A COMPARATIVE STUDY FOR THE ASSESSMENT OF COMPLIANCE IN ALCOHOLICS AND NON-ALCOHOLIC PATIENTS ON ANTI-TUBERCULAR THERAPY – A PROSPECTIVE OBSERVATIONAL STUDY
Abstract
ABSTRACT
Background: Compliance to Anti-tubercular therapy is very important for the treatment and also to prevent the relapse or failure of the treatment. Nevertheless, many people fail to adhere to the therapy and various factors plays a role in the process. This study was undertaken to assess the adherence in alcoholics and non-alcoholic patients on Anti-tubercular therapy and to evaluate the factors affecting the compliance towards the therapy. Materials and Methods: It was a questionnaire based observational study where 100 patients (50 alcoholics and 50 non-alcoholics) receiving anti-tubercular therapy were interviewed using Morisky Medication Adherence Scale 4 and self-designed questionnaires. Results: In our study highest adherence was found in non-alcoholics compared to alcoholics. Level of adherence were High (14), Medium (30) and Low (6) in non-alcoholics whereas High (6), Medium (28) and Low (16) in alcoholics receiving anti-tubercular therapy. Reasons for non-adherence were described as Forgetfulness 3 %, Vomiting 2 %, travelling to other places 12 %, work 11%, far distance 5%, other reasons 3% by non-alcoholics as compared to 11%, 8%, 9%, 7%, 4% and 3% respectively by alcoholics. Conclusion: Our findings suggests that the adherence towards the anti-tubercular therapy were high in non-alcoholics as compared to alcoholics. So, the habit of consumption of alcohol is affecting the adherence towards the therapy.
Keywords: Adherence, Anti-tubercular therapy, Morisky medication adherence scale
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