scholarly journals Medication adherence and factors associated with poor adherence among type 2 diabetes mellitus patients on follow-up at Kenyatta National Hospital, Kenya

Author(s):  
Gabriel Waari ◽  
Joseph Mutai ◽  
Joseph Gikunju
2021 ◽  
Author(s):  
Mulugeta Selassie ◽  
Desalegn Tamiru ◽  
Tegegn Tadesse ◽  
Adisalem Gizachew

Abstract Background Despite the importance of dietary practice on self care of patients with type 2 diabetes mellitus, poor dietary practice results in long term complications. Therefore this study was conducted to identify the level of poor dietary practice among type 2 diabetic patients on follow up in Nigist Elleni Mohammed Memorial comprehensive specialized Hospital, Southern Ethiopia. Methods Facility based cross-sectional study design was employed to assess the level of poor dietary practice among type II diabetes mellitus adult patients. The study was conducted from March to April 2020 G.C. Systematic random sampling method was used to select the study respondent. Both bivariate and multivariable logistic regressions were carried out to assess independent predictors of poor practice to diet. Odds ratios and their 95% confidence intervals together with value ≤ 0.05 were used to identify independent predictors of poor dietary practice. Result The overall proportion of poor dietary adherence among type diabetes patients was 53.7% (n = 168). Having large family size, occupations, being low wealth status, lack of family support and not being member of diabetic association were the factors associated with poor adherence of dietary practice among type 2 diabetes mellitus patients. Conclusion The overall magnitude of the poor adherence to dietary practice among type 2 diabetes mellitus adult patients was 53.7% which is not going in line with international recommendations of diabetic self care. Every concerned body should strive to address those factors associated with poor dietary practice among type 2 diabetes mellitus patients.


Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 709-P
Author(s):  
PUSHPANJALI SHAKYA ◽  
BIRAJ M. KARMACHARYA ◽  
ARCHANA SHRESTHA ◽  
BAARD E. KULSENG

2017 ◽  
Vol 9 (1) ◽  
pp. 3-14 ◽  
Author(s):  
Mahmoud Radwan ◽  
Aymen Elsous ◽  
Hasnaa Al-Sharif ◽  
Ayman Abu Mustafa

Aim: In this study, we aimed to assess the level of good glycemic control, to determine association between adherence to antidiabetic medications and glycosylated hemoglobin (HbA1c) and to examine factors influencing good glycemic control. Materials and methods: A cross-sectional design was employed among 369 patients with type 2 diabetes mellitus (T2DM) from four Ministry of Health health centers in 2016. A sample of 3 ml blood was taken to measure the HbA1c, and patients were asked to fill out a pretested questionnaire. Univariate and multivariate logistic regressions, to identify independent factors associated with good glycemic control, were conducted using SPSS software version 22 (IBM Corp, Armonk, NY, USA). Results: Mean [±standard deviation (SD)] of HbA1c was 8.97 (2.02) and one fifth of patients had good glycemic control (HbA1c ⩽ 7%). Factors associated with good glycemic control were: older age [odds ratio (OR) = 0.96, 95% confidence interval (CI): 0.933–0.988), high medication adherence (OR: 2.757, 95% CI: 1.308–4.693), and better health literacy (OR= 2.124, 95% CI: 1.917–4.921). Duration of diabetes mellitus (DM > 7 years) was inversely related to good glycemic control (OR = 2.255, 95% CI: 1.189–4.276). Conclusion: Our study showed that glycemic control was suboptimal, and factors associated with that were: older age, high medication adherence, and better health literacy. Knowledge of these factors could be an entry toward helping patients and targeting interventions to improve glycemic control and prevent diabetes-related complications.


Author(s):  
PUTU DEWINTA DARMADA ◽  
DEWI CATUR WULANDARI

Objective: The prevalence of diabetes mellitus continues to increase worldwide, followed by the incidence of complications, which ends up causing morbidity and mortality in patients. There were many factors related to the incidence of complications in diabetes mellitus. Patient’s adherence to their medication is considered to have an impact on the complications in diabetic patients. Methods: The study was conducted on 68 patients with a cross-sectional method with consecutive sampling. Statistical analysis was done using the Chi-square and Fisher’s exact test. p<0.05 was considered statistically significant. Patients were interviewed using a demographic data questionnaire and medication adherence rating scale – 5 (MARS-5). Other data and diagnosis of complications were collected through medical records. The epidemiological analysis was carried out using the prevalence ratio. Results: There were 47 (69.1%) patients with type 2 diabetes mellitus (T2DM) hospitalized due to complications, and 56 (82.4%) patients have poor adherence to treatment. There was a significant relationship between treatment adherence and the incidence of complications in diabetes mellitus patients with p = 0.001 and it was found that there was a risk of 3.14 times in patients who have poor adherence to be hospitalized due to complications. Conclusion: Treatment adherence affects the incidence of complications in patients with T2DM.


2021 ◽  
Author(s):  
Sheikh Mohammed Shariful Islam ◽  
Md. Tauhidul Islam ◽  
Riaz Uddin ◽  
Tania Tansi ◽  
Shamim Talukder ◽  
...  

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