Factors Affecting Non-Compliance among Psychiatric Patients in the Regional Institute of Medical Sciences, Imphal.
Journal Title: IOSR Journal of Pharmacy (IOSRPHR) - Year 2015, Vol 5, Issue 1
Abstract
AIMS: This study was carried out with an objective to assess different reasons of medication non-compliance in a sample of out-door psychiatric patients and to evaluate the correlation between clinical variables and causes of non-compliance to drugs. This study was conducted at Psychiatry department, Regional Institute of MedicalSciences; from (30thSept 2012 to 31stAug 2013) .Data from a non-probability sample of 50 follow-up patients with a definite psychiatric illness was collected. Patients were recruited who were between 18 and 60 years of age and who were treated in the outpatient clinics of the psychiatry department. Information regarding sociodemographic characteristics (e.g., age, gender, level of education, marital status, and income) were recorded on a proforma designed by the author. A questionnaire designed for this purpose was administered to examine the factors that cause non-compliance. Data was analyzed using SPSS for window 20.0 version. Chi-square analysis done for variable of interest. Non-compliance to drug treatment is most common in between 21-30 years of age groups, more in females 72% than males 28%, those who are married(60%) than single(40% ),and with low education(28%) & low socio-economic status(54%).Notable reasons for non-compliance were feelings of wellness(26%), paranoia to medication(22%),lack of insight to the illness(14%),medication side effects(10%),hopelessness of cure & poor support (8%) respectively.,financial problems (6%), no improvement(4%), too much of medication(2%).The commonest psychiatric illnesses leading to non-compliance were schizophrenia (26%), BPAD (18%), MDD(14%), psychosis (10%), epilepsy & OCD (8%) each, GAD (6%), somatization disorder & substance induced psychosis (4%) each, panic attack with agoraphobia (1%).Data analyses explored significant associations between age, income and psychiatric illness with causes of noncompliance to drugs (P<0.01).
Authors and Affiliations
Maan C G , Munnawar Hussain M S , Heramani N , Lenin RK
Keywords
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