A study on non-adherence to medication, self-care practices and health-related quality of life of type-2 diabetic patients in field practice areas of B.J. Medical College, Ahmedabad
Journal Title: Healthline - Year 2018, Vol 9, Issue 1
Abstract
Introduction: Glycemic control plays the main role in diabetes management which mainly depends upon patient adherence to the treatment plan. Accurate assessment, adherence to medications, diet care, foot care and exercise is necessary for effective management of diabetes, as non-adherence leads to development of short-term risks as well as long-term complications which declines the quality of life of diabetic patients. Objective: The present study was conducted to study socio-demographic profile of diabetic patients, to find out prevalence rates of non-adherence to medications, diet care, foot care, exercise among type-2 diabetic patients and to find out association between non-adherence to medication, self-care practices and health related quality of life based on five domains among type-2 diabetic patients. Method: A cross sectional study was conducted from October to November 2016 infield practice areas of B. J. Medical College, Ahmedabad to find out prevalence rates of non-adherence to medications, diet care, foot care, exercise among type-2 diabetic patients. Total 130 diabetic patients diagnosed since at least 1 year and age >25 years were interviewed using a predesigned schedule adapted from EQ-5D questionnaire. Results: High non-adherence rate was found for exercise (76.8%) followed by foot care (70.7%), medication (56.1%), blood glucose monitoring (46.9%) and diet care (25.3%). There is significant association between mobility problem and poor foot care practices (p<0.05); between discomfort/pain and poor foot care practices (p<0.05); between anxiety/depression problem and medication non-adherence (p<0.05). Conclusion- In the present study high rate of non-adherence was found and it also reflected that non-adherence patient had poor quality of life.
Authors and Affiliations
Norma Bhanat, Anjali Mall, Grishma Dixit
Keywords
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