Adherence and Quality of Life in Patients With Type II Diabetes Mellitus in Northern Greece

Abstract

Introduction:Adherence as a concept includes various types of health-related behavior. Better medical adherence leads to improved disease control and fewer diabetes–related complications. Quality of life and medication adherence are interrelated. Patients with diabetes who adhere to their treatment can experience an improvement in quality of life and vice versa.Aim:To assess treatment adherence in patients with type II diabetes, as well as the connection between adherence and quality of life.Methodology:A descriptive non-experimental study was conducted in a provincial hospital in Northern Greece. The sample examined was a convenience sample consisting of 108 patients with type II diabetes mellitus. They completed the “Diabetes Self-Care Activities Questionnaire” and SF-36 “Quality of Life Questionnaire”.Results:Participants demonstrated good adherence to diet and blood test / blood glucose test routines, but did not experience high levels of quality of life. The type of treatment affected the adherence to blood tests with a statistically significant difference (p=0,000). Also, marital status affected mental health with a statistically significant difference (p=0,032). The adherence sub scales are correlated with the all domains of quality of life.Conclusions:According to our findings, it is important to plan interventions to enhance adherence to other types of treatment and to help patients to further improve their quality of life.

Diabetic Patients’ Quality of Life and Their Relationship in Compliance with Antidiabetic Treatment. Case Study of Patients in a Public Hospital in Greece

“…Overall the results of the study showed that patients with type 2 diabetes exhibited low levels of diet compliance and high levels of lower extremity care and medication adherence. This result does not coincide with the findings of previous research in Greece, which showed higher rates of diet compliance [13].…”

“…In the present study, only positive associations were observed between personal attitudes towards lower extremity care and compliance with lower extremity care with the quality of life associated with physical health. Although this result is consistent with the findings of Zioga et al [13], this study also found other correlations between all dimensions of diabetes compliance (diet, exercise, blood sugar measurement, self-care recommendations) and all dimensions of quality of life, as assessed by the SF-36 scale, which were not identified in the present study due to possible differences in the samples between the two studies, but also possibly due to differences in the data collection tool for adherence to the antidiabetic treatment. Possible, some other factors may contribute to the quality of life of sample diabetes patients, such as co mplications of diabetes, type of medication, or duration of diabetes, but these associations were not examined in the present study.…”

“…A significant proportion of patients did not achieve glycaemic target levels and reported high levels of satisfaction with treatment. On the other hand [13] found that patients with type II diabetes in a public hospital showed good levels of compliance with treatment, but nevertheless reported high quality of life. Other international researches revealed the opposite results.…”

Treatment Adherence and Quality of Life of Patients With Stable Ischemic Heart Disease in Treatment With Nicorandil: Interrelation and Interaction (According to the Results of the Observational Study Nikea)

“…Особую актуальность и значимость проблемы HRQoL и приверженности к терапии имеют при хро-нических заболеваниях, требующих длительного, не-редко пожизненного, лечения. В целом ряде иссле-дований была выявлена взаимосвязь между крите-риями КЖ и показателями приверженности к лечению [3][4][5]. Так, в публикации Allhadad I.A.…”

“…и Urbayatun S. также была выявлена положительная корреляция между показателями КЖ и приверженности к медикаментозной терапии у больных сахарным диа-бетом 2 типа [4]. Взаимосвязь между приверженностью больных к лечению и их HRQoL была подтверждена и в исследовании греческих авторов [5]. В других ис-следованиях связи между КЖ и приверженностью к лечению либо не было выявлено [6], либо она была очень слабой, незначительной [7].…”