Comparison of Medical Adherence among Family Caregivers’ Medical Management and Factors Affecting Medical Adherence in Chronic Kidney Disease Patients with Polypharmacy
Keywords:
Chronic kidney disease, polypharmacy, family caregiver, medical management, medical adherenceAbstract
The purpose of this research was to compare the medical adherence among family caregivers’
medical management with factors affecting medical adherence in chronic kidney disease patients
with polypharmacy. The sample comprised 221 family caregivers and 221 chronic kidney disease
patients who visited the outpatient department of Queen Savang Vadhana Memorial Hospital
between 1 April 2020 and 31 July 2020. Data were collected using the medical management methods
of family caregivers and the patients’ medical adherence scale. Data were analyzed using descriptive
statistics, chi-square, and binary logistic regression analysis.
The results revealed that the medical management method with the highest proportion of
medical adherence was the method of family caregivers helping patients read and interpret their
prescriptions. This was followed by asking daily about taking their medicines and family caregivers
administering the medicines, respectively. Nevertheless, the latter two are the top two methods used
by caregivers. The factor most influencing moderate to high level of medical adherence was family
caregivers being 18-59 years old. The results recommend that health care providers could increase
medical adherence by encouraging chronic kidney disease patients with polypharmacy to fnd family
caregivers who are 18-59 years old.
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