Treatment Adherence among Diabetes Mellitus Type II Patients at Ambulatory Clinics in the Western Region of Saudi Arabia: Descriptive Correlational Study | Science Publications

International Journal of Research in Nursing

Jehad O. Halabi¹  Louise de Villiers¹ 

关键词: Adherence;    Descriptive Correlational Research;    Diabetes Mellitus;    Glycaemic Control;    Health Belief Model;    Lifestyle Adherence;    Medication Adherence;    Saudi Arabia;   

DOI  :  10.3844/ijrnsp.2015.30.41

学科分类：护理学

来源: Science Publications

【 摘 要 】

Diabetesmellitus is a common problem in Saudi Arabia. Adherence to the pharmacologicaland lifestyle interventions regimens is essential for weight and glycaemic control,as well as prevention of co-morbidities. Thisstudy described the levels of treatment adherence among diabetes mellitus typeII patients, explored the factors which influenced adherence and identifiedpredictors of adherence. It was conducted in five ambulatory care clinics in the Western Region. Theaccessible population comprised diagnosed diabetes mellitus type II patientswho received treatment at the ambulatory clinics. Persons aged ≥18 years andhad been placed on medication and lifestyle intervention regimens atleast six months prior to data collection, qualified for inclusion. The samplecomprised 1,409 randomly selected participants. Participants completed astructured Arabic questionnaire, assisted by research assistants. The researchassistants furthermore analysed the participants’ clinical records, using astructured checklist. Descriptive and inferential statistics were performed toquantify adherence, explore the relationships among variables and identify thepredictors of adherence within the framework of the Health Belief Model. Highprevalence of obesity and low prevalence of glycaemic control were found.Participants inadequately adhered to the medication and lifestyle interventionregimens, as well as blood glucose self-monitoring. The findings revealedvarious perceptual problems which might havecontributed to inadequate adherence. The identified predictors of adherenceindicated the essential requirements for health care interventions to improvetreatment adherence. It is recommended that health education should addresssociocultural in addition to biomedical matters to enhance the culturalcongruency of interventions and ultimately adherence. Diabetes mellitusmanagement aimed at achieving glycaemic and weight control and protectionagainst co-morbidities requires health education, motivation and supporttargeted at medication and in particular lifestyle adherence.

【 授权许可】

Unknown