Compliance depending on the stress risk level in patients with cerebrovascular diseases

Abstract

Compliance plays an important role in the effectiveness of therapy. Open communication with a physician, trust, compliance with medical prescriptions and recommendations, and patient’s health activities are important components of recovery or management of the disease. Materials and methods. At Kharkiv Regional Clinical Hospital - Centre for Emergency Medical Assistance during 2016–2018, 383 patients were observed with cerebrovascular pathology (CVP) at different stages of diseases. The compliance was assessed by using the questionnaire “Compliance level”. Each group was subdivided into subgroups at the basis of a Boston Social Stress Test. Results. Patients with moderate stress risk are characterized by a rather high level of compliance, and the people with high stress risk – by a lower one, whereas in patients with upper-high stress risk – by a very low level of compliance. The increasing stress risk is combined with the deterioration of compliance in patients with cerebrovascular pathology in form of increasing emotional and decreasing behavioral component of compliance. Conclusions. Formation of patients’ active position in the treatment and modification of risk factors in disease progression are important components of a health-centered approach.