Prevalence and Factors Associated with Medication Noncompliance in Patients with Noncommunicable Diseases at Specialty Clinics, Faculty of Medicine Vajira Hospital, Navamindradhiraj University
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Abstract
Objective: To study prevalence and factors associated with medication noncompliance in patients with noncommunicable diseases (NCDs) at Specialty Clinics, Faculty of Medicine Vajira Hospital. Navamindradhiraj University
Methods: This research design was a cross-sectional analytical study. The participants were 360 NCD patients who were treated at the Specialty Clinics, Vajira Hospital. Data were collected between June and August 2017. The instrument was a structured interview. Data were analyzed by using descriptive statistics, chi-squared test and multiple logistic regression analysis.
Results: The prevalence of medication noncompliance in patients with noncommunicable diseases was 40.8% (147 patients). The top 3 problems were underdosing medications (18.3%), taking medications irregularly (17.8%) and not taking medications (13.1%). The factors associated with medication noncompliance in NCD patients were, namely, the inconvenient dosing of medications (ORadj= 4.24, 95%CI = 1.74-10.36), insufficient prescription of medications (ORadj= 52.52, 95%CI = 4.52-610.73), not reading the labels before using medications (ORadj= 17.84, 95%CI=7.27-43.77) and inadequately knowledge about disease and drug regimens (ORadj= 95.21, 95%CI = 20.48- 442.62).
Conclusion: To reduce the level of medication noncompliance in patients with NCDs, healthcare providers should optimize the frequency and simplify the dosing regimens. Physicians should prescribe sufficient medications to cover the period between appointments. In addition, patients should receive adequate education about treatments and diseases, especially when regimens are changed. The other important issues are teaching patients how to cut tablets and use measuring devices. The importance of reading labels before using medications to prevent administration errors should be emphasized.
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References
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