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研究生:阮氏夢玄
研究生(外文):Nguyen Thi Mong Huyen
論文名稱:A SELF-REPORT MEDICATION ADHERENCE AND ASSOCIATED FACTORS AMONG OUTPATIENTS WITH TYPE 2 DIABETES AT A HOSPITAL SOUTH VIETNAM
論文名稱(外文):A SELF-REPORT MEDICATION ADHERENCE AND ASSOCIATED FACTORS AMONG OUTPATIENTS WITH TYPE 2 DIABETES AT A HOSPITAL SOUTH VIETNAM
指導教授:王靜琳王靜琳引用關係
指導教授(外文):Wang,Ching-Lin
口試委員:李昭憲何美瑤
口試委員(外文):Lee,Chao-HsienHE,MEI-YAO
口試日期:2023-12-07
學位類別:碩士
校院名稱:美和科技大學
系所名稱:護理系健康照護碩士班
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2024
畢業學年度:112
語文別:英文
論文頁數:104
外文關鍵詞:Self-reportmedication adherenceassociated factorsoutpatientsVietnamtype 2 diabetes
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Diabetes is a complex, chronic illness requiring continuous medical care with multifactorial risk-reduction strategies beyond glycemic control. Ongoing patient self-management education and support are critical to preventing acute complications and reducing the risk of long-term complications.
One of the most cost-effective strategies for treating patients with type 2 diabetes as well as improving the quality of life is to educate patients about self-care knowledge and behaviors, especially medication adherence. We assessed the knowledge as well as the level of drug adherence among patients with type 2 diabetes who were being treated as outpatients in a hospital in the south of Vietnam.
Methods: A baseline cross-sectional survey of 255 adults with type 2 diabetes patients undergoing outpatient treatment at An Binh hospital in the south of Vietnam, was conducted. We used the Vietnamese Version of the General Medication Adherence Scale (GMAS) as measurement tools. Multivariable logistic regression analysis was used to evaluate independent predictors of patient awareness about diabetes and medication adherence behavior.
Findings: Through a survey of 255 patients participating in the study, the drug adherence rate was 76.5%, the non-adherence rate was 23.5%. Statistically significant differences between the adherence and non-adherence groups included duration of diabetes, last fasting blood sugar. The group of patients who have belief medication are more likely to adhere to medication.
Conclusion: Through analysis of self-reported results, the rate of medication adherence among patients with type 2 diabetes at An Binh hospital was relatively good. The study has found the factors affecting the adherence and non – adherence medication. From there, we have the most appropriate health education strategy to increase the patient's adherence rate to avoid dangerous complications caused by diabetes.
Diabetes is a complex, chronic illness requiring continuous medical care with multifactorial risk-reduction strategies beyond glycemic control. Ongoing patient self-management education and support are critical to preventing acute complications and reducing the risk of long-term complications.
One of the most cost-effective strategies for treating patients with type 2 diabetes as well as improving the quality of life is to educate patients about self-care knowledge and behaviors, especially medication adherence. We assessed the knowledge as well as the level of drug adherence among patients with type 2 diabetes who were being treated as outpatients in a hospital in the south of Vietnam.
Methods: A baseline cross-sectional survey of 255 adults with type 2 diabetes patients undergoing outpatient treatment at An Binh hospital in the south of Vietnam, was conducted. We used the Vietnamese Version of the General Medication Adherence Scale (GMAS) as measurement tools. Multivariable logistic regression analysis was used to evaluate independent predictors of patient awareness about diabetes and medication adherence behavior.
Findings: Through a survey of 255 patients participating in the study, the drug adherence rate was 76.5%, the non-adherence rate was 23.5%. Statistically significant differences between the adherence and non-adherence groups included duration of diabetes, last fasting blood sugar. The group of patients who have belief medication are more likely to adhere to medication.
Conclusion: Through analysis of self-reported results, the rate of medication adherence among patients with type 2 diabetes at An Binh hospital was relatively good. The study has found the factors affecting the adherence and non – adherence medication. From there, we have the most appropriate health education strategy to increase the patient's adherence rate to avoid dangerous complications caused by diabetes.
