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Prevalence of Medication Non-adherence and Associated Factors Among Psychotic Patients in Dessie Referral Hospital, Amhara Region, North East Ethiopia, 2019

Received: 30 September 2020     Accepted: 21 October 2020     Published: 27 November 2020
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Abstract

Introduction: Psychotic disorders are severe, impairing and typically a chronic mental disorders and the clinical presentations of psychotic symptoms are diverse and affect a person’s thoughts and actions. Therefore, it is psychiatric disorder significantly contribute to the burden of diseases worldwide. Then, non-adherence is a major problem among Psychotic patients. Objective: To assess the prevalence of medication non adherence and associated factors among psychotic patients in psychiatric outpatient department in Dessie Referral Hospital 2019. Methods and materials: A hospitalized based cross sectional study was conducted from October 1/2018 to January 10/2019. The final sample consisted of 395 psychotic patients with on medication were selected by systematic random sampling technique. Morsiky medication adherence rating scale, Birchwood insight scale and oslow social support rating scale were used for data collected. Data was entered, cleaned and stored in EPI info version 3.1 and exported into SPSS version 21 for further analysis. Result: The response rate of the study was 93.6%%. A total of 199 (50.4%) females were participated in this study. The mean age of participants was 37 (SD±14 years) and age ranged from 18 to 88 year. The overall prevalence of medication non -adherence was found to be 44.3%. The factors such as being widowed (AOR=0.324, 95% CI, (0.135-.779), being daily labor (AOR=.344, 95% CI, (.124-.957) and have been suicidal ideation (AOR=0.322, 95% CI, (0.140-0.740) were negatively associated. Whereas being unable to read and write (AOR=2.611, 95% CI, (1.076-6.333) and length of the medication < 6 months (AOR=2.069, 95% CI, (1.127-3.799) were found to be positively associated with medication non-adherence. Conclusion and Recommendation: The result of this study showed that non adherence among psychotic patients was found to be high and indicted independent associated factors. And this finding has significant implications to enhance level of non-adherence by tackling determinant factors (above mentioned in result) and critical intervention program required and further research should be needed.

Published in American Journal of Psychiatry and Neuroscience (Volume 8, Issue 4)
DOI 10.11648/j.ajpn.20200804.14
Page(s) 87-99
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Non Adherence, Psychotic Disorder, Dessie, Ethiopia

References
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Cite This Article
  • APA Style

    Asmare Belete, Yalew Mebrie, Mengesha Birike, Mogesie Necho. (2020). Prevalence of Medication Non-adherence and Associated Factors Among Psychotic Patients in Dessie Referral Hospital, Amhara Region, North East Ethiopia, 2019. American Journal of Psychiatry and Neuroscience, 8(4), 87-99. https://doi.org/10.11648/j.ajpn.20200804.14

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    ACS Style

    Asmare Belete; Yalew Mebrie; Mengesha Birike; Mogesie Necho. Prevalence of Medication Non-adherence and Associated Factors Among Psychotic Patients in Dessie Referral Hospital, Amhara Region, North East Ethiopia, 2019. Am. J. Psychiatry Neurosci. 2020, 8(4), 87-99. doi: 10.11648/j.ajpn.20200804.14

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    AMA Style

    Asmare Belete, Yalew Mebrie, Mengesha Birike, Mogesie Necho. Prevalence of Medication Non-adherence and Associated Factors Among Psychotic Patients in Dessie Referral Hospital, Amhara Region, North East Ethiopia, 2019. Am J Psychiatry Neurosci. 2020;8(4):87-99. doi: 10.11648/j.ajpn.20200804.14

