EVALUATION OF DRUG ADHERENCE AMONG DIABETIC MELLITUS PATIENTS ALONG WITH CO MORBIDITIES AT PIR SYED ABDUL QADIR SHAH JEELANI INSTITUTE OF MEDICAL & SCIENCE GAMBAT. SINDH

Abstract

Diabetic mellitus (DM) is a long-lasting metabolic disorder characterized by elevated blood sugar levels arising from deficiencies in insulin secretion, its action, or both. Diabetes poses a significant global health challenge. Similar to other nations, in Pakistan, the instances of diabetic mellitus are swiftly escalating each day. More than a third of diabetes cases in Pakistan remain undiagnosed, placing it fourth in global rankings. Object: The object of current study was to determine the prevalence of drug adherence among diabetic mellitus patients along with other diseases. Methods: A cross sectional study was conducted at Diabetic Clinic on outdoor patients at Pir Syed Abdul Qadir Shah Jeelani Institute of Medical & Science Gambat, on 1050 patients. Only those patients were selected who were suffering from diabetic mellitus along with comorbidities. The Hill-Bone Medication Adherence (HBMA) scale was used for measuring Medication Adherence among Diabetic mellitus patients. Results: In this study 75% patients were male and 26% were females, 36% study subjects were belonging to urban areas while 64% belongs to rural areas of Sindh Pakistan.  Employment wise 19% study subjects were having government job, 29% participants were having non-government job and 52% were unemployed. Literacy wise 6% were primary pass, 20% were matriculation pass, 30 % were intermediate pass, 18% were graduates and 26% participants were uneducated. Age wise 4% participants were aged from 20-30years, 7% were of 31-40 years, 11% were of 41-50 years, 18% were of 51-60 years, 22% were of 61-70 yeas, 33% were of 71-80 years and 5% were of 80 years and above years of age. Drug wise 9% patients were prescribed 5 drugs, 11% were prescribed 6 drugs, 30% were prescribed 7 drugs, 41% were prescribed 8 drugs and 9% were prescribed 9 drug. Comorbidity wise 28% were suffering from diabetic mellitus along with hypertension, 30% were have ischemia, 17% were have chronic kidney disease, 11% have arthritis, 4% have hepatitis and 10% were suffering from diabetic mellitus along with other diseases. Over all drug adherence among study subjects was very low due to various factors. Conclusion: The study concludes that the rate of drug adherence among diabetic mellitus patients along with comorbidities was very low.