ABSTRACT i
ACKNOWLEDGEMENTS ii
DEDICATION iv
CONTENTS vi
LIST OF FIGURES ix
LIST OF TABLE x
CHAPTER I: INTRODUCTION 1
1.1. Statement of this research 1
1.2. Significance of this research 2
1.3. Statement of the objectives 3
1.4. Summary 3
CHAPTER II: LITERATURE REVIEW 4
2.1. Introduction 4
2.2. An overview of type 2 diabetes 4
2.2.1. Definition of type 2 diabetes 5
2.2.2. Diabetes treatment 6
2.2.3. Diabetes mellitus status in the word and Vietnam 8
2.2.4. Situation of type 2 diabetes in the world and in Vietnam 9
2.2.5. The situation of medication adherence among people with type 2 diabetes in the world and in Vietnam 10
2.3. Medication adherence 11
2.3.1. Definition 11
2.3.2. Adherence to medication in the treatment of diabetes 13
2.3.3. Factors affecting medication adherence with diabetes patients 17
2.3.4. Medication adherence among patients with type 2 diabetes 18
2.3.5. Consequences of non-adherence to medication in diabetes treatment 19
2.4. Previous studies findings 19
2.5. Apply nursing theory to research 20
2.5.1. Review of relevant theoretical literature 21
VII
2.6. Summary 23
CHAPTER III: RESEARCH METHODOLOGY 24
3.1. Introduction 24
3.2. Research design 24
3.3. Research framework and hypotheses 24
3.3.1. Research framework 25
3.3.2. Definition of vablriables 23
3.4. Research hypotheses 27
3.5. Setting 28
3.5.1. Target population 28
3.5.2. Study population 28
3.6. Sampling 28
3.6.1. Sample size 28
3.6.2. Inclusion criteria 29
3.6.3. Exclusion criteria were as follows 29
3.7. Research instruments 29
3.7.1. Instrument 29
3.7.2. Reliability and validity 30
3.7.3. Deviation control 31
3.8. Data management and data analysis strategy 34
3.8.1.Data collection and data management 34
3.8.2. Research Procedure 34
3.8.3.Data analysis plan 35
3.9. Ethical Considerations 36
3.10. Summary 37
CHAPTER V: RESULTS AND FINDINGS 39
4.1. Introduction 39
4.2. Data screening and recoding 39
4.3. Demographic characteristics of study participants 39
4.4. Pathological characteristics of the study participants 41
4.5. Level of medication adherence of type 2 diabetes patients 43
VIII
4.6. The Beliefs about Medication the study participants 45
4.7. Factors related to a patient's adherence to medication for type 2 diabetes 48
4.7.1. Association between medication adherence for type 2 diabetes and sample characteristics- univariate analysis 48
4.7.2. The relationships and differences among medication adherence for type 2 diabetes and other independent variables of demographic characteristics 52
4.7.3. The relationships and differences among medication adherence for type 2 diabetes and other independent variables of pathological characteristics 53
4.7.4 The relationships and differences among medication adherence for type 2 diabetes and belief medicines’s patient 53
4.7.5. Factors associated with adherence medication 53
4.8. Summary 55
CHAPTER V: DISCUSSION 57
5.1. Demographic characteristics of study participants 57
5.2. The pathological characteristics of of study participants 60
5.3. Evaluation of the patient’s belief about medicines 62
5.4. Medication adherence in patients with type 2 diabetes 63
5.5. Summary 68
CHAPTER VI: CONCLUSION 69
6.1. Suggestion 69
6.2. Limitations of research 70
Summary 71
References 72
Appendix 1A – English questionnaire 78
Appendix 1B – Vietnamese questionnaire 85
Certification of Proposal of the thesis for the master’s degree 93
Certification of Center for Taiwan Academic Research Ethics Education 94
Decision of the Biomedical Research Council of Ho Chi Minh City University of Medicine and Pharmacy 97
IX
LIST OF FIGURESFigure 1.1
Barries to Adherence 13
Figure 2.1
The Health Belief Model 21
Figure 3.1
Researchl Framework 25
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