Adherence to oral anti-diabetic drugs among patients attending a Ghanaian teaching hospital

Bruce, Suliasnaia P.; Acheampong, Franklin; Kretchy, Irene A.

doi:10.18549/pharmpract.2015.01.533

Cited by 41 publications

(58 citation statements)

References 15 publications

(18 reference statements)

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“…It was revealed that majority of the participants adhered correctly to their medication regimen as found among other study participants [15,16]. The finding however contradicted with a research conducted at Korle-bu Teaching Hospital in Ghana in which smaller number of study participants adhered correctly to their medication regimen [17]. In this study most of the respondents asserted they had never missed a single dose of their medication over the past week which was similar to findings by other authors [16].…”

Section: Discussionsupporting

confidence: 48%

Exploring Self-Management Practices Among Patients with Diabetes in Government Hospitals in the Upper West Region of Ghana

Kpekura¹

2018

IJDE

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Diabetes mellitus is a chronic progressive metabolic disorder characterized by hyperglycaemia mainly due to absolute or relative deficiency of insulin hormone. The study aimed at exploring the level of self-management practices among diabetes patients receiving care in public hospitals in the Upper West Region of Ghana. The research was a cross-sectional survey adopting stratified sampling technique to select 201 respondents. A questionnaire was used in the study for data collection with a reliability coefficient of 0.8. The data was analyzed using the SPSS version 21. Adherence to proper selfmanagement practices was high with a mean percentage of 64.7%. Demographic factors of diabetes patients did not have any effect on their Self-Management Practices (p>0.05). There were differences in Self-Management practices among group of diabetes patients receiving care at different hospitals (p<0.05). In conclusion, most diabetes patients in the Upper West Region adhered correctly to self-management practices. However, they needed to improve upon the management on monitoring of blood sugar level and foot care. There was a difference in self-management practices of diabetes patients who received care at Wa and Lawra. It was also found that sex, gender, district of location, occupation, and income among others did not have influence on self-management practice.

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Section: Discussionsupporting

confidence: 48%

Exploring Self-Management Practices Among Patients with Diabetes in Government Hospitals in the Upper West Region of Ghana

Kpekura¹

2018

IJDE

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“…This has created a gap in knowledge in the context of T2DM from an Afrocentric perspective. While medications for managing T2DM in Ghana are readily available, adherence to these medications is still not optimal [35,36]. Thus, the information from this study will facilitate context-specific understanding of the problem from a psychosocial perspective so that culturally appropriate adherence solutions can be instituted.…”

Section: Introductionmentioning

confidence: 98%

The Association between Diabetes-Related Distress and Medication Adherence in Adult Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study

Kretchy

Koduah

Ohene-Agyei

et al. 2020

Journal of Diabetes Research

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Background. Type 2 diabetes mellitus (T2DM) is a major public health problem associated with distress. T2DM can affect health outcomes and adherence to medications. Little is however known about the association between diabetes distress and medication adherence among patients with T2DM in Ghana. Objective. The objective of the present study is twofold: to estimate distress associated with T2DM and to examine its association with medication adherence. Methods. A hospital-based crosssectional study was conducted among 188 patients with T2DM recruited from a diabetes specialist outpatient clinic at the Pantang Hospital in Accra, Ghana. Data were obtained using the Problem Areas In Diabetes (PAID) scale and the Medication Adherence Report Scale. Results. The findings showed that about 44.7% of the patients showed high levels of diabetes-related distress. Poor adherence to medications was recorded in 66.5% of the patients. Patients who were highly distressed had 68% lower odds of adhering to their medications compared to those who were not (OR: 0.32, 95% CI: 0.15-0.65). A principal component analysis revealed four areas of T2DM distress which were conceptualized as negative emotions about diabetes, dietary concerns and diabetes care, dissatisfaction with external support, and diabetes management helplessness. Conclusion. Our findings suggest that diabetes distress is a significant determinant of medication adherence behaviour in patients with T2DM. Thus, incorporating routine screening for distress into the standard diabetes care within the Ghanaian health system and having health practitioners adopt holistic approaches to diabetes management will be important context-specific interventions to improve adherence and health outcomes of people living and coping with T2DM.

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“…5 A research developed in Ghana has indicated that 38.5% of the participants adhered to the regular use of the OAD. 4 Other national research studies that analyzed adherence to antihypertensive treatment and to OAD have reported an adherence of 47% and 60%, respectively. 6,7 The prevalence of non-adherent individuals to the established therapy may reach an irreversible gravity, and increased rates of morbimortality and of health public expenses for the treatment.…”

Section: Introductionmentioning

confidence: 98%

“…2 However, evidence points to low adherence of people with T2DM in following the established medication therapy. 3,4 Low or non-adherence to the treatment of chronic diseases such as diabetes ranges from 6% to 55%. 5 The literature shows that individuals with lower schooling and younger people present an ineffective adherence to the treatment.…”

Section: Introductionmentioning

confidence: 99%

Beliefs related to oral antidiabetic use among individuals with diabetes

et al. 2020

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Objective: To identify beliefs related to oral antidiabetic use among individuals with type 2 diabetes mellitus, based on the Theory of Planned Behavior. Method: This is a descriptive, quantitative and qualitative study conducted with 32 participants using oral antidiabetic drugs. Data was collected through an open question tool and analyzed by number of emissions and content. Results: Among the behavioral beliefs, the following stand out: (a) as an advantage, to keep diabetes controlled; and (b) as disadvantages, gastric pain and discomfort, nausea and diarrhea. In the normative beliefs, family stood out as a social referent (children, mother and siblings). As for the control beliefs, taking the tablets with water and the size of the tablets stood out as practicalities and difficulties, respectively, in relation to the oral therapy follow-up. Conclusion and implications for practice: It was possible to identify the beliefs regarding the behavior of taking oral antidiabetics that will contribute to foster educational strategies with the potential to strengthen the positive beliefs and to revert the negative ones, in favor of adherence to drug therapy, glycemic control and quality of life.

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Adherence to oral anti-diabetic drugs among patients attending a Ghanaian teaching hospital

Abstract: *

Cited by 41 publications

References 15 publications

Exploring Self-Management Practices Among Patients with Diabetes in Government Hospitals in the Upper West Region of Ghana

Exploring Self-Management Practices Among Patients with Diabetes in Government Hospitals in the Upper West Region of Ghana

The Association between Diabetes-Related Distress and Medication Adherence in Adult Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study

Beliefs related to oral antidiabetic use among individuals with diabetes

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