Rasaq Adisa|Titilayo O. Fakeye|Adesoji Adedipe Fasanmade
Medication adherence among ambulatory patients with type 2 diabetes in a tertiary healthcare setting in Southwestern Nigeria
University of Ibadan|University of Ibadan|University of Ibadan
assess adherence medication among ambulatory patients type 2 diabetes ascertain level glycemic control evaluate patients opinions probable reasons nonadherence view identify areas intervention improve adherencea prospective crosssectional study carried 900bed tertiary teaching hospital ibadan southwestern nigeria june august 2009 140 consented patients 114 814 properly responded validated pretested data collection tool subsequently considered analysis descriptive statistics used summarize data means proportions compared using student ttest chisquare kruskalwallis test appropriate p005 considered statistical significantapproximately sixty percent patients adjudged adherent prescribed medication 588 cohort gave recent fasting plasma glucose fpg values 597 fpg 110mgdl mean fpg patients 13905 sd705mgdl males females significantly differed mean fpg 14655 sd850mgdl versus 13333 sd576mgdl respectively p0032 also mean fpg values adherent patients 13709 sd593mgdl lower nonadherent counterparts 14392 sd876 mgdl difference statistically significant p0095 financial constraint 344 major barrier optimal adherence medication significant association exist genders opinions physicians mode approach patientphysician interaction contributory factor nonadherence p0038medication adherence ambulatory type 2 diabetes patients considerable however relatively high level adherence appear significantly impacted patients glycemic status due substantial number plasma glucose recommended targets multiple methods may required detect patient report adherence may fact nonadherent also adherence aspects diabetes management plan needs encouraged order accomplish optimal glycemic control initiatives targeting patientspecific intervention improve medication adherence considered