Assessment of Depression and Drug Adherence among Type II Diabetes Patients Residing in Urban Field Practice area of Sri Siddhartha Medical College Tumkur

Savitha Rani B.B, Vinay K S, Krishna Iyengar

Abstract


Background: India has the largest number of diabetic populations in the world, Depression is common among people with diabetes, and it is associated with worse diabetes outcomes, non-adherence to medication is potentially one of the most serious problems facing diabetes care delivery. The objective of the study was to assess depression among type II diabetes patients and to assess adherence to therapy among type II diabetes patients.

Methodology: This cross‑sectional community‑based study was conducted in the urban field practice area of the Department of Community Medicine, SSMC, Tumkur. A total of 200 type II diabetes patients were selected by simple random sampling method from the database of Urban Health Training Centre and were traced to their homes for data collection. Data analysis was done using descriptive statistics like proportion and inferential statistics like Chi-square test. P-value less than 0.05 was taken as statistically significant.

Results: Out of 200 diabetic subjects, 80 (40%) belongs to age group 50-59 years, females were 132 (66%), Most of them 66 (33%) were having diabetes for duration of 6-10 years, most of them 176 (88%) were on oral hypoglycaemic agents. Out of 200 study subjects 93 (46.5%) had low adherence, 106 (53%) had medium adherence. 34 (17%) study subjects had depression using PHQ9 questionnaire. When we studied association of depression with other factors, it showed statistically significant results with gender (P=0.003), glycaemic status (P=0.01) and adherence to drugs (P=0.03). Association of drug adherence with depression showed statistically significant results (P=0.01).

Conclusion: Health care professionals can play a major role in improving adherence to therapy in patients of DM which prevents complication and improve Quality of life.


Keywords


Diabetes Mellitus, Drug adherence, Depression

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