Altamimi Alhanouf Fahad, Alqahtani Zuhour Abdullah, Almughaiseeb Fay Ahmed, Alshiha Kholoud Abdullah, Alaryni Abdullah, Alotaibi Azzam
College of Medicine, Imam Mohammed Ibn Saud Islamic University, Riyadh, Saudi Arabia.
Internal Medicine Department, Imam Mohammed Ibn Saud Islamic University, Riyadh, Saudi Arabia.
J Family Med Prim Care. 2021 Aug;10(8):3064-3070. doi: 10.4103/jfmpc.jfmpc_2512_20. Epub 2021 Aug 27.
Failure of patients' adherence to medications has been a big issue for both physicians and patients; not only it does affect the patients' health but also it affects the financial status of the hospital and the patient.
This investigation aims to explore the prevalence and the factors affecting the compliance of patients with chronic conditions to their medications.
An online survey was distributed to patients who had chronic conditions and lived in the main cities of Saudi Arabia. The questionnaire included sections about the patients' general characters, type of chronic disease, the pattern of prescribed medications' usage, and factors affecting compliance of patients toward their medications. Data was collected in a predesigned excel sheet, and analysis was executed through SPSS program version 26.
301 patients responded to this questionnaire. The lowest incidence of missing pills was among patients with heart failure, followed by chronic kidney disease, whereas the highest frequency of missing pills was among patients with vitamin D deficiency, followed by hyperlipidemia. 38.5% of the patients used mobile applications as reminders for the administration of their medications. 50% of the patients who use reminders take more than four pills a day. 48.2% of the patients stopped medications without consulting their doctors, where 20.9% stopped one medication for less than a month. 57.5% forgot to take drug doses in a year, with a mean of 8.55 ± 26.3 forgotten doses. Females, patients aging between 31 and 45 years old, obese, married, illiterate, self-employed, those who follow with military hospitals, exercising regularly, and ex-smoker all showed a higher incidence of noncompliance to medications. The main reason for noncompliance was forgetfulness in 60% of patients. 63.2% of the patients did not have a GP to help them with medications compliance.
The compliance of Saudi patients toward their chronic medications requires improvement. Similar studies in other areas in Saudi Arabia are recommended.
患者不坚持服药对医生和患者来说都是一个大问题；这不仅会影响患者的健康，还会影响医院和患者的财务状况。
本调查旨在探讨慢性病患者服药依从性的患病率及影响因素。
对居住在沙特阿拉伯主要城市的慢性病患者进行在线调查。问卷包括患者的一般特征、慢性病类型、处方药使用模式以及影响患者服药依从性的因素等部分。数据收集在预先设计的Excel表格中，并通过SPSS 26版程序进行分析。
301名患者回复了此问卷。漏服药物发生率最低的是心力衰竭患者，其次是慢性肾脏病患者，而漏服药物频率最高的是维生素D缺乏症患者，其次是高脂血症患者。38.5%的患者使用移动应用程序作为服药提醒。使用提醒的患者中有50%每天服用超过4片药。48.2%的患者未咨询医生就停药，其中20.9%的患者停药一种药物不到一个月。57.5%的患者一年中会忘记服药剂量，平均忘记8.55±26.3次。女性、年龄在31至45岁之间的患者、肥胖者、已婚者、文盲、个体经营者、在军队医院就诊者、经常锻炼者和曾经吸烟者的服药不依从发生率均较高。不依从的主要原因是60%的患者健忘。63.2%的患者没有全科医生帮助他们提高服药依从性。
沙特患者对慢性药物的依从性需要提高。建议在沙特阿拉伯其他地区开展类似研究。
