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Medication Adherence Pattern and Factors affecting Adherence in Helicobacter Pylori Eradication Therapy
S Shakya Shrestha1, M Bhandari2, S R Thapa2
1Department of Pharmacology, School of Medical Sciences, Kathmandu University. Research and Development Division, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre, Nepal.
Most patients with Helicobacter pylori (H. pylori) infection adhere to their medication. Forgetfulness is the primary reason for missed doses among non-adherent individuals, impacting treatment success.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Pharmacology
Background:
- Helicobacter pylori (H. pylori) infection affects nearly half the global population, necessitating effective treatment strategies.
- Optimizing H. pylori eradication rates hinges on high patient adherence to complex multi-drug therapies.
- Understanding factors influencing medication adherence is crucial for successful H. pylori treatment outcomes.
Purpose of the Study:
- To investigate medication adherence patterns in patients diagnosed with H. pylori infection.
- To identify key factors associated with non-adherence to prescribed H. pylori eradication therapies.
Main Methods:
- A study was conducted on H. pylori positive patients undergoing eradication therapy.
- Data was collected via interviews using a structured questionnaire after obtaining informed consent.
- Statistical analysis was performed using SPSS, with a p-value < 0.05 considered significant.
Main Results:
- Out of 70 participants, 85.7% demonstrated adherence to their medication regimen.
- Forgetfulness was cited as the main reason for missed doses by 80% of non-adherent patients.
- Adherence showed a significant association with the absence of symptomatic relief (p<0.05), but not with gender, age, or literacy.
Conclusions:
- The majority of patients with H. pylori infection exhibit good medication adherence.
- Forgetfulness is the predominant factor contributing to missed doses in non-adherent patients.
- Addressing forgetfulness may improve adherence and treatment efficacy for H. pylori infections.
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