MEDICATION ADHERENCE, PILL BURDEN AND DEPRESSION AMONG DIABETES MELLITUS PATIENTS IN CHENNAI

Author Name: 1. Edwin Jose L 2. Arunkumar V 3. Chitra C 4. Jerly L

Volume/Issue: 03/07

Country: India

DOI NO.: 08.2020-25662434 DOI Link: https://www.doi-ds.org/doilink/12.2022-14441635/UIJIR

Affiliation:

1. RN, College of Nursing, Madras Medical College, Chennai, Tamilnadu, India.
2. RN, College of Nursing, Madras Medical College, Chennai, Tamilnadu, India.
3. RN, College of Nursing,  Madras Medical College, Chennai,
4. Tamilnadu. India.RN, MSN , Department of Nursing Services, JIPMER, Pondicherry, India

ABSTRACT

The prevalence of diabetes mellitus type II has increased considerably over history. The title ‘Diabetes capital of the world’ was coined to describe India due to it’s high prevalence of the disease. As a result of using newer types of medications for diabetes control, patients are seeing an increase in their pill load, which has been shown to decrease medication adherence and increase the risk of developing depression. Aim – is to evaluate medication adherence , pill burden, and depression among Type II diabetic mellitus patients and its association with sociodemographic variables. A single-center, descriptive cross-sectional study was carried out over the course of 8 weeks in a tertiary care hospital in Chennai. The sampling strategy employed here was a simple random sampling technique using computer-generated tables. One hundred and twenty individuals with Type II diabetes who have been on treatment for at least six months and are older than 40 were included in the study. Patients with comorbidities were excluded. The levels of medication adherence, pill burden attitude, and depression are evaluated with the use of the Medication Adherence Rating Scale, the Pill burden LIKERT Scale, and the Depression Scale: Short Form, respectively. We found that among those with Type II diabetes, 53.33 % were depressed, 62.5 % have a moderately pleasant attitude toward their pill burden, and 48.83 % had a high adherence rate. High medication adherence is found among women (42.11%), those with high incomes (57.14%), and those aged 61–70 (48.52%). Patients with higher incomes (37.50%) and formal education (42.86%) also tend to have more positive attitudes toward medication. There is no depression among males (56.14%) and patients (57.45%) aged 51-60 years.The life expectancy of people with Type II diabetes can be improved by education on medication adherence, which in turn reduces the stress of taking many medications daily and lessens the likelihood of serious complications.

Key words: Type II DM, Medication adherence, Pill burden, Depression.