Cargando…

Medication adherence in patients with type 2 diabetes mellitus treated at primary health clinics in Malaysia

PURPOSE: Diabetes mellitus is a growing global health problem that affects patients of all ages. Even though diabetes mellitus is recognized as a major chronic illness, adherence to antidiabetic medicines has often been found to be unsatisfactory. This study was conducted to assess adherence to medi...

Descripción completa

Detalles Bibliográficos
Autores principales: Ahmad, Nur Sufiza, Ramli, Azuana, Islahudin, Farida, Paraidathathu, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693921/
https://www.ncbi.nlm.nih.gov/pubmed/23814461
http://dx.doi.org/10.2147/PPA.S44698
_version_ 1782274774009905152
author Ahmad, Nur Sufiza
Ramli, Azuana
Islahudin, Farida
Paraidathathu, Thomas
author_facet Ahmad, Nur Sufiza
Ramli, Azuana
Islahudin, Farida
Paraidathathu, Thomas
author_sort Ahmad, Nur Sufiza
collection PubMed
description PURPOSE: Diabetes mellitus is a growing global health problem that affects patients of all ages. Even though diabetes mellitus is recognized as a major chronic illness, adherence to antidiabetic medicines has often been found to be unsatisfactory. This study was conducted to assess adherence to medications and to identify factors that are associated with nonadherence in type 2 diabetes mellitus (T2DM) patients at Primary Health Clinics of the Ministry of Health in Malaysia. MATERIALS AND METHODS: The cross-sectional survey was carried out among T2DM patients to assess adherence to medication in primary health clinics. Adherence was measured by using the Medication Compliance Questionnaire that consists of a total of seven questions. Other data, such as patient demographics, treatment, outcome, and comorbidities were also collected from patient medical records. RESULTS: A total of 557 patients were recruited in the study. Approximately 53% of patients in the study population were nonadherent. Logistic regression analysis was performed to predict the factors associated with nonadherence. Variables associated with nonadherence were age, odds ratio 0.967 (95% confidence interval [CI]: 0.948–0.986); medication knowledge, odds ratio 0.965 (95% CI: 0.946–0.984); and comorbidities, odds ratio 1.781 (95% CI: 1.064–2.981). CONCLUSION: Adherence to medication in T2DM patients in the primary health clinics was found to be poor. This is a cause of concern, because nonadherence could lead to a worsening of disease. Improving medication knowledge by paying particular attention to different age groups and patients with comorbidities could help improve adherence.
format Online
Article
Text
id pubmed-3693921
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Dove Medical Press
record_format MEDLINE/PubMed
spelling pubmed-36939212013-06-30 Medication adherence in patients with type 2 diabetes mellitus treated at primary health clinics in Malaysia Ahmad, Nur Sufiza Ramli, Azuana Islahudin, Farida Paraidathathu, Thomas Patient Prefer Adherence Original Research PURPOSE: Diabetes mellitus is a growing global health problem that affects patients of all ages. Even though diabetes mellitus is recognized as a major chronic illness, adherence to antidiabetic medicines has often been found to be unsatisfactory. This study was conducted to assess adherence to medications and to identify factors that are associated with nonadherence in type 2 diabetes mellitus (T2DM) patients at Primary Health Clinics of the Ministry of Health in Malaysia. MATERIALS AND METHODS: The cross-sectional survey was carried out among T2DM patients to assess adherence to medication in primary health clinics. Adherence was measured by using the Medication Compliance Questionnaire that consists of a total of seven questions. Other data, such as patient demographics, treatment, outcome, and comorbidities were also collected from patient medical records. RESULTS: A total of 557 patients were recruited in the study. Approximately 53% of patients in the study population were nonadherent. Logistic regression analysis was performed to predict the factors associated with nonadherence. Variables associated with nonadherence were age, odds ratio 0.967 (95% confidence interval [CI]: 0.948–0.986); medication knowledge, odds ratio 0.965 (95% CI: 0.946–0.984); and comorbidities, odds ratio 1.781 (95% CI: 1.064–2.981). CONCLUSION: Adherence to medication in T2DM patients in the primary health clinics was found to be poor. This is a cause of concern, because nonadherence could lead to a worsening of disease. Improving medication knowledge by paying particular attention to different age groups and patients with comorbidities could help improve adherence. Dove Medical Press 2013-06-17 /pmc/articles/PMC3693921/ /pubmed/23814461 http://dx.doi.org/10.2147/PPA.S44698 Text en © 2013 Ahmad et al, publisher and licensee Dove Medical Press Ltd This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Original Research
Ahmad, Nur Sufiza
Ramli, Azuana
Islahudin, Farida
Paraidathathu, Thomas
Medication adherence in patients with type 2 diabetes mellitus treated at primary health clinics in Malaysia
title Medication adherence in patients with type 2 diabetes mellitus treated at primary health clinics in Malaysia
title_full Medication adherence in patients with type 2 diabetes mellitus treated at primary health clinics in Malaysia
title_fullStr Medication adherence in patients with type 2 diabetes mellitus treated at primary health clinics in Malaysia
title_full_unstemmed Medication adherence in patients with type 2 diabetes mellitus treated at primary health clinics in Malaysia
title_short Medication adherence in patients with type 2 diabetes mellitus treated at primary health clinics in Malaysia
title_sort medication adherence in patients with type 2 diabetes mellitus treated at primary health clinics in malaysia
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693921/
https://www.ncbi.nlm.nih.gov/pubmed/23814461
http://dx.doi.org/10.2147/PPA.S44698
work_keys_str_mv AT ahmadnursufiza medicationadherenceinpatientswithtype2diabetesmellitustreatedatprimaryhealthclinicsinmalaysia
AT ramliazuana medicationadherenceinpatientswithtype2diabetesmellitustreatedatprimaryhealthclinicsinmalaysia
AT islahudinfarida medicationadherenceinpatientswithtype2diabetesmellitustreatedatprimaryhealthclinicsinmalaysia
AT paraidathathuthomas medicationadherenceinpatientswithtype2diabetesmellitustreatedatprimaryhealthclinicsinmalaysia