Compliance of Type Two Diabetic Patients to Treatment in a Sample in Baghdad

Dawood, Rana Samier; Abdulmajeed, Kefah H.; Abdul-Hameed, Sahar A.

doi:10.52573/ipmj.2021.177172

	Compliance of Type Two Diabetic Patients to Treatment in a Sample in Baghdad
Iraqi Postgraduate Medical Journal
Article 14, Volume 21, Issue 4, 2022, Pages 461-467 PDF (538.14 K)
DOI: 10.52573/ipmj.2021.177172
Authors
Rana Samier Dawood^* ; Kefah H. Abdulmajeed; Sahar A. Abdul-Hameed
Almansoor Health Centre for Family Medicine, Baghdad, Iraq
Abstract
BACKGROUND: Diabetes is one of the major public health problems all over the world. The world health organization said that about 224 million persons in the world have diabetes mellitus (1). There is a globally agreed target to halt the rise in diabetes and obesity by 2025. Most of this increment will occur in the developing countries and this will be due to population growth, ageing, and sedentary life styles. Many patients with type 2 diabetes are taking a combined regimen of drugs. The lifestyle changes and the drugs to manage type 2 diabetes and the associated issues can only be effective by the attachment to the prescribed regimen. Effective treatment of diabetic patients requires good cooperation between doctors and patients. Compliance is one of the fundamental problems in this cooperation. (2) AIMS OF THE STUDY: To assess the compliance of type two diabetic patients with the medications, the diet, and the appointments to the diabetic clinics To evaluate the Factors involved with it. METHODS: A cross- sectional study was carried out in 300 convenient samples of diabetic type 2 patients of both sexes and their age between 35-80 years attending Al-Imamein al-Kadhimein medical city and Alyarmook teaching hospital diabetic centers through the direct interview using a specially designed questionnaire. RESULT: Out of the whole sample (300) patients, two thirds (65%) of them were females. The average age of the studied sample was 55.1 (± 9.5) years, and ranged from 35 to 80 years. Good compliance of patients with medications was seen in (48.7%),while (49.7%) of the whole sample had good compliance to diet regimen that had been given to them by their doctors. only (49.3%) of the diabetic patients in our study had good compliance with appointments at the diabetic clinics. Fasting blood level was 243 ± 73.3 mg/dl in those with poor compliance to medication while those with good compliance readings of fasting blood sugar were 177.2 ± 67.5 mg/dl. Males were significantly associated (p= 0.004) with good compliance for medication, as 112 (42.6%) of females reported good compliance in comparison to (60%) of males. Poor compliance was prevalent among 67 (64.4%) of the rural cases in comparison to 87 (44.4%) of the urban cases. The study showed a significant poor compliance in the illiterate as compared to the higher education groups. CONCLUSION: Compliance of type 2 diabetic patients to the treatment was relatively low in Baghdad city. Extremely significant protection against the poor compliance was seen among the diet followers and to those satisfied by the consultations and doctors advices.
Keywords
Type2 diabetes; good; poor; compliance; Baghdad

References
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Definition, Classification and Diagnosis of Diabetes, Prediabetes and Metabolic Syndrome. Canadian Journal of Diabetes. April 2013; 37,Supplement 1: S8-S11. 8. Ahmed AM. History of diabetes mellitus. Saudi Med J. 2002;23:373-78. 9. J.Alastair Innes.Diabetes mellitus.in: J.Alastair Innes. Davidson's Essentials of Medicine. 2^nd Edition.V1.2015:407-8. 10. Types of Diabetes. Canadian Diabetes Association. 21 may 2016. available from http://www.diabetes.ca/about-diabetes/types-of-diabetes. 11. Causes of Diabetes/national institute of diabetes and digestive and kidneyDiseases. 21/may/2016. available from http://www.nih.gov/health-information /health-topics/diabetes/causes-diabetes/page/index.aspx. 12. Type2 diabetes: Overview-pubmed health-national library of medicine. 16/April/2016. Available from; http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0072693/. 13. Guideline for Diabetes Mellitus and Metabolic Syndrome Management. Primary health care project. USAID. Iraq. June 2012 14. McGraw-Hill. Diabetes mellitus. In . case file of family medicine 4^th edition .v1 2016:556-567. 15. Khagram L¹, Martin CR, Davies MJ, Speight J. Psychometric validation of the Self-Care Inventory-Revised (SCI-R) in UK adults with type 2 diabetes using data from the AT.LANTUS Follow-on study. PMC journal Health Qual Life Outcomes v.11; 2013;11:24. doi: 10.1186/1477-7525-11-24. Available from:http://www.ncbi.nlm.nih.gov/pubmed/23443007. 16. Asif M. The prevention and control the type-2 diabetes by changing lifestyle and dietary pattern. Journal of Education and Health Promotion. 2014 Feb 21. doi: 10.4103/2277-9531.127541. v.3; 2014 Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3977406/. 17. Chang SA. Smoking and Type 2 Diabetes Mellitus..Diabetes Metab J.2012;36:399-403.Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3530709/.
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Compliance of Type Two Diabetic Patients to Treatment in a Sample in Baghdad

2. WHO | Diabetes mellitus. 2016-05-21. Available from: (http://www.who.int/mediacentre/factsheets/fs 138/en/).

11. Causes of Diabetes/national institute of diabetes and digestive and kidneyDiseases. 21/may/2016. available from http://www.nih.gov/health-information /health-topics/diabetes/causes-diabetes/page/index.aspx.

12. Type2 diabetes: Overview-pubmed health-national library of medicine. 16/April/2016. Available from; http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0072693/.

2. WHO | Diabetes mellitus. 2016-05-21. Available from: (http://www.who.int/mediacentre/factsheets/fs 138/en/).

11. Causes of Diabetes/national institute of diabetes and digestive and kidneyDiseases. 21/may/2016. available from http://www.nih.gov/health-information /health-topics/diabetes/causes-diabetes/page/index.aspx.

12. Type2 diabetes: Overview-pubmed health-national library of medicine. 16/April/2016. Available from; http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0072693/.