondary non-adherence to analgesic therapy after discharge from the ED. Also, we explore whether age, gender, location of pain, pain intensity, satisfaction with discharge instructions and the type of prescribed analgesic are associated with non-adherence. This prospective follow-up study was conducted in the EDs of ZGT in Almelo and Hengelo and included patients who received a prescription for analgesic medication at discharge. Data were collected from pain diaries which were filled in during seven consecutive days after discharge. A total of 117 patients participated of which 69 returned the pain diary (response rate 59.0%). Primary non-adherence was present in 6.1% of cases, mostly because respondents already had the prescribed analgesic at home (75.0%). Secondary non-adherence was present in 24.2% of the respondents who filled their prescription. Age, gender, location of pain, pain intensity, satisfaction with discharge instructions and the type of prescribed analgesic were not associated with secondary non-adherence. The primary non-adherence rate in this study is considerably low when compared to other studies. This difference might be explained by the number of non-responders who might not have filled prescriptions. Reasons for secondary non-adherence remain unclear. Further research is necessary to understand non-adherence in acute pain and to develop interventions.

Item Type:	Thesis (Thesis)
Supervisor name:	Kuster, D. and Ziekenhuisgroep Twente (ZGT) and Doggen, C. and Dept of Health Technology and Services Research and University of Twente
Faculty:	Medical Sciences
Date Deposited:	25 Jun 2020 10:56
Last Modified:	25 Jun 2020 10:56
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/1671

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