FACTORS CONTRIBUTING TO NON-ADHERENCE TO MEDICATIONAMONG TYPE 2 DIABETES MELLITUS IN PATIENTS ATTENDING TERTIARY CARE HOSPITAL IN SOUTH INDIA


Divya S, Pratibha Nadig

Abstract


 

Objective: The aim was to determine the non-adherence to medication and to assess the factors affecting the same among the Type 2 diabetes
mellitus (DM) patients in a tertiary care hospital in South India.
Methods: A cross-sectional study was carried out on 150 known Type 2 DM patients. Eight item Morisky Medication adherence questionnaire was
used to assess adherence. A validated questionnaire was used to collect information on factors influencing non-adherence namely age, gender, literacy,
duration of diabetes, complications, economic problems, patient awareness about their medication and side-effects, adverse drug reactions and advice
on exercise and diet. The percentage of non-adherence and factors contributing to non-adherence were analyzed with descriptive statistics and Chisquare
test using IBM SPSS version 21.
Results: More than two-thirds of the patients (69.3%) were males. The overall prevalence of therapeutic non-adherence was seen in
82 patients (54.66%). Among the non-adherant patients, 16 patients (17.08%) were illiterates. 32 patients (39.02%) had economic problems to buy
prescribed medications, 53 (64.63%) of them had lack of information about prescribed medications was seen, 37 (45.12%) patients were not aware
of the side effects of the prescribed medication, 59 (71.95%) patients were not aware of what happens on missing medications regularly, 39 (47.56%)
of them were not able to visit physician regularly for consultation, 52 (63.45%) and 49 (59.75%) of patients were not performing exercise and not
following advise on diet respectively.
Conclusion: Non-adherance to medications in Type 2 DM patients is due to inadequate patient knowledge and awareness about the importance of
adherence in the diabetes management. Therefore, there is a definite need to improve patient adherence by improving the health care system and
health education to patients and their families.
Keywords: Type 2 diabetes mellitus, Factors, Non-adherence.

 


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References


Diabetes. World Health Organisation; 2008. Available from: http://www.who.int/mediacentre/factsheets/fs312/en/. [Last accessed on 2013 Jul 01].

Diabetes Action online (Internet). World Health Organization; 1999. Available from: http://www.who.int/diabetes/action_online/basics/en/index.html. [Last accessed on 2014 Jan 20].

Sankar UV, Lipska K, Mini GK, Sarma PS, Thankappan KR. The adherence to medications in diabetic patients in rural Kerala, India. Asia Pac J Public Health 2013.

Klein R, Klein BE, Moss SE, Cruickshanks KJ. Relationship of hyperglycemia to the long-term incidence and progression of diabetic retinopathy. Arch Intern Med 1994;154(19):2169-78.

Jin J, Sklar GE, Min Sen Oh V, Chuen Li S. Factors affecting therapeutic compliance: A review from the patient’s perspective. Ther Clin Risk Manag 2008;4(1):269-86.

Author information Khan AR1, Al-Abdul Lateef ZN, Al Aithan MA, Bu-Khamseen MA, Al Ibrahim I, Khan SA. Factors contributing to non-compliance among diabetics attending primary health centers in the Al Hasa district of Saudi Arabia. J Family Community Med 2012;19:26‑32.

Pladevall M, Williams LK, Potts LA, Divine G, Xi H, Lafata JE. Clinical outcomes and adherence to medications measured by claims data in patients with diabetes. Diabetes Care 2004;27(12):2800-5.

Shobhana R, Begum R, Snehalatha C, Vijay V, Ramachandran A. Patients’ adherence to diabetes treatment. J Assoc Physicians India 1999;47(12):1173-5.

Wabe NT, Angamo MT, Hussein S. Medication adherence in diabetes mellitus and self management practices among type-2 diabetics in Ethiopia. N Am J Med Sci 2011;3(9):418-23.

Kalyango JN, Owino E, Nambuya AP. Non-adherence to diabetes treatment at Mulago Hospital in Uganda: Prevalence and associated factors. Afr Health Sci 2008;8(2):67-73.

Martin LR, Williams SL, Haskard KB, Dimatteo MR. The challenge of patient adherence. Ther Clin Risk Manag 2005;1(3):189-99.

Ibrahim NK, Attia SG, Sallam SA, Fetohy EM, El-Sewi F. Physicians’ therapeutic practice and compliance of diabetic patients attending rural primary health care units in Alexandria. J Family Community Med 2010;17(3):121-8.

Toljamo M, Hentinen M. Adherence to self-care and glycaemic control among people with insulin-dependent diabetes mellitus. J Adv Nurs 2001;34(6):780-6.




About this article

Title

FACTORS CONTRIBUTING TO NON-ADHERENCE TO MEDICATIONAMONG TYPE 2 DIABETES MELLITUS IN PATIENTS ATTENDING TERTIARY CARE HOSPITAL IN SOUTH INDIA

Date

01-03-2015

Additional Links

Manuscript Submission

Journal

Asian Journal of Pharmaceutical and Clinical Research
Vol 8 Issue 2 (March - April) 2015 Page: 274-276

Print ISSN

0974-2441

Online ISSN

2455-3891

Statistics

211 Views | 2516 Downloads

Authors & Affiliations

Divya S

Pratibha Nadig


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