ความชุกและปัจจัยที่มีความสัมพันธ์กับความไม่ร่วมมือในการใช้ยาในผู้ป่วยเบาหวานชนิดที่ 2 ที่ควบคุมระดับน้ำตาลไม่ได้ ในเครือข่ายปฐมภูมิ
Year: 2026
Type: article
Study design: Observational Study
Abstract: ABSTRACT Background: Type 2 diabetes mellitus is a significant cause of severe complications. Non-adherence to medication is a critical factor contributing to poor glycemic control among patients with type 2 diabetes. Investigating medication adherence and its associated factors is essential for improving the quality of diabetes care. This study aimed to assess the prevalence of medication non-adherence and the factors associated with this non-adherence among patients with poorly controlled type 2 diabetes receiving care in primary healthcare settings. Methods: A cross-sectional study was conducted among patients with poorly controlled type 2 diabetes. Research instruments included a questionnaire divided into four sections: personal and clinical information, the Medication Adherence Scale in Thais (MAST)®, a 2Q and 9Q depression assessment, and a record of the latest laboratory blood test results. Statistical analysis was performed using logistic regression. Results: A total of 359 participants were included in the study, revealing that 88 individuals (24.5%) exhibited medication non-adherence. Factors associated with non-adherence include being single, divorced, or separated (OR 2.117, 95% CI 1.210-3.703), alcohol consumption (OR 1.950, 95% CI 1.101-3.453), and lack of strict dietary control (OR 1.837, 95% CI 1.019-3.313). household income of less than 15,000 THB/month (OR 0.393, 95% CI 0.208-0.742) and the use of both oral and injectable medications (OR 0.301, 95% CI 0.104-0.869). Conclusion: Factors associated with medication non-adherence among poorly controlled type 2 diabetes patients receiving care in primary healthcare settings in Mae Sot District, Tak Province, encompass individual patient factors, social factors, and those related to diabetes treatment. Addressing this issue should consider a holistic and individualized approach, integrating various methodologies to enhance medication adherence, which is a crucial component in achieving successful diabetes management in primary care. Keywords: medication non-adherence, medication adherence, type 2 diabetes, primary healthcare
Institution: Maesot General Hospital
Language: Thai
Subfield: Family Practice
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7219929670