Medication adherence and its determinants among psychiatric patients in a tertiary care hospital – A cross sectional study
Journal Title: Medpulse International Journal of Psychology - Year 2018, Vol 7, Issue 3
Abstract
Background: The extent to which patient complies to medical advice particularly medication usage is a major concern to psychiatrists. Adherence to medication in psychiatric disorders are unique and beyond comparison to other specialties. Settings and design: This is a observational cross sectional hospital based study set in rural tertiary care centre. Materials and Methods: Patients visiting the psychiatric outpatient department who consented were enrolled in the study. Medication adherence was assessed using the Medication Adherence Rating Scale (MARS) and self designed questionnaire to obtain the socio demographic and clinical variables of the patients Results: Non adherence to medication was reported in 34.93%.There was no statistically significant association between the socio demographic variables and non adherence. Irregular follow ups, longer duration of treatment, increased number of relapses were the determinants of non adherence. Conclusion: Though the overall adherence was reported as high, there were a proportion of patients with low adherence to the prescribed treatment. Psychiatrists need to be aware of this problem which has long term implications in the care of the patient and have a holistic approach to patient management which includes monitoring of compliance.
Authors and Affiliations
Sreelatha P, Sunil kumar Giriyappa Patil, Sumana G
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