English

Chizolum Opara Hope,Juliet Anetekhai Chinenye,Nonyem Anarado Agnes,Lewechi Okoronkwo Ijeome,Lilian Obuekwu Adaobi,Njideka Iheanacho Peace

doi:10.5897/jde2019.0133

Abstract

The study determined the prevalence of non-adherence to medication, self monitoring of blood glucose (SMBG), clinic visits and the associated factors among out-patient type 2 adult diabetics at a tertiary hospital in Enugu State Nigeria. Using a descriptive cross-sectional design, 200 patients was purposively selected. Researcher-developed questionnaire was tool for data collection. Analysis was done in proportions, percentages and logistic regression (alpha level was P=0.05). Respondents’ mean age was 60.1±10.6; 88% were married and females were 63.5%. Overall prevalence of non adherence to drugs was 24.5%; that varied from 26.9 to 11.8% depending on drug combinations. Majority (57.5%) of the respondents had no glucometer for SMBG at home; 86.1% on oral hypoglycaemic agents did not monitor their blood glucose level 2-3 times weekly; 78.9% on injection insulin combined with tablets did not monitor their blood glucose level at least once daily. Non-adherents to clinic visits were 49.0%. Age <50 years (P= 0.006) and being married (P= 0.025) were associated with drug non-adherence. Cost of transportation (P= 0.000), discouraging attitudes of health workers (P= 0.003) and late commencement of clinic activities (P= 0.006) were associated with clinic visit non-adherence. There was non adherence to diverse self care activities among diabetic patients in this study therefore factors that contribute to non adherence should be addressed by healthcare providers.  Key words:  Non-adherence, self-care actions, diabetic management regimen, adults with type 2 diabetes.   &nbsp

Highlights

Non adherence to prescribed therapies is a costly problem in the care of patients especially those with chronic illnesses such as diabetes mellitus
Diabetes mellitus (DM) -after referred to as diabetes is a group of metabolic diseases characterized by hyperglycaemia resulting from defects in insulin
From a target population of 360 adults with type 2 diabetes registered in one year, a sample size of 200 was computed using Taro Yamane formula for finite population while those who met the under-listed criteria were purposively selected for the study

Summary

Introduction

Non adherence to prescribed therapies is a costly problem in the care of patients especially those with chronic illnesses such as diabetes mellitus. Non adherence to diabetic management regimen is possibly the most common reason for poor health outcomes among diabetic patients (Mumu et al, 2014; Kassahun et al, 2016; Dehdari and Dehdari, 2019). Diabetes mellitus (DM) -after referred to as diabetes is a group of metabolic diseases characterized by hyperglycaemia resulting from defects in insulin. Secretion, insulin action, or both (Hinkle and Cheever, 2014). These defects result to deficient action of insulin on target tissues affecting carbohydrate, fat, and protein metabolism adversely. Type 2 diabetes accounts for more than 90–95% of diabetics, and includes individuals who have insulin resistance (American Diabetes Association, 2013; Adisa and Fakeye, 2014)

Methods

Results

Discussion

Conclusion