Abstract
AimsThe study aimed to assess the impact of self-care on adherence to treatment in patients diagnosed with type 2 diabetes and effect of complex interaction of social, lifestyle, economic, environmental and behavioural.MethodsThe study was carried out between June 2018 and May 2019 on 324 patients (162 females, 162 males) with type 2 diabetes. To measure the levels of self-care, the Self-Care of Diabetes Index (SCODI) questionnaire was used. Adherence to treatment was assessed with the Adherence in Chronic Diseases Scale (ACDS).ResultsThe highest scores of health behaviour were on the subscale of adherence with the mean value of 68.37, and the lowest results on the subscale of blood sugar self-monitoring, with the mean of 56.05. We found that low adherence to treatment was present in 52.47% of respondents, the moderate level in 39.20%, while only 8.33% of patients showed the high level. There were significant positive correlations between the ACDS and SCODI subscales (p < 0.05): self-care maintenance (0.436), self-care management (0.413), self-care monitoring (0.384), and self-care confidence (0.453).ConclusionsSelf-care affects on adherence in patients with type 2 diabetes. The higher self-efficacy in each of the areas of functioning, the higher the level of adherence to treatment. We found that demographic variables such as female sex, education and employment status can influence self-care in managing chronic illnesses such as type 2 diabetes.
Highlights
The epidemiological data show a significant worldwide growth of people with diabetes melitus (DM), which is currently one of the leading causes of global mortality [1]
The aim of this study was to assess the impact of self-care on adherence to treatment in patients diagnosed with type 2 DM and effect of complex interaction of social, lifestyle, economic, environmental and behavioural
In order to assess the level of self-care, the Self-Care of Diabetes Index (SCODI) questionnaire was used to measure self-care in DM patients
Summary
The epidemiological data show a significant worldwide growth of people with diabetes melitus (DM), which is currently one of the leading causes of global mortality [1]. Acta Diabetologica (2021) 58:437–445 workers, as the needs of patients as regards self-care include regular blood glucose testing and measures aimed at preventing the complications of the disease, including disability. American Diabetes Association (ADA) [6] stresses the importance of health education and self-care as a key element in the management of diabetic patients. Health education is of particular importance, as patients with type 2 DM face numerous challenges like regular check-ups, adherence to treatment and self-care. The literature reports other multiple factors which have an influence on adherence to treatment and the level of self-care in diabetes patients. The aim of this study was to assess the impact of self-care on adherence to treatment in patients diagnosed with type 2 DM and effect of complex interaction of social, lifestyle, economic, environmental and behavioural
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