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  • @article{10.11648/j.ajpn.20200804.14,
      author = {Asmare Belete and Yalew Mebrie and Mengesha Birike and Mogesie Necho},
      title = {Prevalence of Medication Non-adherence and Associated Factors Among Psychotic Patients in Dessie Referral Hospital, Amhara Region, North East Ethiopia, 2019},
      journal = {American Journal of Psychiatry and Neuroscience},
      volume = {8},
      number = {4},
      pages = {87-99},
      doi = {10.11648/j.ajpn.20200804.14},
      url = {https://doi.org/10.11648/j.ajpn.20200804.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20200804.14},
      abstract = {Introduction: Psychotic disorders are severe, impairing and typically a chronic mental disorders and the clinical presentations of psychotic symptoms are diverse and affect a person’s thoughts and actions. Therefore, it is psychiatric disorder significantly contribute to the burden of diseases worldwide. Then, non-adherence is a major problem among Psychotic patients. Objective: To assess the prevalence of medication non adherence and associated factors among psychotic patients in psychiatric outpatient department in Dessie Referral Hospital 2019. Methods and materials: A hospitalized based cross sectional study was conducted from October 1/2018 to January 10/2019. The final sample consisted of 395 psychotic patients with on medication were selected by systematic random sampling technique. Morsiky medication adherence rating scale, Birchwood insight scale and oslow social support rating scale were used for data collected. Data was entered, cleaned and stored in EPI info version 3.1 and exported into SPSS version 21 for further analysis. Result: The response rate of the study was 93.6%%. A total of 199 (50.4%) females were participated in this study. The mean age of participants was 37 (SD±14 years) and age ranged from 18 to 88 year. The overall prevalence of medication non -adherence was found to be 44.3%. The factors such as being widowed (AOR=0.324, 95% CI, (0.135-.779), being daily labor (AOR=.344, 95% CI, (.124-.957) and have been suicidal ideation (AOR=0.322, 95% CI, (0.140-0.740) were negatively associated. Whereas being unable to read and write (AOR=2.611, 95% CI, (1.076-6.333) and length of the medication < 6 months (AOR=2.069, 95% CI, (1.127-3.799) were found to be positively associated with medication non-adherence. Conclusion and Recommendation: The result of this study showed that non adherence among psychotic patients was found to be high and indicted independent associated factors. And this finding has significant implications to enhance level of non-adherence by tackling determinant factors (above mentioned in result) and critical intervention program required and further research should be needed.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Prevalence of Medication Non-adherence and Associated Factors Among Psychotic Patients in Dessie Referral Hospital, Amhara Region, North East Ethiopia, 2019
    AU  - Asmare Belete
    AU  - Yalew Mebrie
    AU  - Mengesha Birike
    AU  - Mogesie Necho
    Y1  - 2020/11/27
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajpn.20200804.14
    DO  - 10.11648/j.ajpn.20200804.14
    T2  - American Journal of Psychiatry and Neuroscience
    JF  - American Journal of Psychiatry and Neuroscience
    JO  - American Journal of Psychiatry and Neuroscience
    SP  - 87
    EP  - 99
    PB  - Science Publishing Group
    SN  - 2330-426X
    UR  - https://doi.org/10.11648/j.ajpn.20200804.14
    AB  - Introduction: Psychotic disorders are severe, impairing and typically a chronic mental disorders and the clinical presentations of psychotic symptoms are diverse and affect a person’s thoughts and actions. Therefore, it is psychiatric disorder significantly contribute to the burden of diseases worldwide. Then, non-adherence is a major problem among Psychotic patients. Objective: To assess the prevalence of medication non adherence and associated factors among psychotic patients in psychiatric outpatient department in Dessie Referral Hospital 2019. Methods and materials: A hospitalized based cross sectional study was conducted from October 1/2018 to January 10/2019. The final sample consisted of 395 psychotic patients with on medication were selected by systematic random sampling technique. Morsiky medication adherence rating scale, Birchwood insight scale and oslow social support rating scale were used for data collected. Data was entered, cleaned and stored in EPI info version 3.1 and exported into SPSS version 21 for further analysis. Result: The response rate of the study was 93.6%%. A total of 199 (50.4%) females were participated in this study. The mean age of participants was 37 (SD±14 years) and age ranged from 18 to 88 year. The overall prevalence of medication non -adherence was found to be 44.3%. The factors such as being widowed (AOR=0.324, 95% CI, (0.135-.779), being daily labor (AOR=.344, 95% CI, (.124-.957) and have been suicidal ideation (AOR=0.322, 95% CI, (0.140-0.740) were negatively associated. Whereas being unable to read and write (AOR=2.611, 95% CI, (1.076-6.333) and length of the medication < 6 months (AOR=2.069, 95% CI, (1.127-3.799) were found to be positively associated with medication non-adherence. Conclusion and Recommendation: The result of this study showed that non adherence among psychotic patients was found to be high and indicted independent associated factors. And this finding has significant implications to enhance level of non-adherence by tackling determinant factors (above mentioned in result) and critical intervention program required and further research should be needed.
    VL  - 8
    IS  - 4
    ER  - 

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Author Information
  • Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia

  • Psychiatry Unit, Dessie Referral Hospital, Dessie, Ethiopia

  • Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia

  • Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia

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