Original Research Article
Year: 2018 | Month: June | Volume: 5 | Issue: 6 | Pages: 64-68
Therapeutic Non-Adherence to Type-2 Diabetes Management among Diabetics Treated in a Tertiary Care Hospital of Kolkata, West Bengal, India
Supratik Roy, Kunal Kanti Majumdar, Debdutta Haldar
KPC Medical College & Hospital, Kolkata, West Bengal, India.
Corresponding Author: Kunal Kanti Majumdar
ABSTRACT
Background: Diabetes mellitus is a major metabolic disorder. The word ‘adherence’ describes the extent to which the patient’s behaviour matches with health care provider’s recommendations .The aim of this study is to determine the rate of therapeutic non-adherence and its associated factors among diabetic patients at KPC Medical college & Hospital, Kolkata.
Material and methods: A descriptive cross-sectional study was conducted in the Diabetes clinic of KPC Medical college & Hospital, Kolkata during the period extending from 1st June 2017 to 30th November 2017, i.e. a period of 6months. Systematic random sampling was done to select 576 male and female patients with fixed drug therapy for atleast 3 months. Data was collected by a personal interview using structured open ended questionnaire in patient’s mother language and from patient’s medical history record. Analysis of non-adherence to medication was done using MMAS-8 (Morisky medication adherence scale).
Results: The overall non-adherence rate was about 45%. Factors that showed significant association with non compliance were age groups, sex, education levels, duration of disease, type of medication used, diet plan and knowledge about complications of diabetes.
Conclusion: Data indicates a high rate of therapeutic non-adherence among diabetic patients in KPC Medical college & Hospital, Kolkata which warrants a need for improvement in our healthcare delivery system.
Key words: Type-2 Diabetes; Diabetes mellitus; Non-adherence.
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