Abstract
Background
The prevalence of diabetes mellitus continues to increase every year, including in Indonesia. To prevent complications of diabetes mellitus, patients need to adhere to therapy. The aim of this study was to assess patient adherence to diabetes mellitus drug therapy at Tanjung Karang Primary Health Care Center, Mataram.
Methods
A total of 60 participants were recruited in April–May 2019. The inclusion criteria of respondents were patients who were diagnosed with diabetes mellitus, treated at Tanjung Karang Primary Health Care Center for more than 1 month, and aged at least 18 years. Assessment of adherence to therapy was carried out using a validated questionnaire, which was the Adherence to Refill Medication Scale (ARMS) questionnaire. The scale used was the Likert scale (1–4) with a score range of 12–48. The higher the total score, the lower the compliance.
Results
The average age of the respondents was 54.97 years. The average ARMS score was 19.52 ± 5.688 with the lowest score of 12 and the highest score of 33. Among all respondents, only 8.3% had good adherence (total score of 12). Based on the subscales, the average score for refilling medicine and intentional nonadherence in taking medicine was 7.18 ± 2.383, the unintentional nonadherence in taking medicine was 8.13 ± 2.764, and the persistence in refilling medicine was 4.12 ± 1.738.
Conclusions
Patient medication adherence to the treatment of diabetes mellitus needs to be improved. An approach through healthcare professionals can be achieved so that the therapeutic outcome will be achieved.
Acknowledgments
We thank the stakeholders of Tanjung Karang Primary Health Care Center in Mataram and our colleagues in Universitas Airlangga for technical assistance.
Research funding: None declared.
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Competing interests: Authors state no conflict of interest.
Informed consent: Informed consent was obtained from all individuals included in this study.
Ethical approval: Research involving human subjects complied with all relevant national regulations, institutional policies and is in accordance with the tenets of the Helsinki Declaration (as revised in 2013), and has been approved by the authors’ institutional review board or equivalent committee.
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- Reviews
- Pharmacist contributions in the treatment of diabetes mellitus in Southeast Asia: a narrative review
- The implementation of a chronic disease management program (Prolanis) in Indonesia: a literature review
- Original Articles
- Quercetin attenuates acute predator stress exposure-evoked innate fear and behavioral perturbation
- Evaluating current practices and policies in the use of injectable medicines for treating myalgia in a primary care center in Pamekasan, Indonesia
- The contemporary role and potential of pharmacist contribution for community health using social media
- Evaluation of rational drug use based on World Health Organization prescribing indicators in a primary care center in Pamekasan East Java, Indonesia
- The prescription patterns of second-generation antipsychotics in schizophrenia outpatient setting
- Factors affecting community pharmacist’s service for women with chronic diseases during pregnancy and breastfeeding: application of the Health Belief Model
- Overview of therapeutic changes in antiepileptic drugs in adult patients
- Exploration of barriers affecting job satisfaction among community pharmacists
- Patients’ characteristics and their adherence to insulin therapy
- Correlation of chemotherapy costs with quality of life in nasopharyngeal cancer patients
- Impact of educational preeclampsia prevention booklet on knowledge and adherence to low dose aspirin among pregnant women with high risk for preeclampsia
- Translation, cultural adaptation, and validation of the quality of well being self-administered questionnaire in general population in Indonesia
- Knowledge, attitude, and practice of pharmacists towards management of hypertension in primary care centers
- Medication adherence in diabetes mellitus patients at Tanjung Karang Primary Health Care Center, Mataram
- Decreasing angiogenesis vasa vasorum through Lp-PLA2 and H2O2 inhibition by PSP from Ganoderma lucidum in atherosclerosis: in vivo diabetes mellitus type 2
- Antiaggregation effect of clopidogrel in coronary heart disease patients using omeprazole
- The effect of curcuma (Curcuma xanthorrizha roxb.) extract as an adjuvant of captopril therapy on cardiac histopathology of male mice (Mus musculus) with hypertension
- Coenzyme Q10 nanostructured lipid carriers as an inducer of the skin fibroblast cell and its irritability test in a mice model
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- Development of nonalcoholic fatty liver disease model by high-fat diet in rats
- Molecular docking of novel 5-O-benzoylpinostrobin derivatives as wild type and L858R/T790M/V948R mutant EGFR inhibitor
- The relationship between the level of education and accuracy of insulin injection techniques in DM patients with measurement of HbA1c values
- The effect of premixed insulin to blood glucose concentration in patients with type 2 diabetes mellitus
- Intravenous insulin therapy in diabetes mellitus with hyperglycemic crisis and intercurrent illness
- Adherence behavior assessment of oral antidiabetic medication use: a study of patient decisions in long-term disease management in primary health care centers in Surabaya
- Evaluation to the chemotherapy use in patients with diffuse large B-cell lymphoma
- Analysis of the use and cost of stress ulcer prophylaxis for surgical inpatients
- Antineuroinflammation activity of n-butanol fraction of Marsilea crenata Presl. in microglia HMC3 cell line
- The enhancement of Arg1 and activated ERβ expression in microglia HMC3 by induction of 96% ethanol extract of Marsilea crenata Presl. leaves
- Ternary solid dispersion to improve solubility and dissolution of meloxicam
- Improving solubility and dissolution of meloxicam by solid dispersion using hydroxypropyl methylcellulose 2910 3 cps and nicotinamide
- o-Hydroxycinnamic derivatives as prospective anti-platelet candidates: in silico pharmacokinetic screening and evaluation of their binding sites on COX-1 and P2Y12 receptors
- The change of proinflammatory cytokine tumor necrosis factor α level in the use of meloxicam in rat model of osteoarthritis
- Attenuation of IL-1ß on the use of glucosamine as an adjuvant in meloxicam treatment in rat models with osteoarthritis
- Analysis of effectiveness and drug related problems of pain reliever for knee osteoarthritis: weighing clinical risk and benefit
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