A STUDY TO ASSESS THE ATTITUDE AND INSIGHT TOWARDS TREATMENT NON-ADHERENCE AMONG PATIENT WITH BIPOLAR AFFECTIVE DISORDER IN MENTAL HEALTH CARE SETTING M.K.C.G.M.C.H., BERHAMPUR

Author Name: 1. Mr. M. Barsabbas Nag, 2. Mrs. Rashmee Roy

Volume/Issue: 05/07

Country: India

DOI NO.: 08.2020-25662434 DOI Link: https://doi-ds.org/doilink/12.2024-51854259/UIJIR

Affiliation:

1. Assistant Professor, Rasulpur Protik Nursing Institution, Indus Road, Rasulpur, Patrasayer, Bankura, West-Bangal, India.
2. Senior Tutor, Collage of Nursing Berhampur, Berhampur, Ganjam, Odisha, India.

ABSTRACT

About half of the patients diagnosed with bipolar disorder (BD) become non-adherent during long term treatment, a rate largely similar to other chronic illness and one that has remained unchanged over the years. Non-adherence in BD is a complex phenomenon determined by a multitude of influences. However, there is considerable uncertainty about the key determinants of non-adherence in Bipolar disorder. In the present study survey research design with quantitative approach was adopted to identify the attitude and insight towards treatment non-adherence among 62 patient with Bipolar affective disorder selected by purposive sampling technique at mental health care setting MKCG Medical college and hospital, Berhampur. A structured questionnaire was used to for gathering socio demographic data, Likert scale to assess the attitude of bipolar disorder (BD) patients, grading scale to assess the insight among bipolar disorder patients and rating scale to assess the treatment non-adherence of BD patients. Findings revels a spectrum of attitudes 9.7% of patients exhibit poor attitude, 30.6% having low attitude & 59.7% maintain an average attitude. 12.9% of patients exhibit poor insights,83.9%maintainaverage insight, and a mere 3.2%exhibit good insight and 61.3% of patients, falls under the category of complete denial of illness. Meanwhile, 14.5% of patients exhibit slight awareness of being sick, and another 14.5% attribute their awareness of being sick to external or physical factors. Assessment of attitude towards non-adherence in this population showed average medication adherence.

Key words: Non-adherence, drug attitude, insight, Bipolar affective disorder.