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
No Thumbnail Available
Date
2020-09
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
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.
Description
Keywords
Medication adherence, T2DM, glycemic control, belief about medicines and diabetes disease knowledge.