Association between Belief about Medication and Medication Adherence among Diabetes and Hypertensive Patients Controlled by Medication Taking Period

ความสัมพันธ์ระหว่างความเชื่อเกี่ยวกับการกินยากับความร่วมมือในการกินยา ของผู้ป่วยโรคเบาหวานและความดันโลหิตสูงภายใต้การควบคุม ตัวแปรระยะเวลาการกินยา

  • ยศพล เหลืองโสมนภา Phrapokklao Nursing College
  • ลลิตา เดชาวุธ Phrapokklao Nursing College
  • กฤษณี สุวรรณรัตน์ Phrapokklao Nursing College
  • สุกัญญา ขันวิเศษ Phrapokklao Nursing College
  • ปาลีรัญญ์ ฐาสิรสวัสดิ์ Phrapokklao Nursing College
  • ชวนชม พืชพันธ์ไพศาล Phrapokklao Nursing College
Keywords: Belief about Medication, Medication Adherence, Diabetes Mellitus, Hypertension

Abstract

Belief about medication is a factor which associate with medication adherence.
This descriptive cross-sectional study was designed to study the correlation between belief about medication and medication adherence controlled by medication taking period. Participants were 400 diabetes mellitus and hypertensive patients who under the responsibility of Thachang Subdistrict Administrative Organization, Chanthaburi, Thailand.  Research tools were belief about medication questionnaire and mediacation adherence questionnaire.   Data were collected from July 2014 to Febuary 2015. The SPSS version 24 was used and data analyzed using descriptive statistic, three variables of chisquare test and Cramer’s V.

The research found that most of participants who had  medication taking period during 1-5 years had belief in necessity  > corncern (69.2%) , follow by equality between necessity and corncern belief (15.6%) and corncern  > necessity belief (15.2 %) respectively and also had high medication adherence (76.8%).  Research results also found that most of participants who had medication taking period > 5 years had belief in necessity  > corncern (76.2%) , follow by corncern  > necessity belief (14.8 %) and equality between necessity and corncern belief (9%) respectively and also had high medication adherence (80.4%). Before controlled medication taking period , belief about medication had statistically associated with medication adherence ( p < .001 , effect size .197; small). After controlled medication taking period variable in 1 – 5 years group, belief about medication had statistically associated with medication adherence (p < .05 , effect size .175; small) and reveal that in > 5 years group, belief about medication had also statistically associated with medication adherence (p < .01 , effect size . 258; medium) .

Base on these findings , health care provider should assess belief about medication in chronic patients who have been taken medicine one year in order to know belief about medication, problem and barrier to taken medicine and also create an activity to give knowledge and change belief about medication in patients who have problem about these.

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Published
2019-01-11
Section
Research Articles; บทความวิจัย