Abstract
IntroductionDiabetes is a costly and increasingly common chronic disease. Effective management of diabetes to achieve glycemic control improves patient quality of life. Adherence rates to drug regimens in patients with type 2 diabetes are relatively low and vary widely between populations. There are many factors that could affect patient adherence to drug therapy. The aim of the present study was assessing patterns and obstacles to adherence of type 2 diabetic patients to their oral hypoglycemic drugs.MethodsThe present work is a descriptive cross section study, carried on type 2 diabetic patients who were on oral hypoglycemic drugs. Data concerning adherence to drugs was assessed using measure treatment adherence scale (MTA).ResultsA total of 372 (55.59% males and 44.41% females) patients with type-2 diabetes fulfilled the inclusion criteria and included in the study. Among the participants, 26.1% were found to have good adherence, 47.9% had a fair adherence, and 26% had poor adherence.ConclusionThe overall rate of medication adherence among the diabetic patients population was suboptimal and non-acceptable. Evaluation of adherence is vital for patients with diabetes in order to determine factors and barriers affecting the adherence and to manage them.
Highlights
Diabetes is a costly and increasingly common chronic disease
Study Design:The present study is a descriptive cross section study that was carried on all type 2 diabetic patients who lived in Fanara city andhave medical records at Fanara's Family Medicine Center.Exclusion criteria werepatients who were on insulin therapy, unconscious, or attended emergency condition and, or who were not interested in the study
The adherence section focused on exploring patients' experience with current antidiabetic prescriptions and possible factors that could affect the adherence and patients' knowledge and practice of diabetes self management behaviors such as self blood glucose monitoring, optimal blood glucose target, and complications from poor glycemic control.Data concerning adherence to drugs, its effect and its determinants, was assessed using questions of the Measure Treatment Adherence scale developed by Delgado and Lima
Summary
Diabetes is a costly and increasingly common chronic disease. The data from the Egyptian Demographic and Health Survey in 2008 showed the crude prevalence rate of physician-diagnosed diabetes among the adult population of Egypt aged 15-59 to be 4.07% [1]. Physicians and nurses can motivate patients to be more adherentto their antidiabetic regimen if they work on the factors that possibly affect oral hypoglycemic medications adherence. Physicians and nurses can motivate patients to be more adherences to their anti-diabetic regimen and work on the causes. Medication related factors take into account the attitude towards medicines, the complexity of the medication regimen and the experience of side effects [6]. A positive attitude towards medicines, a less complex medication regimen and less experience of side effects are related to higher adherence rates. Few studies have investigatedthe adherence to oral hypoglycemic medication in our Egyptian society, which has special demographic characteristics in urban and rural areas. The aim of the present study was toassess patterns and obstacles that affecting adherence in type 2 diabetic patients to their oral hypoglycemic drugs
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