Factors Associated with Medication Adherence among Patients with Type 2 Diabetes Mellitus: A Hospital-Based Cross-Sectional Study in Nepal.

3区综合性期刊 Q1 Medicine International Journal of Environmental Research and Public Health Pub Date : 2023-01-14 DOI:10.3390/ijerph20021537

Pushpanjali Shakya, Archana Shrestha, Biraj Man Karmacharya, Donald E Morisky, Bård Eirik Kulseng

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Abstract

As diabetes increases globally, high mortality increases due to complications of uncontrolled sugar. Medication adherence is important to control blood sugar and prevent its complications. Objective of the study was to identify factors associated with medication adherence among type 2 diabetes patients. A cross-sectional study was conducted among 343 patients visiting Dhulikhel Hospital, Nepal, for their fasting blood sugar test from September to December 2016. Inclusion criteria: patients with type 2 diabetes, under diabetes medication for past three months (minimum), age ≥ 18 years. The outcome of the study was medication adherence measured using the eight-item Morisky medication adherence scale (MMAS-8) (© 2006 Donald E. Morisky). Multivariate logistic regression was used for the analysis. Results showed that 61% of respondents had high medication adherence; adherence was positively associated with formal education [AOR: 2.43 (95% CI: 1.34, 4.39)] and attendance at diabetes counseling [AOR: 1.76 (95% CI: 1.02, 3.04)] after adjusting for age, occupation, medicine intake duration and diabetes medicine types. The study concluded that formal education and attendance at diabetes counseling positively affected patients' adherence to medicine. We encourage healthcare institutions to provide counseling services to all the patients with type 2 diabetes and focus more on those who are less educated.

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2 型糖尿病患者坚持用药的相关因素：尼泊尔医院横断面研究》。

随着全球糖尿病患者的增加，因血糖失控引起的并发症导致的高死亡率也随之上升。坚持用药对于控制血糖和预防并发症非常重要。本研究旨在确定与 2 型糖尿病患者坚持服药有关的因素。研究对2016年9月至12月期间前往尼泊尔Dhulikhel医院进行空腹血糖检测的343名患者进行了横断面研究。纳入标准：2 型糖尿病患者，过去三个月（至少）服用糖尿病药物，年龄≥ 18 岁。研究结果采用八项目莫里斯基用药依从性量表（MMAS-8）（© 2006 Donald E. Morisky）测量用药依从性。采用多变量逻辑回归进行分析。结果显示，61%的受访者有较高的服药依从性；在调整年龄、职业、服药时间和糖尿病药物类型后，服药依从性与正规教育[AOR：2.43 (95% CI：1.34, 4.39)]和参加糖尿病咨询[AOR：1.76 (95% CI：1.02, 3.04)]呈正相关。研究认为，正规教育和参加糖尿病咨询对患者的服药依从性有积极影响。我们鼓励医疗机构为所有 2 型糖尿病患者提供咨询服务，并更多地关注受教育程度较低的患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Environmental Research and Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

7.30

自引率

0.00%

发文量

14422

审稿时长

1 months

期刊介绍： International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.