Non-adherence of oral hypoglycaemic agents medications among diabetic patients at South Suntreso Hospital

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September, 2019
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Background Diabetes is a non-communicable and chronic disease that currently contributes to a large and significant proportion of all global mortalities regardless of levels of economic achievement. The adherence of medication for the diabetes has become a problem for many patients. Therefore, this study was to evaluate adherence to oral hypoglycemic agents (OHAs) among patients attending the diabetes center at the Suntreso Government Hospital in Kumasi. Methods A cross sectional study where descriptive research method was adopted. Both quantitative and qualitative methods were used to obtain data from the participants. The study population were diabetic patients seeking for treatment at the Suntreso Government Hospital. A sample size of 200 diabetic patients were simple randomly selected. Data was obtained through the use of questionnaires and measurement of the fasting blood glucose of diabetic patients. Data was analyzed using a STATA v 16. Results It is identified in the study that the mean age of the diabetic patients was 58.75 ± 0.75 years and also the female patients made up the larger proportion of patients in this current study. Moreover, it was realized that the average fasting blood glucose levels of participants was 8.84 ± 0.29 mmol/l where most of them have been diagnosed of the disease for 1-3 years. The medication predominantly used by participants (71%) was Metformin, however, their rate of adherence to the medications was suboptimal (61%). Irrespective of their quiet impressive rate of adherence to medication, most of the participants have been diagnosed of other chronic conditions such as hypertension and depression. The major barriers toward adherence to OHAs by diabetic patientsx are drug-related and provider, social, and individuals factors. Conclusively, it is identified in this study that a significant relationship at 5% significance level exist between non-adherence to OHAs medication and gender, education, marital status, religion, and monthly income of the diabetic patients. Conclusion The adherence rate of OHAs medication among type 2 diabetic patients was good, however, some level of improvement is required to help avert the barriers confronting the adherence of medication among type 2 diabetic patients.
A dissertation submitted to The School Of Graduates Studies, Kwame Nkrumah University of Science and Technology, Kumasi in partial fulfilment for the award of Mphil in Population and Reproductive Healt, September.
Oral Hypoglycaemic Agents, Medications, Diabetic Patients, South Suntreso Hospital