Habte Bruck Messele, Kebede Tedla, Fenta Teferi Gedif, Boon Heather
School of Pharmacy, College of Health Sciences (CHS), Addis Ababa University (AAU), Addis Ababa, Ethiopia.
School of Medicine, CHS, AAU, Addis Ababa, Ethiopia.
J Pharm Policy Pract. 2017 Apr 8;10:14. doi: 10.1186/s40545-017-0101-2. eCollection 2017.
The purpose of this study is to explore medication-related perceptions of adult patients with type 2 diabetes attending treatment in public hospitals of urban centers in central Ethiopia.
Qualitative in-depth interviews were held with 39 participants selected to represent a range of treatment experiences and socio-demographic characteristics who were attending their treatment in 3 public hospitals. Interviews continued until key themes were saturated. The interview and analysis was guided by Horne's necessity-concerns model.
The findings revealed medication-related perceptions some of which were similar to those of Western patients and others that seem to be informed by local socio-cultural contexts. Participants' perceptions focused on the necessity of and concerns about their anti-diabetic medications, giving more emphasis to the latter. Concerns were expressed about both perceived and experienced adverse effects, inconveniences in handling the medications and access. It was evident that some of these concerns were exaggerated but could nevertheless negatively affect adherence to prescribed medications including resistance to initiate insulin with potential impact on health outcomes.
Understanding patients' perceptions of their medications is critical for developing a diabetes education program that considers local contexts and beliefs to enhance adherence. Education programs should consider patients' concerns about medication adverse effects and reasons for use so as to improve their adherence and health outcomes.
本研究旨在探究埃塞俄比亚中部城市中心公立医院中接受治疗的成年2型糖尿病患者对药物治疗的看法。
对39名参与者进行了定性深入访谈，这些参与者被选出来代表在3家公立医院接受治疗的一系列治疗经历和社会人口特征。访谈持续进行，直到关键主题饱和。访谈和分析以霍恩的需求-关注模型为指导。
研究结果揭示了与药物治疗相关的看法，其中一些与西方患者的看法相似，而另一些似乎受到当地社会文化背景的影响。参与者的看法集中在抗糖尿病药物的必要性和担忧上，更强调后者。对感知到的和经历过的不良反应、药物处理不便和获取药物方面都表达了担忧。很明显，其中一些担忧被夸大了，但仍可能对遵医嘱服药产生负面影响，包括对开始使用胰岛素的抵触，这可能对健康结果产生潜在影响。
了解患者对其药物的看法对于制定考虑当地情况和信念以提高依从性的糖尿病教育计划至关重要。教育计划应考虑患者对药物不良反应的担忧以及用药原因，以提高他们的依从性和健康结果。
