The attitude and prevalence of patient noncompliance toward chronic disease medications in Saudi Arabia

Alhanouf Fahad Altamimi; Zuhour Abdullah Alqahtani; Fay Ahmed Almughaiseeb; Kholoud Abdullah Alshiha; Abdullah Alaryni; Azzam Alotaibi

doi:10.4103/jfmpc.jfmpc_2512_20

The attitude and prevalence of patient noncompliance toward chronic disease medications in Saudi Arabia

J Family Med Prim Care. 2021 Aug;10(8):3064-3070. doi: 10.4103/jfmpc.jfmpc_2512_20. Epub 2021 Aug 27.

Authors

Alhanouf Fahad Altamimi¹, Zuhour Abdullah Alqahtani¹, Fay Ahmed Almughaiseeb¹, Kholoud Abdullah Alshiha¹, Abdullah Alaryni², Azzam Alotaibi²

Affiliations

¹ College of Medicine, Imam Mohammed Ibn Saud Islamic University, Riyadh, Saudi Arabia.
² Internal Medicine Department, Imam Mohammed Ibn Saud Islamic University, Riyadh, Saudi Arabia.

Abstract

Background: Failure of patients' adherence to medications has been a big issue for both physicians and patients; not only it does affect the patients' health but also it affects the financial status of the hospital and the patient.

Objective: This investigation aims to explore the prevalence and the factors affecting the compliance of patients with chronic conditions to their medications.

Materials and methods: An online survey was distributed to patients who had chronic conditions and lived in the main cities of Saudi Arabia. The questionnaire included sections about the patients' general characters, type of chronic disease, the pattern of prescribed medications' usage, and factors affecting compliance of patients toward their medications. Data was collected in a predesigned excel sheet, and analysis was executed through SPSS program version 26.

Results: 301 patients responded to this questionnaire. The lowest incidence of missing pills was among patients with heart failure, followed by chronic kidney disease, whereas the highest frequency of missing pills was among patients with vitamin D deficiency, followed by hyperlipidemia. 38.5% of the patients used mobile applications as reminders for the administration of their medications. 50% of the patients who use reminders take more than four pills a day. 48.2% of the patients stopped medications without consulting their doctors, where 20.9% stopped one medication for less than a month. 57.5% forgot to take drug doses in a year, with a mean of 8.55 ± 26.3 forgotten doses. Females, patients aging between 31 and 45 years old, obese, married, illiterate, self-employed, those who follow with military hospitals, exercising regularly, and ex-smoker all showed a higher incidence of noncompliance to medications. The main reason for noncompliance was forgetfulness in 60% of patients. 63.2% of the patients did not have a GP to help them with medications compliance.

Conclusion: The compliance of Saudi patients toward their chronic medications requires improvement. Similar studies in other areas in Saudi Arabia are recommended.

Keywords: Adherence; chronic disease; medication compliance; patient.