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首页> 外文期刊>International Journal of Chronic Diseases >Medication Noncompliance among Patients with Chronic Diseases Attending a Primary Health Facility in a Periurban District in Ghana
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Medication Noncompliance among Patients with Chronic Diseases Attending a Primary Health Facility in a Periurban District in Ghana

机译：加纳Periurban区参加初级保健设施的慢性病患者的用药不合规情况

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Background. Despite the growing interest in understanding the aetiology of chronic diseases, limited studies exist on medication noncompliance, especially, among periurban and rural dwellers in Ghana. In this study, we determined the prevalence of medication noncompliance and explored the medication intake behaviour of patients with chronic diseases. The relative influence of cost on medication noncompliance and the risk factors for noncompliance were also assessed. Methods. The design was a cross-sectional study of 200 patients from ages below 40 years to ages above 60 years sampled from the Offinso South Municipality, a periurban district of the Ashanti region of Ghana. Data collected through the administration of structured questionnaires was coded, cleaned, and analysed using the SPSS (v20) software programme. Descriptive and multivariate analyses using binary logistic regression were performed. Results. Medication noncompliance was high (55.5%), with patients living with HIV/AIDS and those with psychological disorders being the most noncompliant. Majority of patients took at least 2 medications (81.5%), did so twice daily (79.0%), did not experience side effects with intake (67.0%), considered their medication to be effective (88.5%), and were aware of the complications that could arise from noncompliance. The dominant route of medication intake was oral (86.8%) and a lesser proportion of patients (22.5%) took herbal preparation alongside their prescribed medications. The cost of medication did not prevent patients from adhering to their medication regimen as most of these drugs were covered by the National Health Insurance Scheme (NHIS). Age, duration of diagnosis and difficulty in remembering medication instructions were identified as significant predictors of noncompliance. Conclusion. Educating patients on the need to be compliant with their medication regimen, the complications that could arise from noncompliance and avoidance of intake of herbal medications during their treatment should form part of the clinical sessions organized for patients with chronic conditions.
机译：背景。尽管人们越来越了解慢性病的病因，但是关于药物不依从的研究很少，特别是在加纳的郊区和农村居民中。在这项研究中，我们确定了药物不合规的患病率，并探讨了慢性病患者的药物摄入行为。还评估了费用对药物违规行为的相对影响以及违规风险因素。方法。该设计是一项横断面研究，对200名年龄在40岁以下至60岁以上的患者进行了研究，这些患者来自加纳阿散蒂地区的郊区地区Offinso South Municipality。使用SPSS（v20）软件程序对通过管理结构化问卷收集的数据进行编码，清理和分析。使用二元逻辑回归进行描述性和多元分析。结果。药物不依从率很高（55.5％），其中艾滋病毒/艾滋病患者和患有心理疾病的患者最不依从。大多数患者至少服用了2种药物（81.5％），每天服用两次（79.0％），在服用过程中没有出现副作用（67.0％），认为他们的药物有效（88.5％），并且意识到违规可能引起的并发症。服药的主要途径是口服（86.8％），较少的患者（22.5％）与处方药一起服用草药。药物费用并不能阻止患者坚持其药物治疗方案，因为这些药物大多数都由国家健康保险计划（NHIS）承保。年龄，诊断持续时间和难以记住用药说明是不合规的重要预测指标。结论。为了使患者了解是否需要遵循药物治疗方案，在治疗过程中因不服从和避免服用草药而引起的并发症应成为针对慢性病患者组织的临床会议的一部分。

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