A study of knowledge, attitude and behavior of patients towards their illness and their relation to sociodemographic factors

Authors

  • Arti Muley Department of Medicine, PIMSR, Parul University, Waghodia, Vadodara, Gujarat, India
  • Sona Mitra Department of Medicine, PIMSR, Parul University, Waghodia, Vadodara, Gujarat, India
  • Juhi Ramnani Department of Medicine, PIMSR, Parul University, Waghodia, Vadodara, Gujarat, India
  • Priyal Patel Department of Medicine, PIMSR, Parul University, Waghodia, Vadodara, Gujarat, India
  • Kuldeep Viramgama Department of Medicine, PIMSR, Parul University, Waghodia, Vadodara, Gujarat, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20242312

Keywords:

Medication Adherence, Patient compliance, Education

Abstract

Background: This study was conducted to assess basic knowledge, attitudes, and practices of patients to their illness and find its correlation with various socio-demographic factors.

Method: This was a cross-sectional questionnaire-based analytical study. All patients over 18 years of age who attended the OPD or were admitted to the medical ward and who agreed to participate in the study were included. A questionnaire regarding the demographic characteristics of the study participants as well as the patient’s knowledge, attitudes, and practices regarding their disease was administered regularly by experienced physicians dealing with OPD and IPD both type of patients.

Results: Out of total 100, only 38% patients came for regular follow up and only 57% brought old records. 36% were not taking medications regularly for various reasons (trying alternative medicine (22.2%), advice from others (11.1%), found medicines ineffective and stopped without reconsulting (8.3%), fear of adverse effects (8.3%), couldn’t afford (8.3%), worsening of symptoms (5.6%) etc. 19.4% had no reasons. 67% patients got medicines prescribed from a qualified clinician while other sources were pharmacist (9%), relatives/friends (5%) and self-medication (6%). Significantly more females, educated and employed were aware about their medical condition and medications. Significantly more educated and employed brought old records and came for regular follow up (p-0.0187), Significantly more educated seeked qualified doctor’s advice as compared to uneducated. (p=0.0002).

Conclusion: There is a need to educate patients about the importance of medication awareness, adherence, regular follow up, disadvantages of unscientific and unreliable information to improve compliance to treatment.

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References

Haynes RB, McDonald HP, Garg AX. Helping patients follow prescribed treatment: clinical applications. JAMA. 2002;288(22):2880-3

Jana A, Chattopadhyay A. Prevalence and potential determinants of chronic disease among elderly in India: Rural-urban perspectives. PLoS One. 2022;17(3):264937.

Burkhart PV, Sabaté E. Adherence to long-term therapies:Evidence for action. J Nurs Scholarsh. 2003;35(3):207.

Brown MT, Bussell JK. Medication adherence: WHO cares?Mayo Clin Proc. 2011;86(4):304-14.

Iuga AO, McGuire MJ. Adherence and health care costs. RiskManag Healthc Policy. 2014;7:35-44.

Sokol MC, McGuigan KA, Verbrugge RR, Epstein RS. Impact of medication adherence on hospitalization risk and healthcare cost. Med Care. 2005;43(6):521-30.

Sabaté E. Adherence to long-term therapies: evidence for action. World Health Organization. 2003;198.

Jin J, Sklar GE, Oh VMS, Li SC. Factors affecting therapeuticcompliance: A review from the patient’s perspective. Ther Clin Risk Manag. 2008;4(1):269-86.

Lam WY, Fresco P. Medication Adherence Measures: An Overview. Bio Med Res Int. 2015;21:704-7.

Al-Noumani H, Al-Harrasi M, Jose J, Al-Naamani Z, Panchatcharam SM. Medication adherence and patients' characteristics in chronic diseases: a national multi-center study. Clin Nurs Res. 2022;31(3):426-34.

Prabahar K, Albalawi MA, Almani L, Alenizy S. Assessment of medication adherence in patients with chronic diseases in tabuk, kingdom of saudi arabia. J Res Pharm Pract. 2021;9(4):196-201.

Alosaimi K, Alwafi H, Alhindi Y, Falemban A, Alshanberi A, Ayoub N, et al. Medication adherence among patients with chronic diseases in Saudi Arabia. Int J Environ Res Public Health. 2022;19(16):10053.

Szymona-Pałkowska K, Janowski K, Pedrycz A, Mucha D, Ambroży T, Siermontowski P, et al. Knowledge of the disease, perceived social support, and cognitive appraisals in women with urinary incontinence. Biomed Res Int. 2016;36:947-92.

Hocking A, Laurence C, Lorimer M. Patients knowledge of their chronic disease - the influence of socio-demographic characteristics. AFP. 2013;42(6):411-6.

Gazmararian JA, Williams MV, Peel J, Baker DW, Health literacy and knowledge of chronic disease. Patient Educ. 2003;51(3):267-75.

Shen T, Teo TY, Yap JJ, Yeo KK. Gender differences in knowledge, attitudes and practices towards cardiovascular disease and its treatment among asian patients. Ann Acad Med Singap. 2017;46(1):20-8.

Attarchi M, Mohammadi S, Nojomi M, Labbafinejad Y. Knowledge and practice assessment of workers in a pharmaceutical company about prevention of coronary artery disease. Med Iran. 2012;50:697-703.

Krist AH, Tong ST, Aycock RA, Longo DR. Engaging patients in decision-making and behavior change to promote prevention. Stud Health Technol Inform. 2017;240:284-302.

Lam W.Y., Fresco P. Medication adherence measures: an overview. BioMed Res. Int. 2015;217-47.

Joint national committee on detection, evaluation, and treatment of high blood pressure, the fifth report of the joint national committee on detection, evaluation, and treatment of high blood pressure. Arch Intern Med. 1993;153(2):154-83.

American Diabetes Association, National standards for diabetes self-management education programs and American Diabetes Association review criteria. Diabetes Care. 1996;19:114-8.

Farley H. Promoting self-efficacy in patients with chronic disease beyond traditional education: A literature review. Nurs Open. 2019;7(1):30-41.

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Published

2024-08-27

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Original Research Articles