Original Research Article
Year: 2018 | Month: November | Volume: 8 | Issue: 11 | Pages: 20-30
Assessment of Medication Adherence in Chronic Kidney Disease Patients: A Tertiary Care Experience
Deepak Jain1, H.K. Aggarwal2, Subhash Meel3
1Associate Professor, Department of Medicine and Division of Nephrology ,Pt. B.D. Sharma University of Health Sciences, Rohtak (Haryana)
2Senior Professor & Head Department of Medicine III and Division of Nephrology Pt. B.D. Sharma University of Health Sciences, Rohtak (Haryana)
3Resident, Department of Medicine Pt. B.D. Sharma University of Health Sciences, Rohtak (Haryana)
Corresponding Author: Deepak Jain
ABSTRACT
Background: Non adherence to management of chronic kidney disease (CKD) remains a remarkable barrier to effective management of CKD patients. In resource poor countries management of chronic disease patients with poor adherence causing more health care burden and overall poor health outcome. Hence the aim of this study was to evaluate the impact of basic education of disease on adherence to treatment by using MMSA-4, MMSA-8 and BMQ questionnaire.
Material and Methods: The study was conducted on 100 adult patients of CKD selected from K&D clinic PGIMS, Rohtak. All the patients went under detailed socioeconomic, clinical, biochemical and radiological examination. Patients were assessed for basic and subsequent adherence to medication with basic education of disease and their management by using MMSA-4, MMSA-8 and BMQ on each visit and evaluate with demography profile.
Results: Out of total 100 patients, 62were male and 38 were female. The study results revealed, that adherence measured by different tool were comparable and the post total and sub-total adherence scores of the study subjects is also increased significantly (p <0.001). Patients who belong to higher socio-economical status and higher basic education had more adherences to prescribed treatment. Most common reason for non-adherence in our study was high cost of drugs.
Conclusion: Poor adherence to treatment remains a major hurdle in the effective management of CKD patients. There is need for assess adherence in chronic disease patients by effective tool that eliminate or minimize the contributory factors to non-adherence in CKD patients. The study emphasizes that provision of continuous education to chronic kidney disease patients would increase the medication knowledge of the patients and improve their adherence to management. It is also worth to mention that adherence measured by various tool was comparable in our study which would be helpful for busy clinician to find out adherence by simple tool like MMSA-4 instead of comparatively more complex tool like BMQ and MMSA-8. It is also essential to find-out other factors leading to poor adherence to management as it would be beneficial for healthcare providers to recognize patients who may benefit from interventions to improve medication adherence
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