scholarly journals Factors Associated With Non-Adherence To Antidiabetic Medication Among Patients at Mbarara Regional Referral Hospital, Mbarara, Uganda

2021 ◽  
Author(s):  
Karekoona Faisal ◽  
TADELE MEKURIYA ◽  
Jonans Tusiimire
Keyword(s):  
Diabetes Mellitus ◽  
Data Entry ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Antidiabetic Medication ◽  
Contributing Factors ◽  
Diabetes Clinic ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Adherence Scale

Abstract Background Non–adherence is a major concern in treatment of diabetes mellitus and undermines the goals of treatment. The objective of this study was to determine the magnitude of non-adherence and its contributing factors among diabetes mellitus patients attending the Diabetes mellitus clinic at Mbarara Regional Referral Hospital. Objective To assess the factors contributing to non-adherence to antidiabetic medication among diabetes mellitus patients in the Diabetic clinic at Mbarara Regional Referral Hospital Methods A descriptive cross-sectional study was done at the Diabetes clinic, Mbarara Regional Referral Hospital, between July and October 2020. Study participants were systemically sampled and data regarding their medication non-adherence was collected using a structured questionnaire, based on the Hill-Bone medication adherence scale. Data entry was done using Microsoft Excel Version 2010 and analysis was carried out using STATA version 13. Results A total of 257 participants were recruited with 100% response rate. More than one third (98, 38.1%) of the participants were non-adherent to their antidiabetic medication. Age above 60 years (AOR = 6.26, 95%CI = 1.009–39.241, P = 0.049), and duration of diabetes mellitus above 5years (AOR = 1.87, 95%CI = 1.034–3.392, P = 0.038) were independently associated with non-adherence to antidiabetic medication. Conclusion The prevalence of non-adherence to antidiabetic medication was higher than that revealed in previous studies in Uganda. Patients with age above 60 years were six times more likely to be non-adherent to their antidiabetic medications. Patient education is important to address the challenge of medication non-adherence.

scholarly journals Nonadherence and Contributing Factors among Ambulatory Patients with Antidiabetic Medications in Adama Referral Hospital

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Belayneh Kefale Gelaw ◽  
Abdela Mohammed ◽  
Gobezie Temesgen Tegegne ◽  
Amsalu Degu Defersha ◽  
Muluneh Fromsa ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Drug Regimen ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Diabetic Patients ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Patients With Diabetes ◽  
The Difference

The objective of this study was to determine the magnitude of nonadherence and its contributing factors among diabetic patients attending the diabetic clinic in Adama Hospital.Methods.This descriptive cross-sectional study was carried out among patients with diabetes mellitus attending the diabetes mellitus clinic of Adama Referral Hospital. Every other patient was selected and data regarding their medication adherence was collected using a structured interview. Data analysis was carried out using SPSS-16.Result.The response rate from this study was 98.3%. A total of 270 patients were interviewed; 51.5% were males. A total of 68.1% of the patients included in the study were married. 14% were younger than 40 years, and 50% were between 40 and 60 years. 21.8% of the participants ascribed their nonadherence to forgetting to take their medications. Patients with duration of diabetes≤5 years (82.07%) were more compliant to their medication than those with>5 years (60.8%), which was found to be statistically significant(P=0.003). Insulin, 47%, and glibenclamide plus metformin, 43.7%, were the most commonly prescribed mono- and combination therapies, respectively. Common comorbid conditions include hypertension, 148 (54.82%), and visual impairment, 89 (32.96%). The proportion of male patients adherent to their antidiabetic medications was found to be lower than 69.78% compared to the female patients (74.81%), but the difference was not statistically significant(P>0.05).Conclusion.Most diabetic patients are currently being managed with the most effective available drugs. However the result from this study indicates that the desired blood sugar level could not be controlled and maintained adequately. This was because of poor adherence to the prescribed drug regimen and poor knowledge and practice of successful self-management.

scholarly journals Early Malaria Diagnosis and Treatment Seeking Behavior Among Clients Attending Outpatient Department Sekou-Toure Regional Referral Hospital in Mwanza, Tanzania; A Cross-Sectional Study

2021 ◽  
Author(s):  
Samson Mvandal ◽  
Godfrida Marandu
Keyword(s):  
Health Facility ◽  
Early Treatment ◽  
Malaria Diagnosis ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Treatment Seeking ◽  
Sectional Study ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Seeking Behavior

