Exploration of Factors Tower Medication Regimen in DM Patients

Wednesday, 14 July 2010: 8:30 AM

Yen-Lin Chen, BS
Department of Nursing, Fooyin University, Taiwan, Taiwan
Shih-Hsien Kuo, RPh, PhD
Basic Medical Science Education Center, Fooyin University, Kaohsiung Hsien, Taiwan
Fan-Hao Chou, RN, PhD
School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan
Jian Rong Huang, BS
Department of Nursing, Fooyin University, Kaohsiung, Taiwan

Learning Objective 1: The learner will be able to learn the factors that influence patients adherence toward medication regimen.

Learning Objective 2: The learner will be able to learn how to promote outcome of medical progress.

Purpose: Diabetes has long been one of Taiwan leading causes of death. Much of the work has been done on patient’s adherence in recent years, since the success of treatment is seen to be strongly dependent on the patient's behavior and hence adherence is the crucial part of this behavior. Yet, there are many factors with complexity and multi-dimensions affecting adherence. In order to promote adherence of DM patients, it is essential to first know the current factors that affecting adherence. Therefore, this study aims to explore and identify the factors of adherence in DM patients of a general hospital in sub-urban of southern Taiwan.

Methods: The cross-sectional study was conducted in a hospital of sub-urban of southern Taiwan in 2008. A total of 132 DM patients were included in this study. The patients were visited at the OPD setting of family medicine and a questionnaire was applied to obtain information on adherence.

Results: Total 14 (19.7%) of patients declared that the regimen of medication and nutritional education were hard to adhere. The main factors affecting adherence were family supporting factor, satisfaction of professional service factor, self-efficacy factor, adaptation factor, self-efficacy to follow medication regimen and medicine-patient relationship factor.

Conclusion: The findings of this study can be referenced to health education for DM patient and may contribute to modify or develop the programs of patient’s medication  education to improve patient adherence and, hence, to improve the outcome of nursing care and patient’s quality of life.