Exploring medication non-adherence among patients with Diabetes Mellitus

Abdullah, Nor Fadhilah and Cheong, Ai Theng and Sowtali, Siti Noorkhairina and Lee, Khuan (2019) Exploring medication non-adherence among patients with Diabetes Mellitus. In: The 2nd Andalas International Nursing Condefence (AINIC) 2019, 5-6 September 2019, Padang, Indonesia.

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Abstract

The prevalence of diabetes mellitus (DM) is steadily increasing worldwide, with a significant DM population in Asian countries. Adherence towards medications is important for achieving good glycaemic control among patients with DM. Thus, patient medication-adherence problem should be identified to optimise DM management. This study assessed medication adherence among patients with type 2 diabetes and explored reasons of non-adherence. An exploratory sequential of mixed method was used. The first phase was a cross-sectional study using Medication Compliance Questionnaire (MCQ) to identify non-adherence patient. The second phase followed by semi-structured interviews among 12 purposely selected non-adherence patients. This study was done at two public hospitals at West Malaysia. 399 patients participated in the first phase of the study and 46.6% of the patients were non-adherence. Factors of non-adherence were associated with Malay race (OR 1.66, 95% CI (1.09 2.51), being single (OR 1.79, 95% CI 1.05, 3.05) and has poor HbA1c ( OR 2.57, 95% CI 1.61 4.10). The reason of non-adherence were ocncern about medication safety and efficacy, the used of complementary and alternative medicine, poor healthcare providers-patient communication, lifestyle restraint, andemotional vulnerabilityin taking medication. Non adherence issues from the diabetes patient perspective is needed to consider in tackling non-adherence. A patient-centered nursing interventionon non-adherence should be encouraged to improve adherence and maximize patient health outcomes.

Item Type:	Conference or Workshop Item (Poster)
Additional Information:	7522/74891
Uncontrolled Keywords:	medication adherence, mixed-method diabetes mellitus
Subjects:	R Medicine > RT Nursing > RT82 Nursing As A Profession
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Nursing Kulliyyah of Nursing > Department of Professional Nursing Studies
Depositing User:	Miss Siti Noorkhairina Sowtali
Date Deposited:	24 Sep 2019 18:45
Last Modified:	01 Nov 2019 02:11
URI:	http://irep.iium.edu.my/id/eprint/74891

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