Evaluation of Adherence, Knowledge, and Practices towards the Therapy in Patients of Chronic Kidney Diseaseq
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 3
Abstract
Objective: Chronic kidney disease (CKD) is a prolonged illness with co-morbidities. These patients have to take a large number of pills per day. Hence, this study evaluates the extent of medication adherence and study factors responsible for the same. Methods: A cross-sectional, questionnaire based study was conducted in a tertiary care hospital. Patients (n = 100) suffering from CKD for three months or more were interviewed. Morisky medication adherence questionnaire was used to assess overall adherence. Scoring was done accordingly: high (score =0), medium (score 1-2) and low (score >2). Results: 36% patient’s show low adherence. Common causes of low adherence were complex dosing schedule (20%), difficult to take large number (20%) and forgetfulness (18%). 70% patients were not aware about importance of taking each medicine. Average number of medicines taken by each patient was 6.13per day. Only 3% stopped taking medicines due to high cost. Statistically significant positive correlation was observed between poor adherence and number of concurrent illnesses (r=0.68, P<0.0001) and number of medicines (r=0.77, P<0.0001) taken. Conclusion: Since majority of patients were not aware about importance of taking each medicine, creating awareness about same is essential for improving drug adherence. Measures to make patient aware regarding seriousness of the condition, prevention of its complication and management of co-morbidities are essential. Physician should try to avoid poly-pharmacy. Use of long acting preparations and/or fixed dose combinations may be encouraged whenever required.
Authors and Affiliations
Yogesh B. Magar
Keywords
Related Articles
- EP ID EP277368
- DOI -
- Views 97
- Downloads 0
Cord Blood Albumin as Predictor of Neonatal Hyperbilirubinemia
Background: Neonatal hyperbilirubinemia is most common abnormal physical finding during the first week of life. Albumin would aid in the transport of bilirubin to liver. Lower cord blood albumin would act as predictor of...
A Case of Common Extensor Tendon Tear of Elbow Treated with Platelet Rich Plasma Infiltration
Common Extensor tendinopathy is one of the most common overuse injury of elbow. With the repetitive overload and microtrauma of elbow it may eventually leads to tear of the common extensor tendon that is rare. In this ca...
Assessment of Obesity and Factors Responsible for Obesity among School Going Children
Purpose: Overweight and obesity is confined not only to adults but also being reported among children and adolescents. This study was done to evaluate the prevalence of obesity and Factors associated to it in school goin...
Carpal Tunnel Syndrome: A Clinical and Electrophysiological Appraisal in Carpal Tunnel Syndrome
Background: Indian studies, especially from this part (NCR Region) are scarce in Carpal tunnel syndrome (CTS), the most common entrapment neuropathy. Aim of this study was to analyze clinical and electrophysiological pro...
Post-Cholecystectomy Bacterial Study of Gall Stones
Infection has been known as a factor for mixed gall stone formation. Welch and Richardson1 observed E.Coli and typhoid bacilli in gall stones. Schistosoma and Ascaris ova have also been frequently noted in centre of gall...