Factors Associated with Medication Adherence in Schizophrenic Patients at Dong Luang Hospital
Keywords:
จิตเภท; ความร่วมมือในการใช้ยา; ปัจจัย; การเยี่ยมบ้าน, schizophrenic patients; medication adherence; factorAbstract
Background and Objective: Good compliance of oral antipsychotic medication is crucial in the treatment and symptom control of schizophrenic patients. This study aimed to evaluate medication adherence and factors influencing medication adherence in schizophrenic patients.
Methods: This was a cross-sectional descriptive study performed in 100 schizophrenic patients attended at the outpatient clinic, Dong Luang Hospital during 1 July and 31 December 2017. Research instruments included 1) Morisky medication adherence scale (MMAS 8–Items) 2) pill counting form 3) data collection form and 4) semi-structure interview form and questionnaire for factors affecting medication adherence. The data were analyzed by descriptive statistics and binary logistic regression.
Results: The results showed that 62 participants (62%) reported high levels of medication adherence by MMAS 8–Item and the pill count. Logistic regression analysis revealed 2 factors associated with medication adherence which were self-insight and attitudes toward medication. The coefficient of determination was 22%.
Conclusion: Most schizophrenic patients at Dong Luang Hospital (62%) had a good medication adherence. Self-insight and Attitudes toward medication were the factors associated with medication adherence.
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