ลักษณะที่พึงประสงค์และประสิทธิผลทางคลินิกของโมบายแอปพลิเคชันต่อความร่วมมือในการรับประทานยาในผู้ป่วยสูงอายุที่มีกลุ่มอาการทางเมตาบอลิก

Abstract

This research was a study of desirable characteristics and clinical effectiveness of mobile application on medication adherence in elderly patients with metabolic syndrome such as hypertension, diabetes mellitus and hyperlipidemia as an alternative self-care and improving of quality of life. The research process was a mixed method of qualitative and quantitative research. There was divided into 2 parts. The first part was documentary research and targeted interviews to gather data about desirable characteristics of mobile application for the elderly. The second part was study of clinical effectiveness of mobile application on medication adherence. This part had been selected subjects randomly. The subjects were divided into 2 groups. First group was 32 people in experimental group, while second group was 35 people in control group. The results of research were evaluated into two parts. The first part was the clinical evaluation before and after the research, including blood pressure and plasma glucose level. The second part was measurement of medication adherence included 1) Pill count is measured by counting the tablets, which measured after the installation of the mobile application. 2) Questionnaire for medication adherence was measured before and after the study. The duration of the study was based on a physician appointment of the individual patient. Research Results: Mobile application suitable for older people should have the same abilities as older people such as vision, hearing, touching and memory. In this study, the mobile application would require basic drug information such as drug name, indications and side effects, as well as a drug reminding system to encourage and enhance patient medication adherence. For clinical results, after the experiment, blood pressure (Systolic) of the experimental group was significantly decrease when compare with control group (P-value <0.001) and blood pressure (Diastolic) was not significantly different from those in the control group (P-value = 0.196). The plasma glucose level of the experimental group was lower but not significantly different from the control group (P-value=0.296). For the result of medication adherence, the experimental group had an average score of pill count increase significantly from 78.43 to 85.45(P-value <0.001). There was a statistically significant difference in the questionnaires score between the experimental group and control group. The mean was 17.97 and 15.14 (F= 16.442, P<0.001) Conclusion: A mobile application on mobilephone was suitable for using and collaborates to use in elderly patient. As a result, the used of mobile applications can increase medication adherence and include clinical outcomes that are likely to improve.