Poor Adherence to Common Recommendations and Associated Factors among Outpatients with Type 2 Diabetes Mellitus in a Police Hospital of Ethiopia

Tariku Shimels, Melesse Abebaw, G. B. Gebretekle
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Abstract

Introduction Poor adherence to medication and healthy lifestyle managements, such as diet and regular exercise, remains to be a challenge for patients with type 2 diabetes mellitus. The objective of this study was to assess the pattern of adherence to common recommendations, reasons, and factors associated with poor overall adherence among outpatients with type 2 diabetes mellitus in a police hospital of Ethiopia. Method A facility-based cross-sectional study was done between 15 October 2016 and 15 January 2017. Systematic random sampling method was applied to recruit participants. A semistructured interview guide with an observation checklist was used to collect data. SPSS v.20.0 was used in the analysis. Results Out of 361 participants, over half (56.5%) participants were male and 235 (65.1%) participants were military. Nearly half (49%) of the participants were on oral combination therapy. Only 194 (53.7%) of the patients showed good adherence for diet. Half (50.1%) of the respondents had poor adherence to all recommendations. Reasons for poor adherence included lack of adequate knowledge (68.9%) for diet, carelessness (37.8%) for exercise, and lack of adequate knowledge (34.8%) followed by carelessness (28.3%) and forgetfulness (19.6%) for medication. Intake of herbal medicines doubled the likelihood of good adherence. Conclusion Adherence of patients to diet was found to be suboptimal. Lack of adequate knowledge, carelessness, and forgetfulness were among the reasons mentioned. Only use of herbal medicine showed statistical significance with adherence. Patient education on dietary practice is required in the study setting.
埃塞俄比亚一家警察医院2型糖尿病门诊患者对常见建议的依从性差及其相关因素
2型糖尿病患者对药物治疗和健康生活方式管理(如饮食和定期运动)的依从性差仍然是一个挑战。本研究的目的是评估埃塞俄比亚一家警察医院2型糖尿病门诊患者对共同建议的依从性模式、原因和与总体依从性差相关的因素。方法于2016年10月15日至2017年1月15日进行基于设施的横断面研究。采用系统随机抽样方法招募参与者。采用半结构化访谈指南和观察表收集数据。采用SPSS v.20.0进行分析。结果在361名参与者中,超过一半(56.5%)的参与者为男性,235名(65.1%)参与者为军人。近一半(49%)的参与者接受口服联合治疗。仅194例(53.7%)患者饮食依从性良好。一半(50.1%)的受访者对所有建议的依从性较差。依从性差的原因包括饮食知识不足(68.9%)、运动知识不充分(37.8%)、用药知识不充分(34.8%)、用药知识不充分(28.3%)、用药知识不充分(19.6%)。服用草药使良好的依从性增加了一倍。结论患者饮食依从性不佳。缺乏足够的知识、粗心大意和健忘是被提到的原因。只有使用草药与依从性有统计学意义。在研究环境中,需要对患者进行饮食实践教育。
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