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Original Research

RMJ. 2016; 41(2): 193-196

Reasons for non compliance in patients suffering from chronic dermatosis.

Sadaf Ahmed Asim, Zarnaz Wahid.

Objective: To establish the reasons for non-compliance in patients suffering from chronic dermatosis.
Methodology: A cross sectional descriptive study was conducted in a tertiary care hospital and during a year, by using non-probability convenient sampling 100 patients of dermatosis were enroll in the study. Data analysis was carried out by SPSS version 21.0.
Results: Out of 100 subjects, 61% were males and 39% were females. 80% subjects followed the prescription, only 13% had difficulty in understanding and willingness to take prescribed medicine. Though it is a very common cause of non-compliance, only 9% reported side effects during this period. 22% subjects had issue of bearing the cost of treatment and 62% discontinued medication due to some reason while 39% discontinued medicines due to general negligence. 74% subjects were properly taking the medicines while 26% may change the dose as per their need, only 15% were taking non-medical medication and 68% stoped regular follow up with doctor while most used prescribe medicines for no more than 6 months (1 month (15%), 2 weeks, 2 months and 3 months (8%). Only 4% took the prescribed treatment for 6 months regularly while 1% discontinued the treatment right after the start.
Conclusions: Poor adherence to medication is common. Patients with non-compliance need more intensive strategies for maintaining adequate medication adherence. Asking patients non judgmentally about medication-taking behavior is a practical strategy for identifying poor adherence.

Key words: Chronic dermatosis, non compliance, dermatology patients

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