Abstract

Today, diabetes Mellitus is one of the chronic diseases prevalence in Ghana. This study assessed the factors that contribute to non-adherence to medication among diabetic patients undergoing therapy in Dormaa Hospital. The study used convenience and purposive sampling technique to sample 130 respondents comprising 123 diabetic patients and 7 health professionals from the Dormaa Presby Hospital. A standardized questionnaire was used to collect the data. Data was coded and analyzed with Stata 12.0. Most participants (57%) had a family history of diabetes and were at age 51 and above that most people were diagnosed with the disease. The level of diabetics’ adherence to diabetic treatment regimen was satisfactory and higher (68.5%). The majority of diabetics (69.23%) visited health facilities on monthly basis for review which involves testing of blood glucose level as well. Though most of diabetics surveyed were illiterate, they were, however, knowledgeable on the importance of treatment regimen as they disclosed that treatment regimen sought to prevent progression of the disease stage to associated complications, co-morbidities, and early death. Polyuria, polydipsia, and sweating were some of the commonest sign and symptoms mentioned by the patients. The majority of the patients (57%) had no idea of the normal range of fastening blood sugar level. Finances (25.6%), forgetfulness (45.5%), busy schedules (18.2%) and poor family support (2.5%) were some factors that affect better treatment adherence. Most diabetics called for a government subsidy to the drugs, continuous health education on the diseases and family support. The study recommends a much more focused preventive healthcare services to identify risk factors and early detection. Research on the burden of chronic diseases on the health facilities should be considered in the future.

Highlights

  • Anti-diabetic medications are integral for glycaemic control in diabetes, non-adherence to drugs can alter blood glucose level resulting in complications (Arifulla et al, 2014)

  • Drugs or medications constitute a vital component in the management of diabetes, but it is a fact that a lot of diabetic patients find it difficult to adhere to their drugs regimen

  • This study is geared towards exploring factors associated with non-adherence to medications among diabetic patients with the aim of identifying lapses in the drug regimen in Science Journal of Public Health 2017; 5(2): 88-97 order to aid stakeholders, health professionals, and health facilities provide effective and efficient care to clients and ensure their adherence to the treatment regimen

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Summary

Background to the Study

Non-adherence to medical treatment remains a challenge for the medical professionals and social scientists. Their efforts to explain and improve patient adherence often appear to be ineffective. Anti-diabetic medications are integral for glycaemic control in diabetes, non-adherence to drugs can alter blood glucose level resulting in complications (Arifulla et al, 2014). When financial incentives are being used to improve adherence, the underlying theoretical perspective is behavioural because incentives are considered to act as positive re-enforcers. Another class of intervention focuses on persuasive communication to improve adherence. Poor adherence has been shown by McDonald et al (2011), to decrease the effects of prescribed medications or other treatments and to increase the likelihood of poor outcomes

Statement of the Research Problem
Justification of the Study
Research Objectives
Significance of the Study
Scope of the Study
Organisation of the Chapters
Introduction
Prevalence of Not-adherence to Diabetic Medication Globally
Prevalence of Non-adherence to Diabetic Medications in Africa
Non-adherence Rates of Medication Among Diabetic Patients
Effective Adherence Interventions for Anti-diabetic Treatment Regimen
Study Type and Design
Study Population
Exclusion Criteria Non-diabetic Patients who access health care from Dormaa
Data Collection Methods
Data Analysis Methods
Ethical Consideration
Limitation of the Study
Socio-demographic Characteristics of Respondents
Level of Non-adherent to Diabetic Treatment Regimen
Level of Knowledge of Diabetes Patients in Relation to Treatment Regimen
Factors Responsible for Non-adherence of Anti-diabetic Therapy
Effective Intervention to Non-adherence to Diabetic Treatment Regimen
Summary and Conclusion
Findings
Recommendations
Full Text
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