Attitude and factors affecting compliance to diabetes mellitus management among clinic attendees at Jericho Specialist Hospital, Ibadan
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20220216Keywords:
Diabetes mellitus, Attitude, Treatment complianceAbstract
Background: The need to understand factors influencing non-compliance with the treatment of Diabetes Mellitus (DM) will go a long way in addressing the issue in Nigeria. However, this study was aimed at assessing the attitude of diabetic patients and factors affecting their level of compliance to the management of DM among clinic attendees at Jericho Specialist Hospital, Ibadan, Nigeria.
Methods: This study employed a descriptive cross-sectional study using a two-stage sampling technique. A pre-tested semi-structured questionnaire was used to obtain information on two hundred and twenty respondents. The attitude was scored on a 5-point scale where <3 and >3 were categorized as negative and positive attitudes respectively. Data were analyzed with SPSS version 21 using descriptive statistics.
Results: Mean age of respondents was 49.7±10.3 years and 27.8% were male. Some (32.1%) of the respondents had a negative attitude towards the management of DM. Many 66.5%) disagreed to not bother about the outcome of their disease because they know they will get over it, 100.0% disagreed that the impact of diabetes on their lifestyle is negligible, and 65.6% agreed that they did not like people to know about their status. Amidst all the factors influencing compliance to the management of diabetes among patients with DM, drugs ranked highest with 98.1% followed by frustration due to long treatment and being tempted by inappropriate foods and drinks accounting for 83.5% and 81.1% respectively.
Conclusions: There was generally a good attitude on diabetes management. However, there is a need for special programs to encourage compliance by the government.
References
World Health Organization: Global status report on noncommunicable diseases 2014. Geneva: WHO; 2015.
Ibrahim EA, Waleed AA, Ali AA, Mohammed AA. Attitudes Towards And Adherence To Treatment: A Study Among Diabetic Saudi Males, King Abdul Aziz Specialized Hospital, Taif, Saudi Arabia. International Research Journal Of Pharmacy. 2014;5(4):278-82.
World Health Organisation factsheets Diabetes. World Health Organisation. Available at: http://www.who.int/mediacentre/factsheets/fs349/en/. Accessed on 26 September 2016
Ogbera OA, Kuku SF. Insulin use, prescription patterns regimens and costa-a narrative from a developing country,’ Diabetology and metabolic syndrome. 2012;4(1):50.
Kasznicki J, Glowacka A, Drzewoski J. Type 2 diabetic patients compliance with drug therapy and glycaemic control. Diabetologia. 2007;7(4):199-203.
Rwegerera GM, Moshomo T, Rivera RP. Antidiabetic medication adherence and associated factors among patients in Botswana; implications for the future. Alexandria Journal of Medicin. 2017;11:20-4.
Kheir N, Greer W, Yousif A, Geed AI, Okkah RA. Knowledge, attitude and practices of Qatari patients with type 2 diabetes mellitus. J Pharm Pract. 2011;19(3):185-91.
Ajibade BL, Abdullahi H, Oyedele EA. Factors militating against compliance with medical regimen among diabetic clients. Int. Professional Nursing J. 2010;8(1):13-8.
Chijioke A, Adamu AN, Makusidi AM. Mortality Patterns among Type 2 Diabetes Mellitus Patients in Ilorin, Nigeria. JEMDSA. 2010;15:79-82.
David B, Hunter M, Peters K, Davis T, Davis W. Fear of falling is common in patients with type 2 diabetes and is associated with increased risk of falls, Age and Ageing. 2015;44(4):687-90.
Abdulganiyu G, Fola T. What Is The Cost Of Illness Of Type Ii Diabetes Mellitus In A Developing Economy.
Marian AO, Joy IO. Knowledge, attitudes and practices of people with type 2 diabetes mellitus in tertiary health care centre, Umuahia, Nigeria. J Diabetes Metab. 2012;3(3):1-4.
Gelaw BK, Mohammed A, Tegegne T, Defersha AD, Fromsa M, Tadesse E et al. Non adherence and contributing factors among ambulatory patients with anti-diabetes medications in Adama Referral Hospital, Ethiopia, 2014. Journal of Diabetes Research. 2014;14:617041.
Manobharathi M, Kalyani P, William F, 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.
Teklay G, Hussien J, Tesfaye D. Non adherence and associated factors among type 2 diabetic patients at Jimma University Specialized Hospital, Southwest Ethiopia.Journal of medical Science. 2013;(13)7:578-84.
Bagonza J, Rutebemberwa E, Bazeyo W. Adherence to anti diabetic medication among patients with diabetes in eastern Uganda; a cross-sectional study.BioMed Centralarticles. 2015;15:168.
Kassahun A, Gashe F, Mulisa E, Rike WA. Nonadherence and factors affecting adherence of diabetic patients to anti-diabetic medication in Assela General Hospital, Oromia Region, Ethopia. Journal of Pharmacy and BioAllied Sciences. 2016;8:124-9.
Goetz K, Szecsenyi J, Campbell S, Rosemann T, Rueter G, Raum E et al. The importance of social support for people with type 2 diabetes – a qualitative study with general practitioners, practice nurses and patients. Psychosoc Medicine. 2012;9(2).
Medi RK, Mateti UV, Kanduri KR, Konda SS. Medication adherence and determinants of non-adherence among south Indian diabetes patients. J Soc Health Dia. 2015;3(1):26-9.
Olufemi F, Samuel DJ. Diabetes Care in Nigeria. Annals of Globl Health. 2016;81.
Abebe SM, Berhane Y, Worku Y. Barriers to diabetic medication adherence in North West Ethiopia.Springerplus. 2014;3:195.
Sapkota S, Brien J, Greenfield JR, Aslani P. A systemic review of interventions addressing adherence to Anti-diabetic medications in patient with type 2 diabetes –components of interventions, PLOS ONE. 2015;10(6):e0128581.
Attyia AAE, Bahnasy RE, Salem ME, Al-Batanony MA, Ahamed AR. Compliance of diabetic patients with the prescribed clinical regimen. Menoufia Med J. 2013;26(1):54-7.