Patients Belief And Knowledge About Medicine And Diabetes Disease On Medication Adherence And Glycemic Control Among Type 2 Diabetes Mellitus Patients At Alamata General Hospital Northern Ethiopia

Patients’ belief and knowledge about medicine and diabetes disease on medication adherence rnand glycemic control among T2DM patients at Alamata General Hospital, Northern Ethiopia rnFikadu Hadush rnAddis Ababa University, 2020 rnIntroduction: About 45% of T2DM patients had poor glycemic control and 45.2% of patients rnhad poor medication adherence, those could be affected by diabetic disease knowledge, belief rnabout medicines, socio-demographic and clinical determinants. However, there is dearth of rndata in the Northern part of Ethiopia with regards to glycemic control status and medication rnadherence. rnObjective: To assess influence of patient’s belief and knowledge about medicine and diabetes rndisease on medication adherence and glycemic control among T2DM patients at Alamata rnGeneral Hospital, Northern Ethiopia. rnMethods: A cross sectional study design was conducted among T2DM patients at Alamata rnGeneral Hospital from September to December, 2019. Data was collected through medical rnchart review and face-to-face interview of patients using structured questionnaires. Descriptive rnstatistics and multivariable logistic regression were employed to identify predictors of rnmedication adherence and glycemic control. rnResults: A total of 305 T2DM patients were included in the study where a little over half were rnmale and had no formal education with mean age of 56.5 ± 12.4 years. Of these, 44.6% of the rnpatients had poor medication adherence, 75.7 % had poor glycemic control and 84.3 % of rnpatients had poor diabetes disease knowledge. Patients who had T2DM disease for more than rn10 years (AOR=3.87; 95%CI (1.48-10.07)), high concern belief of anti-diabetic drugs (AOR= rn20.63, 95%CI (5.15-82.61) and poor diabetes disease knowledge (AOR=4.54; 95%CI (1.53-rn13.46)) were determinants of poor medication adherence. Conversely, having high necessity rnbelief of anti-diabetic drugs (AOR=0.21; 95%CI (0.11-0.40) was inversely associated with rnpoor medication adherence. Meanwhile, being high school student (AOR= 5.54; 95%CI (1.11–rn27.60)), TVET/Diploma holder (AOR=9.27; 95%CI (1.98–43.36)) and poor diabetes disease rnknowledge (AOR=4.34; 95%CI (1.74-10.81)) were predictors of poor glycemic control level. rnWhereas, patients who were taking combination of oral hypoglycemic agents and insulin rn(AOR=0.33; 95%CI (0.15- 0.71)) and those who had house hold monthly income more than or rnequal to 3925 ETB (AOR=0.18; 95%CI (0.06-0.48)) were inversely associated with poor rnglycemic control. rnConclusions: About half of T2DM patients had poor medication adherence and three-fourths rnof the patients had poor glycemic control. Therefore, regular diabetes health education should rnbe given to enhance their awareness about their disease and medicine use.

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