DOI: njcpt.com.ng/101.1.2.1
Corresponding author: Monday I. Osarenmwinda
Department of Clinical Pharmacy and Pharmacy Practice,
Faculty of Pharmacy, University of Benin, Benin City, Nigeria.
Contact email: ikponmwosa.osarenmwinda@uniben.edu ikmond@yahoo.com
Contact number: +234803392507
ABSTRACT
Background: Diabetes mellitus (DM) is on the increase in Nigeria, poor medication adherence has a negative impact on the patient's quality of life (QoL). Objective: The study aimed to evaluate MAand QoL of DM patients in rural and urban healthcare facilities in Edo State.
Methods: In a descriptive cross-sectional study, data on MA and QoL of DM patients were collected using Morisky Medication Adherence Scale (MMAS-8),SF36 QoL. Analysis was both descriptive and inferential. Logistic regression was done to determine association of patient variables to MA. Results were considered significant at P < 0.05. Spearman correlation was done to find an association between MAand QoL.
Results: DM patients in rural and urban facilities had low MA -51.8% and 43.2% - respectively. Age and educational qualification were significantly associated with medication adherence in both healthcare facilities with P < 0.05 (r = 0.735 and 0.569). Gender, duration of DM, and health insurance status were highly significant (r = 5.136, 2.412 and - 3.563) predictors of MA in Specialist Hospital (SH) Benin. There was low QoL amongst DM participants with Physical Component Summary Score (PCS) of 38.2% and 41.7% and Mental Component Summary Score MCS of 30.2 and 39.2%, respectively. There was a positive correlation (p-value < 0.05) between MA and QoL across all domains in General Hospital (GH) Abudu.
Conclusion: There was suboptimal MA and a below performance QoL among DM patients in rural when compared to an urban healthcare facility. Keywords: Diabetes mellitus, prevalence, medication adherence, quality of life
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