Prevalence and Factors Associated with Medication Noncompliance in Patients with Noncommunicable Diseases at Specialty Clinics, Faculty of Medicine Vajira Hospital, Navamindradhiraj University
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Creator Wisanee Rojanaurai
Title Prevalence and Factors Associated with Medication Noncompliance in Patients with Noncommunicable Diseases at Specialty Clinics, Faculty of Medicine Vajira Hospital, Navamindradhiraj University
Publisher Text and Journal Publication
Publication Year 2561
Journal Title Vajira Medical Journal
Journal Vol. 62
Journal No. 3
Keyword Medication noncompliance, Noncommunicable diseases, NCDs, Prevalence
URL Website https://tci-thaijo.org/index.php/VMED
Website title Vajira Medical Journal (วชิรเวชสาร)
ISSN 0125-1252
Abstract Objective: To study prevalence and factors associated with medication noncompliance in patients with noncommunicable diseases (NCDs) at Specialty Clinics, Faculty of Medicine Vajira hospital. Navamindradhiraj University Methods: This research design was a cross-sectional analytical study. The participants were 360 NCD patients who were treated at the Specialty Clinics, Vajira Hospital. Data were collected between June and August 2017. The instrument was a structured interview. Data were analyzed by using descriptive statistics, chi-squared test and multiple logistic regression analysis. Results: The prevalence of medication noncompliance in patients with noncommunicable diseases was 40.8% (147 patients). The top 3 problems were taking underdosing medications (18.3%), taking medications irregularly (17.8%) and not taking medications (13.1%). The factors associated with medication noncompliance in NCD patients were, namely, the inconvenient dosingof medications (ORadj= 4.24, 95%CI = 1.74-10.36), insufficient prescriptionof medications (ORadj= 52.52, 95%CI = 4.52-610.73), not reading the labels before using medications (ORadj= 17.84, 95%CI=7.27-43.77) and inadequately knowledge about disease and drug regimens (ORadj= 95.21, 95%CI = 20.48- 442.62). Conclusion: To reduce the level of medication noncompliance in patients with NCDs, healthcare providers should optimize the frequency and simplify the dosing regimens. The physicians should prescribe proper amount of medications to cover the period between appointments. In addition, patients should receive adequate education about treatments and diseases, especially when regimens are changed. The other important issues are teaching patients on how to cut the tablets and use measuring devices. The importance of reading labels before using medications to prevent administration errors should be emphasized.
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