Sharma Deepak, Goel Naveen Krishan, Cheema Yuvraj Singh, Garg Keshav
Department of Community Medicine, Government Medical College and Hospital, Chandigarh, India.
General Medicine, Government Medical College and Hospital, Chandigarh, India.
Indian J Community Med. 2023 Sep-Oct;48(5):781-785. doi: 10.4103/ijcm.ijcm_744_22. Epub 2023 Sep 7.
Medication adherence is vital in managing noncommunicable diseases like diabetes. Illness perception and an individual's knowledge regarding the disease may influence medication adherence. The present study aimed to assess the prevalence and predictors of medication adherence among type 2 diabetic patients. A cross-sectional study was conducted among 400 diabetes mellitus patients attending an outdoor patient department (OPD) of a tertiary care hospital in North India. Brief Medication Questionnaire (BMQ) and Brief Illness Perception Questionnaire (B-IPQ) were used to study medication adherence and illness perception, respectively. Descriptive and analytic statistics were computed using Epi Info software for Windows (CDC, Atlanta, GA, USA). The prevalence of medication adherence was 79.5% (82/400). The odds of medication adherence increased with higher age (odds ratio [OR] = 1.8 [1.1-2.9]) and more duration of illness (OR = 1.8 [1.0-3.2]) Patients having good knowledge of diabetes were more likely to adhere to medications. [OR=1.8(1.1-3.1). Diabetes medicine-adherent patients had a higher perceived understanding of the disease, felt having lesser negative consequences, and were less concerned about the illness than their counterparts. A high proportion adhered to diabetes medication. The guiding factors to further improve medication adherence are age, duration of illness, illness perception, and knowledge regarding the disease.
药物依从性对于管理糖尿病等非传染性疾病至关重要。疾病认知以及个人对疾病的了解可能会影响药物依从性。本研究旨在评估2型糖尿病患者中药物依从性的患病率及预测因素。在印度北部一家三级护理医院的门诊部门就诊的400名糖尿病患者中进行了一项横断面研究。分别使用简易药物问卷(BMQ)和简易疾病认知问卷(B-IPQ)来研究药物依从性和疾病认知。使用适用于Windows的Epi Info软件(美国疾病控制与预防中心,佐治亚州亚特兰大)进行描述性和分析性统计。药物依从性的患病率为79.5%(82/400)。药物依从性的几率随着年龄的增长(优势比[OR]=1.8[1.1 - 2.9])和病程的延长(OR = 1.8[1.0 - 3.2])而增加。对糖尿病有充分了解的患者更有可能坚持服药。[OR = 1.8(1.1 - 3.1)]。与未坚持服药的患者相比,坚持服用糖尿病药物的患者对疾病有更高的认知度,感觉负面后果更少,并且对疾病的担忧也更少。很大一部分患者坚持服用糖尿病药物。进一步提高药物依从性的指导因素包括年龄、病程、疾病认知以及对疾病的了解。