Exploring medication non-adherence among patients with Diabetes Mellitus

• Main Authors: Abdullah, Nor Fadhilah, Cheong, Ai Theng, Sowtali, Siti Noorkhairina, Lee, Khuan
• Format: Conference or Workshop Item
• Language: English; English; English
• Published: Fakultas Keperawatan Universitas Andalas 2019
• Subjects: RT82 Nursing As A Profession
• Online Access: http://irep.iium.edu.my/74891/1/AINiC_abstract.pdf; http://irep.iium.edu.my/74891/3/Proceeding%20AINiC%202019%20Final.pdf; http://irep.iium.edu.my/74891/4/5_Correction_AINiC%202019%20Poster.pdf; http://irep.iium.edu.my/74891/; http://ainic.fkep.unand.ac.id/

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.