Patients’ Adherence to Anti-Diabetic Medications in a Hospital at Ajman, UAE

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Journal name: The Malaysian Journal of Medical Sciences
Original article title: Patients’ Adherence to Anti-Diabetic Medications in a Hospital at Ajman, UAE
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Original source:

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Author:

Mohammed ARIFULLA, Lisha Jenny JOHN, Jayadevan SREEDHARAN, Jayakumary MUTTAPPALLYMYALIL, Sheikh Altaf BASHA


The Malaysian Journal of Medical Sciences:

(A peer-reviewed, open-access journal)

Full text available for: Patients’ Adherence to Anti-Diabetic Medications in a Hospital at Ajman, UAE

Year: 2014

Copyright (license): CC BY 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

The prevalence of diabetes mellitus is rising globally, with approximately 171 million diagnosed individuals and projections estimating 350 million by 2030. In the United Arab Emirates (UAE), diabetes affects around 20% of the population, with higher rates among citizens compared to expatriates. Effective management of diabetes largely hinges on medication adherence, as non-adherence can lead to suboptimal control of blood glucose levels and associated complications. This study aims to explore the extent of anti-diabetic medication adherence among adult patients in the UAE and identify factors influencing adherence.

Adherence to Anti-Diabetic Medications

A significant finding from the study is that the self-reported adherence rate to anti-diabetic medications is 84%. Forgetfulness emerged as the most prevalent reason for non-adherence, impacting a substantial 66.7% of participants. Additionally, patients' educational attainment was shown to correlate with adherence rates; those with Bachelor's and Master's degrees exhibited higher adherence compared to those with only secondary education. Furthermore, a noteworthy distinction was made regarding the duration of diabetes; patients diagnosed for five years or less tended to adhere more closely to their medication compared to those diagnosed longer. This correlation suggests that early-stage patients are more motivated to maintain adherence, possibly due to a stronger awareness of the consequences of uncontrolled diabetes.

Conclusion

In conclusion, the study underscores the importance of addressing forgetfulness, the primary barrier to adherence among patients with type II diabetes. Given the reported adherence rate of 84%, there is a clear need for interventions that enhance patient compliance, including the use of reminders like pillboxes or alarms and family support. Additionally, fostering strong patient-physician relationships through effective communication can further improve adherence rates. This small-scale study highlights the necessity for larger future studies to comprehensively assess factors influencing medication adherence and to develop structured adherence programs tailored to patient needs.

FAQ section (important questions/answers):

What was the self-reported adherence rate for anti-diabetic medications?

The self-reported adherence rate to anti-diabetic medications in the study was 84%, indicating that a significant majority of the patients followed their prescribed medication regimen.

What were the main reasons for non-adherence to medication?

The most common reason for non-adherence to anti-diabetic medications was forgetfulness, cited by 66.7% of patients. Other factors included lack of finances and interference with meal plans.

How did education level affect medication adherence rates?

Patients with Bachelor’s and Master’s degrees reported higher adherence rates to anti-diabetic medications compared to those with secondary school education, highlighting the impact of education on medication compliance.

What role did physician communication play in medication adherence?

Approximately 98.4% of patients said their physicians provided sufficient information about their disease and medications, and involvement in treatment decisions was noted as important in enhancing adherence.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Patients’ Adherence to Anti-Diabetic Medications in a Hospital at Ajman, UAE”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Drug:
A drug is a substance used to diagnose, cure, treat, or prevent disease. In the context of this study, anti-diabetic drugs are essential for managing diabetes mellitus. Adherence to medication is crucial because non-compliance can lead to poor glycemic control and increased risk of complications, affecting quality of life.

2) Study (Studying):
This study aims to investigate medication adherence among patients with diabetes. Research in healthcare is vital to understand patterns of drug use and factors influencing adherence behaviors. It involves collecting data from specific populations, analyzing results to derive conclusions, and informing future clinical practices and policy-making regarding diabetes care.

3) Table:
In research, a table serves as a crucial means of presenting data clearly and concisely. In the context of this study, tables summarize demographic information, adherence rates, and reasons for non-compliance, allowing for easy comparison and interpretation of results, which aids in drawing conclusions about patient behaviors.