Early diagnosis of malaria and treatment seeking behavior play key role in controlling and preventing further complication related to malaria disease. Aim of this study was to determine the responses on early malaria diagnosis and treatment seeking behavior among outpatient clients attending at Sekou toure regional referral hospital in Mwanza, Tanzania. Methods: A cross-sectional study was conducted among outpatient client at Sekou-Touré regional referral hospital, convenient simple random sampling used and self-administered questionnaire were used to collect data and data was entered into Microsoft excel and then exported to SPSS version 25.0 for further analysis and presented on the percentages and table. The analysis of strength of relationships between categorical variables was conducted using the Chi-square test. A p-value of ≤ 0.05 was considered to be statistically significant. Results: A total of 192 respondents completed the study with a response rate of 97.6%. The study revealed that Most of the respondents about 90.6% stated they would seek treatment from health facility when symptoms appear. However, only 6.3% seek treatment within 24 hours of onset of illness (p= 0.017). Half of respondents (50.5%) experienced malaria symptoms in the past six months and only 30% seek for treatment at health facility. Preference of health facility, (51%) respondents were going direct to pharmacy to buy medicine for self-treatment. Overall, cost of service, time consumed and distance of health facility especially health center shows significant with such delay. Conclusion: A low proportion of malaria-suspected patients sought treatment within 24 h of fever onset compared to the national target. Distance from the health facility, cost of service and time consumed were found to be predictors of early treatment-seeking behavior for malaria. Strengthening strategies tailored to increasing awareness for communities about malaria, importance of going hospital and early treatment-seeking behavior is essential.

scholarly journals Post Caesarean Wound sepsis and associated factors among patients attending a rural regional referral hospital in Western Uganda: A cross-sectional study

2020 ◽  
Author(s):  
Ismael Muhumuza ◽  
Abdulrahman Zeinul Lavingia ◽  
Bekson Tayebwa ◽  
Ahmed Abdulhussein Ahmed ◽  
Farhiya Mohammed Koriow ◽  
...  
Keyword(s):  
Health Workers ◽  
Bacterial Pathogens ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Vaginal Examination ◽  
Sectional Study ◽  
Wound Sepsis ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Antibacterial Susceptibility

Abstract Background : Post-caesarean wound sepsis is among the most common problem for patients who undergo caesarean section. It remains a common and widespread problem contributing to morbidity and mortality; this could be due to an increase in antimicrobial resistance. Determining the burden of wound sepsis and common bacterial pathogens can provide solution to prevent incidence and establish microbiological mapping. Aim: To determine prevalence, identify factors, common bacterial pathogens from post-caesarean wounds and antibacterial susceptibility pattern at Hoima Regional Referral Hospital. Methods : A cross-sectional study was conducted among post-caesarean mothers attending Hoima Regional Referral Hospital. Consecutive enrolment of 303 participants who consented to participate was done. Structured questionnaires were used to collect data on associated factors and wound swabs were done prior to bacterial culture. Antibacterial susceptibility pattern of isolated bacterial pathogens was determined by Kirby Bauer disc diffusion method. Data was analyzed using Stata 14.2. Results : The wound sepsis rate was 16.8%. Being educated, multiple vaginal examination, hygiene, previous caesarean sections and HIV seropositivity were all significantly and positively associated with post-caesarean wound sepsis (p<0.05). The most implicated bacteria was Staphylococcus aureus and was most susceptible to ciprofloxacin. Resistance was most exhibited against ciprofloxacin, gentamycin, ceftriaxone and cotrimoxazole especially by coliforms. Conclusions. The rate of caesarean wound sepsis is high at Hoima Regional Referral Hospital . Being educated, multiple vaginal examination, hygiene, previous caesarean sections and HIV seropositivity are possible risk factors for the condition. Staphylococcus aureus is the commonest organism isolated from exudates of septic wounds after caesarean section. Awareness amongst health workers and patients about these major factors is necessary so that management can be directed. Rational use of antibiotics by health workers is paramount to combat resistance in this setting.

scholarly journals Analisis Profil dan Faktor-Faktor yang Memengaruhi Perilaku Kepatuhan Pengobatan untuk Pasien Diabetes Mellitus Lanjut Usia

2019 ◽  
pp. 114-125
Author(s):  
Andi Makkulawu ◽  
Adji Prayitno Setiadi ◽  
Tri Budi Wahyuni Rahardjo ◽  
Eko Setiawan
Keyword(s):  
Diabetes Mellitus ◽  
Support Groups ◽  
Health Workers ◽  
Profile Analysis ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Contributing Factors ◽  
Related Factors ◽  
Cross Sectional ◽  
Adherence Behaviour

