Medication Adherence in elderly patients with chronic disease at Lad Pattana Health Promoting Hospital ,Muang District, Mahasarakham Province
Abstract
Method : this cross-sectional descriptive
Objective : study was to determine medication adherence and factors associated with medication adherence in elderly patients with chronic diseases who registered in Lad Pattana Health Promoting Hospital , Muang District , Mahasarakham Province . 130 samples were recruited through the study during January 4 – May 31,2019. Data collected by interview and pill count method. Descriptive statistic and chi-square test were used in data analysis.
Result : this study showed that their average age was 69.66 + 6.78 years and 63.8 % were female. In total, high adherence, medium and low adherence were 39.2%, 23.8 % and 36.9% respectively. The most common reasons for medium to low adherence were forgetfulness to take medication (55.4%), anxiety about kidney failure (43.1%) and forget to bring medication (33.8%). Factors associated with medication adherence, patient-related factors ; sex , age, marital status and income were statistically significant associated with medication adherence (p < 0.05). Health care providers and caregiver factors, medication adherence in family with care giver is higher than those without care giver were statistically significant associated with adherence. (58.8% vs 32.3%, p < 0.05). Therapy and medication related factors and healthcare services accessibility were not statistically significant associated with medication adherence.
Conclusion : High medication adherence were slightly more than low adherence. Improving medication adherence in some factors can be develop such as support caregiver network, offer innovative for reminding medication taking and provide patient education.
Keyword : Medication adherence , elderly chronic disease.
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