Adherence to the Therapeutic Regime in Person with Type 2 Diabetes

Abstract

Background: It is expected that people with diabetes, throughout their lives, integrate and initiate a range of behavioral, therapeutic or preventive actions, suggesting the confirmed risk of occurring a globalized noncompliance, deteriorating their quality of life and an exponential economic impact. Objectives: to determine adherence to prescribed therapeutic regimen; and identify sociodemographic, clinical and psychosocial variables that influence adherence to the therapy. Methods: Was conducted a study quantitative, cross-sectional, non-experimental, descriptive, correlational study, with a sample of 102 people with diabetes type 2, aged 40 to 85 years, mostly male (51.96%). The evaluation protocol includes: social-demographic and clinical questionnaire, Diabetes Self-care Scale, Questionnaire about the knowledge of Diabetes, Depression, Anxiety and Stress Scale. Also resorted to HbA1c to directly assess adherence. Results: It appears that there is no statistically significant association between socio-demographic variables, sex and age and adherence. Single individuals, residents in urban areas, pensioners and those with the 3rd stage of schooling or more, adhere better to treatment. The variables such as, blood glucose monitoring, specific diet fulfillment and knowledge, reveal a statistically significant effect on adherence (p < 0.05). Anxious, depressed and stressed individuals adhere less. Conclusion: The evidences underlines the urgent need to recognize the importance of measuring patient adherence to a diabetes treatment plan for the maintenance of glycemic control. We suggest the reinforcement of educational programs in people with type 2 diabetes in order to enhance greater adherence to self-care.

Adherence to Medication, Diet and Physical Activity and the Associated Factors Amongst Patients with Type 2 Diabetes

“…Furthermore, contrary to the current finding, a previous study by Parajuli et al found that male participants adhered more to their MD than female ones did [38]. Although marital status had no significant association with adherence to MD in our research, Albuquerque et al's research found that being single had high a correlation with adherence to MD amongst patients with diabetes [39]. As well as contributing factors for non-compliance with diet, Parajuli et al's research included divorced status, negative family history of diabetes mellitus, and low knowledge of diabetes mellitus [38].…”

Impact of health education on attitude regarding oral anti-diabetic drug adherence in type 2 diabetes mellitus, Bengaluru

“…Comparable to Kasznicki et al study where females constituted 62% and males 38% of type 2 diabetic patients. 8 In the present study currently married were 72.8%., similar to the study by Albuquerque et al 9 In the present study most of the subjects were illiterates 40%, followed by middle school 31.4%. In a study by Arulmozhi et al 39.3% had studied up to primary education level.…”

“…development of strategies, so this becomes the main manager of their illness. 2 The lack of positive attitude could be an important obstacle for long term management of diabetes. There is a need to increase knowledge and built positive attitude regarding diabetes and its complications as it has significant benefits including increase in adherence to treatment, thereby decreasing the complications associated with diabetes.…”

Benefícios Decorrentes De Prática Do Cuidado Farmacêutico Em Hipertensão E Diabetes Tipo 2 Para Sua Efetivação Em Unidades De Saúde

“…O uso de práticas educativas como estratégia no tratamento de diabetes tipo 2 leva à melhora no conhecimento sobre a doença e o tratamento, além de motivar e reforçar a importância do estilo de vida, melhorando a qualidade de vida dos pacientes por meio do aumento de sua autonomia, adesão e, assim, capacitar no manejo da enfermidade. Pacientes com esse conhecimento conseguirão reconhecer a importância da adesão à farmacoterapia e o controle deste agravo à saúde (45).…”