Medication adherence in type 2 diabetes patients: study of patients in Alimosho General Hospital, Igando, Lagos, Nigeria.

Abstract

Background: Poor adherence is an obstacle in therapeutic control of diabetes. Despite the advances in the treatment of diabetes mellitus over the years, diabetes places an immense burden on the individuals living with the condition, their families and the overall health care system. Objective: Evaluation of the impact of medication adherence on the clinical outcomes of type 2 diabetes patients at Alimosho general hospital, Igando Lagos state. Method: The medication adherence study was both descriptive (retrospective) and prospective. The retrospective study assessed the prevalence of medication non-adherence leading to poor glycemic control. This involved the review of case notes of one-hundred and fifty two randomly selected patients. Prospective study was done by counselling and educating the patients on medication adherence and assessing their medication adherence and the impact of medication adherence on glycemic control. Results: The proportions of females/males with type 2 DM was found to be 69% and 31% respectively. 51.32% of these patients viewed their medications to be unaffordable. 56.6% of the patient population were 61 years and above in age. There was a significant relationship between patient age, gender and adherence to medication. There was however no significant P ≥ 0.05 association between educational level and adherence. Health education and counselling resulted in adherence rate and clinical parameters improvements. Conclusion: Non-adherence is a major factor that could lead to morbidity and mortality in diabetic patients. The overall improvement in adherence rate of 86.8% was observed with a decline in non-adherence rate after interventions.

Adherence to Oral Antidiabetic Medications among Type 2 Diabetic (T2DM) Patients in Chronic Ambulatory Wards of Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia: A Cross Sectional Study

“…Lower than this adherence rate was reported from different areas of the world such as 43.34% in southern India [15] 68.8% in Assela general hospital, Ethiopia, [16] 45% in Sudan [17] 66.8% in Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia, [18] and 40.95% in southern Ethiopia [19]. In the contrary, better than the present value was also reported from various areas including 72.5% in eastern Nigeria [11] 83.3% in eastern Uganda [20] 86.8 in Lagos, Nigeria [21] and 75.7% in Jimma University specialized hospital, southwest Ethiopia [22] This difference is partly ascribed to variation of socio-demographic and socioeconomic characteristics as well as other contributing factors that can somehow affect optimal adherence in the aforementioned studies. Non-adherence to medications among diabetic patients might result in poor glycemic control.…”

Assessment of Medication Adherence in Type II Diabetic Patients: A Cross-sectional Study

“…Worldwide studies using various research assessment instruments and systematic reviews have addressed issues of poor medication adherence among diabetes patients. [17][18][19][20][21][22]37 In this study, medication adherence was assessed using MMAS-8. It is a reliable and validated scale.…”

“…15,16 Worldwide, studies on medication adherence among diabetic patients have shown a wide variation. [17][18][19][20][21][22][23][24] In India, [25][26][27] Limited studies from Southern and Northern regions of India have documented wide variation in the medication adherence and have addressed the issues of nonadherence in diabetic patients. 21,[28][29][30][31][32][33] AIM Therefore, this study was conducted to assess the medication adherence among type II diabetic patients attending a tertiary care hospital in Navi Mumbai, India.…”

Impact of Medication Adherence to patients with Type II Diabetes Mellitus in a tertiary care teaching hospital

“…Worldwide studies using various research assessment instruments and systematic reviews have addressed issues of poor medication adherence among diabetic patients. [17][18][19] It was observed that many patients forgot to take medicines with them when they are away from home. Others felt that it was very difficult to adhere to treatment plans and so stopped the medications.…”