A study on treatment adherence among patients with type 2 diabetes mellitus attending diabetic clinic

Authors

  • Mohammed Imran Associate Professor, Department of Community Medicine, Subbaiah Institute of Medical Sciences, Shimoga, Karnataka
  • Joslin Jose Plathottam MBBS Student, Dr B R Ambedkar Medical College, Bangalore, Karnataka

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20171787

Keywords:

Adherence, Diabetic, Treatment, Compliance

Abstract

Background: Diabetes is one among chronic diseases requiring long term medication and its prevalence is increasing globally. Adherence to prescribed treatment among diabetes patients is very important for good glycemic control. Poor glycemic control following poor adherence is associated with increasing risk of complications, disease progression, morbidity and mortality with increasing costs of care. Hence, the present study was undertaken to assess the adherence of diabetic patients with their prescribed medications.

Methods: The study involved 200 diabetic patients on oral anti-diabetic medication visiting out-patient diabetic clinic in a teaching hospital, Bangalore, who met required criteria. Information was collected using predesigned questionnaires by personally interviewing selected patients.

Results: A total of 122 patients (61 %) were non-adherent with medication; 36 (18%) and 42 (21%) of patients were moderately adherent and adherent to treatment respectively. Among non adherent patients, males were more (72%) compared to females (50%), which was statistically significant (P<0.05). Non adherence was more among employed (69%) patients compared to unemployed patients (54%), this was significant statistically (p >0.05). Non adherence level was very high among males with history of smoking (80%).

Conclusions: It was observed that the proportion of diabetic patients who are non-adherent to their prescribed medications was high. It is recommended that patients should be counselled repeatedly by health care providers on the importance of complying with prescribed drug regimen for better compliance and treatment outcome.

 

Author Biography

Mohammed Imran, Associate Professor, Department of Community Medicine, Subbaiah Institute of Medical Sciences, Shimoga, Karnataka

Associate Professor

Department of Community Medicine

References

Kumar V, Abbas AK, Aster JC. Robbins and Cotran Pathologic Basis of Disease, 8th edition, Elsevier Inc. Pennsylvania. 2010: 1464.

Sarah W, Gojka R, Anders G, Richard S, Hilary K. Global prevalence of diabetes (estimates for the year 2000 and projections for 2030). Diabetes Care. 2004;27:1047-53.

Kalsekar ID, Madhavan SS, Amonkar MM, Makela EH, Scott VG, Douglas SM, Elswick BL.Depression in patients with type 2 diabetes: impact on adherence to oral hypoglycemic agents. Ann Pharmacother. 2006;40(4):605-11.

Abdulazeez FI, Omole M, Ojulari SL. Medication Adherence Amongst Diabetic Patients in a Tertiary Healthcare Institution in Central Nigeria. Tropical J Pharm Res. 2014;1(6):997-1001.

García-Pérez L, Álvarez M, Dilla T, Gil-Guillén V, Orozco-Beltrán D. Adherence to Therapies in Patients with Type 2 Diabetes. Diabetes Ther. 2013;4(2):175–94.

World Health Organization: Adherence to long-term therapies. Evidence for action. Geneva: World Health Organization; 2003.

Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care. 1986;24(1):67-74.

Urquhart J. Patient non-compliance with drugs regimens. Measurement, clinical correlates. Economic Impact in Eur J Heart. 1996;17:8-15.

Downloads

Published

2017-04-24

How to Cite

Imran, M., & Plathottam, J. J. (2017). A study on treatment adherence among patients with type 2 diabetes mellitus attending diabetic clinic. International Journal Of Community Medicine And Public Health, 4(5), 1701–1703. https://doi.org/10.18203/2394-6040.ijcmph20171787

Issue

Section

Original Research Articles