Socio-Demographic Analysis of Non-Compliance among Patients with Schizophrenia: A Cross-Sectional Observation in a Tertiary Teaching Hospital of Bangladesh

Hasina Akter, Bithika Mali, S M Yasir Arafat


Introduction: Schizophrenia is a major mental illness across the globe in which medication non-compliance is one of the vital challenges. We aimed to look into the socio-demographic factors those affect medication compliance among patients with schizophrenia.

Methods: This descriptive cross-sectional research was done at the department of Mental Health and Psychiatric Nursing in National Institute of Advanced Nursing Education and Research between January 2017 and June 2018. Data were collected from 120 schizophrenic patients from the department of Psychiatry Bangabandhu Sheikh Mujib Medical University with convenient sampling technique through face to face interview with semi structured questionnaire.

Results: Respondents’ mean age was 30.63 (SD±9.20) years, ranging from 18 to 65 years. The total mean score of medication compliance was 2.46 with 5 items in 4 points scales. Higher educated patients, service holders, non-smoker, non- substance user, and patients who have not experienced side effect of drugs showed higher medication compliance.

Conclusions: The study revealed less education, unemployment, inadequate knowledge and thought about their illness, unavailability of psychiatric services, smoker and substance user are more vulnerable to non-compliance in Bangladesh. Further large-scale interventional studies would necessary to generalize the results.

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Medication Compliance; Non-compliance; Schizophrenia

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