Zin, Roslinawati Mat
(2017)
Compliance of oral anti-diabetic agents and its associated factors among elderly with type 2 diabetes mellitus at Hospital Universiti Sains Malaysia.
Masters thesis, Universiti Sains Malaysia.
Abstract
Objectives: This study aim to determine the percentage of compliance to oral antidiabetic
agent (OAD) and its associated factors among elderly with Type 2 Diabetes
Mellitus attended Klinik Rawatan Keluarga (KRK) , Hospital Universiti Sains Malaysia
(HUSM).
Methods: This is a cross sectional study involving 313 Type 2 Diabetes patients, age 60
years and above. Convenience sampling method was used to select patient who came to
KRK, HUSM from March to August 2015. A validated Malay version of 8 items
Morisky Medication Adherence Scale (MMAS) was used to assess medication
adherence and Diabetic Family Behaviour Scale (DFBS) was used to assess family
support. The sociodemographic and medical characteristics were obtained. Multiple
logistic regression was used to evaluate the associated factors for compliance.
Results: The percentage of compliance to OAD among the elderly patients was 59.4%.
Transportation to the clinic (p=0.022, OR:2.32, 95% CI:1.13,4.77) , HbA1c level
(p=0.013, OR:0.51, 95% CI:0.29,0.87), supportive family behaviour (p=0.025, OR:
1.60, 95% CI:1.06, 2.43) and obstructive family behaviour (p=0.008, OR: 0.55, 95%
CI:0.36, 0.86) were significant factors that associated with compliance.
Conclusions: The percentage of compliance among the elderly with Type 2 DM still
low. Transportation to the clinic, HbA1c level, supportive family behaviour and
obstructive family behaviour were significantly associated with compliance.
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