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Abstract

A STUDY ON NON-COMPLIANCE TO PHARMACOTHERAPY IN PSYCHIATRIC PATIENTS

Battula Sushma*, Natraj G. R., Gopaldas C. M. and Dr. Bharathi D. R.

ABSTRACT

Non-compliance or non-adherence to treatment is the degree to which a patient does not carry out the clinical recommendation of a treating physician or in other words it is failure of the patient to follow the prescribed treatment regimen. Non-compliance is a significant problem in all age group patients, from children to elderly. It applies to nearly all chronic diseases and tend to worsen as longer a patient continues on drug therapy. The goal of the study was to evaluate the patients with non-compliance to therapy. To study the reasons for non-compliance. To assess attitude towards medication intake. A prospective observational study was carried out for a period of six months at Psychiatry department of Basaveshwara Medical College & Hospital, Chitradurga. Total 82 patients are included. 50 were males and 32 were females. The most skin disease are seen in the age group of 18-30 years, 31-40years, 41-50years, 51-60years, 61-70years, Above 70years. The major psychiatry disease are seen in the study are BPAD(31.7%), schizophrenia (20.7%), anxiety (13.41), ADS (9.7%), psychosis (8.5%), OCD (6.09%), panic disorder (3.6%), migraine (2.4%), epilepsy (2.4%), parkinsonism (1.2%). Benzodiazepine (35.79%), antidepressant (22.1%), antipsychotics (21.59%), selective serotonin reuptake inhibitor (7.95%), opioid antagonist (1.13%), dopamine agonist (2.83%), muscarinic antagonist (0.5%), anticonvulsant (7.95%) are majorly prescribed drugs. The study showed that there was a extremely significant improvement in compliance of patients in comparison with first follow visit result and second follow up visit. Whose P value is (<0.001) extremely significant. Therefore the present study is conducted by the pharmacist patient education found to have significant influence on improve the patient knowledge towards their disease and medication which shows the positive impact on drug compliance among the patients of psychiatry diseases. Objectives: To study the non-compliance of psychiatric patients for the medication To evaluate the patients with non-compliance to therapy. To study the reasons for non-compliance. To assess attitude towards medication intake. Materials And Methods: This was a cross sectional descriptive study conducted in Basaveshwara Medical College, Hospital and Research Centre for a period of six months. This study was carried out in hospital on out-patients treated in psychiatry department for various diseases. Patient who meets the following criteria was enrolled. Results: In total study 82patients were there, Out of 82 patients 39 was females and 43 was males. Among 82 psychiatry patients collected Bipolar-affective disorder (BPAD) is diagnosed (20.7%). After BPAD more diagnosed is schizophrenia, anxiety, Alcoholic dependant syndrome (ADS), psychosis, Obsessive compulsive disorder (OCD), panic disorder, epilepsy, migraine, parkinsonism. Among 82patients, 50 patients are compliance to therapy and other 32 are non-compliance to therapy. Major reason for Non-compliance is attitude(30.47%), after attitude other reasons are anxiety/side effects(23.80%), logistic(19.04%), financial status(10.47%), social factors(9.5%), supply (6.6%). Conclusion: According to the analyzed results and from view of literature, the conclusions made are; This study stresses the critical need for taking necessary steps toward minimizing poor outcomes related to lack of compliance in drug therapy. In this study it is found that the factors contributing to noncompliance in psychiatric patients are age 18-30 years. The commonest reasons for noncompliance are feeling of subjective well- being, medication side effects, logistics, financial problems, social factors, supply.

Keywords: .


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