Assessment of Medication Knowledge Among Adults with Diabetes mellitus in a Nigerian Teaching Hospital

  • W. A. Ojieabu
  • J. E. Arute
  • T. D. Ajayi
Keywords: Diabetes mellitus, Patient information, Medication knowledge, Patient satisfaction

Abstract

Background: Previous research had suggested a relationship between patients’ knowledge of their medications and their adherence to treatment instructions.

Objective: To assess medication knowledge among adults with diabetes mellitus at the Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, Ogun State.

Methods: This was a cross sectional study of 152 adults with either Type-1 or Type-2 diabetes mellitus attending the Diabetes Clinic of the OOUTH. A two-part questionnaire was used to collect data on demography and knowledge of their medications.

Results: Out of the one hundred and fifty two respondents, 60.5% were females and majority, (50.7%) fell within the 60-79 years age group. Majority (76.3%) of the patients reported very good medication knowledge, 32% and 46.1% knew the names and number of all the drugs they were taking respectively. Majority (96.1%) were aware they were receiving treatment for diabetes mellitus. The pharmacist was rated as the main information provider by 38.8% while 50.7% were not satisfied with their level of glycaemic control. Although 32.2% agreed that the information provided made available to them was sufficient, 71.1% preferred medication instructions in both written and verbal forms.

Conclusions: The present study revealed the need for adequate and appropriate information for patients receiving care for diabetes mellitus to enable them engage in effective self-care management of their ailment.

Author Biographies

W. A. Ojieabu
Department of Clinical Pharmacy and Biopharmacy, Faculty of Pharmacy, Olabisi Onabanjo University, Sagamu, Ogun State
J. E. Arute
Department of Clinical Pharmacy and Pharmacy Administration, Faculty of Pharmacy, Delta State University, Abraka, Delta State.
T. D. Ajayi
Department of Clinical Pharmacy and Biopharmacy, Faculty of Pharmacy, Olabisi Onabanjo University, Sagamu, Ogun State

References

Tuei VC, Maiyoh GK, Ha CE. Type 2 diabetes mellitus and obesity in sub-Saharan Africa. Diabetes Metab Res Rev 2010; 26: 433–445.

Azevedo M, Alla S. Diabetes in Sub-Saharan Africa: Kenya, Mali, Mozambique, Nigeria, South Africa and Zambia. Int J Diabetes Dev Ctries 2008; 28: 101–108.

Chan JM, Rimm EB, Colditz GA, Stampfer MJ, Willett WC. Obesity, fat distribution and weight gain as risk factors for clinical diabetes in men. Diabetes Care 1994; 17(9): 961–969.

Albano MG, Crozet C, d′Ivernois JF. Analysis of the 2004-2007 literature on therapeutic patient education in diabetes: results and trends. Acta Diabetol 2008; 45(4): 211–219.

Lindenmeyer A, Hearnshaw H, Vermeire E, Van Royen P, Wens J, Biot Y. Interventions to improve adherence to medication in people with type 2 diabetes mellitus: a review of the literature on the role of pharmacists. J Clin Pharm Ther 2006; 31(5): 409–419.

Ogedegbe G, Harrison M, Robbins L, Mancuso CA, Allegrante JP. Barriers and facilitators of medication adherence in hypertensive African Americans: a qualitative study. Ethn Dis 2004; 14(1): 3-12.

Barat I, Andreasen F, Damsgaard EM. Drug therapy in the elderly: what doctors believe and patients actually do. Br J Clin Pharmacol 2001; 51(6): 615-622.

Hassan Y, Mathialagan A, Awaisu A, Abd. Aziz N, Yahaya R, Salhani A. Trend in the Use of oral hypoglycemic agents in an Outpatient Pharmacy Department of a Tertiary Hospital in Malaysia. Asian J Pharm Clin Res 2009; 2(2): 40-46.

Radhamanohar M, Than M, Rizvi S. Assessment of patients' knowledge about their illness and treatment. Br J Clin Pract 1993; 47(1): 23-25.

Al-Nsour E, Al-Doghim I, Al-Shamaeleh N. Assessment of patient’s knowledge on their chronic medications. J Appl Sci 2007; 9 (1): 1-6.

Diabetes UK. The Association of the British Pharmaceutical Industry (ABPI). Ask About Medicines. The diabetes information jigsaw: report investigating information access for people with diabetes. 2006.

Michael MJ, Heckman MG, Dawson NL. Functional health literacy and understanding of medications at discharge. Mayo Clin Proc 2008; 83(5): 554-558.

Toren O, Kerzman H, Koren N, Baron-Epel O. Patients’ knowledge regarding medication therapy and the association with health services utilization. Eur J Cardiovasc Nurs 2006; 5(4): 311-316.

Shahin, SH, Daly EB. Knowledge, attitudes and beliefs about psychotropic medication among Saudi hospitalized psychiatric patients. Int J Nurs Studies 1999; 36: 51-55.

Spiers MV, Kutzik DM, Lamar M. Variation in medication understanding among the elderly. Am J Health Syst Pharm 2004; 61: 373-380.

Williams L, Caskey H, Coates V, Thompson K, Stewart H. A survey of patients’ knowledge of their diabetes medication. J Diabetes Nurs 2007; 11(7): 264-269.

O'Connell MB, Johnson JF. Evaluation of medication knowledge in elderly patients. ANN Pharmacother 1999; 26: 919-921.

Lyons RF, Rumore MM, Merola MR. An analysis of Drug information desired by the patient. (Are patients being told everything they wish to know under OBRA' 90?).J Clin Pharm Ther 1996; 21(4): 221-228.

Browne DL, Avery L, Turner BC, Kerr D, Cavan DA. What do patients with diabetes know about their tablets? Diabet Med 2000; 17: 528–531.

Vermeire E, Van Royen P, Coenen S, Wens J, Denekens J. The adherence of type 2 diabetes patients to their therapeutic regimens: a qualitative study from the patient’s perspective. Pract Diabetes Int 2003; 20: 209–214.

Sisson E, Kuhn C. Pharmacist roles in the management of patients with Type 2 diabetes. J Am Pharm Assoc2009; 49(Suppl 1): S41–45.

Burge S, White D, Bajorek E, Bazaldua O, Trevino J, Albright T, Wright F, Cigarroa L. Correlates of medication knowledge and adherence: Findings From the Residency Research Network of South Texas. Fam Med 2005; 37(10717): 712-718.

Published
2016-03-24
Section
Articles