Abstract

A COMMUNITY BASED STUDY TO ASSESS THE MEDICATION ADHERENCE IN PATIENTS WITH DIABETES MELLITUS IN ERODE

Siddeeque K.* and Dr. K.C. Arul Prakasam M. Pharm. Ph. D.

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Abstract

Diabetes mellitus is the chronic metabolic disorder with the condition where there is abnormal high blood glucose level. Home medication review (HMR) is patient centered process which provides the effective and quality use of medication at patient’s home. According to a study, nearly 50% of Type II diabetes fail to recite adequate glycemic control due to poor management of anti- diabetic medications. So, a community based interventional study was conducted in 150 subjects residing in various parts of Erode, with the aim to assess the knowledge, attitude and practices on management of anti-diabetic medications at home in diabetes patient through HMR after obtaining ethical committee approval. Information regarding medication adherence, medication errors and drug related problems was collected through systematically designed data collection form and patient information leaflet through home medication review. Questionnaires was prepared and given to patients before and after intervention. The low adherent patients were given with PIL and also counseled before the post interventional study. Among 150 subjects 85(56.6%) subjects in medication adherence, 135(90%) subjects in modification of dose, 115(76.7%) of subjects in time modification, 115(76.7%) subjects in knowledge of storage had shown improvement after the interventions (PIL and counselling). So, it was concluded that the pharmacist intervention was helpful in improving the overall diabetes management through HMR, thereby leading to a better health care outcome.

Keywords: Home medication review (HMR), Medication adherence, Diabetes mellitus, Drug related problems (DRPs)