Browsing by Author "Hadush, Fikadu"

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    Patients’ Belief and Knowledge about Medicine and Diabetes disease on Medication adherence and Glycemic control among Type 2 Diabetes Mellitus Patients at Alamata General Hospital, Northern Ethiopia
    (Addis Abeba University, 2020-09) Hadush, Fikadu; Dr. Messele, Bruck; Dr. Beedemariam, Gebremedhin
    Patients’ belief and knowledge about medicine and diabetes disease on medication adherence and glycemic control among T2DM patients at Alamata General Hospital, Northern Ethiopia Fikadu Hadush Addis Ababa University, 2020 Introduction: About 45% of T2DM patients had poor glycemic control and 45.2% of patients had poor medication adherence, those could be affected by diabetic disease knowledge, belief about medicines, socio-demographic and clinical determinants. However, there is dearth of data in the Northern part of Ethiopia with regards to glycemic control status and medication adherence. Objective: To assess influence of patient’s belief and knowledge about medicine and diabetes disease on medication adherence and glycemic control among T2DM patients at Alamata General Hospital, Northern Ethiopia. Methods: A cross sectional study design was conducted among T2DM patients at Alamata General Hospital from September to December, 2019. Data was collected through medical chart review and face-to-face interview of patients using structured questionnaires. Descriptive statistics and multivariable logistic regression were employed to identify predictors of medication adherence and glycemic control. Results: A total of 305 T2DM patients were included in the study where a little over half were male and had no formal education with mean age of 56.5 ± 12.4 years. Of these, 44.6% of the patients had poor medication adherence, 75.7 % had poor glycemic control and 84.3 % of patients had poor diabetes disease knowledge. Patients who had T2DM disease for more than 10 years (AOR=3.87; 95%CI (1.48-10.07)), high concern belief of anti-diabetic drugs (AOR= 20.63, 95%CI (5.15-82.61) and poor diabetes disease knowledge (AOR=4.54; 95%CI (1.53- 13.46)) were determinants of poor medication adherence. Conversely, having high necessity belief of anti-diabetic drugs (AOR=0.21; 95%CI (0.11-0.40) was inversely associated with poor medication adherence. Meanwhile, being high school student (AOR= 5.54; 95%CI (1.11– 27.60)), TVET/Diploma holder (AOR=9.27; 95%CI (1.98–43.36)) and poor diabetes disease knowledge (AOR=4.34; 95%CI (1.74-10.81)) were predictors of poor glycemic control level. Whereas, patients who were taking combination of oral hypoglycemic agents and insulin (AOR=0.33; 95%CI (0.15- 0.71)) and those who had house hold monthly income more than or equal to 3925 ETB (AOR=0.18; 95%CI (0.06-0.48)) were inversely associated with poor glycemic control. Conclusions: About half of T2DM patients had poor medication adherence and three-fourths of the patients had poor glycemic control. Therefore, regular diabetes health education should be given to enhance their awareness about their disease and medicine use.