Abstract
IntroductionDiabetes mellitus is a chronic disease with a high prevalence world wide. This disease has also been reported to affect the quality of life (QOL) of the patient and their family due to its chronic nature and multi organ involvement. The aim of this study was to analyze the association between adherence to prescribed diabetes medication and diabetes-specific QOL in patients attending Secondary Health Care Facility in Bandung City, Indonesia.MethodsA cross-sectional survey was conducted in the Secondary Health Care Facility in Bandung City, Indonesia. Data were collected between February and April 2014 using consecutive sampling. Adherence was assessed using the eight-item Morisky Medication Adherence Scale while diabetes-specific-QOL was assessed using the Diabetes 39 instrument.ResultsThe results showed that among the patients, 49.4% exhibited low adherence, 29.7% exhibited medium adherence, and 20.9% exhibited high adherence to diabetes medication. Diabetes-specific QOL proved to be highly affected in the sexual functioning domain. Social-burden domain scores were better than overall QOL scores. There was a significant association between adherence and diabetes-specific QOL (p = 0.009) using The Kruskall-Wallis test of significance. The results of the post hoc Mann–Whitney tests (high vs medium adherence, p = 0.084; medium vs low adherence, p = 0.86; and high vs low adherence, p = 0.001) indicated that higher adherence to prescribed diabetes medication contributed to an improved QOL. Multiple regression analysis showed that the predictors of diabetes-specific QOL were adherence and patient income.ConclusionsAdherence to prescribed medication showed a positive effect on diabetes-specific QOL in patients. Patients with a high adherence to medication had an improved QOL. This result is important not only in developing intervention programs for patients but also in improving their QOL through sustainable health promotion.
Highlights
Diabetes mellitus is a chronic disease with a high prevalence world wide due to changing lifestyles resulting in less physical activity and increased obesity [1, 2]
In this study, we explored the association between adherence to oral diabetes medication and disease-specific-quality of life (QOL) in type 2 diabetes mellitus (T2DM) patients attending Secondary Health Care Facility in Bandung City, Indonesia
Overall mean diabetes-specific QOL scores were plotted by level of adherence (Fig. 2). These results indicated that higher adherence to medication contributed to improve diabetes-specific QOL and vice versa
Summary
Diabetes mellitus is a chronic disease with a high prevalence world wide This disease has been reported to affect the quality of life (QOL) of the patient and their family due to its chronic nature and multi organ involvement. The aim of this study was to analyze the association between adherence to prescribed diabetes medication and diabetes-specific QOL in patients attending Secondary Health Care Facility in Bandung City, Indonesia. Treatment regimens for type 2 diabetes mellitus (T2DM) require lifestyle and behavioral changes and may influence daily functioning and well-being in patients The majority of the success of long-term maintenance therapy and metabolic control in patients depends on their adherence to medication and lifestyle changes
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