Volume 2, Issue 4 (Winter 2016)
J Educ Community Health 2016, 2(4): 3-12 |
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Gholamaliei B, Karimi-Shahanjarini A, Roshanaei G, Rezapour-Shahkolaei F. Medication Adherence and its Related Factors in Patients with Type II Diabetes. J Educ Community Health. 2016; 2 (4) :3-12
URL: http://jech.umsha.ac.ir/article-1-157-en.html
URL: http://jech.umsha.ac.ir/article-1-157-en.html
Behzad Gholamaliei 1, Akram Karimi-Shahanjarini * 2, Ghodratollah Roshanaei 3, Frouzan Rezapour-Shahkolaei 4
1- Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran.
2- Social Determinants of Health Research Center and Department of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran , karimi.a@umsha.ac.ir
3- Modeling of Non-communicable Disease Research Center and Department of Biostatistics, Hamadan University of Medical Sciences, Hamadan, Iran.
4- Social Determinants of Health Research Center and Department of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
2- Social Determinants of Health Research Center and Department of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran , karimi.a@umsha.ac.ir
3- Modeling of Non-communicable Disease Research Center and Department of Biostatistics, Hamadan University of Medical Sciences, Hamadan, Iran.
4- Social Determinants of Health Research Center and Department of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Abstract: (6843 Views)
Background and Objectives: Low levels of medication adherence in patients with type 2 diabetes is one of the greatest challenges in the treatment and control of diabetes. This study was designed to determine medication adherence and its related factors in patients with type II diabetes.
Materials and Methods: In this cross-sectional study, a total of 300patients with type 2diabetes records in the health centers of Tuyserkan city were randomly selected in 2015. Data collection instrument was a self-made questionnaire, which consisted of factors related to the medication adherence. Questionnaires were completed after confirmation of validity and reliability, by interviews. To analyze the data, descriptive and inferential statistics (T-test, AnOVA, Simple and multiple linear regression) were applied, using SPSS software, version 19.
Results: Overall, %26.3 of patients were male and %73.7 were female. Also, %65 of patients were illiterate, %24 had some degree of symptoms, and %59.4 had poor medication adherence. There was a significant relationship between age, education, patient care and treatment expenditure, health care team and health system, therapy-related factors and condition-related factors, beliefs about illness, efficacy, and concerns about drugs and medication adherence (P < 0.05).
Conclusions: This study showed that medication adherence in patients with diabetes was not suitable and individual, economical and social factors were influential.Therefore, the role of these factors must be considered when designing intervention programs.
Type of Study: Research Article |
Subject:
Self-care of Chronic Diseases
Received: 2016/01/1 | Accepted: 2016/03/3
Received: 2016/01/1 | Accepted: 2016/03/3
References
1. Hjelm K, Mufunda E, nambozi G, Kemp J. Preparing nurses to face the pandemic of diabetes mellitus: a literature review. J Adv Nurs. 2003;41(5):424-34. [PubMed]
2. Ngo-Metzger Q, Sorkin DH, Billimek J, Greenfield S, Kaplan SH. The effects of financial pressures on adherence and glucose control among racial/ethnically diverse patients with diabetes. J Gen Intern Med. 2012;27(4):432-7. [DOI] [PubMed]
3. Ghotbi M, Rafati M, Ahmania H. Principles in prevention and treatment of diseases: non-communicable diseases surveillance system. 1st ed: Sepid barg bagh ketab publishers; 2008.
4. Delavari AR, Mahdavihazaveh AR, norozinegad A, Yarahmadi S. national program for prevention and control of type 2 diabetes diseases. 2nd ed: Seda publishers; 2004.
5. Paquot N. [Deleterious effects of lack of compliance to lifestyle and medication in diabetic patients]. Rev Med Liege. 2010;65(5-6):326-31. [PubMed]
6. Cramer JA. A systematic review of adherence with medications for diabetes. Diabetes Care. 2004;27(5):1218-24. [PubMed]
7. World Health Organization. Epidemiology of diabetes mellitus 2015 [updated 2016; cited 2015]. Available from: www.who.int/mediacenter/factsheets/fs236/en.
