Medication Adherence and Diabetes Self-Care Activities Among Patients With Type 2 Diabetes Mellitus

Jannoo, Zeinab; Khan, Naushad Mamode

doi:10.1016/j.vhri.2018.06.003

Cited by 43 publications

(46 citation statements)

References 30 publications

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“…Few patients stopped taking medicines on their own as their blood sugar level became normal. This is similar to the findings reported in Karnataka and Malaysia 20,21 . Among those under medication, most of them took medication regularly.…”

Section: Discussionsupporting

confidence: 92%

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2019

IJPSR

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Background: Type 2 diabetes is a major lifestyle disease often seen with comorbidities or complications. This study is conducted to find out the gender-wise prevalence of comorbidities and medication adherence among the diabetics in Malappuram. Methods: A cross-sectional study was conducted among the 179 diabetics selected for the study. A pre-tested interview schedule was used to collect information about their socio-demographic details, clinical characteristics, co-morbidities and awareness on complications. Anthropometric measurements and blood pressure of each patient were recorded. Body Mass Index, Waist Hip Ratio and Household Dietary Diversity Score were calculated. The results were analyzed statistically. Results: The selected diabetics comprised of 46.4% males and 53.6% females. Around 91% of them were sedentary workers. Early-onset of diabetes at the age of 35-45 years was reported among males (p<0.05). Blood sugar monitoring, insulin usage, and exercise were higher among males while the medication regularity was higher among females. Higher prevalence of obesity (62.5%), hypertension (53.1%) and hypercholesterolemia (59.5%) were observed among the female diabetics. The prevalence of retinopathy (15.7%) and heart diseases (13.3%) were higher among the males. 76 percent of diabetics had poor awareness of complications of diabetes in which females outnumbered males (p<0.01). Conclusion: High prevalence of comorbidities and lack of awareness on complications emphasizes the necessity of mass and individual counseling on diabetes and its self-care measures to the diabetics. INTRODUCTION: Type 2 diabetes is an alarming global epidemic increasing due to population growth, aging and obesity. In 2017, the prevalence of diabetes among men and women was 8.9% and 8.4% respectively 1. It is the seventh leading cause of death, and along with obesity and hypertension, it leads to heart diseases, which are the first leading cause of death in the world 2 .

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Section: Discussionsupporting

confidence: 92%

“…Around half of the patients had regular blood sugar monitoring in which males outweighed females. Better medication adherence and blood sugar monitoring were reported in the previous studies 11,12,[20][21][22] . But they were found to be poor in a study conducted in rural Kerala 23 .…”

Section: Discussionmentioning

confidence: 88%

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2019

IJPSR

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“…The frequency of regular exercise benefits patients, reducing long term monitored blood glucose. The types of exercise should be easy and appropriate for elderly -such as arm swing exercises, small and short step exercises and mild to moderate intensity aerobic exercises [16,19]. Drug adherence; in contrast to other studies, the results obtained reported high medication adherence over previous studies showing the rate of non-adherence to the treatment prescription being high as compared to other studies that reported moderate adherence levels to medication [17,20].…”

Section: Factors Related With Diabetic Self-care Managementmentioning

confidence: 66%

“…Unrealistic perceptions of cost of test strips and needles, lack of basic knowledge due to the absence of diabetes selfmanagement educational programs [15,20]. Not only absence of education but also lack in skills to perform, lack of home health care provider support, fear of testing and associated pain and preference for traditional medicine overwhelmed the sample group [19]. In this study, family support and physician trust had a great influence on the acceptance and performance of DSCM and is critical to further improvements.…”

Section: Social Support (Subjective Norms)mentioning

confidence: 99%

Predicting diabetic self-care management based on the theory of planned behavior among elderly with type 2 diabetes in Thailand

Wongrith¹

2019

Diabetes mellitus

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BACKGROUND: Type 2 diabetes, especially in the elderly, continues to plague the world. Thailand a developing country is not immune to these ravage effects and their distressing upsurge in health and economic societal burdens. Self-care management is an essential strategy to prevent complications and reduce type 2 diabetes complications. AIM: This study aimed to examine the treatment outcome and factors predicting diabetes self-care behaviors among elderly in Thailand. METHODS: A cross-sectional correlative predictive design using multiple linear regression models to evaluate data in elderly type 2 diabetics in Thailand (August through December 2017) to assess perceived behavioral control on diabetic self-care management. One hundred thirty-four participants data were collected via questionnaire along with individual health records becoming the foundation of this study. RESULTS: Most patients controlled glycemic outcome (77.9 %) through self-care behaviors at moderate rates (majority 55.9%). Subjective norms and perceived control strongly correlated with behavioral intention and self-care behaviors. Perceived behavioral control was the most important factor predicting intentions ( 4.025, p .01) and self-care management behavior (15.258, p .001). Patients responding to items regarding self-care behavior for diet, exercise and medication adherence showed favorable outcomes. CONCLUSION: More than half of the patients had moderate levels in self-care management and the majority had good glycemic outcomes. From the analysis, we find that perceived behavioral control is critical to predicting behavioral intention and diabetic self-care behavior among the elderly.

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“…Respondents in both groups did use medication to control blood sugar levels. Medication therapy with drugs can indeed help to reduce blood sugar levels, but this cannot last long [29]. Thus, respondents must take the drug continuously and regularly.…”

Section: Discussionmentioning

confidence: 99%

DM-calendar app as a diabetes self-management education on adult type 2 diabetes mellitus: a randomized controlled trial

Kusnanto

Widyanata

Suprajitno³

et al. 2019

J Diabetes Metab Disord

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Purpose Era Disruption 4.0 demands development in the management of Diabetes Mellitus (DM) by using application-based intervention that can facilitate nursing intervention. The aim was to evaluate the effect of diabetes mellitus calendar app as a Diabetes Self-Management Education (DSME) program on self-efficacy, HbA1c levels, lipid profile, and insulin in adult type 2 diabetes mellitus (T2DM). Methods It was randomized experimental designsimple random sampling used with a total sample of 30 respondents. The instruments used diabetes management self-efficacy scales and standard of operational procedure blood sampling. The statistical tests used were a Paired t-test, Wilcoxon, and an Independent t-test. Results DSME with an Android-based DM calendar affected self-efficacy (p < 0.001), HbA1c levels (p = 0.005), cholesterol (p = 0.009), triglyceride (p = 0.000), HDL-c (p = 0.048), LDL-c (p = 0.010), and insulin (p = 0.000) compared with the control group. Education with these electronic media has increased the perception of self-efficacy and improved the behavior of good self-management that can be seen from changes in controlled HbA1c level, lipid profile and insulin. Conclusion The results of this study can be used as a reference for providing educational experimental in patients with Type 2 Diabetes Mellitus (T2DM).

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Medication Adherence and Diabetes Self-Care Activities Among Patients With Type 2 Diabetes Mellitus

Cited by 43 publications

References 30 publications

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Predicting diabetic self-care management based on the theory of planned behavior among elderly with type 2 diabetes in Thailand

DM-calendar app as a diabetes self-management education on adult type 2 diabetes mellitus: a randomized controlled trial

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