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Health Behavior among the Elderly with Type 2 Diabetes at a Primary Care Cluster in the 5th Health Region |
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| รหัสดีโอไอ | |
| Creator | Wilai Trakoon-osot |
| Title | Health Behavior among the Elderly with Type 2 Diabetes at a Primary Care Cluster in the 5th Health Region |
| Contributor | Tamisa Koonkhuntod, Waritsara Samretsuk, Rungnapa Kulkumtorn, Lalitpat Akkaratham, Rangsima Sangkharat |
| Publisher | Faculty of Pharmaceutical Sciences KKU MSU UBU |
| Publication Year | 2563 |
| Journal Title | Isan Journal ofPharmaceutical Sciences |
| Journal Vol. | 16 |
| Journal No. | 4 |
| Page no. | 50-67 |
| Keyword | elderly, diabetes, T2DM, non-communicable disease, NCDs, health behavior, medication use |
| URL Website | https://tci-thaijo.org/index.php/IJPS |
| Website title | Isan Journal ofPharmaceutical Sciences, IJPS |
| ISSN | 19050852 |
| 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. |
