Health Behavior among the Elderly with Type 2 Diabetes at a Primary Care Cluster in the 5th Health Region
Article Sidebar
Main Article Content
Abstract
The worldwide population is ageing.Elderly patients demonstrate different medical characteristics from younger population and need specific medical cares. Type 2 diabetes (T2DM) is commonly found in the elderly. Behaviors of T2DM patients can definitely affect the patient’s health status. This study aimed to survey the health behaviors among the elderly with T2DM at a primary care cluster (PCC) in the 5th health region. Methods: Data collection was performed in targeted population during March 9th - April 11th 2018 by structured interview. The participants were interviewed regarding their health behavior in 5 aspects; the use of medicines and herb, food consumption, physical activity, foot care, as well as smoking and alcohol drinking. Results: One-hundred and ten elderly patients were included. The median (IQR) of age and the disease duration were 68 (7) and 10 (15) years, respectively. Polypharmacy was found in most of the participants (32.7%). The finding revealed that medication non-compliance occurred 32.7%. The percentage of participants who did not inform the staff at the PCC that they were taking medicines or herbal products from other sources were 9.1 and 15.5%, respectively. The most popular beverage was found to be soy milk and cow milk following by tea and coffee. Exercises were performed in the majority of them (63.6%). However, the risk of failing or direct musculoskeletal injury increased in some participants who did an inappropriate exercise. Moreover, the proportion of the participant who soaked their feet in a warm water or put a heating equipment on their feet with inappropriately technique was 24.5%. Ten percent of the participants were smokers, which 4.5% wanted to quit smoking. Four percent of the participant drank alcohol and no one wanted to give up. Conclusion: To increase the adherence with lifestyle modification and reduce health related problems of the patient; holistic approach by a multidisciplinary team, entrusting healthcare providers, identifying the cause of inappropriate health behaviors, providing knowledge, allowing the patient and their care giver to take part in the individual care, performing medication reconciliation as well as complete and portable medical recording are necessary.
Article Details
In the case that some parts are used by others The author must Confirm that obtaining permission to use some of the original authors. And must attach evidence That the permission has been included
References
Aekplakorn W, editor. Thai National Health Examination Survey, NHES V. Nonthabri: Healthy system research institute, 2014. (in Thai)
American Diabetes Association. Standards of medical care in diabetes 2017. Diabetes Care 2017;40 (Suppl. 1):S99–S104.
Boonchayaanant P, Vorasettakarnkij Y, editors. Guideline for overweight and obesity. Bangkok: Network of Fatless Belly Thais. The Royal College of Physician of Thailand; 2015. (in Thai)
Bureau of Elderly Health. Training guideline for care givers of elderly, 420 hours curriculum; 2014; Bangkok: WVO Officer of Printing Mill, the War Veterans Organization of Thailand under Royal Patronage of His Majesty the King. (in Thai)
Chaichanawirote U, Vithayachockitikhun N. Medication use behaviors among the older thai adults. Sponsored by Health System Research Institute. 2014 Oct [cited 2018 Sep 08] (in Thai); Available from: URL: http://kb.hsri.or.th/dspace/handle/11228/4305
Chessman KH, Kumpf V. Assessment of nutrition status and nutrition requirements. In: Dipiro JT, editors: Pharmacotherapy: a pathophysiologic approach 10th eds. New York: McGraw-Hill Education; 2017; p.2323-44.
