The Influence of Beliefs About Medicines on Medication Nonadherence among Hemodialysis Patients
| Main Authors: | Lee Soik Fun, Dr. Chong Chee Ping |
|---|---|
| Format: | Proceeding poster |
| Bahasa: | eng |
| Terbitan: |
, 2020
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/4003108 |
Daftar Isi:
- Introduction Medication nonadherence among hemodialysis (HD) patients can be caused by erroneous medication beliefs held by them. Thus, an evaluation on patients’ belief on the risk and benefit of their prescribed medication is essential for the improvement of medication adherence. Objective To assess the prevalence of medication nonadherence among HD patients. To assess the beliefs about medicine among HD patients. To evaluate association of demographic data, beliefs about medicines with the medication nonadherence among HD patients. Methodology Study design: Multi-center, cross sectional study Study location: HD center Hospital Balik Pulau and seven Non-Government Organization HD centers Timeline: September 2019 until January 2020 (data collection) Sample size: N = 325 patients (single proportion formula) Sampling method: Purposive sampling Inclusion criteria: more than 18 years old, undergoing HD for at least 6 months, able to understand and communicate in either Malays, English, or Mandarin language, had no cognitive impairment. Data collection: Data collection form consisted of 4 parts: 1) Demographic data and medical status 2) Medication list 3) 5 items-medication adherence reporting scale (MARS-5) adherence assessment 4) Beliefs about medicines questionnaire (BMQ) Data analysis: Data was analysed by using SPSS version 18. Data was presented using descriptive statistic, chi square, single and multiple logistic regressions. P- value < 0.05 was considered statistically significant. Results [Refer to Poster]. Discussion Major factor for medication nonadherence is forgetfulness. Hence, medication counselling should be targeted on unintentional nonadherence. Patients from different ethnic significantly differ in their perception towards medication sides effects. Patients with higher number of prescribed medications have more tendency to perceive of overuse of prescribed medication for their disease. Patient with belief of medication will protect them from becoming worse showed significant higher adherence to medication. Nonadherence to medication were significantly more prominent among patient who worries about taking medications and perceived most medication cause addictive to them. Conclusion Beliefs about medicines can affect medication taking behavior of the HD patients. Thus, it is important for health care providers to identify and remove patient’s misconception towards prescribed medication to minimize the medication nonadherence.