Factors affecting compliance to management of diabetes in Urban Health Center of a tertiary care teaching hospital of south India

Abstract

Aim:To Study the Factors affecting compliance to diabetes management and study risk factors and complications of type II diabetes.Settings and Design:Primary health center, Descriptive study.Materials and Methods:A descriptive study of previously diagnosed diabetics (n = 135) attending the chronic disease clinic of Urban Health Center, Jawaharlal Institute of Postgraduate Medical Education and Research (JIUHC) was carried out during October 2011 to December 2011. Data were collected by personal interview on demographic parameters, duration of diabetes, number of doses missed in the last 15 days, co-morbidities, knowledge and practice of dietary modification, physical activity, self-care, family support, awareness about risk factors and complications of diabetes.Statistical Analysis Used:The findings were expressed in terms of proportions. Chi-square test was used to study the association between socio-demographic factors and compliance.Results:Majority of patients were in the age group of 50-59, of which 80% were females. Compliance (defined as not missing more than two doses in the last 15 days) to oral hypoglycemic agents was found in 103 (76%; 68.5-82.9). Dietary modifications was practiced by 110 (81.4%; 74.2-87.3) and 37% (29.2-45.4) practice physical activity. Annual eye check-up was carried out by 43.7%, renal function test by 46.6% and foot care by 54%. Knowledge regarding risk factors (66%; 42.7-59.4) and complications (79%; 71.8-85.4) was comparatively better than knowledge about self-care.Conclusions:Three-fourth of patients were compliant to medications and diet, but less than half follows modifications in physical activity and other self-care practices. Hence, it is essential to educate and motivate people in primary health-care level about self-care and life-style modifications.

Multilevel Approach of a 1-Year Program of Dietary and Exercise Interventions on Bone Mineral Content and Density in Metabolic Syndrome – the RESOLVE Randomized Controlled Trial

“…Thus, compliance appeared to be the most predominant factor for maximizing bone benefits [ 22 ]. Factors affecting compliance are numerous and should be taken into account in lifestyle interventions [ 36 ]. We report that all sites (total body, lumbar spine and femoral neck, for both BMC and BMD) in compliant participants benefited from the training, whereas previous literature has commonly reported site-specific improvements [ 37 , 38 ].…”

Frequency and predictors of compliance among patients taking antihypertensive medicines

“… 12 , 13 Two studies from Southern India reported 24% compliance in hypertension and 76% compliance in diabetes. 14 , 15 For antihypertensive therapy, compliance has been shown to vary from 73% in Southern India to 23% in Northern India. 16 , 17 The compliance was noted to be good in most participants of our study.…”

Knowledge about diabetes and relationship between compliance to the management among the diabetic patients from Rural Area of Sangli District, Maharashtra, India

“…[ 21 ] Santhanakrishnan et al observed compliance to oral hypoglycemic agents in 76% subjects, dietary modifications in 81.4% and physical activity in 37% subjects from Puducherry, India. [ 12 ] While in the current study, pharmacological compliance was reported by 76.2% participants and compliance to the non-pharmacological management was reported by 50.8% participants. The results observed by us were similar to the above-mentioned findings.…”

“…Pharmacological compliance was self-reported, with participants reporting to have missed more than two doses in last 15 days were considered as non-compliant. [ 12 ] Non-pharmacological compliance means adherence to the measures like diet modification and exercises. Due to lack of exact definition of compliance to the non-pharmacological management, a scale was developed with equal importance to diet modifications and physical exercises.…”