Factors Associated with Non-Adherence to Drugs and Dietary Regimen Among Type Ii Diabetes Mellitus Out-Patients Attending University College Hospital, Ibadan

Mepaiyeda Margaret Olubunmi
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Abstract

Diabetes is an increasing global health problem and this puts high demands on the health care system. Medication non-adherence results in increased morbidity, mortality and financial loss among patients and non-adherence is multifactorial. This study therefore was aimed at determining factors associated with non-adherence to drugs and dietary regimen among Type II Diabetes Mellitus patients attending University College Hospital (UCH), Ibadan, Nigeria. This study utilized a quantitative design using descriptive survey method to collect data from 330 Type II diabetes out-patients in UCH, Ibadan on factors associated with non-adherence to drug and dietary regimen. Data were analysed using descriptive statistics (frequency, mean and standard deviation) for research questions and inferential statistics, Chi-square and ANOVA for testing hypotheses at 5% level of significance. Findings revealed that non-adherence to medication mean was 3.4±1.1 and 27.7% of respondents had poor adherence to medication. Mean attitude to medication non-adherence was 12.0±2.2 and 62.0% respondents had negative attitude to medication adherence. Clinical factors like: not being able to access clinic regularly for consultation and not getting medication information had influence on anti-diabetic medication non-adherence (1.37±0.49; F=42.036; P=0.000) and 1.54±0.50; F=29.431; P=0.000) respectively. Individual factors like: not being comfortable with physician diagnoses (1.33±0.47; F=22.190; P=0.000); found it difficult in taking their drugs when they are many (1.46±0.50; F=42.992; P= 0.000); receiving detailed written instruction regarding exercise programs from healthcare provider (1.43±0.50; F=23.485; P=0.000) were all influencing factors to anti- diabetics medication adherence. Lack of patients-physician relationship and inconsistent information about the medicines prescription influences non-adherence to anti-diabetic medication greatly in this study. Improving on these areas by health
伊巴丹大学学院医院Ii型糖尿病门诊患者不遵守药物和饮食方案的相关因素
糖尿病是一个日益严重的全球健康问题,对卫生保健系统提出了很高的要求。药物不依从性导致患者发病率、死亡率和经济损失增加,而且药物不依从性是多因素的。因此,本研究旨在确定在尼日利亚伊巴丹大学学院医院(UCH)就诊的2型糖尿病患者不遵守药物和饮食方案的相关因素。本研究采用定量设计,采用描述性调查方法收集伊巴丹市联合医院330例II型糖尿病门诊患者不遵守药物和饮食方案相关因素的数据。对研究问题采用描述性统计(频率、平均值和标准差),对假设在5%显著性水平下的检验采用推理统计、卡方和方差分析。结果显示,不依从性平均为3.4±1.1,27.7%的受访患者服药依从性差。对药物依从性的平均态度为12.0±2.2,62.0%的受访者对药物依从性持否定态度。临床因素如:不能定期到门诊会诊、不能获取用药信息对降糖药物依从性有影响(1.37±0.49);F = 42.036;P=0.000)和1.54±0.50;F = 29.431;分别P = 0.000)。个体因素如:对医师诊断不满意(1.33±0.47);F = 22.190;P = 0.000);服药时服药困难(1.46±0.50;F = 42.992;P = 0.000);接受医疗保健提供者关于锻炼计划的详细书面指导(1.43±0.50;F = 23.485;P=0.000)均为影响抗糖尿病药物依从性的因素。在本研究中,医患关系的缺失和药物处方信息的不一致是影响抗糖尿病药物依从性的重要因素。通过健康改善这些领域
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