Assessment of Barrier to Medications Adherence among Adult Patients with Diabetes above 40 Years at Bugando Medical Centre.

Gofrey M. Orotta CUHAS/MD/4001560/T/15

Assessment of Barrier to Medications Adherence among Adult Patients with Diabetes above 40 Years at Bugando Medical Centre. - Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS – Bugando] : ©2020 - ix; 25 Pages Includes References

Abstract:

Background: Diabetes is a complex, chronic illness requiring continuous medical care with multifactorial risk-reduction strategies beyond glycemic control. Ongoing patient self-management education and support are critical to preventing acute complications and reducing the risk of long-term complications which may result if medications are not well adhered. (1) Poor medication adherence has been reported worldwide with its prevalence been high in developing countries and it is well documented in Type2 Diabetes to be very common also associated with inadequate glycemic control; increased morbidity and mortality; and increased costs of outpatients care, emergency room visits, hospitalization and managing complications of diabetes. (2)

Broad objective: To assess barriers to medications adherence among adult diabetes patients above 40 years.

Methodology: The study is cross-sectional hospital based study which was done at BMC, was involve inpatients and outpatient clinic. This study was including adult diabetes patient who are on medication from July to December 2019.

Results: Enrolled 150 adult patients with diabetes aged above 40 years visiting clinic or admitted in the ward. Where majority were female 77 (51.7%), and majority age group was 60-69 year old 43 (28.7%), majority had secondary education 73 (48.7%) 113 (75.3%) were married and more than half of all participant had family history of diabetes mellitus 95 (63.3%). Majority of participant mention lack of money 92 (61.3%) using herbal medication 93 (62%), 87 (58%) mix drug information, more than half of the participants changes time of taking medication 78 (52%) and 126 (84) reported that doctors did not elaborate medication to a patients.

Conclusion: The most common barrier mentioned in our study was lack of money for diabetic medication even though there is accessibility. Also, most patients were not elaborated about advantage of taking medication. This might explain why majority of the patient were using herbal medication.

Keywords: Diabetes Mellitus, glycemic control, diabetes mellitus medication.


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