Factors contributing to non-adherence to treatment regimen among senior citizens in Wiiyaakara Community of Khana Local Government Area, Rivers State

Abstract

Non adherence to medication is a recognized problem and may be the most challenging aspect of treatment. This paper considers factors contributing to non-adherence to treatment regimen among senior citizens in Wiiyaakara community of Khana Local Government Area, Rivers State. A systematic review of factors that influence non-adherence to treatment regime was considered. This study was conducted on 100 elderly citizens of Wiiyaakara community. Results: Key drivers of non-adherence included lack of insight, medication beliefs and substance abuse, poor communication, lack of patient education, lack of professional conduct on the part of health workers at times. Non-adherence reduces the potential effect of drugs thereby bring about frequent visit to the health facilities. This in turn has negative social impact in the community and remedial intervention to address relapse. Findings showed that non-adherence to treatment regime among senior citizens affects parents, families, and the community-, through increased risk of death and other negative consequences. It is needful for Nigerian Government to improve and make affordable health services for the elderly. Healthcare service providers should improve their communication and professional conducts in dealing with elderly citizens. Empathy, patience, and understanding is required on the part of health service providers. Instructions should be given in simple, clear and plane terms to elderly patient. Elderly patients should be encouraged to keep to the treatment regimen.