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Nonadherence and contributing factors among ambulatory patients with antidiabetic medications in Adama Referral Hospital.

Gelaw BK, Mohammed A, Tegegne GT, Defersha AD, Fromsa M, Tadesse E, Gunasekaran T, Ahmed M - J Diabetes Res (2014)

Bottom Line: The proportion of male patients adherent to their antidiabetic medications was found to be lower than 69.78% compared to the female patients (74.81%), but the difference was not statistically significant (P > 0.05).Most diabetic patients are currently being managed with the most effective available drugs.This was because of poor adherence to the prescribed drug regimen and poor knowledge and practice of successful self-management.

View Article: PubMed Central - PubMed

Affiliation: Department of Pharmacy, College of Medicine and Health Science, Ambo University, Oromia Region, Ethiopia.

ABSTRACT

Unlabelled: The objective of this study was to determine the magnitude of nonadherence and its contributing factors among diabetic patients attending the diabetic clinic in Adama Hospital.

Methods: This descriptive cross-sectional study was carried out among patients with diabetes mellitus attending the diabetes mellitus clinic of Adama Referral Hospital. Every other patient was selected and data regarding their medication adherence was collected using a structured interview. Data analysis was carried out using SPSS-16.

Result: The response rate from this study was 98.3%. A total of 270 patients were interviewed; 51.5% were males. A total of 68.1% of the patients included in the study were married. 14% were younger than 40 years, and 50% were between 40 and 60 years. 21.8% of the participants ascribed their nonadherence to forgetting to take their medications. Patients with duration of diabetes ≤5 years (82.07%) were more compliant to their medication than those with >5 years (60.8%), which was found to be statistically significant (P = 0.003). Insulin, 47%, and glibenclamide plus metformin, 43.7%, were the most commonly prescribed mono- and combination therapies, respectively. Common comorbid conditions include hypertension, 148 (54.82%), and visual impairment, 89 (32.96%). The proportion of male patients adherent to their antidiabetic medications was found to be lower than 69.78% compared to the female patients (74.81%), but the difference was not statistically significant (P > 0.05).

Conclusion: Most diabetic patients are currently being managed with the most effective available drugs. However the result from this study indicates that the desired blood sugar level could not be controlled and maintained adequately. This was because of poor adherence to the prescribed drug regimen and poor knowledge and practice of successful self-management.

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The association between durations of DM adherence, Adama, Ethiopia, 2014 (P = 0.003).
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fig3: The association between durations of DM adherence, Adama, Ethiopia, 2014 (P = 0.003).

Mentions: A total of 59 (21.8%) of the participants ascribed their nonadherence to forgetting to take their medications. Other factors include use of traditional and/or religious medicines, 48 (17.8%), and lack of finances, 39 (14.4%). Of the total population, 248 (91.85%) of the patients reported that they monitored their blood glucose levels monthly at the DM clinic of the hospital on a regular basis. The proportion of male patients adherent to their antidiabetic medications was found to be lower 97 (69.78%) compared to the female patients (74.81%), but the difference was not statistically significant (P > 0.05). Adherence to antidiabetic drugs was found to be higher among graduates (postsecondary, e.g., college (80.77%) and university (73.91%)) compared to illiterate and those with up to secondary school education (71.04%), but this finding was not statistically significant (P > 0.05). It was also noted that patients with a duration of diabetes ≤5 years (82.07%) were more compliant to their medication than those with diabetes >5 years (60.8%), which was found to be statistically significant (P = 0.003) (Table 2 and Figure 3).


Nonadherence and contributing factors among ambulatory patients with antidiabetic medications in Adama Referral Hospital.

Gelaw BK, Mohammed A, Tegegne GT, Defersha AD, Fromsa M, Tadesse E, Gunasekaran T, Ahmed M - J Diabetes Res (2014)

The association between durations of DM adherence, Adama, Ethiopia, 2014 (P = 0.003).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4269085&req=5

fig3: The association between durations of DM adherence, Adama, Ethiopia, 2014 (P = 0.003).
Mentions: A total of 59 (21.8%) of the participants ascribed their nonadherence to forgetting to take their medications. Other factors include use of traditional and/or religious medicines, 48 (17.8%), and lack of finances, 39 (14.4%). Of the total population, 248 (91.85%) of the patients reported that they monitored their blood glucose levels monthly at the DM clinic of the hospital on a regular basis. The proportion of male patients adherent to their antidiabetic medications was found to be lower 97 (69.78%) compared to the female patients (74.81%), but the difference was not statistically significant (P > 0.05). Adherence to antidiabetic drugs was found to be higher among graduates (postsecondary, e.g., college (80.77%) and university (73.91%)) compared to illiterate and those with up to secondary school education (71.04%), but this finding was not statistically significant (P > 0.05). It was also noted that patients with a duration of diabetes ≤5 years (82.07%) were more compliant to their medication than those with diabetes >5 years (60.8%), which was found to be statistically significant (P = 0.003) (Table 2 and Figure 3).

Bottom Line: The proportion of male patients adherent to their antidiabetic medications was found to be lower than 69.78% compared to the female patients (74.81%), but the difference was not statistically significant (P > 0.05).Most diabetic patients are currently being managed with the most effective available drugs.This was because of poor adherence to the prescribed drug regimen and poor knowledge and practice of successful self-management.

View Article: PubMed Central - PubMed

Affiliation: Department of Pharmacy, College of Medicine and Health Science, Ambo University, Oromia Region, Ethiopia.

ABSTRACT

Unlabelled: The objective of this study was to determine the magnitude of nonadherence and its contributing factors among diabetic patients attending the diabetic clinic in Adama Hospital.

Methods: This descriptive cross-sectional study was carried out among patients with diabetes mellitus attending the diabetes mellitus clinic of Adama Referral Hospital. Every other patient was selected and data regarding their medication adherence was collected using a structured interview. Data analysis was carried out using SPSS-16.

Result: The response rate from this study was 98.3%. A total of 270 patients were interviewed; 51.5% were males. A total of 68.1% of the patients included in the study were married. 14% were younger than 40 years, and 50% were between 40 and 60 years. 21.8% of the participants ascribed their nonadherence to forgetting to take their medications. Patients with duration of diabetes ≤5 years (82.07%) were more compliant to their medication than those with >5 years (60.8%), which was found to be statistically significant (P = 0.003). Insulin, 47%, and glibenclamide plus metformin, 43.7%, were the most commonly prescribed mono- and combination therapies, respectively. Common comorbid conditions include hypertension, 148 (54.82%), and visual impairment, 89 (32.96%). The proportion of male patients adherent to their antidiabetic medications was found to be lower than 69.78% compared to the female patients (74.81%), but the difference was not statistically significant (P > 0.05).

Conclusion: Most diabetic patients are currently being managed with the most effective available drugs. However the result from this study indicates that the desired blood sugar level could not be controlled and maintained adequately. This was because of poor adherence to the prescribed drug regimen and poor knowledge and practice of successful self-management.

Show MeSH
Related in: MedlinePlus