Medication Noncompliance among Patients with Chronic Diseases Attending a Primary Health Facility in a Periurban District in Ghana.
Medication Noncompliance among Patients with Chronic Diseases Attending a Primary Health Facility in a Periurban District in Ghana.
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DOI：
10.1155/2018/7187284
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发表时间：
2018-01-01
影响因子：
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通讯作者：
Babayara, Michael N K
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文献类型：
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作者：
Addo, Bright;Sencherey, Sally;Babayara, Michael N K
背景技术背景：尽管人们越来越有兴趣了解慢性病的病因，但对不遵守药物治疗的研究有限，特别是在加纳城市周边和农村居民中。本研究探讨慢性病患者服药不依从的发生率及服药行为。药物治疗不依从性和不依从的风险因素的成本的相对影响也assessed.METHODS：该设计是一个横断面研究的200例患者，年龄低于40岁，年龄超过60岁，从Offinso南部市，加纳阿散蒂地区的城郊区抽样。使用SPSS（v20）软件程序对通过管理结构化问卷收集的数据进行编码、清理和分析。描述性和多因素分析，采用二元Logistic回归进行。结果：服药不依从性高（55.5%），与艾滋病毒/艾滋病患者和那些与心理障碍是最不依从。大多数患者至少服用2种药物（81.5%），每天服用2次（79.0%），服用时未发生副作用（67.0%），认为其药物有效（88.5%），并意识到不依从可能引起的并发症。主要的药物摄入途径是口服（86.8%），较少比例的患者（22.5%）在服用处方药物的同时服用草药制剂。药物费用并不妨碍患者坚持他们的药物治疗方案，因为这些药物中的大多数都由国家健康保险计划（NHIS）支付。年龄，诊断的持续时间和记住用药指示的困难被确定为显着的预测noncompliance.CONCLUSION：教育患者需要遵守他们的药物治疗方案，并发症，可能会出现从不遵守和避免摄入的草药在他们的治疗过程中，应形成的一部分，为慢性病患者组织的临床会议。
BACKGROUND: Despite the growing interest in understanding the aetiology of chronic diseases, limited studies exist on medication noncompliance, especially, among periurban and rural dwellers in Ghana. In this study, we determined the prevalence of medication noncompliance and explored the medication intake behaviour of patients with chronic diseases. The relative influence of cost on medication noncompliance and the risk factors for noncompliance were also assessed.METHODS: The design was a cross-sectional study of 200 patients from ages below 40 years to ages above 60 years sampled from the Offinso South Municipality, a periurban district of the Ashanti region of Ghana. Data collected through the administration of structured questionnaires was coded, cleaned, and analysed using the SPSS (v20) software programme. Descriptive and multivariate analyses using binary logistic regression were performed.RESULTS: Medication noncompliance was high (55.5%), with patients living with HIV/AIDS and those with psychological disorders being the most noncompliant. Majority of patients took at least 2 medications (81.5%), did so twice daily (79.0%), did not experience side effects with intake (67.0%), considered their medication to be effective (88.5%), and were aware of the complications that could arise from noncompliance. The dominant route of medication intake was oral (86.8%) and a lesser proportion of patients (22.5%) took herbal preparation alongside their prescribed medications. The cost of medication did not prevent patients from adhering to their medication regimen as most of these drugs were covered by the National Health Insurance Scheme (NHIS). Age, duration of diagnosis and difficulty in remembering medication instructions were identified as significant predictors of noncompliance.CONCLUSION: Educating patients on the need to be compliant with their medication regimen, the complications that could arise from noncompliance and avoidance of intake of herbal medications during their treatment should form part of the clinical sessions organized for patients with chronic conditions.