SURVEY ON MEDICATION ADHERENCE AND SOME RELATED FACTORS OF INFLAMMATORY BOWEL DISEASE PATIENTS AT HANOI MEDICAL UNIVERSITY HOSPITAL
Main Article Content
Abstract
Objectives: This study aimed to assess medication adherence and some related factors of inflammatory bowel disease patients (IBD) at Hanoi Medical University Hospital. Methods: A cross-sectional study, applying convenient sampling method, selecting patients with ulcerative colitis (UC) or Crohn's disease (CD) treated at Hanoi Medical University Hospital with ages ≥ 18 and time to take IBD medications for ≥ 1 month. Patients was excluded when they had mental problems. MARS-5 (Medication Adherence Report Scale – 5) was used to measure medication adherence, scores from 23 to 25 are defined as compliance. Results: Fifty-eight patients with UC and fifty-two patients with CD participated in the study. Most patients had a disease duration from less than 1 year to 3 years (68.2%) and were treated with 5-ASA derivatives. The medication adherence rate among the study participants was 59.1%. On univariate analysis, factors had significant association with medication adherence included subtype of IBD, disease duration of more than 3 years, using biologics, using parenteral/infusion medications, and receiving advice from nurse. On multivariate analysis, while adjusting for other factors, subjects receiving advice from nurse had a significantly higher chance of medication adherence. Conclusion: The rate of medication adherence of IBD patients is still low. Receiving advice from nurse can help improve medication adherence in IBD patients
Article Details
Keywords
inflammatory bowel disease, ulcerative colitis, Crohn's disease, medication adherence, health education, Hanoi Medical University Hospital.
References
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