4) Reason:
Reasoning refers to the motivations or causes behind certain behaviors. In the study, understanding the reasons for non-adherence to medication, such as forgetfulness or financial constraints, can help healthcare providers develop strategies to improve compliance rates. Identifying barriers to adherence is essential for effective disease management.

5) Blood:
Blood plays a critical role in diagnosing and managing diabetes. Monitoring blood glucose levels is essential for patients with diabetes to ensure their condition is adequately controlled. The study emphasizes regular blood monitoring among participants, which is vital for making informed adjustments to their medication and treatment plans.

6) Disease:
Referring to diabetes mellitus in this context, disease encompasses the health issues that the study focuses on. Understanding the complexities of chronic disease management is crucial for improving patient outcomes. The research aims to shed light on medication adherence, which directly impacts disease progression and patients' health.

7) Education:
Education is a significant factor influencing medication adherence. Higher levels of education are linked to better understanding of chronic diseases and treatments, potentially leading to improved adherence. This study highlights education gaps that can affect how patients engage with their treatment plans and their overall health literacy.

8) Medicine:
Medicine refers to the science and practice of diagnosing and treating medical conditions. This study examines the adherence to anti-diabetic medication, which is crucial for managing diabetes. Effective medicinal treatment relies on patients following prescribed regimens, and understanding adherence factors can enhance therapeutic outcomes in diabetes care.

9) Male:
Sexual demographics are important in the study, as they can influence adherence behaviors. The study collects data on male patients with diabetes to analyze their medication adherence patterns. Understanding differences between genders can help tailor interventions to improve adherence among specific groups within the diabetic population.

10) Attending:
Attending refers to patients who visit a healthcare facility for treatment. In this study, it addresses patients with diabetes attending an Internal Medicine Department, which allows for the collection of data and understanding of adherence within a specific clinical setting. Patient attendance is crucial for ongoing disease management.

11) Family:
Family support is highlighted in the study as a potential influencer of medication adherence. Family engagement can enhance patients' management of chronic conditions by providing reminders and emotional support. This study emphasizes the role of family in aiding diabetes care and improving adherence to treatment regimens.

12) Ghana:
Ghana is relevant, as studies conducted there provide comparative insights into medication adherence within different cultural and economic contexts. Findings from Ghanaian research can inform interventions targeting adherence in similar populations and emphasize the need for culturally sensitive strategies in managing chronic diseases like diabetes.

13) Malik:
Malik is referenced in the context as a researcher. His contributions to understanding diabetes epidemiology and risk factors add credibility to the findings of the current study. Researchers' work like Malik's informs healthcare policies and practices, directly affecting patient management and care in diabetes treatment.

14) Rules:
Rules guide pharmaceutical practices and patient care protocols. In the context of this study, adherence to prescribed medication regimens is considered a 'rule' that can influence health outcomes in patients with diabetes. Understanding these guidelines helps shape educational and compliance strategies in diabetes management.

15) Raji:
Raji is mentioned as an author and contributor to existing studies on diabetes medication adherence. His work adds to the body of knowledge in chronic disease management, underscoring the need for research into adherence factors. Contributions from researchers like Raji lead to improved clinical outcomes.

16) King:
King is another researcher contributing to the understanding of diabetes. His work in analyzing diabetes prevalence and risk factors informs public health strategies. Including perspectives from diverse researchers enhances the robustness of findings regarding medication adherence and its implications for diabetes care.

17) Discussion:
The discussion section in research analyzes and interprets the study results. It connects the findings to existing literature, highlighting their significance and relevance in the broader context of diabetes management. The discussion facilitates understanding of how adherence rates can be addressed and improved based on the study's insights.

18) Suffering:
Suffering relates to the challenges faced by patients with chronic conditions like diabetes. It encompasses the physical and psychological distress that can arise from inadequate disease management due to non-adherence. Identifying and addressing suffering is crucial in developing effective support systems for patients managing their diabetes.

19) Quality:
Quality pertains to the overall well-being and health outcomes of patients. In diabetes care, adherence to medication is directly linked to the quality of life experienced by patients. Improving adherence can lead to better health outcomes, reducing complications and enhancing life satisfaction for those managing diabetes.

