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尼日利亚中北部高原州一家三级医疗机构门诊患者的治疗依从性及持续治疗情况

Treatment compliance and retention in care among out-patient clients in a tertiary health institution in plateau state North Central Nigeria.

作者信息

Afolaranmi Tolulope O, Hassan Zuwaira I, Mbak Joy L, Luka Davou W, Audu Takzhir N, Chirdan Oluwabunmi O, Zoakah Ayuba I

机构信息

Department of Community Medicine, University of Jos/Jos University Teaching Hospital. Jos, Plateau State Nigeria.

Faculty of Medical Sciences, University of Jos, Jos Plateau State, Plateau State Nigeria.

出版信息

Int J Res Med Sci. 2018 Jun;6(6):1902-1907. doi: 10.18203/2320-6012.ijrms20182269. Epub 2018 May 28.

Abstract

BACKGROUND

Compliance with prescribed treatment and retention in care are key components in the management of chronic diseases which is vital in averting the long term complications that could arise from such conditions. Failure to comply with treatment recommendations is often associated with poor retention in care. In view of this, this study was conducted to determine the level of treatment compliance and retention in care among patients with hypertension and diabetes in Jos University Teaching Hospital.

METHODS

This was a cross sectional study conducted among 290 eligible respondents between September and November 2017 using quantitative method of data collection. SPSS version 20 was used for data analysis with adjusted odds ratio and 95% confidence interval used as point and interval estimates while p-value of ≤0.05 was considered statistically significant.

RESULTS

The mean age of the respondents was 54.5±13.1 years with 43.8% of the respondents found to have satisfactorily complied with prescribed treatment while 117 (40.3%) were uninterruptedly retained in care within the last 6 months' clinic appointments prior to the study.

CONCLUSIONS

This study has demonstrated the levels of compliance with treatment and retention in care bringing to bear the need to provide structured interventions targeted at attaining improvement in compliance with treatment and retention in care among individuals on long term care.

摘要

背景

遵循规定治疗方案并持续接受治疗是慢性病管理的关键组成部分,这对于避免此类疾病可能引发的长期并发症至关重要。不遵循治疗建议往往与持续接受治疗的情况不佳相关。鉴于此,本研究旨在确定乔斯大学教学医院高血压和糖尿病患者的治疗依从性水平及持续接受治疗的情况。

方法

这是一项横断面研究,于2017年9月至11月期间对290名符合条件的受访者进行,采用定量数据收集方法。使用SPSS 20版进行数据分析,调整后的比值比和95%置信区间用作点估计和区间估计,p值≤0.05被认为具有统计学意义。

结果

受访者的平均年龄为54.5±13.1岁,43.8%的受访者被发现令人满意地遵循了规定治疗方案,而在研究前的最后6个月门诊预约中,有117人(40.3%)持续接受治疗。

结论

本研究展示了治疗依从性水平和持续接受治疗的情况,凸显了有必要提供针对性的结构化干预措施,以提高长期护理患者的治疗依从性和持续接受治疗的情况。

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