Physicians′ therapeutic practice and compliance of diabetic patients attending rural primary health care units in Alexandria

Ibrahim, Nahla Khamis; Attia, S.; Sallam, Sunny; Fetohy, Ebtisam; El-Sewi, Fatihey

doi:10.4103/1319-1683.74325

Cited by 29 publications

(41 citation statements)

References 9 publications

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“…The results of the present study show that, among the participants 26.1% were found to have good adherence, 47.9% had a fair adherence, and 26% had poor adherence. These results are not in agreement with Nahla et al, [10], who reported that about 57% of patients always took their medication as prescribed and on time. In addition, the results by Kravitzetet al, 11 in Scotland found that 91% of the diabetic patients reported that they actually took their medication as prescribed.…”

Section: Discussioncontrasting

confidence: 93%

Patterns and obstacles to oral antidiabetic medications adherence among type 2 diabetics in ismailia, egypt: a cross section study

2015

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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.

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Section: Discussioncontrasting

confidence: 93%

Patterns and obstacles to oral antidiabetic medications adherence among type 2 diabetics in ismailia, egypt: a cross section study

2015

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“…Physical activity was the only behavior that did not show significant improvement. This was in agreement with a previous study conducted in our country and concluded that the exercise regimen showed the lowest values among all studied items of compliance to management (i.e., taking medications as prescribed, taking medication in time, dietary control, and exercise control) (Ibrahim et al 2010). The authors explained this low patient compliance with physical activity as being due to the fear of increased risk of trauma and/or the perception that exercise could exacerbate their illness.…”

Section: Discussionsupporting

confidence: 85%

The impact of communicating cardiovascular risk in type 2 diabetics on patient risk perception, diabetes self-care, glycosylated hemoglobin, and cardiovascular risk

Tawfik

Mohamed

2016

J Public Health

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Aim This study aims to investigate the effect of a cardiovascular risk (CVR) communication intervention on the accuracy of CVR perception, diabetes self-care (DSC), glycosylated hemoglobin percent (HbA1c%), and CVR in patients with type 2 diabetes mellitus (T2DM). Subject and methods A randomized controlled trial was performed in T2DM patients attending the family medicine outpatient clinic in Suez Canal University Hospital, Ismailia. The intervention group (n = 107) received a comprehensive CVR communication. Control subjects (n = 107) received the standard usual care. The outcome measures were: accuracy of risk perception, DSC, HbA1c%, and CVR scores. Patients were investigated at baseline and 3 months after the intervention. Differences between arms were assessed using chi-square and Student's t-test, and within-group differences were assessed using the paired t-test and McNemar's test. Results After the intervention, the accuracy rate of risk perception was significantly improved (from 44.9 % to 89.7 %) in the intervention group with excellent improvement in agreement between perceived and objective risk (kappa ± SE 83.7 ± 4.4 %, p < 0.000). Diabetes self-care sum scale scores and HbA1c% showed statistically significant improvements for within-intervention group comparisons and between groups after the intervention (p < 0.000). Cardiovascular risk scores showed minimal, not statistically significant improvement in both groups. Conclusion Our intervention significantly improved CVR perception, DSC, and HbA1c% in patients with T2DM. Further research is needed to investigate the effectiveness of applying more complex and longer lifestyle interventions and to confirm the credibility and sustainability of improvement.

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“…Another study done at a primary care level in Egypt found that compliance of diabetic patients with most types of diabetes regimens was low [15]. There has been a change in dietary patterns and lifestyles of middle eastern people over the past few decades, with increased use of convenience foods and sedentary lifestyles.…”

Section: Discussionmentioning

confidence: 99%

Socio-demographic Determinants of Compliance among Type 2 Diabetic Patients in Abha, Saudi Arabia

Salam

Siddiqui

2013

JCDR

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Background and Objectives: Saudi Arabia has one of the highest prevalence of diabetes. This study was conducted with the following objectives: (1) To study the socio-demographic profile of diabetic patients in Abha. (2) To find the sociodemographic determinants of compliance among diabetic patients in Abha. Material and Methods:A self administered questionnaire which had detailed the socio-demographic features and various aspects of compliance was used on a random sample of registered diabetics at two primary health care centres of Abha.Results: Most of the patients (70.4 percent) were between 40-60 years age. Most of the patients were men (about 60 percent) and Saudis. Majority of patients did not have a university education. Young patients (age<40) were more compliant with all aspects of management, except medication (23.8 percent). Women were significantly more compliant with exercise (49.7 percent), while men were significantly more compliant with follow up (81.1 percent). Saudi patients were significantly compliant with medication (79.2 percent), while non Saudis were compliant with exercise (62.9 percent). All single patients were diet compliant. Smokers were significantly less compliant with exercise. Patients with normal BMI were significantly more compliant with diet and exercise. Conclusion:Patients were found to be generally less compliant towards the regimen. Socio-demographic factors which were significantly associated with non compliance were age, gender, nationality, educational status, marital status, smoking status and BMI.

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Physicians′ therapeutic practice and compliance of diabetic patients attending rural primary health care units in Alexandria

Cited by 29 publications

References 9 publications

Patterns and obstacles to oral antidiabetic medications adherence among type 2 diabetics in ismailia, egypt: a cross section study

Patterns and obstacles to oral antidiabetic medications adherence among type 2 diabetics in ismailia, egypt: a cross section study

The impact of communicating cardiovascular risk in type 2 diabetics on patient risk perception, diabetes self-care, glycosylated hemoglobin, and cardiovascular risk

Socio-demographic Determinants of Compliance among Type 2 Diabetic Patients in Abha, Saudi Arabia

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