8. Garay-Sevilla ME, Malacara HJ, Gonzalez-Parada f, Jordan-Gines L. The belief in conventional medicine and adherence to treatment in non-insulin-dependent diabetes mellitus patients. J Diabetes Complications. 1998;12(5):239-45. [PubMed]
9. Wellard S. Constructions of chronic illness. Int J Nurs Stud. 1998;35(1-2):49-55. [PubMed]
10. Hadi n, Rostami-Gorani n, Jafari P. [A Study on the determining factors for compliance to prescribed medication by patients with high blood pressure]. Sci Med J Ahwaz Jundishapur Univ Med Sci. 2005;4(3):223-9.
11. WHO. Adherence to long-term therapies: evidence for action. Geneva: World Health Organization, 2003.
12. Cramer JA, Benedict A, Muszbek n, Keskinaslan A, Khan ZM. The significance of compliance and persistence in the treatment of diabetes, hypertension and dyslipidaemia: a review. Int J Clin Pract. 2008;62(1):76-87. [DOI] [PubMed]
13. Tiv M, Viel Jf, Mauny f, Eschwege E, Weill A, fournier C, et al. Medication adherence in type 2 diabetes: the EnTRED study 2007, a french Population-Based Study. PLoS One. 2012;7(3):e32412. [DOI] [PubMed]
14. Srinivas G, Suresh E, Jagadeesan M, Amalraj E, Datta M. Treatment-seeking behavior and compliance of diabetic patients in a rural area of south India. Ann N Y Acad Sci. 2002;958:420-4. [PubMed]
15. Sweileh WM, Zyoud SH, Abu nab’a RJ, Deleq MI, Enaia MI, Nassar SM, et al. Influence of patients’ disease knowledge and beliefs about medicines on medication adherence: findings from a cross-sectional survey among patients with type 2 diabetes mellitus in Palestine. BMC Public Health. 2014;14:94. [DOI] [PubMed]
16. Mashrouteh M, Khanjani N, Gozashti MH. [Evaluation of Compliance with Drug Regimens in Diabetic Patients Referred to the Endocrinology Clinic of Afzalipour Hospital, Kerman, Iran]. J Health Develop. 2012;1(3):182-92.
17. Dabaghian KM, Soheilikhah S, Sedaghat M. [Medication adherence in patients with type 2 diabetes referred to Imam Khomeini and Shariati Hospitals]. J Health Sci Res Instit. 2005;4(2):103-11.
18. Rolnick SJ, Pawloski PA, Hedblom BD, Asche SE, Bruzek RJ. Patient characteristics associated with medication adherence. Clin Med Res. 2013;11(2):54-65. [DOI] [PubMed]
19. Baji Z, Zamani Alavijeh F, Nouhjah S, Haghighizadeh MH. [Self-care behaviors and related factors in women with type 2 diabetes]. Iran J Endocrin Metab. 2015;16(6):393-401.
20. Macabasco-O’Connell A, Crawford MH, Stotts N, Stewart A, Froelicher ES. Self-care behaviors in indigent patients with heart failure. J Cardiovasc Nurs. 2008;23(3):223-30. [DOI] [PubMed]
21. Garcia MP. [The capacity of self-care agency in people with high arterial hypertension]. San Jose de Cucuta Avances en Enfermeria. 2006;24(2):63-79.
22. Heidari S, Noritajer M, Hoseini F, Inanlo M, Golgiri f, Shirazi F. [Geriatric family support and diabetic type-2 glycemic control]. Iran J Aging. 2009;3(8):573-80.
23. Alazri MH, neal RD. The association between satisfaction with services provided in primary care and outcomes in Type 2 diabetes mellitus. Diabet Med. 2003;20(6):486-90. [PubMed]
24. Glasgow RE, Toobert DJ. Social environment and regimen adherence among type II diabetic patients. Diabetes Care. 1988;11(5):377-86. [PubMed]
25. Farahani-dastjani SM, Khorsandi M, Rezanfar M, Ranjbaran M. [The relationship between perceived barriers and lack of medication adherence in patients with type 2 diabetes in Arak]. Daneshvar Med J. 2015;22(117):49-58.
