A STUDY ON ADHERENCE TO DIABETIC MEDICATION IN A RURAL AREA OF KANCHEEPURAM DISTRICT, TAMILNADU
Journal Title: National Journal of Research in Community Medicine - Year 2017, Vol 6, Issue 0
Abstract
Background: Diabetes mellitus is a growing global health problem that affects patients of all age groups. Adherence to anti-diabetic medicines has been found to be major challenge in the management of diabetes mellitus. This study aims at assessing the adherence to medication and to identify the factors associated with non-adherence to treatment of diabetes mellitus patients.Objectives: To assess the adherence to medication in the treatment of diabetes mellitus in the study population, to identify the factors associated with non-adherence to medication in the treatment of diabetes mellitus.and to determine association between adherence to medication and diabetic control in the study population. Materials and Methods: This study is a community based descriptive cross sectional study conducted in the field practice area of SBMCH; among 360 diabetic patients were studied using Simple random sampling method. Data collection was done using a structured questionnaire. The adherence to treatment was assessed using Morisky’s medication adherence scale and the reasons for non-adherence were questioned. Percentage of adherence was calculated. Results: Among the 360 diabetic mellitus patients studied, males were 177(49.2%) and 183(50.8%) were females. The adherence to anti-diabetic medication was found to be only 35.8% and non adherence to anti-diabetic treatment was 64.2%.The reasons for non-adherence were identified as increased cost of treatment, side effects of the drugs, multiple drugs, opting to alternate treatments, lack of proper knowledge. Conclusion: The results of the study tell us that adherence to anti-diabetic drugs was low. Various reasons for non-adherence were identified. Hence it is necessary to recommend proper education of the patients and proper prescribing of drugs by physicians as intervention measures to combat non adherence.
Authors and Affiliations
Vijayakarthikeyan M. , Gopalakrishnan S. , Umadevi R.
Keywords
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