Medication pattern and adherence to type II diabetes treatment at university hospital of Central India

International Journal of Research in Medical Sciences Pub Date : 2023-11-29 DOI:10.18203/2320-6012.ijrms20233695

C. Shamkuwar, Sushant H. Meshram, N. Kumari

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Abstract

Background: The estimated number of diabetics in India was 62.4 million in 2011 projected to rise 101.2 million by 2030. Rational medication pattern and adherence to treatment are key components of diabetes control. Study purpose is to evaluate medication pattern and assess adherence to treatment. Methods: Prospective, observational and questionnaire-based study. Medication pattern evaluated from prescriptions and adherence assessed with Morisky medication adherence scale. Result: Total 200 prescriptions were studied. 98 (49%) and 102 (51%) were male and female respectively. Majority were above 60 years of age. Co-morbid conditions were found in 175 (87%) patients with hypertension (72%), being more common. Patients were prescribed 1216 medications. The average number of drugs per prescription was 6.20. Oral hypoglycemic drugs were 22.69%. Commonly prescribed drugs were anti-hypertensive (15.70%), drugs for coronary artery disease (10.36%), antibiotics, NSAID, PPI, vitamins and minerals (31.99%). High, medium and low adherence were observed in 47%, 38% and 15% of patients. Males (61%) adherence more than females in high adherence group. Conclusions: This study demonstrates the variability of drug utilization in diabetics. More than fifty percent patient have medium and low adherence which affects control of diabetes. Factors leading to poor adherence should be studied for better control of diabetes.

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印度中部大学医院的用药模式和 II 型糖尿病治疗的依从性

背景：据估计，2011 年印度糖尿病患者人数为 6240 万，预计到 2030 年将增至 1.012 亿。合理用药和坚持治疗是控制糖尿病的关键因素。本研究旨在评估用药模式和治疗依从性。研究方法前瞻性、观察性和问卷调查研究。根据处方评估用药模式，并使用莫里斯基用药依从性量表评估依从性。结果：共研究了 200 份处方：共研究了 200 份处方。男性和女性分别为 98 人（49%）和 102 人（51%）。大多数患者年龄在 60 岁以上。175名患者（87%）患有并发症，其中高血压患者（72%）更为常见。患者被处方了 1216 种药物。每张处方平均有 6.20 种药物。口服降糖药占 22.69%。常见的处方药有抗高血压药（15.70%）、冠心病药物（10.36%）、抗生素、非甾体抗炎药、抗高血压药、维生素和矿物质（31.99%）。47%、38%和 15%的患者依从性分别为高、中和低。在高依从性组中，男性（61%）的依从性高于女性。结论这项研究表明，糖尿病患者在药物使用方面存在差异。50%以上的患者用药依从性为中低，这影响了糖尿病的控制。应研究导致用药依从性差的因素，以便更好地控制糖尿病。

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International Journal of Research in Medical Sciences

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