Factors Predicting Medication Use Behaviors of Patients with Type ıı Diabetes Mellitus at Phramongkutklao Hospital

Authors

  • กุสุมา กังหลี วิทยาลัยพยาบาลกองทัพบก

Keywords:

diabetic patients, belief associated with behaviors, medication use behaviors

Abstract

The Objective of this research was to study the personal factors, belief associated with behaviors, and medication use behaviors, and to study prediction power of medication behaviors of type 2 diabetes mellitus patients. The Sample was 70 type 2 diabetes mellitus patients receiving services in diabetic clinic, Phramongkutklao hospital, during August-September 2016. Tools contained questionnaires of the personal factors, belief associated with behaviors, and medication use behaviors of type 2 diabetic patients with their reliabilities of 0.80, and 0.73 respectively. The data were analyzed by frequency, percentage, mean, standard deviation, Pearson’s correlation coefficients and multiple regression with the Enter method. The result showed that type 2 diabetic patients at Phramongkutklao hospital mostly female (51.40%), age between 60-79 years (64.30%), marital status and spouse (82.90%), education level at Matthayom 6/vocational certificate (32.90%), monthly income more than 20,000 baht (40%) and duration of diabetes over 10 years (47.20%). Most type 2 diabetics have belief associated with behaviors and medication use behaviors at very appropriate level. (84.30% and 92.90%, respectively). The belief associated with behaviors could predict their medication use behaviors at 35.1%, statistically significant (R2 = .351, p<.05) and their personal factors could not predict their medication use behaviors. The belief associated with behaviors could predict medication use behaviors of type 2 diabetes mellitus patients. Therefore, nurses should plan to care the patients by encouraging their behaviors in complying with good medication compliance confirming with their individual belief associated with behaviors.

References

1. ThaiNCD. Number and rate of chronic noncommunicable disease. Bangkok; 2015. (in Thai).

2. Ministry of public health. Public Health Statistics: The number and the rate of non-communicable chronic disease. Bangkok; 2016. (in Thai).

3. Diabetes registry statistics for diabetes clinic at Phramongkutklao Hospital. Bangkok; 2015. (in Thai).

4. Sarinpakorn W. et al. Diabetes. 2th ed. Bangkok: Bangkok Wetchasan Printing House; 2010. (in Thai).

5. Diabetes Association of Thailand under The Patronage of Her Royal Highness princess Maha Chakri Sirindhorn. Guidelines for Diabetes. Bangkok: Aroonprinting; 2014. (in Thai).

6. Ajzen I. The theory of planned behavior. Organization Behavior & Human Decision Processes. 1991; 50: 179-211.

7. Chaisri K. Na Ayuthya S.K. Puwarawuttipanit W. and Peerapatdit T. Factors Predicting Medication Use Behaviors of Type 2 Diabetic Patients. Journal of Nursing Science. 2013; 31(3): 67-75. (in Thai).

8. Sukunan T. Meksuk N. and Wongsara A. Factors affecting glycemia control behavior of Diabetes mellitus patients in Bansuan Tambon Health Promoting Hospital, Chonburi Province. Journal of Phrapokklao Nursing College. 2016; 27(1): 93-102. (in Thai).

9. Fishbein M. and Ajzen I. Predicting and Changing Behavior: The Reasoned Action Approach. New York: Taylor and Francis Group; 2010.

10. Fishbein M. and Ajzen I. The Influence of Attitudes on Behavior. In: Albarracín D. Johnson B.T. Zanna M.P. editors. The handbook of attitudes.
New York: Lawrence Erlbaum Associates; 2005.p.173-221.

11. Polit and Beck. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 8th ed. Philadelphia: lippincott williams & wilkins; 2008.

12. Ajzen I. and Manstead A.S.R. Changing healthrelated behaviors: An approach based on the theory of planned behavior. In K. van den Bos M. Hewstone J. de Wit H. Schut & M. Stroebe (Eds.), The scope of social psychology: Theory and applications. New York: Psychology Press; 2007. p. 43-63.

13. Rokeach Milton. The nature of human values. New York: The Free press; 1973.

14. Becker M. H. The Health Belief Model and Sick Role Behavior. Health Education Monographs. 1974; 2: 409-417.

15. Chongchareon W. Kahawong W. Apichato A. Sangchandr O. Chukumneard P. Boonsin K. et al. A self-care promotion model for controlling blood sugar in type 2 diabetes. Songkla Med J. 2008; 26(1): 71-84. (in Thai).

16. Thompson A.A. and Strickland A. J. Strategic management: Concepts and cases. 11thed. Boston: Mc Graw-Hill; 1999.

17. Konglieam O. Biosocial factors and health locus of control effecting selfcare behavior of diabetes mellitus patients in Chainat Hospital [dissertation]. Bangkok: Srinakharinwirot University; 2009. (in Thai).

18. Noinonthong K. Health locus of control and self-care behavior in diabetes mellitus patients at Namphong Hospital in Namphong district Khon Kaen Province. [dissertation]. Khon Kaen: Khon Kaen University; 1994. (in Thai).

19. Supachaipanichpong P. Vatanasomboon P. Tansakul S. and Chumchuen P. Knowledge and Beliefs in Medication Use among Diabetic Patients with Non-medication Adherence. Veridian E-Journal Science and Technology Silpakorn University. 2014; 1(1): 1-12. (in Thai).

20. Chaiyasamut S. and Promra W. Guidelines for Developing Knowledge, Attitude, and Blood Sugar Controlling Behaviors of Diabetic Patients with Non-Insulin Dependence at Pathumthani. Journal of Mahamakut Graduate School (Humanities and Social Sciences). 2017; 15(2): 111-123. (in Thai).

21. Mongkolchaipak T. Pichayapaiboon S. and Sangviroon A. Factors Affecting Medication Adherence of Diabetic Patients at Police General Hospital. Thai Journal of Pharmacy Practice. 2015; 7(1): 47-59. (in Thai).

22. Kanglee, K. Factors Associated with Glycemic Control among People with Type 2 Diabetes Mellitus at Phramongkutklao Hospital, Bangkok. Journal of the Royal Thai Army Nurses. 2014; 15(3): 256-268. (in Thai).

23. Kitreerawutiwong K. Kingnetr G. Saengpak C. and Wongsawang N. Factor Influencing Diabetes Self-Management Behavior among Type 2 Diabetes Mellitus Patients. Journal of the Royal Thai Army Nurses. 2017; 18(3): 192-200. (in Thai).

Downloads

Published

29-08-2018

How to Cite

1.
กังหลี ก. Factors Predicting Medication Use Behaviors of Patients with Type ıı Diabetes Mellitus at Phramongkutklao Hospital. J Royal Thai Army Nurses [Internet]. 2018 Aug. 29 [cited 2024 Nov. 22];19(2):170-82. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/143997

Issue

Section

Research Articles