Study on self care and adherence to therapy among diabetic patients at a tertiary care center in Mysore

Authors

  • Sumanth Mallikarjuna Majgi Department of Community Medicine, Mysore Medical College and Research Institute, Mysore, Karnataka, India
  • Aiswarya Lakshmi Anitha Sreekumar Department of Community Medicine, Mysore Medical College and Research Institute, Mysore, Karnataka, India
  • Aparna Balagopal Intern, Mysore Medical College and Research Institute, Mysore, Karnataka, India
  • Nivedha S. Intern, Mysore Medical College and Research Institute, Mysore, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20174272

Keywords:

Adherence, Life style modifications, Diabetes

Abstract

Background: Adherence to lifestyle modification and self-care are vital elements in the management of diabetes mellitus and the reason for poor adherence and poor self-care could vary from person to person. The study aimed to assess the level of adherence to therapy, the self-care practices and the barriers preventing adherence among diabetic patients attending a tertiary care hospital in Mysore.

Methods: A mixed methods study was conducted among an estimated sample of 150 patients attending a tertiary care teaching hospital in Mysore, Karnataka. Diabetes self-care activities was assessed using modified Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. An in depth interview was conducted for 20 subjects for understanding the factors contributing to their level of adherence / non-adherence. The quantitative data was analysed with standard statistical methods and qualitative data through content analysis.

Results: The adherence to the drugs was found to be 86.6%.The median number of days during which target diet plan was achieved, at least 30 minutes of physical activity undertaken and foot care was 5.5 and 0 respectively. Lack of awareness and socioeconomic barriers were cited by the patients as the barriers preventing adherence to drug therapy, diet and exercise.

Conclusions: Lack of awareness of the disease and cost of the pharmacological therapy are potentially modifiable reasons of poor adherence. Health education is to be provided by the healthcare providers focusing on the importance of adherence to drugs, diet and exercise. 

Author Biographies

Sumanth Mallikarjuna Majgi, Department of Community Medicine, Mysore Medical College and Research Institute, Mysore, Karnataka, India

Assistant Professor
Department of Community Medicine,
Mysore Medical College and Research Institute, Mysore,
Karnataka, India.

Aiswarya Lakshmi Anitha Sreekumar, Department of Community Medicine, Mysore Medical College and Research Institute, Mysore, Karnataka, India

Post Graduate student, 

Department of Community Medicine,

Mysore Medical College and Research Institute, Mysore,

Karnataka, India.

Aparna Balagopal, Intern, Mysore Medical College and Research Institute, Mysore, Karnataka, India

Intern, 

Department of Community Medicine,

Mysore Medical College and Research Institute, Mysore,

Karnataka, India.

Nivedha S., Intern, Mysore Medical College and Research Institute, Mysore, Karnataka, India

Intern

Mysore Medical College and Research Institute, Mysore,

Karnataka, India.

References

World health Organisation. Global report on diabetes [Internet]. World health organisation; 2016: 21. Available at: http://apps.who.int/iris/bitstream/ 10665/204871/1/9789241565257_eng.pdf. Accessed on 3 July 2017.

Mohan V, Sandeep S, Deepa R, Shah B, Varghese C. Epidemiology of type 2 diabetes: Indian scenario. Indian J Med Res. 2007;125(3):217-30.

IDF diabetes atlas. 7th ed. Brussels: International Diabetes Federation; 2015.

Adherence to long term therapies: evidence for action. Geneva: World Health Organization, 2003.

Mahfouz EM, Awadalla HI. Compliance to diabetes self-management in rural El-MinIa, Egypt. Cent Eur J Public Health. 2011;19(1):35–41.

Kakumani KV, Waingankar P. Assessment of Compliance to Treatment of Diabetes and Hypertension amongst Previously Diagnosed Patients from Rural Community of Raigad District of Maharashtra. J Assoc Physicians India. 2016;64(12):36-40.

Manobharathi M, Kalyani P, John William F, John William A. Factors associated with therapeutic non-compliance among type 2 diabetes mellitus patients in Chidambaram, Tamil Nadu, India. Int J Community Med Public Health. 2017;4(3):787-91.

Sasi Sekhar TVD, Kodali M, Burra KC, Muppala BC, Gutta P, Bethanbhatla M. Self Care Activities, Diabetic Distress and other Factors which Affected the Glycaemic Control in a Tertiary Care Teaching Hospital in South India. J Clini Diagnos Res. 2013;7(5):857-60.

Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care. 2000;23(7):943-50.

Santhanakrishnan I, Lakshminarayanan S, Kar S. Factors affecting compliance to management of diabetes in Urban Health Center of a tertiary care teaching hospital of south India. J Natural Sci Biol Med. 2014;5(2):365-8.

Vijan S, Stuart N, Fitzgerald J, Ronis D, Hayward R, Slater S, et al. Barriers to following dietary recommendations in Type 2 diabetes. Diabetic Med. 2005;22(1):32-8.

Package of Essential Noncommunicable (PEN) Disease Interventions for Primary Health Care in Low-Resource Settings. Geneva: World health Organisation; 2010.

Mumu SJ, Saleh F, Ara F, Afnan F, Ali L. Non-adherence to life-style modification and its factors among type 2 diabetic patients. Indian J Public Health. 2014;58:40-4.

Colberg S, Sigal R, Yardley J, Riddell M, Dunstan D, Dempsey P, et al. Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care. 2016;39(11):2065-79.

What is a serving? Fao.org. 2017. Available at: http://www.fao.org/english/newsroom/focus/2003/fruitveg2.htm. Accessed on 3 July 2017.

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Published

2017-09-22

How to Cite

Majgi, S. M., Anitha Sreekumar, A. L., Balagopal, A., & S., N. (2017). Study on self care and adherence to therapy among diabetic patients at a tertiary care center in Mysore. International Journal Of Community Medicine And Public Health, 4(10), 3903–3908. https://doi.org/10.18203/2394-6040.ijcmph20174272

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Section

Original Research Articles