Factors Associated With Medication Compliance in Elderly Patients With Type 2 Diabetes Mellitus: A Cross-Sectional Study

The average age of patients with type 2 diabetes in Japan is over 70 years. Elderly patients tend to have poor medication compliance, therefore, it is important to understand their individual situations to improve medication compliance, the treatment of their diabetes, and their quality of life (QOL). This study aimed to identify factors associated with medication compliance in elderly type 2 diabetic patients. A cross-sectional study based on questionnaires was conducted on type 2 diabetes patients aged 65 years or older. The participants were recruited from patients who visited three dispensing pharmacies in the Shinagawa area of Tokyo between March 1 and September 30, 2019. The questionnaire consisted of patient information (sex, age, medication compliance status, knowledge of drug effects, and side effects), 12-Item Short Form Survey quality of life rating scale (SF-12), and Diabetes Treatment Satisfaction Questionnaire (DTSQ). Factors related to medication compliance were then evaluated. In all, there were 47 respondents: 31 males and 16 females. Four factors were found to be associated with medication compliance in elderly type 2 diabetic patients: medication storage (P = 0.01), knowledge of drug effects (P < 0.001), knowledge of side effects (P = 0.026), and physical functioning: (PF) (P = 0.045), a subscale of SF-12. Furthermore, the strength of the association between these four factors and medication compliance was calculated using Cramer's V coefficient of association. Knowledge of drug effects was the most strongly associated (knowledge of drug effects: V = 0.559; knowledge of side effects: V = 0.464; medication storage: V = 0.451; PF: V = 0.334). Because diabetes mellitus has no subjective symptoms and treatment effects are not felt to a great extent, it is difficult to motivate patients to consistently adhere to medication. When pharmacists provide medication guidance to elderly patients with type 2 diabetes mellitus, it is important to provide sufficient information to ensure they fully understand the drug effects to maintain medication compliance.

Faktor-Faktor yang Mempengaruhi Pengontrolan Tekanan Darah pada Penderita Hipertendi di RW 03 Kelurahan Jagakarsa Jakarta Selatan

ABSTRACT: FACTORS AFFECTING BLOOD PRESSURE CONTROL IN HYPERTENSION PATIENTS IN RW 03 KELURAHAN JAGAKARSA SOUTH JAKARTA Introduction: Blood pressure control is controlling blood pressure with systolic <140 mmHg and diastolic <90 mmHg. Controlling blood pressure in people with hypertension can be done by losing weight, exercising, adjusting a low-salt diet, improving unhealthy lifestyles, and pharmacological therapy. Blood pressure control is influenced by several factors, such as attitudes, knowledge, family support, and medication adherence.Objective: The purpose of this study was to determine the factors that influence blood pressure control in hypertension sufferers in RW 03 Jagakarsa Village, South Jakarta.Methods: The research design used was descriptive-analytic with a cross sectional approach. The number of samples involved were 42 respondents using the Z formula. The results of the study used Chi-Square statistical test analysis.Results: The results of this study obtained factors related to controlling blood pressure in patients with hypertension, namely attitude (p-value = 0.047), knowledge (p-value = 0.040), family support (p-value = 0.025), and medication. compliance (p-value = 0.040).Conclusion: Suggestions from this study are health services, especially in the community, to find out the factors that influence blood pressure control in hypertension sufferers, one of which can be overcome by developing health education programs for the community, both at the puskesmas and at the posyandu. Thus, blood pressure control can be carried out optimally for a better life. Keywords: Hypertension, Blood Pressure Control, Attitude, Knowledge INTISARI: FAKTOR-FAKTOR YANG MEMPENGARUHI PENGONTROLAN TEKANAN DARAH PADA PENDERITA HIPERTENDI DI RW 03 KELURAHAN JAGAKARSA JAKARTA SELATAN Pendahuluan: Pengontrolan tekanan darah merupakan tekanan darah yang terkontrol dengan sistole <140 mmHg dan diastole <90 mmHg. pengontrolan tekanan darah pada penderita hipertensi dapat dilakukan dengan cara penurunan berat badan, olahraga, pengaturan diet rendah garam, memperbaiki gaya hidup yang kurang sehat, dan terapi farmakologis. Pengontrolan tekanan darah dipengaruhi oleh beberapa faktor, seperti sikap, pengetahuan, dukungan keluarga dan kepatuhan pengobatan.Tujuan: Tujuan penelitian ini adalah untuk Mengetahui faktor-faktor yang mempengaruhi pengontrolan tekanan darah pada penderita hipertensi di RW 03 Kelurahan Jagakarsa Jakarta Selatan.Metode: Desain penelitian yang digunakan adalah deskriptif-analitik dengan pendekatan cross-sectional. Jumlah sampel yang dilibatkan sebanyak 42 responden dengan menggunakan rumus Z. Hasil penelitian menggunakan analisis uji statistic Chi-Square.Hasil: Hasil dari penelitian ini diperoleh faktor yang berhubungan dengan pengontrolan tekanan darah pada penderita hipertensi yaitu sikap (p-value = 0,047), pengetahuan (p-value = 0,040), dukungan keluarga (p-value = 0,025), dan kepatuhan pengobatan (p-value = 0,040).Kesimpulan: Saran dari penelitian ini adalah pelayanan kesehatan khususnya di masyarakat untuk mengetahui bahwa faktor-faktor yang mempengaruhi pengontrolan tekanan darah pada penderita hipertensi dapat diatasi salah satunya dengan mengembangkan program penyuluhan kesehatan bagi masyarakat baik di internal puskesmas maupun dilakukan di posyandu. Sehingga, pengontrolan tekanan darah dapat dilakukan secara optimal untuk menjalankan hidup yang lebih baik. Kata Kunci : Hipertensi, Pengontrolan Tekanan Darah, Sikap, Pengetahuan

