%0 Journal Article
%T Medication adherence among ambulatory patients with type 2 diabetes in a tertiary healthcare setting in Southwestern Nigeria
%A Adisa
%A Rasaq
%A Fakeye
%A Titilayo O.
%A Fasanmade
%A Adesoji
%J Pharmacy Practice (Internet)
%D 2011
%I Scientific Electronic Library Online
%R 10.4321/S1886-36552011000200003
%X objective: to assess adherence to medication among ambulatory patients with type 2 diabetes, ascertain the level of glycemic control, and evaluate patients¡ä opinions on probable reasons for non-adherence with a view to identify areas of intervention to improve adherence. methods: a prospective cross-sectional study was carried out at a 900-bed tertiary teaching hospital in ibadan, southwestern nigeria between june and august, 2009. out of 140 consented patients, 114 (81.4%) properly responded to the validated and pre-tested data collection tool and these were subsequently considered for analysis. descriptive statistics were used to summarize the data. means and proportions were compared using student t-test and chi-square or kruskal-wallis test as appropriate, with p<0.05 considered statistical significant. results: approximately sixty percent of the patients were adjudged adherent with prescribed medication. out of 58.8% of the cohort who gave their recent fasting plasma glucose (fpg) values, 59.7% had fpg above 110mg/dl. the mean fpg for patients was 139.05 (sd=70.5)mg/dl, males and females significantly differed in their mean fpg, 146.55 (sd=85.0)mg/dl versus 133.33 (sd=57.6)mg/dl respectively (p=0.032). also, the mean fpg values for adherent patients, 137.09 (sd=59.3)mg/dl was lower than their non-adherent counterparts, 143.92 (sd=87.6) mg/dl, but the difference was not statistically significant (p=0.095). financial constraint (34.4%) was the major barrier to optimal adherence with medication. a significant association exist between genders and opinions on physician¡äs mode of approach during patient-physician interaction as a contributory factor for non-adherence (p=0.038). conclusion: medication adherence of ambulatory type 2 diabetes patients is considerable. however, the relatively high level of adherence did not appear to have significantly impacted on patients¡ä glycemic status due to a substantial number who had plasma glucose above the recommended targets.
%K medication adherence
%K diabetes mellitus
%K nigeria.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S1886-36552011000200003&lng=en&nrm=iso&tlng=en