Volume 17, Issue 1 (Pajouhan Scientific Journal, Autumn 2018)                   psj 2018, 17(1): 37-44 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Tanharo D, Ghods R, Pourrahimi M, Abdi M, Aghaei S, Vali N. Adherence to Treatment in Diabetic Patients and Its Affecting Factors . psj. 2018; 17 (1) :37-44
URL: http://psj.umsha.ac.ir/article-1-439-en.html
1- Bachelor student of Nursing, Student Research Committee, Department of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
2- PhD Traditional Iranian Medicine, Research Institute for Islamic and Complementary Medicine, School of Iranian traditional Medicine,Iran university of Medicalsciences
3- Bachelor of Laboratory Sciences, Student Research Committee, Department of Paramedical Sciences, Iran University of Medical Sciences, Tehran, Iran
4- Bachelor of Nursing, Student Research Committee, Department of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
5- Bachelor Student of Nursing, Student Research Committee, Department of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran , sa92aghaee@gmail.com
6- Bachelor Student of Midwifery, Student Research Committee, Department of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (1148 Views)
Background and Objective: Today, diabetes is a global problem which affects more than 400 million people worldwide. Adherence to treatment in diabetic patients is one of the key factors in the process of treatment and recovery of these people. The purpose of this study was to determine the adherence to treatment in diabetic patients and it's affecting factors.
Materials and Methods: This descriptive-analytical study was conducted on 320 diabetic patients with an average age of 59.8±14.35 years in 2017, in Rasool Akram and Firoozgar Hospitals of Iran University of Medical Sciences. Data were collected by A Two-part questionnaire includes adherence to treatment of chronic diseases and the correlations were verified by Spearman test.
Results: Average total score of adherence to treatment was 43. 11±33.13, which 62.82% of patients had poor adherence to treatment, 33.22% had moderate adherence to treatment, 2.96% had good adherence to treatment and 1% had good adherence to treatment. 52.5% of patients had diabetic foot and Adherence to the treatment was inversely associated with the onset of the diabetic foot.
Conclusion: Adherence to treatment in diabetic patients was significantly low. There are some factors affecting adherence to treatment in diabetic patients that these factors should be identified for each patient.
Full-Text [PDF 641 kb]   (480 Downloads)    
Type of Study: Research Article | Subject: Medicine & Clinical Sciences
Received: 2018/05/3 | Accepted: 2018/11/1