Analysis of Factors Associated with Compliance with Taking Medicines for Pulmonary Tuberculosis Patients at Lut Tawar Health Center, Central Aceh Regency

There is a worldwide epidemic of tuberculosis (TB). As of May 31st, 2021, the Lut Tawar Health Center had recorded 10 instances in 2019, and 17 cases had been recorded as of that date. The purpose of this research is to evaluate the analysis of variables influencing medication adherence in pulmonary TB patients at the Lut Tawar Health Center, Lut Tawar District, Central Aceh Regency. Research is conducted using a cross-sectional design using quantitative analytic techniques. As many as 33 tuberculosis patients are enrolled in the Lut Tawar Health Center's TB treatment program. Total sampling was employed as the sampling strategy. Univariate, bivariate and multivariate analyses were used to analyze the data. There were no statistically significant differences in the p-values for education (0.000), employment (0.000), distance from home (0.000), knowledge (0.00), medication side effects (0.024), or family support (0.024) in the chi square analysis. Multivariate analysis indicated that the pharmacological side effect variable had a value (p=0.000) that was the most significant. Patients and families should be supported by the puskesmas, or health professionals, in charge of running the TB treatment program, so that they can keep tabs on their loved ones' medication compliance and avoid drug withdrawal and resistance. As part of the health education provided by health professionals, they describe the side effects of TB medications and encourage patients to continue taking them until they are well enough to do so.

Medication compliance in schizophrenic out patients with psychoactive substance use co-morbidity: a cross-sectional study

Background: Medication adherence is an important issue in the treatment and management of persons with psychiatric disorders including schizophrenia. Apart from side effects and inefficient outcomes of psychiatric medications, substance abuse also complicates the adherence pattern to the prescribed medications. Present study was designed to estimate the magnitude of medication non-adherence and its correlates in patients with schizophrenia having co-morbid psychoactive substance use.Method: The 60 schizophrenic patients with active substance use were taken from OPD of institute of mental health and hospital, Agra. Positive and negative syndrome scale (PANSS), alcohol, smoking and substance involvement screening test (ASSIST), medication adherence rating scale (MARS) and Morisky 8-item medication adherence questionnaire (MMAQ-8) were used to gather relevant clinical data along with a proforma for recording socio-demographic characteristics.Results: The results revealed an alarming level of medication adherence. The 91.7% sample (55 patients) met the criteria for medication non-adherence. Majority of the patients were using alcohol (58.3%) and cannabis (51.7%). Conclusions: Given the high rate of medication non-compliance it is suggested that specific intervention aimed at compliance to prescribed medication is needed in this population.