20) Citizen:
Citizen refers to individuals within a nation, and in this study, it highlights the UAE populace affected by diabetes. Understanding the health behaviors of citizens is crucial for public health initiatives aimed at improving diabetes care and medication adherence, informing community-level strategies for better health outcomes.

21) Account:
Account refers to an individual's record of their health behavior, including medication adherence. In the context of this study, accounting for adherence helps identify trends and barriers. It is essential for healthcare providers to track patients' adherence patterns to improve individualized treatment plans and outcomes.

22) Nature:
Nature refers to the inherent characteristics of conditions and behaviors. In this study, it highlights the nature of diabetes as a chronic illness and the complexities of medication adherence. Understanding the nature of patient behavior and disease challenges informs the development of effective management strategies.

23) Egypt:
Egypt is relevant as it provides a comparison for diabetes research in the Middle East. Different healthcare systems and cultural factors can influence adherence to medication. Studies from Egypt can serve as useful comparisons to understand adherence patterns in neighboring regions, enriching the collective understanding of diabetes management.

24) Food:
Food plays a critical role in diabetes management, impacting blood glucose levels. The study acknowledges the relationship between patients' dietary habits and their adherence to medication regimens. Understanding food-related barriers to adherence can guide dietary interventions to improve overall diabetes management.

25) Post:
Post relates to the aftermath of diabetes management decisions, particularly regarding adherence and health outcomes. The study emphasizes the importance of post-treatment evaluation and follow-up to ensure sustained medication adherence and make necessary adjustments, impacting long-term health of patients with diabetes.

26) Pur:
Poor adherence to medication can lead to adverse health outcomes in diabetes patients. This term underscores the consequences of not following prescribed regimens, highlighting the need for targeted interventions to address the factors contributing to poor medication adherence, which can worsen health status.

27) Life:
Life encompasses the overall experience of individuals, particularly concerning their health and well-being. In the context of diabetes management, improving medication adherence can enhance not just health outcomes but also the quality of life for patients. Understanding factors influencing adherence is crucial to promoting healthier lives.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Patients’ Adherence to Anti-Diabetic Medications in a Hospital at Ajman, UAE’. Further sources in the context of Science might help you critically compare this page with similair documents:

Disease, Medical treatment, Chronic disease, Mortality, Treatment, Patient care, Adverse effect, Diabetes mellitus, Medication, Educational level, High blood pressure, Health care, Forgetfulness, Patient, Data analysis, Future studies, Statistically Significant, World Health Organization, Multiple Medications, Qualitative analysis, Type II Diabetes Mellitus, P Value, Outpatient department, Female patient, Cross-sectional study, Disease progression, Cost-effective treatment, Chi square test, Patient education, Oral hypoglycemic medications, Institutional ethics committee, Type 2 diabetes, Glycemic control, Medication adherence, Self-reported questionnaire, Patient involvement, Marital Status, Dosage regimen, Drug therapy, Blood glucose level, Standard deviation, Diabetes management, Blood glucose, Ethical approval, Intervention, Type II Diabetes, Chronic illnesses, Treatment decisions, Study methodology, Health care professional, Retrospective cohort study, Pharmacy practice, Duration of diabetes, Drug regimen, Anti-diabetic drug, Patient acceptability, Self-reported adherence, Health care provider, Financial barriers, Non-adherence, Patient adherence, Factors associated, Internal medicine department, Adherence to treatment, Poor glycemic control, Healthcare cost, Pharmacologic therapy, Hospitalization Risk, Health Care Service, Diabetes Care, Recall bias, Hypertensive Medication, Anti-diabetic medication, Health care cost, Male patient, Family member, Reasons for non-adherence, Non-adherence Factors, Type 2 diabetes patients, Medication nonadherence, Treatment decision making, Periodic monitoring, United Arab Emirates, Interventions to improve adherence, Modifiable factors, Subjective measure, Ambulatory setting, HbA1c values, Prescribed medicines, Anti-diabetic drug therapy, Patients' beliefs, Drug prices, Socio-demographic characteristic, Bachelor's degree.

Concepts being referred in other categories, contexts and sources.

Drug, Master's degree.

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