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Category: Volume 08 Issue 09 September 2020
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Title: Drug Compliance & Factors affecting it among Patients treated with Oral Psychotropic Drugs in Psychiatric OPD of a selected Tertiary Care Hospital

Authors: Subhashini KR, Sindhu Gopal

 DOI: https://dx.doi.org/10.18535/jmscr/v8i9.20

Abstract

This study was conducted to assess the drug compliance and factors associated to it among patients treated with oral psychotropic drugs attending Psychiatric outpatient department of a selected Tertiary care hospital, Kolkata.

Methods: A non-experimental descriptive approach was adopted in this study. 30 samples were selected by purposive sampling from patients attending psychiatric OPD. Study period was for two weeks in the month of May 2019.

Results: (57%) of the population under study were females,40% were in the age group of 20-40yrs,36% found to have under graduate level of education. All were taking more than one drug.26% of the sample was case of Depression and 20% were having BPAD. This study brought out that all the patients were drug complained. All the participants (100%) felt that complex medication prescription, delayed onset of effect and non availability of medication were strongly responsible for psychotropic drug non compliance.

Conclusion: Improving medication compliance in persons with mentally ill holds the potential for reducing morbidity and suffering of patients and their families.

Keywords: Compliance, Psychotropic drugs, Tertiary care hospital, Psychiatric OPD.

References

  1. National mental health survey of India, 2015-2016.Prevalence, Pattern and Outcomes. 2016. [internet]indianmhs.nimhans.ac.in>ISBN: 81-86478-00-X .pdf
  2. Viswanath Pilla. Economic survey 2020: expenditure on healthcare continues to be flat. Money control; Jan31,2020 .Available from :https://www.moneycontrol.com>
  3. Pooja Priyamvada. Budget 2019: Modi government must invest to improve mental disorder treatment in India. Financial Express; New Delhi. Jun 20, 2019. Available from: https://www.financialexpress.com>
  4. World Health Organization. WHO. Mental disorders fact sheet. Reviewed April 2016 [internet]. Geneva 27, Switzerland; 2016.Accessed on 16 Aug 2019. Available from: http://www.who.int/mediacentre/factsheets/fs396/en/.
  5. Sagar Karia, Umesh Atram, and Avinash D Sousa. A Retrospective Study of Treatment Compliance In Psychiatric Patients And Factors Affecting The Same. Indian journal of mental health. 2016;3(2);178
  6. Avasthi A, Pershad D, Jain A, Nehra R, Verma VJ,Kulhara P, Masserman CM, Malhotra A, Malik SC. A psychosocial study of treatment adherence in psychiatric patients in social psychiatry, a global perspective, Delhi- Macmillan India Limited 1998;197-202.
  7. J M Lucca, M Ramesh, D Ram.2015 Incidence and factors associated with medication non adherence in patient with mental illness: A cross sectional study, J Post grad Med. 2015 Oct-Dec; 61(4): 251–256.
  8. N. Nagesh, M. S. Kishore, B. N. Raveesh. Assessment of adherence to psychotropic medications in a psychiatric unit of district hospital. Natl J Physiol Pharm Pharmacol. 2016; 6(6): 581-585. doi:10.5455/njppp.2016.6.0615003072016
  9. Nagaraja Rao, Jitty George, C.Y Sudarshan, Shamshad Begum. Treatment compliance and non compliance in psychoses Indian journal of psychiatry. 2017; 59(1):69-76
  10. Rekha R, Masroor J, Sushma K, et al. Reasons for drug non-compliance of psychiatric patients. J Indian Acad. Appl Psychol.Jan-Jul 2005;31(1-2):24–8.
  11. Taj F, Tanwir M, Aly Z, Khowajah AA, Tariq A, Syed FK, et al. Factors associated with non-adherence among psychiatric patients at a tertiary carehospital, Karachi, Pakistan: a questionnaire based cross-sectional study. J PakMed Assoc. 2008;58(432):432–6.
  12. Smith F, Clifford S. Adherence to medication among chronic patients in middle eastern countries: review of studies. East Mediterr Heal J. 2011; 17(4):356–63.
  13. Lindstrom EBK. Patient compliance with drug therapy in schizophrenia: economic and clinical issues. Pharmaco Economics. 2000; 18(2):106–24.
  14. Dunn LB, Leckband S, Dolder CR, Pharm D, Leckband SG, Ph R, et al.Prevalence of and risk factors for medication non adherence in patients with schizophrenia. J Clin Psychiatry. 2002;63(10).
  15. Burton WN, Chen C-Y, Conti DJ, Schultz AB, Edington DW. The association of antidepressant medication adherence with employee disability absences.Am J Manag Care. 2007;13(2):105–13.
  16. Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, etal. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev [Internet]. 2015; 4(1): 1–9. Available from: http://www.systematicreviewsjournal.com/content/4/1/1
  17. Farooq S, Naeem F. Tackling non adherence in psychiatric disorders: current opinion. Review. Dove press. Neuropsychiatr Dis Treat. 2014;10:1069–77.
  18. Sultan S, Chary SS, Vemula S R. A study of non-compliance with pharmacotherapy in psychiatric patients. AP J Psychol Med. 2014; 15(1):81-5.
  19. Sarah C.E. Chapman and Rob Horne .Curr Opin Psychiatry. 2013; 26:446–452 DOI:10.1097/YCO.0b013e3283642da4 doi: 10.4103/0022-3859.166514
  20. Ambreen Jawed Tharani, Salima Farooq, Faiza Saleem, Anila Naveed. Journal of Pakistan medical association. 2013;63 (4):516-518.

Corresponding Author

Sindhu Gopal

Tutor, Dept of Psychiatric Nursing, CON, CH (EC), Kolkata