26. Hilliard ME, Guilfoyle SM, Dolan LM, Hood KK. Prediction of adolescents’ glycemic control 1 year after diabetes-specific family conflict: the mediating role of blood glucose monitoring adherence. Arch Pediatr Adolesc Med. 2011;165(7):624-9. [DOI] [PubMed]
27. Ghini S, Hoseini M, Rezaei M. [Relation the Hba1c at the time of diagnosis and the response to treatment in children with type 1 diabetes]. Sci J Kermanshah Uni. 2014;18(6):280-323.
28. Speer PW, Jackson CB, Peterson nA. The relationship between social cohesion and empowerment: support and new implications for theor y. Health Educ Behav. 2001;28(6):716-32. [PubMed]
29. Ogboi Sonny J, Babajide f, Ademola O A, Olabunmi O, Agu P U. Evaluation of factors influencing medication adherence in patients with epilepsy in rural communities of Kaduna State, nigeria. Neurosci Med. 2011;2(4):299-305. [DOI]
30. Gabr WM, Shams ME. Adherence to medication among outpatient adolescents with epilepsy. Saudi Pharm J. 2015;23(1):33-40. [DOI] [PubMed]
31. Kerman Saravi f, navidian A, Ansari Moghadam. A. [Quality of life in type 1 diabetes adolescents referring to Zahedan diabetic center]. Iran J Endocrin Metab. 2012;13(6):651-7.
32. Rabiau MA, Knauper B, nguyen TK, Sufrategui M, Polychronakos C. Compensatory beliefs about glucose testing are associated with low adherence to treatment and poor metabolic control in adolescents with type 1 diabetes. Health Educ Res. 2009;24(5):890-6. [DOI] [PubMed]
33. Najmi B, Ahadi H, Deldavar A, Hashemipoor M. [The effectiveness of multidimentional psychological treatment in enhancing the adherence to medical treatment in adolescents with type 1 diabetes]. J Res Behav Sci. 2007;5(2):127-36.
34. Shakibazadeh E, Rashidian A, Larijani B, Shojaeezade D, Frozanfar MH, Karimia H. [Relationship between self-efficacy and perceived barriers in type 2 diabetic patients]. Hayat. 2009;15(4):69-78.
35. Tang F, Zhu G, Jiao Z, Ma C, Wang B. Self-reported adherence in patients with epilepsy who missed their medications and reasons for nonadherence in China. Epilepsy Behav. 2013;27(1):85-9. [DOI] [PubMed]
36. Barati M, Darabi D, Moghimbeigi A, Afsar A. [Self-regulation behaviors of hypertension and related factors among hypertensive patients]. J Fasa Uni Med Sci. 2011;1(3):116-22.
37. Norouzi A, Ghofranipour f, Haidarnia A, Tahmasbi R. [factors influencing the pattern of regular physical activity on health promotion in diabetic women referred to the diabetes association branch]. J Tebe-Jonooob. 2010;13(1):41-51.
38. Barati M, Allahverdipour H, Kazem Zadeh M, Jalilian f. [Self-care behaviors analysis of patients diabetes type 2 referring in diabetes research center in Hamadan city based on Health Belief Model]. Hamadan University of Medical Sciences, 2010.
39. Baghiyani Moghaddam MH, Ayvazi S, Mazloomi Mahmoodabad SS, fallahzadeh H. [factors in relation with self- regulation of hypertension, based on the Model of Goal Directed behavior in Yazd city]. J Birjand Uni Med Sci. 2007;15(3):78-87.
40. Newell MA. Knowledge, perceptions, beliefs and behaviors related to the prevention of hypertension among Black Seventh-day Adventists living in London. Colifornia: LOMA LInDA University; 2008.
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