Level of treatment adherence among diabetic patients from the Virgen de Fátima settlement
DOI:
https://doi.org/10.5281/zenodo.22749262Keywords:
diabetes mellitus, type 2, treatment adherence and compliance, blood glucose self-monitoring, nursing, social determinants of healthAbstract
Introduction: Treatment adherence is a central determinant of type 2 diabetes mellitus control, whose prevalence continues to rise in Paraguay and the region. The aim was to determine the level of treatment adherence among diabetic patients from the Virgen de Fátima settlement, km 9½ Monday, Ciudad del Este, during 2022.
Materials and methods: Observational, descriptive, cross-sectional quantitative study. A closed-ended questionnaire was applied to 50 adult patients with type 2 diabetes who attend the municipal medical dispensary of the settlement, after institutional authorization.
Results: The most frequent age group was 40–49 years (44%); 55% had only primary education and 54% were married. Thirty-seven percent did not attend periodic medical check-ups and 9% had no glucose monitoring. Sixty-three percent followed treatment and 37% did not; 32% had abandoned medication. Thirty-two percent reported headache associated with the drug. Health care was rated good or excellent by 83%.
Conclusions: Insufficient adherence, associated with low educational level and irregular follow-up of check-ups. Educational programs and social support adapted to the socioeconomic conditions of this population are supported.
References
Sun H, Saeedi P, Karuranga S, Pinkepank M, Ogurtsova K, Duncan BB, et al. IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Res Clin Pract. 2022;183:109119. https://doi.org/10.1016/j.diabres.2021.109119
Dal Canto E, Ceriello A, Rydén L, Ferrini M, Hansen TB, Schnell O, et al. Diabetes as a cardiovascular risk factor: An overview of global trends of macro and micro vascular complications. Eur J Prev Cardiol. 2019;26(2_supl):25-32. https://doi.org/10.1177/2047487319878371
Teo ZL, Tham YC, Yu M, Chee ML, Rim TH, Cheung N, et al. Global Prevalence of Diabetic Retinopathy and Projection of Burden through 2045: Systematic Review and Meta-analysis. Ophthalmology. 2021;128(11):1580-91. https://doi.org/10.1016/j.ophtha.2021.04.027
Holman RR, Paul SK, Bethel MA, Matthews DR, Neil HA. 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med. 2008;359(15):1577-89. https://doi.org/10.1056/NEJMoa0806470
Bin Rakhis SA, AlDuwayhis NM, Aleid N, AlBarrak AN, Aloraini AA. Glycemic Control for Type 2 Diabetes Mellitus Patients: A Systematic Review. Cureus. 2022;14(6):e26180. https://doi.org/10.7759/cureus.26180
Polonsky WH, Henry RR. Poor medication adherence in type 2 diabetes: recognizing the scope of the problem and its key contributors. Patient Prefer Adherence. 2016;10:1299-307. https://doi.org/10.2147/PPA.S106821
Konstantinou P, Kassianos AP, Georgiou G, Panayides A, Papageorgiou A, Almas I, et al. Barriers, facilitators, and interventions for medication adherence across chronic conditions with the highest non-adherence rates: a scoping review with recommendations for intervention development. Transl Behav Med. 2020;10(6):1390-8. https://doi.org/10.1093/tbm/ibaa118
Baghikar S, Benitez A, Fernandez Piñeros P, Gao Y, Baig AA. Factors Impacting Adherence to Diabetes Medication Among Urban, Low Income Mexican-Americans with Diabetes. J Immigr Minor Health. 2019;21(6):1334-41. https://doi.org/10.1007/s10903-019-00867-9
Alvarado MM, Kum HC, Gonzalez Coronado K, Foster MJ, Ortega P, Lawley MA. Barriers to Remote Health Interventions for Type 2 Diabetes: A Systematic Review and Proposed Classification Scheme. J Med Internet Res. 2017;19(2):e28. https://doi.org/10.2196/jmir.6382
Sharma A, Kaplan WA, Satheesh G, Poudyal IP, Gyawali P, Neupane D, et al. Health System Capacity and Access Barriers to Diagnosis and Treatment of CVD and Diabetes in Nepal. Glob Heart. 2021;16(1):38. https://doi.org/10.5334/gh.927
Marciano L, Camerini AL, Schulz PJ. The Role of Health Literacy in Diabetes Knowledge, Self-Care, and Glycemic Control: a Meta-analysis. J Gen Intern Med. 2019;34(6):1007-17. https://doi.org/10.1007/s11606-019-04832-y
Ishikawa H, Takeuchi T, Yano E. Measuring functional, communicative, and critical health literacy among diabetic patients. Diabetes Care. 2008;31(5):874-9. https://doi.org/10.2337/dc07-1932
Ha Dinh TT, Bonner A, Clark R, Ramsbotham J, Hines S. The effectiveness of the teach-back method on adherence and self-management in health education for people with chronic disease: a systematic review. JBI Database System Rev Implement Rep. 2016;14(1):210-47. https://doi.org/10.11124/jbisrir-2016-2296
Azami G, Soh KL, Sazlina SG, Salmiah MS, Aazami S, Mozafari M, et al. Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes. J Diabetes Res. 2018;2018:4930157. https://doi.org/10.1155/2018/4930157
Kirby S, Moore M, McCarron T, Perkins D, Lyle D. Nurse-led diabetes management in remote locations. Can J Rural Med. 2015;20(2):51-5. https://pubmed.ncbi.nlm.nih.gov/25849752/
Bingham JM, Black M, Anderson EJ, Li Y, Toselli N, Fox S, et al. Impact of Telehealth Interventions on Medication Adherence for Patients With Type 2 Diabetes, Hypertension, and/or Dyslipidemia: A Systematic Review. Ann Pharmacother. 2021;55(5):637-49. https://doi.org/10.1177/1060028020950726
Lin R, Brown F, James S, Jones J, Ekinci E. Continuous glucose monitoring: A review of the evidence in type 1 and 2 diabetes mellitus. Diabet Med. 2021;38(5):e14528. https://doi.org/10.1111/dme.14528
Alexandre K, Campbell J, Bugnon M, Henry C, Schaub C, Serex M, et al. Factors influencing diabetes self-management in adults: an umbrella review of systematic reviews. JBI Evid Synth. 2021;19(5):1003-118. https://doi.org/10.11124/JBIES-20-00020
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Copyright (c) 2023 Adela Delgado Noguera, Nilsa Maciel Diaz, Asunción Vega Ovelar (Autor/a)

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