ADHERENCE TO TREATMENT AMONG TYPE 2 DIABETES PATIENTS ATTENDING TERTIARY CARE HOSPITAL IN AGARTALA CITY- A CROSS-SECTIONAL STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 10
Abstract
BACKGROUND Poor adherence or non-adherence is a great problem in the control of diabetes mellitus type 2. Despite the advances in the treatment of diabetes mellitus type 2 over the years, diabetes remains as a burden on the individuals living with the condition, their families, societies and overall health care delivery system. The objective of this study is to assess the proportion of diabetic patients’ adherence to treatment and identify important sociodemographic factors for non-adherence. MATERIALS AND METHODS A cross-sectional study was conducted among 100 type 2 diabetic patients attending Outpatient Department (OPD) of a tertiary care hospital of Agartala city located in the North Eastern part of India. The systematic random sampling technique was used for selection of the study subjects. Adherence was measured using the standardised and widely used four-item Morisky Medication Adherence Scale (MMAS-4). RESULTS The overall mean (SD) age was 53.17 (±11.543) years. The proportion of females/ males with type 2 DM was found to be 58% and 42% respectively. The adherence to treatment among the DM2 patients was 44.0% compared to non-adherence 56.0%. The sex, age, literacy, occupation, income and caste did not show any significant association with treatment adherence. Among Hindu, almost 40.4% adherence was observed (p= 0.017). CONCLUSION The overall adherence was 44.0%, suggesting poor adherence to treatment among the diabetes patients. Females were more adherent compared to males (p > 0.05). The level of education was directly proportional to the treatment adherence (p > 0.05). No significant relationships were observed between sex, literacy, income, occupation and caste with treatment adherence.
Authors and Affiliations
Shyamal Roy, Taranga Reang
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