Study on Assessment of Polypharmacy and Medication Adherence in Type 2 Diabetic Patients in Rural Tertiary Care Teaching Hospital
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Author:
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RENUKARADHYA CHITTI, KUMARASWAMY M, , RAJESH VENKATARAMAN, JEET BAHADUR MOKTAN, YOGENDRA SHRESTHA, SHIV KUMAR YADAV, B RAMESH
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Abstract:
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Background: Type-2 diabetes mellitus patients face a significant difficulty in sticking to their prescription from
the poly pharmacy. The aim of this research was to find out what causes were linked to type 2 diabetic patients
not taking their medications as prescribed.
Materials and Method: Inpatients with type 2 diabetes were studied for seven months prospectively and
retrospectively. To discuss their drug adherence habits, three follow-ups were performed every 15 days.
Medication adherence behavior questionnaires were created and validated, and they were used to evaluate
medication adherence behavior with the participants. discharge patients were contacted through telephone
interview.
The results: A total of 152 patients were enrolled, with females accounting for 90 (59.22 percent) of the total,
with males accounting for 62 (40.78 percent). The majority of those who took part were illiterate (64.47 percent)
and had a monthly income of less than three thousand dollars (58.55 percent ). 83 (54.62%) of all enrolled
patients were non-adherent to their medication. Mild DDIs were discovered in this study (56.93 percent
),moderate (27.77%) and majority (15.32%). The medication adherence behavior was increased from 45.38% to
91.44% after third follow up.
Conclusion: Patients monthly income, their education level, smoking and alcohol habits, co-morbidity were
highly associated with non-adherence among the study population. This study also showed that medication
adherence behavior is highly associated with poly pharmacy, as the number of drugs per prescription increases
patients medication adherence behavior was significantly decreased, Regular follow up, patient counseling, health
education and dietary habits may improve medication adherence behavior of patients.
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Keyword:
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Medication Adherence, Polypharmacy, diabetes mellitus type 2.
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EOI:
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DOI:
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https://doi.org/10.31838/ijpr/2021.13.03.057
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