ASSESSMENT OF COMPLIANCE TO TREATMENT IN TYPE II DIABETES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 41
Abstract
BACKGROUND The burden of Diabetes in India is increasing day by day. But regarding treatment compliance in Diabetics not satisfactory in India. It is a serious risk factor for morbidity and mortality. To assess the compliance to treatment among Diabetic patients and to study reasons for the non-compliance this study was conducted. This study finds very high levels of non-adherence to the treatment due to lack of awareness and healthcare facilities. The most common reasons of non-compliance is the lack of sufficient motivation for the treatment adherence as many mentioned is 61.4% in diabetics. In the study of Ludhiana, one of the important reasons of non-compliance was found as cost of checkup in 27% subjects, while 15.7% of subjects mentioned long distance between household and health facility as a reason.1 MATERIALS AND METHODS Observational study was conducted in the Diabetic population attending to this Hospital. All the cases of Diabetes diagnosed for more than 1 year were included in the study. A structured and pretested questionnaire was administered including the treatment details and factors assessing the compliance, knowledge and attitude towards the diabetic disease. Exclusion Criteria- Type 1 Diabetics, Type 2 Diabetics diagnosed and taking treatment less than 1 year. RESULTS A total of 105 individuals were included in the study. The age of onset/detection of Diabetes is more common at the age of 36 - 45 yrs. in females, and at the age of 46 – 55 yrs. in males. In this study, 48.5% (51) were middle and 40% (42) belonged to lower socioeconomic condition. The Literacy among these diabetics were 59% (62) uneducated/below graduation and 25% (26) having graduation and 16% (17) above graduation; 37% of the individuals are unaware of sticking to the treatment and 27% are unaware about the course and Diabetic complications (micro or macro) and 36% are unaware that medication will delay the Diabetic complications; 79 (75%) were found taking drug treatment regularly since 1 year, 22 (21%) never discontinued the drug treatment since the onset/detection of diabetes. The non-compliance was due to the lack of faith in the medication 12 (11%), forgetfulness of daily medication 61 (58%) and financial constraints for the drug treatment 32 (31%). The diet non-adherence was 58% (62). The diet non-adherence was due to dislike for foods included in meal plans 47%, social influences were 47% and 6% are not able to follow the meal plan due to financial constraints, 91.5% (96) were non-adherent to exercise. The lack of motivation was noticed in 27% (50), lack of planning in 51% (50) and physical problems 22% (42). CONCLUSION Type 2 Diabetes is a progressive disease and needs Pharmacological treatment along with Diet, exercise, lifestyle changes which are essential to maintain glycaemic control and to reduce the complications. The non-adherence to Pharmacological treatment, diet, exercise, lifestyle changes are the main reasons for the failure in the Diabetic management. For efficient control of Diabetic management, the causes of non-adherence have to be perceived and corrected. Among the numerous reasons for poor adherence include lack of understanding of long-term benefits of treatment due to low education status of the community, lack of faith in the treatment and motivation, unawareness and self-neglect, financial constraints and lack of communication between doctor and the patient, all of these lead to non-compliance.2 According to the Health Belief Model (HBM), individuals will be more likely to adhere to medical regimen if they believe that the benefits (perceived benefits) of the behaviours considered are immense and such behaviour is both possible and useful.3
Authors and Affiliations
Bolimera Venkata Sudheer, Varalakshmi M
Keywords
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- EP ID EP214002
- DOI 10.14260/Jemds/2017/701
- Views 95
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