DEVELOPMENT OF PRACTICE GUIDELINES TO IMPROVE MEDICATION ADHERENCES IN PATIENT WITH FIRST DIAGNOSIS DIABETES MELLITUS IN PHUWIANG HOSPITAL IN KHONKAEN PROVINCE

Abstract

Introduction: Diabetes Mellitus (DM) is, at present, a major health problem in Thailand and the number of the DM patients in Phuwiang Hospital is continuously increasing. According to a preliminary survey on drug usage, it is found that 60% of thepatients abused and caused diabetes complications. To this incident, it is required that the researcher develop the guideline to promote a medication adherence in the patients whom were initially diagnosed as diabetes in Phuwiang Hospital, Khonkaen Province. Objective: The research aims to study the problem that affects directly to the medication adherences in the first-diagnosis DM patients in order to develop the practice guideline for promoting the drug utilization by those groups and to find the results for general medication adherences. The research methodology was conducted by means of an action research to collect data by using questionnaires with a reliability of Cronbach’s alpha coefficient at 0.94 which selected from 164 first-diagnosis DM patients and also analyzed data in forms of frequency, percentage and standard deviation. Results: (1) On account of this research, the affected problems in medication adherences among those patients were their emotion and stress, supportive behavior for taking care of themselves, particularly in a regular workout, which were all found in a moderate level. (2) The output modeling conducted from this study was called “SHOP-DM”, standing for S (Screening) H (Heath Promotion Activity) O (Organization) P (Physician diagnosis) – D (Dispensary) M (Monitoring) which this model was utilized as the main activities in the diabetes clinic. (3) The result of this study revealed that the patients received less in medication for reducing their blood sugar levels, while the use of laboratory in FBS, HbA1C, LDL &Cretinine was found in a normal level. Recommendation: It is suggested that the study be continually conducted at least 1 year.