Factor Affecting to MaddiIcation Adherence Among Ethnic Hypertensive Patients of Maesai Sub-District Health Promotion Hospital, Maesai District, Chiangrai Province.

Abstract

 Rationale of the Study: Hypertension is a severe chronic disease, There is a silent killer as it increases the risk of many diseases and millions of patients are being treated but unable to control the level of blood pressure appropriately. Lack of cooperation with medication in patientsis one of the reasons why patients have high blood pressure levels, and many studies have shown that ethnicity is one factor that correlates and affect the cooperation in medication use. Therefore, this research study with patients in ethnic groups with hypertension, To study what factors that affect medication cooperation and can be used as a guideline to solve the problems further.

Research objectives: To study factors affecting medication use cooperation of patients in ethnic groups with hypertension, Mae Sai Health Promoting Hospital, Mae Sai District, Chiang Rai Province.

The factors studied are Patient's personal factors, Health factor, Social and economic factors, Factors related to treatment, and factors related to the health service system.

Research methods: Cross-sectional study.

Materials and method: Study in hypertension patients in ethnic groups who received treatment services in Mae Sai Health Promoting Hospital, Mae Sai District, Chiang Rai Province. Number of samples 174 people collected data from December 2022 to February 2023. The researchers analyzed the data by descriptive statistics, correlation coefficient statistics, and stepwise multiple regression analysis.

Results: Patient's personal factors in terms of attitudes/beliefs about hypertension and antihypertensive medication has a positive effect on medication cooperation scores is equal to 0.511 (p-value<0.01) and factors related to treatment in terms of the complexity of medication plans negatively affect the score of medication cooperation is equal to 0.161 (p-value<0.05), Both factors can predict medication use cooperation at 27.90 percent (Adjusted R square = 0.279).

Conclusion: Patient's personal factors in terms of attitudes/beliefs about hypertension and antihypertensive medication and factors related to treatment in terms of the complexity of medication plans, Able to predict medication cooperation in hypertension patients in ethnic groups who received treatment services in Mae Sai Health Promoting Hospital, Mae Sai District, Chiang Rai Province. The result of this study can be utilized to plan to solve problems and develop projects to promote cooperation in the appropriate use of medicines, because ethnic group is a fragile group that requires a lot of understanding. In terms of language, customs, traditions and beliefs that have been passed down from generation to generation. So, the problem can be solved most efficiently.