INFLUENCE OF INFORMATION, MOTIVATION, AND BEHAVIOR OF “TRISNA” TO DRUG COMPLIANCE. NUTRITIONAL STATUS, AND FAMILY SUPPORT IN PATIENTS WITH TUBERCULOSI

Indonesia is one of the five countries with the highest number of patients with tuberculosis (TB) worldwide, owing to patients being undetected and untreated. This study aims to analyze the effect of the Information, Motivation, and Behavior (IMB) Skill with “Trisna” approach on the management of drug compliance, nutritional status, and family support for patients with TB. This research is a quasi-experiment with pretest-posttest and control group design. Information about tuberculosis, medication adherence, nutritional status, family support and motivation are provided through training. At the end of training, each patient is given an alarm clock that can be used as a reminder to take medication. One form of family support is done by teaching the song “satu-satu” to remind patients to take medicine so as to minimize forgetting to take medicine. “TRISNA” is an attitude that accompanies TB cadres in providing health services to TB patioents. The socialization of the attitude of “TRISNA” was given by researchers to TB cadres before carrying out IMB training for TB patients. Compliance after intervention in the intervention group (mean, 10.80; SD, 0.98) was higher than in the control group (mean, 10.46; SD, 1.12) and effect size (ES) value of 4.16. Body mass index (BMI) in the intervention group (mean, 23.40; SD, 1.08) was higher than in the control group (mean, 21.43; SD, 0.75) and ES value of 1.95. Family support in the intervention group (mean, 106.28; SD, 22.00) was higher than in the control group (mean, 94.00; SD, 8.40) and ES value of 0.69. In managing patients with TB, the provision of IMB Intervention Skill with “Trisna” approach could improve medication compliance, nutritional status, and family support.

Underlying Role of Rumination-Mediated Attachment Style Plays In PTSD After TIA And Stroke

Objective: Attachment and rumination was examined as intermediary variable on post-traumatic stress disorder and medication compliance in stroke or TIA patients.Methods: 300 participants with stroke or TIA form The Second Hospital of Hebei Province were selected. Patients accomplished NIHSS, ABCD2, ECR, RSQ and RRS on admission. After 3 months the PCL-C and MMAS were collected.Results: In this stroke or TIA patients, the incident of PTSD was 7.7%; PTSD scores were significantly associated with attachment anxiety (r= 0.225，p<0.01), symptom rumination (r= 0.197, p<0.01), and obsessive thinking (r=0.187, p<0.01).After Sobel test analysis and verification by Baron and Kenny (1996) 's method, we found that ruminant mediated the relationship between attachment anxiety and PTSD; obsessive thinking mediated the relationship between attachment anxiety and PTSD.Conclusions: The relationship between attachment anxiety and PTSD was positively predicted by rumination and obsessive thinking. Adult attachment style, rumination and PTSD scores may not predict medication compliance.

Effect of the WeChat Platform Health Management and Refined Continuous Nursing Model on Life Quality of Patients with Acute Myocardial Infarction after PCI

The purpose was to explore the effect of the WeChat platform health management and refined continuous nursing model on life quality of patients with acute myocardial infarction (AMI) after PCI. 100 AMI patients treated in the cardiovascular medicine of the First Affiliated Hospital of Soochow University from June 2018 to June 2019 were selected as the study subjects and randomly divided into research group and reference group, with 50 cases in each group. The reference group received routine nursing after PCI, while the research group received WeChat platform health management and continuous refined nursing. There were no significant differences in sex ratio, age, BMI, complications, education level, and residence between the two groups of patients ( P > 0.05 ). The MPR values of patients in the two groups after intervention were significantly higher than those before intervention ( P < 0.05 ), and the MPR value in the research group after intervention was significantly higher than that in the reference group ( P < 0.05 ). The SF-36 scores of patients in the two groups after intervention were significantly higher than those before intervention ( P < 0.001 ), and the SF-36 score in the research group after intervention was higher than that in the reference group ( P < 0.001 ). The emotional, physical, and economic dimensions of patients in the research group after intervention were significantly lower than those in the reference group ( P < 0.001 ). The HAMA and HAMD scores of patients in the research group after intervention were significantly lower than those in the reference group ( P < 0.001 ). The nursing satisfaction score of patients in the research group was significantly higher than that in the reference group ( P < 0.001 ). The total incidence of complications of patients in the research group after intervention was significantly lower than that in the reference group ( P < 0.05 ). The WeChat platform health management and refined continuous nursing model can effectively improve the medication compliance of patients after PCI, improve the life quality, alleviate depression and anxiety, and reduce postoperative complications, with a definite effect, which is worthy of promotion and application.