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  • 1
    In: Journal of Medicine and Pharmacy, Hue University of Medicine and Pharmacy
    Abstract: Introduction: Currently, Vietnam is entering the aging population stage and is one of the fastest aging countries worldwide. Old age increases the risk of chronic diseases, particularly mental health disorders. Objective: investigated the prevalence of depression and examined the associated factors with depression among older people. Methods: A cross-sectional study was implemented in 760 older people in some communities of Thua Thien Hue province from January to August 2020. Data were collected by directinterviewing based on a structured questionnaire, including demographic, socio-economic, geriatric Depression scale with 30 questions (GDS-30), health status and physical activities. The GDS-30 was used to evaluate the prevalence of depression. The multiple logistic regression model was applied to exam the associated factors with depression. Results: Our findings indicated that the prevalence of depression among elderly people was 28.6%, comprising mild (23.6%) and seveve (5%). The higher Odds of depression was observed in the low economic status (poor/near-poor) (OR= 2.51; 95% CI: 1.15 – 5.48), live alone (OR= 2.43; 95% CI: 1.02-5.78), co-morbidities chronic disease(OR =1,59; 95% CI: 1.01 – 2.52), self-evaluation not good in overall health status (OR =2.34; 95% CI: 1,50 – 3,66), dissatisfaction in health (OR = 2.55; 95% CI:1.59 – 4.08), lack of physical activities (OR =2.79; 95% CI: 1.83 - 4.27), and low quality of life (OR = 2.79; 95% CI: 1.84-4.24). Conclusions: This research suggests that older people are commonly exposing to depression in the communities. Therefore, the priority strategies for reducing depression should be implemented, particularly in the high-risk groups.
    Type of Medium: Online Resource
    ISSN: 1859-3836
    Language: Vietnamese
    Publisher: Hue University of Medicine and Pharmacy
    Publication Date: 2021
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  • 2
    In: Journal of Medicine and Pharmacy, Hue University of Medicine and Pharmacy
    Abstract: Introduction: Good glycemic control is the most important factor in treatment of diabetes. Medication adherence in diabetes is crucial to achieve optimal glycemic control. Objectives: To evaluate the medication adherence by the Morisky Medication Adherence Scale (MMAS-8) and the effectiveness of counseling in patients with type 2 diabetes. Methods: The longitudinal descriptive study was conducted with 396 patients diagnosed of type 2 diabetes mellitus during 2019 - 2020 at Hue University of Medicine and Pharmacy. Interviewing patients with questionnaires, advising medication adherence (according o Treatment principles for diabetic patients - “Guidelines for diagnosis and treatment of type 2 diabetes” of the Ministry of Health); and The Morisky Medication Adherence Scale (MMAS-8) was used to assess the patients’adherence of treatment at the beginning of the study and reevaluated after 3 months. Results: The mean age of the patients was 66.28 ± 14.08 years; 68.7% females. At baseline: 36.6% of patients were nonadherent. After 3 months, 26.3% of patients were non-adherent. Factors affecting the patients’ compliance level was statistically significant: Physical activity (p = 0.009); diet (p = 0.039); reminders of medication adherence from health officer (p = 0.042); satisfied with medical services (p = 0.022). At baseline: 19.2% of patients achieved good glycemic control (6.3 ± 0.8 mmol/l), 22.0% of patients with HbA1c reached target of treatment (6.4 ± 0.4%). After 3 months: 29.0% of patients achieved good glycemic control (6.1 ± 0.9 mmol/l), 33.3% of patients with HbA1c reached target of treatment (6.3 ± 0.4%). The proportion of patients achieved blood glucose and HbA1c targets at baseline and after 3 months was related statistically significant with medication adherence level (p 〈 0.05). Conclusions: Relevant glycemic control was statistically significant with medication adherence. Improving patients’ medication adherence may improve glycemic control. In order to improve medication adherence better, good consultation counseling and health education are required. Key words: Type 2 diabetes, Medication adherence, Morisky Medication Adherence Scale
    Type of Medium: Online Resource
    ISSN: 1859-3836
    Language: Vietnamese
    Publisher: Hue University of Medicine and Pharmacy
    Publication Date: 2022
    Location Call Number Limitation Availability
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