Study Of Impact Of Patient Education On Improving Patient Compliance To Treatment With Antidepressants In The Psychiatric Service In A Tertiary Care Hospital
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
The WHO defines depression as a pessimistic sense of inadequacy and a despondent lack of activity. Antidepressants are a class of drugs that reduce symptoms of depressive disorders by correcting chemical imbalances of neurotransmitters in the brain. Based on this a prospective observational study was performed in Department of Psychiatry, RMMCH, Annamalai University, TamilNadu, for a period of study 6 months; Between November 2015 and April 2016. Totally 82 patients who satisfied the inclusion and exclusion criteria were enrolled. The objectives were to observe the prescription for ADRs with the use of antidepressants and educate the patient and assess the impact of education on compliance. Our study showed that incidence of ADRs with antidepressants were24.4% and higher prevalence of ADR in polytherapy to monotherapy. There was higher incidence of ADR with the use of amitriptyline(40%). The outcome of medication adherence was measured using MMAS-4 and statistical analysis showed significant difference between the control and test groups. Similarly the outcome of patient education was assessed using HDRS score and analysis showed that test group had statistically significant difference with p value less than 0.001 whereas the control group had no statistically significant difference with p value 0.067 which indicated that the test group had significant improvement in symptoms in comparison to the control.
Authors and Affiliations
N. Sai Supra Siddhu1*, Dr. R,Gandhi Babu2, Hana Nazim, Eldho Baby, Dr. G . Gopalakrishnan
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