Non-adherence to selected self-care actions and its determinants among adults with type 2 diabetes mellitus in a tertiary hospital in Enugu State Nigeria

Chizolum Opara Hope, Nonyem Anarado Agnes, Juliet Anetekhai Chinenye, Njideka Iheanacho Peace, Lewechi Okoronkwo Ijeome, Lilian Obuekwu Adaobi
2020 Journal of Diabetes and Endocrinology  
The study determined the prevalence of non-adherence to medication, self monitoring of blood glucose (SMBG), clinic visits and the associated factors among out-patient type 2 adult diabetics at a tertiary hospital in Enugu State Nigeria. Using a descriptive cross-sectional design, 200 patients was purposively selected. Researcher-developed questionnaire was tool for data collection. Analysis was done in proportions, percentages and logistic regression (alpha level was P=0.05). Respondents' mean
more » ... age was 60.1±10.6; 88% were married and females were 63.5%. Overall prevalence of non adherence to drugs was 24.5%; that varied from 26.9 to 11.8% depending on drug combinations. Majority (57.5%) of the respondents had no glucometer for SMBG at home; 86.1% on oral hypoglycaemic agents did not monitor their blood glucose level 2-3 times weekly; 78.9% on injection insulin combined with tablets did not monitor their blood glucose level at least once daily. Non-adherents to clinic visits were 49.0%. Age <50 years (P= 0.006) and being married (P= 0.025) were associated with drug non-adherence. Cost of transportation (P= 0.000), discouraging attitudes of health workers (P= 0.003) and late commencement of clinic activities (P= 0.006) were associated with clinic visit non-adherence. There was non adherence to diverse self care activities among diabetic patients in this study therefore factors that contribute to non adherence should be addressed by healthcare providers.
doi:10.5897/jde2019.0133 fatcat:5ofk5ucmjrc7fgdtxuniptr6g4