[Medication adherence of 65 patients in hemodialysis in Togo].
作者信息
Sabi K A, Noto-Kadou-Kaza B, Amekoudi Y E, Tsevi M C, Sylla F, Kossidze K, Gnionsahe D A
机构信息
Service de néphrologie et d'hémodialyse, CHU Sylvanus Olympio, BP 14148 Lomé, Togo.
Service de néphrologie et d'hémodialyse, CHU Yopougon, Abidjan, Côte d'Ivoire.
出版信息
Med Sante Trop. 2014 Apr-Jun;24(2):172-6. doi: 10.1684/mst.2014.0320.
OBJECTIVE
The aim of this study was to assess adherence in people on hemodialysis and determine the factors of poor adherence.
MATERIAL AND METHODS
This cross-sectional study took place throughout the month of September, 2012, in the hemodialysis center of the Sylvanus Olympio University Hospital, the only such center in Togo.
RESULTS
The study included 65 patients, with a mean age of 49.5 years (range: 22 to 77 years), more often men (sex ratio: 1.82) and married (74 %). More than half (58%) had completed secondary education, while 73% belonged to the least advantaged socioeconomic class; 61 (94%) had health insurance, and 57% had been on dialysis for 1 to 4 years. The compliance rate was 11%. The main factors associated with good adherence were marital status (p = 0.0339) and the patient's general health status (p = 0.001). Treatment fatigue (p = 0.0347), forgetfulness (p = 0.0001), dosage forms and drug characteristics (p = 0.0198) were all factors of noncompliance. Therapeutic non-compliance was proportional to the number of drugs prescribed (p = 0.4263).
CONCLUSION
Adherence in hemodialysis patients in Togo is very poor.
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