Krishnamoorthy Yuvaraj, Giriyappa Dinesh Kumar, Eliyas Salin K, Priyan Shanthosh, Saya Ganesh Kumar, Lakshminarayanan Subitha
Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
J Patient Exp. 2019 Sep;6(3):216-223. doi: 10.1177/2374373518787288. Epub 2018 Jul 12.
Trend in morbidity and mortality due to noncommunicable diseases (NCDs) is rising because of poor control status. Medication nonadherence is one of the most common and modifiable causes of inadequate control status.
To examine the barriers in drug adherence among NCD patients in rural Puducherry.
This qualitative study includes in-depth and key informant interview conducted among 6 NCD patients and 4 health-care providers. Interviews were audio-recorded, and transcript was prepared in verbatim format. Thematic content analysis was done to derive the categories and themes.
Major barriers for nonadherence to medications found were stress, substance abuse, forgetfulness, lack of family support, and high case load of health facilities. Corrective measures suggested to address the barriers were to provide health education to patients and family members, awareness campaigns in community, and health education sessions at the clinic.
Psychological factors such as stress, social isolation, and negligence are major barriers for drug adherence. Health education session at community and health system is needed to improve the adherence.
由于控制状况不佳，非传染性疾病（NCDs）导致的发病率和死亡率呈上升趋势。药物治疗依从性不佳是控制状况不充分的最常见且可改变的原因之一。
研究印度本地治里农村地区非传染性疾病患者药物依从性方面的障碍。
这项定性研究包括对6名非传染性疾病患者和4名医疗服务提供者进行的深入访谈和关键信息提供者访谈。访谈进行了录音，并逐字记录了文字稿。通过主题内容分析得出类别和主题。
发现不坚持服药的主要障碍包括压力、药物滥用、健忘、缺乏家庭支持以及医疗机构的高工作量。针对这些障碍建议采取的纠正措施包括对患者及其家庭成员进行健康教育、在社区开展宣传活动以及在诊所举办健康教育课程。
压力、社会孤立和疏忽等心理因素是药物依从性的主要障碍。需要在社区和卫生系统开展健康教育课程以提高依从性。