Adherence with medication is one of the important factors in controlling blood glucose levels in patients with diabetes mellitus (DM), which in turn also determines the risk of diabetic complications. The profile and factors that influence adherence behaviour in the use of medication in elderly diabetic patients in Indonesia, especially in East Surabaya, are not yet known. The purpose of this study was to identify profiles and factors that influence the behavior of drug use adherence in elderly DM patients. A cross-sectional study was conducted in 32 Karang Werda or support groups for elderly in East Surabaya. Identification of the respondent’s level of adherence was carried out using the Adherence to Refill and Medication Scale (ARMS) questionnaire while the contributing factors towards adherence behaviour were identified using a published questionnaire. Both questionnaires have been validated in elderly people living in Surabaya. Result of adherence profile analysis was expressed in terms of percentage while determinant factors analysis was identified by using the highest mean among 14 sub-domains included in the questionnaire. In total, 281 elderly diabetic patients were recruited in this study. It was identified that 67.26% of the respondents were classified as non-adherence patients. The dominant factors that contribute to the behavior of medication adherence in elderly diabetic patients were social support, product-related factors, health workers, and emotional factors. Appropriate interventions to optimize the use of medications in elderly diabetic patients need to be identified and implemented according to the identified contributing factors.

scholarly journals Nutritional Knowledge and Practice among Patients with Non-communicable Diseases Attending Mbale Regional Referral Hospital in Eastern Uganda: A Cross Sectional Study

2019 ◽  
pp. 1-11
Author(s):  
Esther Nambala ◽  
Jayne Byakika-Tusiime ◽  
Yahaya Gavamukulya
Keyword(s):  
Cross Sectional Study ◽  
Nutrition Knowledge ◽  
Referral Hospital ◽  
P Value ◽  
Nutritional Knowledge ◽  
Sectional Study ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Adequate Knowledge ◽  
Eastern Uganda

Aim: To determine nutritional knowledge and practices among patients with Non-Communicable Diseases (NCD) attending Mbale Regional Referral hospital, in Eastern Uganda. Study Design: A mixed methods cross sectional study design was used. Place and Duration of Study: Mbale Regional Referral Hospital among patients attending the NCD clinic from May to July 2017. Methodology: Two hundred sixty clients were recruited for the study. Quantitative data was collected through structured administered questionnaires. Quantitative data was analyzed at univariate, bivariate and multivariate levels. Chi square test and logistic regression were used to determine the association between nutrition knowledge and utilization. Qualitative data was coded first and summarized according to the themes. Results: The mean age of the respondents was 55 years (SD= 14) and hospital was the main source of nutrition information (n=156, 60%). Most respondents (n=156, 60%) had a high level of nutrition knowledge, however only 48.8% (n=127) were utilizing the knowledge. Those who had attained secondary level of education were 2.308 more likely to utilize the nutrition knowledge than those who had never studied P value of .028, 95CI (1.093-4.874). Those with tertiary education were even 9.261 times more likely to utilize the knowledge P value <.001 95CI (2.721-31.522). Those with adequate knowledge were about 1.6 times most likely to utilize the nutrition knowledge compared to those with inadequate knowledge level, however, with the adjusted odd ratio of 1.573 at 95% CI (0.923- 2.868) the results were not statistically significant (P value .098). Conclusion: NCD patients had adequate knowledge, with a few of them utilizing the knowledge. High education level was associated with better nutrition practices.

scholarly journals Knowledge and Practices of Post Cesarean Section Mothers Towards Self-Care After Delivery at Mbarara Regional Referral Hospital.

2021 ◽  
Author(s):  
◽  
Solomon Atuhaire
Keyword(s):  
Cesarean Section ◽  
Self Care ◽  
Cross Sectional Study ◽  
Study Data ◽  
Referral Hospital ◽  
Postpartum Woman ◽  
Postpartum Women ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Regional Referral Hospital

