FACTORS CONTRIBUTING TO NON-ADHERENCE TO MEDICATIONAMONG TYPE 2 DIABETES MELLITUS IN PATIENTS ATTENDING TERTIARY CARE HOSPITAL IN SOUTH INDIA
Journal Title: Asian Journal of Pharamceutical and Clinical Research - Year 2015, Vol 8, Issue 2
Abstract
 Objective: The aim was to determine the non-adherence to medication and to assess the factors affecting the same among the Type 2 diabetesmellitus (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 wasused 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 adviceon exercise and diet. The percentage of non-adherence and factors contributing to non-adherence were analyzed with descriptive statistics and Chisquaretest 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 in82 patients (54.66%). Among the non-adherant patients, 16 patients (17.08%) were illiterates. 32 patients (39.02%) had economic problems to buyprescribed medications, 53 (64.63%) of them had lack of information about prescribed medications was seen, 37 (45.12%) patients were not awareof 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 notfollowing 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 ofadherence in the diabetes management. Therefore, there is a definite need to improve patient adherence by improving the health care system andhealth education to patients and their families.Keywords: Type 2 diabetes mellitus, Factors, Non-adherence.Â
Authors and Affiliations
Divya S, Pratibha Nadig
Keywords
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