Diabetes Association of Thailand. Clinical practice guideline for diabetes 2017. Bangkok: Collaboration between Diabetes Association of Thailand, The Endocrine Society of Thailand, Department of medical Service, National Health Security Office. (in Thai)
Food and Drug Administration. National List of Essential Medicines 2018. [cited 2018 Sep 08] (in Thai); Available from: URL: http://www.fda.moph.go.th/sites/drug/Shared%20Documents/New/nlem2561.PDF
Foundation of Thai Gerontology Research and Development Institute. Ages society: definition, situation and management. 2017 Apr 28 [cited 2017 Sep 5] (in Thai); Available from: URL: http://thaitgri.org/?p=37900
Foundation of Thai Gerontology Research and Development Institute. Situation of Thai elderly 2016. 2018 Jan [cited 2018 Sep 5] (in Thai); Available from: URL: http://thaitgri.org/?p=38427
Health Administration Division. Guidelines of primary care cluster for service units. Bangkok: The Agricultural Co-operative Federation of Thailand; 2016. (in Thai)
Institute of Medical Research and Technology Assessment. Exercise in patients with diabetes and hypertension; 2012; Bangkok: WVO Officer of Printing Mill, the War Veterans Organization of Thailand under Royal Patronage of His Majesty the King. (in Thai)
Kidney Disease Improving Global Outcome. KDIGO 2012 Clinical practice guideline for the evaluation and management of chronic kidney disease. Jan 2013 [cited 2017 Nov 25]; Available from: URL: http://www.kdigo.org/clinical_practice_guidelines/pdf/CKD/KDIGO_2012_CKD_GL.pdf
Muangpaisan W, editors. Gerontology and geriatrics for primary care practice. Bangkok: Thai Society of Gerontology and Geriatric Medicine; 2017. (in Thai)
Nechba RB, Kadiri MEM, Bennani-Ziatni M, Zeggwagh AA, Mesfioui A. Difficulty in managing polypharmacy in the elderly: case report and review of the literature. J Clin Gerontol Geriatr. 2015;6(1): 30-33.
Nephrology Society of Thailand. Clinical practice recommendation for the evaluation and management of chronic kidney disease in adults 2015. [cited 2017 Nov 25] (in Thai); Available from: URL: http://www.nephrothai.org/images/10-11-2016/Final_คมอ_CKD_2015.pdf
Prasertsuk S, Kanjanarach T. Proposed Role and Responsibilities of Pharmacists in Patient Care at Primary Care Level. IJPS 2017; 13 (Supplement): 698-704.
Prince of Songkla University. Herb for primary health care. Bangkok: Cho. Chareon printing; 2008. (in Thai)
Puttarak P, Thong-im J, Pradit Ngamsiripol, editors. Use of herbal products based on evidence based medicine. Bangkok: The Association of Hospital Pharmacy (Thailand); 2015. (in Thai)
Robert CW. Body mass index as an indicator of obesity. Asia Pacific J Clin Nutr. 2002;11(Suppl): S681–4
Ruangphaisan M, Chanthapasa K. Reasons for medication non-adherence from the perspective of type 2 diabetic patients: a case study of Warit-Chaphum Hospital, Sakon Nakorn. Thai J Pharm Prac. 2020;12(2):482-92.
Schueren MB, Soeters PB, Reijen PLM, Allison SP, Kondrup J. Diagnosis of malnutrition – screening and assessment. In: Sobotka L, editors: Basics in clinical nutrition 4th eds. Czech Republic; Galén; 2011; p.21-31.
Smoking free pharmacy network. A brief Guide for Tobacco Control [Online]. 2018 Apr [cite 2018 May 25]; Available from: http://quitsmokingnow.in.th/a-brief-guide-for-tobacco-control/a-brief-guide-for-tobacco-control-2/
Suksri H, Sriring P, Kanjanarach T. Medication related problems of patients at home, communities in Muang, Khon Kaen. Proceeding of Khon Kaen University Academic Conference, 2011 Jan 27-29; Khon Kaen.
Temsiririrkkul R, Amnuoypol S. Herbal medicine: household Remedies. Bangkok: Faculty of Pharmacy, Mahidol University; 2013. (in Thai)
Wongboonnak A, Wogtrakul P, Mahamongkol H, Neimkhum W. The survey of medicine, food supplement and herbal products used problems among elderly a case study at the community of tumbon Srisa Chorakhe Noi, Samut Prakan province. HCU Journal of Health Science. 2016;20(39):97-108.
World Health Organization. Obesity and overweight [Online]. 2017 Oct [cited 2018 Jan 5]; Available from: http://www.who.int/mediacentre/factsheets/fs311/en/