PDF(Pubmed)
Abstract：
UNASSIGNED: The aim of this study was to evaluate the factors affecting adherence to antidiabetic medication among diabetic patients in India.
UNASSIGNED: A qualitative study was conducted among 40 diabetic patients aged >30 years, on treatment for more than a year without any complications in the Urban Health Centre of Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
UNASSIGNED: A semistructured questionnaire was harnessed to congregate data by interviewing the patients for 30-40 min in person. The interviews were recorded in the form of audios by acquiring informed consent and transcribed verbatim. The factors were then divided into barriers and enablers which were further subdivided into themes and subthemes as a result of which four major themes were built including individual, social, organizational, and community levels. These major themes were further categorized into several subthemes to assess the nonadherence to antidiabetic medications.
UNASSIGNED: The results of the interviews depicted that the lack of knowledge, financial problems, familial issues, misconceptions regarding the disease, and side effects of taking medications daily were the major altruist for nonadherence, whereas on the other hand, positive perception about the disease, family support, and getting medications on affordable prices by some health-care institutes played an important role in enabling medication adherence as about 50% patients were adherent to the medications. Moreover, various interventions were used to escort the patients regarding medication compliance and blood glucose level monitoring such as lifestyle modifications (diet and exercise), use of reminders for medication intake on time, encouraging them to visit health-care centers, or hospitals on time for regular check-ups and by educating them regarding the long-term effects of diabetes and its prevention.
UNASSIGNED: A qualitative study was conducted among 40 diabetic patients aged >30 years, on treatment for more than a year without any complications in the Urban Health Centre of Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
UNASSIGNED: A semistructured questionnaire was harnessed to congregate data by interviewing the patients for 30-40 min in person. The interviews were recorded in the form of audios by acquiring informed consent and transcribed verbatim. The factors were then divided into barriers and enablers which were further subdivided into themes and subthemes as a result of which four major themes were built including individual, social, organizational, and community levels. These major themes were further categorized into several subthemes to assess the nonadherence to antidiabetic medications.
UNASSIGNED: The results of the interviews depicted that the lack of knowledge, financial problems, familial issues, misconceptions regarding the disease, and side effects of taking medications daily were the major altruist for nonadherence, whereas on the other hand, positive perception about the disease, family support, and getting medications on affordable prices by some health-care institutes played an important role in enabling medication adherence as about 50% patients were adherent to the medications. Moreover, various interventions were used to escort the patients regarding medication compliance and blood glucose level monitoring such as lifestyle modifications (diet and exercise), use of reminders for medication intake on time, encouraging them to visit health-care centers, or hospitals on time for regular check-ups and by educating them regarding the long-term effects of diabetes and its prevention.
摘要：
■这项研究的目的是评估影响印度糖尿病患者对抗糖尿病药物依从性的因素。
■对40名年龄>30岁的糖尿病患者进行了一项定性研究，在大研南医学院和医院的城市卫生中心接受了一年多的治疗，没有任何并发症，卢迪亚娜,旁遮普,印度。
■通过亲自采访患者30-40分钟，利用半结构化问卷来收集数据。通过获得知情同意并逐字记录，以音频形式记录访谈。然后将这些因素分为障碍和促成因素，这些障碍和促成因素进一步细分为主题和次主题，因此建立了四个主要主题，包括个人，社会,组织，和社区层面。这些主要主题进一步分为几个子主题，以评估抗糖尿病药物的依从性。
■访谈的结果描述了知识的缺乏，财务问题,家庭问题,关于这种疾病的误解，每天服用药物的副作用是不坚持的主要利他主义者，而另一方面,对这种疾病的积极看法，家庭支持,一些医疗保健机构以负担得起的价格获得药物在实现药物依从性方面发挥了重要作用，因为约有50％的患者坚持使用药物。此外，各种干预措施被用来护送患者关于药物依从性和血糖水平监测，如生活方式的改变（饮食和运动），按时服用药物的提醒，鼓励他们参观医疗保健中心，或医院按时进行定期检查，并就糖尿病的长期影响及其预防进行教育。
■对40名年龄>30岁的糖尿病患者进行了一项定性研究，在大研南医学院和医院的城市卫生中心接受了一年多的治疗，没有任何并发症，卢迪亚娜,旁遮普,印度。
■通过亲自采访患者30-40分钟，利用半结构化问卷来收集数据。通过获得知情同意并逐字记录，以音频形式记录访谈。然后将这些因素分为障碍和促成因素，这些障碍和促成因素进一步细分为主题和次主题，因此建立了四个主要主题，包括个人，社会,组织，和社区层面。这些主要主题进一步分为几个子主题，以评估抗糖尿病药物的依从性。
■访谈的结果描述了知识的缺乏，财务问题,家庭问题,关于这种疾病的误解，每天服用药物的副作用是不坚持的主要利他主义者，而另一方面,对这种疾病的积极看法，家庭支持,一些医疗保健机构以负担得起的价格获得药物在实现药物依从性方面发挥了重要作用，因为约有50％的患者坚持使用药物。此外，各种干预措施被用来护送患者关于药物依从性和血糖水平监测，如生活方式的改变（饮食和运动），按时服用药物的提醒，鼓励他们参观医疗保健中心，或医院按时进行定期检查，并就糖尿病的长期影响及其预防进行教育。
