Medication adherence and associated factors in elderly with Diabetes Mellitus and Multimorbidity at Sarapee hospital, Chiang Mai
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Abstract
Background and Objective: Elderly patients with diabetes mellitus and multimorbidity are increasing in numbers, however, medication adherence in this patients’ group is declining. In this study, we aim to find out prevalence and factors associated with medication adherence in those patients’ group.
Design: Descriptive Cross-sectional study
Materials and Methods: Using baseline characteristics questionnaire and medication adherence questionnaire in 145 participants at the diabetic clinic, Sarapee hospital, Chiang Mai. Analyses data using frequency, percentage, Chi-square, t-test, and Multivariable Logistic Regression analysis.
Results: Prevalence of good medication adherence is 68.3 percent. The average fasting blood sugar is 5.4 mg/dl. Average HbA1C 8.4 Diabetic complications are found 60.8 percent. The elderlies with diabetes mellitus have three or more comorbidities, 89.0 percent. The average types of medication per day are 5.8. Factors associated with medication adherence are non-partner marital status (aOR 2.42, p=0.05), no worries about medication side effects (aOR 2.84, p=0.02), and having family member support in taking medication (aOR 4.27, p=0.03).
Conclusions: According to the result of factors associated with medication adherence in this study, the healthcare provider teams should assess concern and provide the right information about the medication and encourage a family member to support patients’ medication taking to promote good medication adherence and reduce complications in the future.
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