Factors Influencing Compliance to Treatment Regimen Among Renal Patients Attending Two Selected Teaching Hospital in Ogun State (Published)
Kidney disease involves the progressive decline of kidney function, leading to complications like cardiovascular disease, anemia, and electrolyte imbalances. Poor knowledge and non-compliance with treatment regimens exacerbate these issues, increasing morbidity, mortality, hospital visits, and reducing patients’ quality of life. This study investigated factors affecting treatment compliance among renal patients at Olabisi Onabanjo University Teaching Hospital and Babcock University Teaching Hospital in Ogun State. A descriptive cross-sectional design surveyed 340 renal patients from these institutions, with 191 and 149 respondents from each hospital respectively, selected via simple random sampling. Data were collected using self-structured questionnaires and analyzed using SPSS 23.0, with results displayed in frequency-percentage tables and hypotheses tested at a 5% error level. Findings indicated that 65.7% of respondents were female, predominantly aged 26-35. Over half were employed, with a significant portion earning N50,000 – N100,000. The study identified the high cost of kidney disease medications as the primary factor (x=3.11) influencing treatment compliance. Recommendations include exploring financial assistance or insurance coverage to reduce the cost burden of managing kidney disease and improving access to affordable healthcare services, such as subsidized medications, lab tests, and dialysis, particularly for financially challenged patients.
Keywords: Compliance, Disease, Factors, Kidney, influencing
Factors Associated with Non-Adherence to Drugs and Dietary Regimen Among Type Ii Diabetes Mellitus Out-Patients Attending University College Hospital, Ibadan (Published)
Diabetes is an increasing global health problem and this puts high demands on the health care system. Medication non-adherence results in increased morbidity, mortality and financial loss among patients and non-adherence is multifactorial. This study therefore was aimed at determining factors associated with non-adherence to drugs and dietary regimen among Type II Diabetes Mellitus patients attending University College Hospital (UCH), Ibadan, Nigeria. This study utilized a quantitative design using descriptive survey method to collect data from 330 Type II diabetes out-patients in UCH, Ibadan on factors associated with non-adherence to drug and dietary regimen. Data were analysed using descriptive statistics (frequency, mean and standard deviation) for research questions and inferential statistics, Chi-square and ANOVA for testing hypotheses at 5% level of significance. Findings revealed that non-adherence to medication mean was 3.4±1.1 and 27.7% of respondents had poor adherence to medication. Mean attitude to medication non-adherence was 12.0±2.2 and 62.0% respondents had negative attitude to medication adherence. Clinical factors like: not being able to access clinic regularly for consultation and not getting medication information had influence on anti-diabetic medication non-adherence (1.37±0.49; F=42.036; P=0.000) and 1.54±0.50; F=29.431; P=0.000) respectively. Individual factors like: not being comfortable with physician diagnoses (1.33±0.47; F=22.190; P=0.000); found it difficult in taking their drugs when they are many (1.46±0.50; F=42.992; P= 0.000); receiving detailed written instruction regarding exercise programs from healthcare provider (1.43±0.50; F=23.485; P=0.000) were all influencing factors to anti- diabetics medication adherence. Lack of patients-physician relationship and inconsistent information about the medicines prescription influences non-adherence to anti-diabetic medication greatly in this study. Improving on these areas by health policy makers to enhance adherence to anti-diabetic medication are therefore suggested.
Keywords: Factors, anti-diabetic medication, diabetic out-patients, dietary regimen, non-adherence