ABSTRACT Background: It is recommended to all mothers to undergo post-cesarean section self-care after delivery up to six weeks. However, many mothers return to Mbarara Regional Referral Hospital as a result of getting some complications related to cesarean section. The reasons why these mothers develop these complications are not clear and possible other practices performed by delivered mothers to solve their post-delivery challenges are not yet documented. Methods: The design of this study was a descriptive cross-sectional study design and a semi-structured questionnaire was used to collect quantitative data from the participants. Data were collected from 150 mothers admitted to the Maternity ward of Mbarara Regional Referral Hospital who formed the inclusion criteria and accepted to participate in the study. Data was captured using Microsoft excel and analyzed using Statistical Package for social sciences (SPSS). Results: The response rate in this study was 100%. The knowledge of post-cesarean section self-care among postpartum women at MRRH in Mbarara was poor as the majority of the participants 90(60%) reported to have never heard about Post Cesarean self-care while only 60 (40%) reported having ever heard about Post Cesarean self-care and no postpartum woman was fully aware of all the aspects of PCS and only 26% could talk of more than 2 aspects of the PCS. The findings of the study also revealed that 22% (33) of the postpartum women don't perform PCS at all. This shows a low practice of PCS among postpartum women. Conclusion and recommendations: Generally, in this study, the knowledge of post-cesarean section self-care among postpartum women at MRRH in Mbarara was poor, suggesting that these postpartum women are unaware of the value of this personal health promotion tool.

scholarly journals Frequency and Determinants of Erectile Dysfunction among Type 2 Diabetes Patients in a Tertiary Health Institution in Nigeria

2020 ◽  
pp. 139-147
Author(s):  
Michael A. Olamoyegun ◽  
Oluwabukola A. Ala ◽  
Emmanuel Y. Fagbemiro
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Erectile Dysfunction ◽  
Cross Sectional Study ◽  
Diabetes Clinic ◽  
Cross Sectional ◽  
Health Institution ◽  
High Prevalence ◽  
Diabetes And Obesity

Background: Sexual dysfunction of which erectile dysfunction is one of the complications usually occurred in men with diabetes mellitus. Hence this study aimed to assess the prevalence and analyze risk factors for erectile dysfunction (ED) in patients with type 2 diabetes mellitus (DM). Materials and Methods: This is a cross-sectional study of 147 men with type 2 DM recruited from the diabetes clinic of a tertiary health institution in Nigeria. ED was assessed using an abridged version of international index of erectile function (IIEF–5). Sociodemographic data that included age, education, occupation, marital status were assessed and medical history including diabetes duration, smoking, alcohol intake, frequency and style of sexual intercourse obtained. Results: The mean age of the study sample was 68.22±12.15 years. The prevalence of ED was 69.5%, of which 14.3%, 14.3%, 10.5% and 29.9% had mild, mild-moderate, moderate and severe dysfunctions respectively. The prevalence of ED increased with age, duration of diabetes and obesity but not with glycaemic control, consumption of alcohol or smoking. Conclusions: ED was highly prevalent among men with DM in South-West Nigeria. Hence, efforts must be made to reduce the high prevalence by managing the factors responsible for its development. Also, health care practitioners must regularly inquire about this specifically as patients may not readily volunteer this information.

scholarly journals Delays in diagnosis and treatment of pulmonary tuberculosis in patients seeking care at a regional referral hospital, Uganda: a cross sectional study

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Winters Muttamba ◽  
Samuel Kyobe ◽  
Alimah Komuhangi ◽  
James Lakony ◽  
Esther Buregyeya ◽  
...  
Keyword(s):  
Health Facility ◽  
Cross Sectional Study ◽  
Patient Delay ◽  
Referral Hospital ◽  
Cross Sectional Survey ◽  
Total Delay ◽  
Cross Sectional ◽  
Treatment Unit ◽  
Regional Referral Hospital ◽  
Tb Treatment

Abstract Objective A cross-sectional survey involving 134 pulmonary TB patients started on TB treatment at the TB Treatment Unit of the regional referral hospital was conducted to ascertain the prevalence of individual and health facility delays and associated factors. Prolonged health facility delay was taken as delay of more than 1 week and prolonged patient delay as delay of more than 3 weeks. A logistic regression model was done using STATA version 12 to determine the delays. Results There was a median total delay of 13 weeks and 110 (82.1%) of the respondents had delay of more than 4 weeks. Patient delay was the most frequent and greatest contributor of total delay and exceeded 3 weeks in 95 (71.6%) respondents. At multivariate analysis, factors that influenced delay included poor patient knowledge on TB (adjOR 6.904, 95% CI 1.648–28.921; p = 0.04) and being unemployed (adjOR 3.947, 95% CI 1.382–11.274; p = 0.010) while being female was found protective of delay; adjOR 0.231, 95% CI 0.08–0.67; p = 0.007). Patient delay was the most significant, frequent and greatest contributor to total delay, and factors associated with delay included being unemployed, low knowledge on TB while being female was found protective of delay.

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