Reasons for Medication Non-adherence from the Perspective of Type 2 Diabetic Patients: a Case Study of Warit-Chaphum Hospital, Sakon Nakorn
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Abstract
Objective: To study the reasons of medication non-adherence from the perspective of type 2 diabetic patients. Method: This study was a qualitative study collecting the data by in-depth interview with 16 diabetic patients receiving medication treatment at Warit-Chaphum Hospital, Sakon Nakhon during May 2017 - December 2018. Data analysis was done by content analysis. Results: Three out of 16 key informants were medication adherent patients, while 13 key informants were medication non-adherent by reducing the dose, using herbal drugs concomitantly with medications prescribed by physicians, and not taking certain drugs. The main reasons leading key informants to become medication non-adherent were the many drugs items to be taken, complicated instruction for taking medications, occurrence of adverse reactions from medications or having negative experience with medications, hectic schedules or forgetfulness, and positive attitude towards herbal medicines. In addition, key informants had models explaining illnesses of diabetes that were different from those of health professionals. As a result, they modified drug taking behaviors according to ones’ own concepts. Conclusion: Key informants' beliefs and perceptions greatly affected medication adherence. Health personnel should understand the phenomena that are important factors affecting treatment outcomes, and develop intervention for increasing medication adherence.
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ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
References
2. Chabanthom R. Effect of depression on medication adherence and glycemic control in patients with type 2 diabetes [master thesis]. Bangkok: Chula- longkorn University; 2007.
3. Raksapakdee O. The development of assessment tool for medication adherence in older persons with polypharmacy in Kae Dam Hospital Maha Sara kham [master thesis]. Khon Kaen : Khon Kaen University; 2013.
4. Chaisri K, Na Ayuthya S, Puwarawuttipanit W, Peerapatdit T, Factors predicting medication use behaviors of type 2 diabetic patients. J Nurs Sci 2013; 31: 67-75.
5. Supachaipanichpong P, Vatanasomboon P, Tansakul S, Chumchuen P. knowledge and beliefs in medication use among diabetic patients with medication non-adherence. Veridian E-Journal Science and Technology Silpakorn University. 2014; 1:1-12.
6. Puengdokmai P,Charoenkitkarn V,Pinyopasakul W,Sriprasong S,Dumavibhat C. Factors influencing medication adherence in hypertensive patients without complications. Princess of Naradhiwas University Journal. 2016; 8: 16-26.
7. Leaungsomnapa Y, Promproh S, Leaungsomnapa S, Sourthao Y. Influence of beliefs about medication on high group of medication adherence in hypertensive patients. Journal of Prapokklao Hospital Clinical Medical Education Center 2013; 30: 146-157.
8. Srisuwan N. Health behaviors for prediction blood glucose level of diabetic patients admitted at Samutprakarn hospital [master thesis]. Bangkok: Chulalongkorn University; 2007.
9. Kleiman A. Patient and healers in the context of culture: An exploration of the borderland between anthropology, medicine, and psychiatry. London: University of California; 1980.
10. Maimon P. The explanatory model of asthma in perspective of patients and health care providers [master thesis]. Khon Kaen : Khon Kaen University; 2010.
11. Chantaphasa K. Analysis of explanatory models and therapeutic choices under patient-provider power relation context [master thesis]. Bangkok: Chula longkorn University; 2004.
12. Pavasudthipaisit A, Awiphan R, Niwatananan K, Taesothikul W, Achanannubhap S, Chansrisuriya wong A, et al. An integration of the explanatory model for caring diabetic patients by clinical pharmacist. Thai Journal of Hospital Pharmacy 2009; 19:28-42.
13. Pattanarungson S. Explanatory model for “Bao-whan” in the viewpoint of diabetic patients in Lamphun Hospital. [independent study]. Chiang Mai : Chiang Mai University; 2011.
14. Chaichanaruangrueng W. Symptom experiences, Symptom management strategies and symptom outcome of blood glucose level changes perceived by person with diabetes mellitus. [master thesis]. Khon Kaen : Khon Kaen University; 2003.
15. Phanphuwong S .Dietary supplement consumption behavior of diabetes mellitus patient in tambon Warit Cha-Phum, Warit Cha-Phum district, Sakon Nakhon province [master thesis]. Khon Kaen : Khon Kaen University; 2014.
16. Poophalee T, Koonsawat C, Phuradchaphon T, Srisaknok T. Explanations and handling of unused medicines in patients with type 2 diabetes and hypertension: a case of a community at Ubon Ratchathani. Thai Journal of Pharmacy Practice. 2018; 10: 4-13.
17. Satirasatian T.Effectiveness of Individual counseling on medical compliance among diabetic patients in Kaeng Khoi hospital. [master thesis]. Nakhonphathom : Silpakorn University; 2002.
18. Asawarat N. Patterns of drug behaviors of diabetes mellitus patients. [master thesis]. Bangkok: Mahidol University; 1993.