References
1. WHO Media center. Diabetes mellitus. Available at: URL: http://www.who.int/mediacentre/factsheets/fs138/en/.
2. Obirikorang Y, Obirikorang C, Anto EO, Acheampong E, Batu EN, Stella AD, Constance O, Brenya PK. Knowledge of complications of diabetes mellitus among patients visiting the diabetes clinic at Sampa Government Hospital, Ghana: a descriptive study. BMC public health. 2016;16(1):637. [PubMed]
3. Timar B, Timar R, Schiller A, Oancea C, Roman D, Vlad M, Balinisteanu B, Mazilu O. Impact of neuropathy on the adherence to diabetes-related self-care activities: a cross-sectional study. Patient preference and adherence. 2016;10:1169. [DOI]
4. Danmusa UM, Terhile I, Nasir IA, Ahmad AA, Muhammad HY. Prevalence and healthcare costs associated with the management of diabetic foot ulcer in patients attending Ahmadu Bello University Teaching Hospital, Nigeria. International journal of health sciences. 2016;10(2): 219–28.
5. Fianu A, Bourse L, Naty N, Le Moullec N, Lepage B, Lang T, Favier F. Long-Term Effectiveness of a Lifestyle Intervention for the Primary Prevention of Type 2 Diabetes in a Low Socio-Economic Community–An Intervention Follow-Up Study on Re:::::union::::: Island. PloS one. 2016;11(1):e0146095. [DOI]
6. Pedras S, Carvalho R, Pereira MD. Sociodemographic and clinical characteristics of patients with diabetic foot ulcer. Revista da Associação Médica Brasileira. 2016;62(2):171-8. [DOI]
7. Hoban C, Sareen J, Henriksen CA, Kuzyk L, Embil JM, Trepman E. Mental health issues associated with foot complications of diabetes mellitus. Foot and Ankle Surgery. 2015;21(1):49-55. [DOI]
8. Lamchahab FZ, El Kihal N, Khoudri I, Chraibi A, Hassam B, Ourhroui MA. Factors influencing the awareness of diabetic foot risks. Annals of physical and rehabilitation medicine. 2011;54(6):359-65. [DOI]
9. Tan JH, Hong CC, Shen L, Tay EY, Lee JK, Nather A. Costs of Patients Admitted for Diabetic Foot Problems. Annals of the Academy of Medicine, Singapore. 2015; 44(12):567-70.
10. Gemechu FW, Seemant F, Curley CA. Diabetic foot infections. American family physician. 2013;88(3):177-84.
11. Hong CC, Nather A, Lee JK, Mao HT. Hydrosurgery is effective for debridement of diabetic foot wounds. Ann Acad Med Singapore. 2014;43(8):395-9.
12. Aalaa M, Malazy OT, Sanjari M, Peimani M, Mohajeri-Tehrani MR. Nurses’ role in diabetic foot prevention and care; a review. Journal of Diabetes & Metabolic Disorders. 2012;11(1):24. [DOI]
13. Rodrigues BT, Vangaveti VN, Malabu UH. Prevalence and risk factors for diabetic lower limb amputation: a clinic-based case control study. Journal of diabetes research. 2016;2016:7pages. [DOI]
14. Check DA. Evidence-Based Diabetes Management. The American Journal of Managed Care. 2014;20(10):307-12.
15. Bonner T, Foster M, Spears-Lanoix E. Type 2 diabetes–related foot care knowledge and foot self-care practice interventions in the United States: a systematic review of the literature. Diabetic foot & ankle. 2016;7(1):29758. [DOI]
16. Waaijman R, Keukenkamp R, de Haart M, Polomski WP, Nollet F, Bus SA. Adherence to wearing prescription custom-made footwear in patients with diabetes at high risk for plantar foot ulceration. Diabetes Care. 2013;36(6):1613-18. [DOI]
17. Kassaian SE, Mohajeri-Tehrani MR, Dehghan-Nayyeri A, Saroukhani S, Annabestani Z, Alidoosti M, Shirani S, Shojaei-Fard A, Molavi B, Poorhosseini H, Salarifar M. Major adverse events, six months after endovascular revascularization for critical limb ischemia in diabetic patients. Archives of Iranian Medicine (AIM). 2013;16(5): 258-63. [DOI]
18. Barn R, Waaijman R, Nollet F, Woodburn J, Bus SA. Predictors of barefoot plantar pressure during walking in patients with diabetes, peripheral neuropathy and a history of ulceration. PloS One. 2015;10(2):e0117443. [DOI]
19. Chiwanga FS, Njelekela MA. Diabetic foot: prevalence, knowledge, and foot self-care practices among diabetic patients in Dar es Salaam, Tanzania–a cross-sectional study. Journal of foot and ankle research. 2015;8(1):20. [DOI]
20. Monami M, Zannoni S, Gaias M, Nreu B, Marchionni N, Mannucci E. Effects of a short educational program for the prevention of foot ulcers in high-risk patients: A randomized controlled trial. International journal of endocrinology. 2015;2015:5pages. [DOI]
21. Modanloo M. Development and psychometric tools adherence of treatment in patients with chronic (dissertation). Tehran: Iran University of Medical Sciences; 2013. (Persian)
22. Vermiere E, Wens J, Van Royen P, Biot Y, Hearnshaw H, Lindenmeyer A. Interventions for improving adherence to treatment recommendations in people with type 2 diabetes mellitus. Cochrane Database Syst Rev. 2005;(2). [DOI]
23. Garay-Sevilla ME, Porras JS, Malacara JM. Coping strategies and adherence to treatment in patients with type 2 diabetes mellitus. Revista de investigación clínica. 2011;63(2):155-61.
24. Gholamaliei B, Karimi-Shahanjarini A, Roshanaei G, Rezapour-Shahkolaei F. Medication Adherence and Its Related Factors in Patients with Type II Diabetes. Journal of Education and Community Health. 2016;2(4):3-12. (Persian) [DOI]
25. Garay-Sevilla ME, Nava LE, Malacara JM, Huerta R, de León JD, Mena A, Fajardo ME. Adherence to treatment and social support in patients with non-insulin dependent diabetes mellitus. Journal of Diabetes and its Complications.1995;9(2):81-6.
26. Tol A, Majlessi F, Rahimi-Foroshani A, Mohebbi B, Shojaeezadeh D, Salehi Node A. Cognitive Adaptation among Type II Diabetic Patients Referring to Tehran University of Medical Sciences Hospitals in Adherence to Treatment. Health System Research. 2012;8(6):1068-77. (Persian) [DOI]
27. Ciechanowski PS, Katon WJ, Russo JE, Walker EA. The patient-provider relationship: attachment theory and adherence to treatment in diabetes. American Journal of Psychiatry. 2001;158(1):29-35. [DOI]
28. Mousavi far A, Zolfaghari M, Pedram Sh, Haghani H. Impact assessment of two way of follow-up (Mobile & Phone) on adherence to treatment in diabetic patients. Iranian journal of diabetes and metabolism. 2010;10(4):407-18. (Persian)
29. Shahsavari A, Foroghi S. The Effectiveness of Telenursing on Adherence to Treatment in Patients with Type 2 Diabetes. Iranian Journal of Endocrinology and Metabolism. 2015;17(2):138-145 (Persian)
30. Islam SM, Lechner A, Ferrari U, Froeschl G, Alam DS, Holle R, Seissler J, Niessen LW. Mobile phone intervention for increasing adherence to treatment for type 2 diabetes in an urban area of Bangladesh: protocol for a randomized controlled trial. BMC health services research. 2014;14(1):586. [DOI]
31. Rezai Asl H, Seyyed Mazhari M, Pishgooi SAH, Alhani F. The Effectiveness of “Family-Centered Empowerment Model” on the Treatment Adherence of Patients with Type II Diabetes and Heart Disorder Admitted to AJA Hospitals, During Year 2015. Military Caring Science (MCS). 2017; 4(1):58-69. (Persian) [DOI]
32. Wens J, Vermeire E, Hearnshaw H, Lindenmeyer A, Biot Y, Van Royen P. Educational interventions aiming at improving adherence to treatment recommendations in type 2 diabetes: A sub-analysis of a systematic review of randomised controlled trials. Diabetes Research and Clinical Practice. 2008;79(3):377-88. [DOI]
33. Mousavizadeh S N, Ashktorab T, Ahmadi F, Zandi M. Evaluation of barriers to adherence to therapy in patients with diabetes. Journal of Diabetes Nursing. 2016; 4(3):94-108. (Persian)

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


© 2019 All Rights Reserved | Pajouhan Scientific Journal

Designed & Developed by : Yektaweb