•  
  •  
 

ORCID ID

Enver Caner: 0000-0002-0815-4851

Esin Kavuran: 0000-0002-4890-520X

Abstract

Background: The study aimed to investigate the connection between self-care behaviors and treatment adherence among individuals with type 2 diabetes.

Methods: This cross-sectional correlational study was conducted between January and May 2022 in a public hospital involving 191 patients diagnosed with type 2 diabetes. Data were collected using the patient information form, the diabetes self-care scale, and the assessment scale for treatment compliance in type 2 diabetes.

Results: The mean self-care score was 84.57 ± 14.46 years, and the mean treatment compliance score was 79.50 ± 11.13 years, with a significant negative correlation between them (r = −0.315, p < 0.001). Factors positively influencing self-care were being female (p < 0.05), unemployed (p < 0.05), farmer or civil servant (p < 0.05), hospitalized in the past year (p < 0.01), and exercising regularly or occasionally (p < 0.001). Treatment compliance was significantly higher in those who did not exercise (p < 0.01). A positive correlation was found between age and treatment compliance (r = 0.152, p < 0.05) but not with BMI or diagnosis duration.

Conclusions: The study revealed that patients exhibited moderate levels of self-care and treatment compliance. Moreover, as self-care improved, treatment compliance tended to decrease.

References

  1. Yehualashet FA, Tegegne ET, Ayele AD, Takele WW. Do adult patients with diabetes mellitus living in rural part of Ethiopia and having poor social support have disproportionately poor self-care practice? A systematic review and meta-analysis. Prim Care Diabetes. 2021;15:642–52.
  2. Yin Y, Rohli KE, Shen P, Lu H, Liu Y, Dou Q, et al. The epidemiology, pathophysiological mechanisms, and management toward COVID-19 patients with Type 2 diabetes: A systematic review. Prim Care Diabetes. 2021;15:899–909.
  3. International Diabetes Federation. Diabetes Atlas. Brussels: International Diabetes Federation, 2021.
  4. Lambrinou E, Hansen TB, Beulens JW. Lifestyle factors, self-management and patient empowerment in diabetes care. Eur J Prev Cardiol. 2019;26:55–63.
  5. İstek N, Karakurt P. Global Bir Sağlık Sorunu: Tip 2 Diyabet ve Öz-Bakım Yönetimi [A global health problem: Type 2 diabetes and self-care management]. J Acad Res Nurs. 2018;4:179–92. Turkish.
  6. Beyhan Y, Kalaycı M. Tip 2 diyabetli bireylerin metabolik kontrollerinin diyabet güçlendirme ölçeği ile değerlendirilmesi [Evaluation of metabolic control levels of the patients with type 2 diabetes mellitus by using the diabetes empowerment scale]. Zeugma Health Res. 2021;3:20–6. Turkish.
  7. Gehlawat M, Naik B, Lakshminarayanan S, Kar S. Dietary practices and barriers to dietary modification among diabetics and hypertensives in a rural health service area of Puducherry: A qualitative study. Int J Health Allied Sci. 2018;7:139.
  8. Jackson IL, Onung SI, Oiwoh EP. Self-care activities, glycaemic control and health-related quality of life of patients with type 2 diabetes in a tertiary hospital in Nigeria. Diabetes Metab Syndr. 2021;15:137–43.
  9. Lin MH, Ou HY, Wang RH, Lin CH, Liao HY, Chen HM. Glycaemic control mediates the relationships of employment status and self-stigma with self-care behaviours in young adults with type 2 diabetes. J Clin Nurs. 2022;31:582–91.
  10. Seah SJ, Harding SC, Pay JY, Wang J, Aw S, Lam J, et al. Sociodemographic characteristics associated with self-care and quality of life among community-dwelling older adults with type 2 diabetes. Prim Care Diabetes. 2022;16:179–87.
  11. Świątoniowska-Lonc N, Tański W, Polański J, Jankowska-Polańska B, Mazur G. Psychosocial determinants of treatment adherence in patients with type 2 diabetes - A review. Diabetes Metab Syndr Obes. 2021;14:2701–15.
  12. Baykal A, Kapucu S. Tip 2 Diyabetes Mellituslu Hastaların Tedavilerine Uyumlarının Değerlendirilmesi [Type II diabetes mellitus patiants’ adherence to treatment]. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2015;2:44–58. Turkish.
  13. Kassahun T, Gesesew H, Mwanri L, Eshetie T. Diabetes related knowledge, self-care behaviours and adherence to medications among diabetic patients in Southwest Ethiopia: A cross-sectional survey. BMC Endocr Disord. 2016;16:28.
  14. Ibrahim AO, Agboola SM, Elegbede OT, Ismail WO, Agbesanwa TA, Omolayo TA. Glycemic control and its association with sociodemographics, comorbid conditions, and medication adherence among patients with type 2 diabetes in southwestern Nigeria. J Int Med Res. 2021;49:3000605211044040.
  15. Barasa Masaba B, Mmusi-Phetoe RM. Determinants of non-adherence to treatment among patients with type 2 diabetes in Kenya: A systematic review. J Multidiscip Healthc. 2021;13:2069–76.
  16. Carey N, Courtenay M. A review of the activity and effects of nurse-led care in diabetes. J Clin Nurs. 2007;16:296–304.
  17. Enricho Nkhoma D, Jenya Soko C, Joseph Banda K, Greenfield D, Li YJ, Iqbal U. Impact of DSMES app interventions on medication adherence in type 2 diabetes mellitus: Systematic review and meta-analysis. BMJ Health Care Inform. 2021;28:e100291.
  18. İlhan N, Telli S, Temel B, Aştı T. Health literacy and diabetes self-care in individuals with type 2 diabetes in Turkey. Prim Care Diabetes. 2021;15:74–9.
  19. Neşe A, Bakir E, Bağlama SS, Karasu F. Tip 2 Diyabet Hastalarında Sağlık Okuryazarlığı Düzeyinin Diyabet Öz Bakımı Üzerine Etkisi: Klinik Tabanlı Bir Çalışma [The effect of health literacy level on diabetes self-care in type 2 diabetes patients: A clinical based study]. Turkiye Klinikleri J Health Sci. 2021;6:112–9.
  20. Eşer AK, Doğan EN, Sultan K, Bulut Y. Tip 2 Diabetes Mellitus Tedavisinde Hasta Uyumunun Değerlendirilmesi [Evaluation of the patient compliance in type 2 diabetes mellitus treatment]. Ege Üniversitesi Hemşirelik Fakültesi Dergisi. 2018;34:64–76. Turkish.
  21. Ari N, Özdelikara A. Dahiliye Kliniklerine Başvuran Tip 2 Diyabet Hastalarında Aile Desteğinin Hastalığı Kabullenme ve Tedavi Uyumuna Etkisi: Ordu İli Örneği [The effect of family support on acceptance and treatment adaptation in type 2 diabetes patients applied to internal medicine clinics: Ordu province sample]. Türkiye Diyabet Ve Obezite Dergisi. 2022;1:39–48. Turkish.
  22. Çapik C. İstatistiksel Güç Analizi Ve Hemşirelik Araştirmalarinda Kullanimi: Temel Bilgiler [Statistical power analysis and its use nursing studies: Basic information]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2014;17:268–74. Turkish.
  23. Lee NP, Fisher WP Jr. Evaluation of the Diabetes Self-Care Scale. J Appl Meas. 2005;6:366–81.
  24. Karakurt P, Kasikci M. Validity and reliability of the Turkish version of the Diabetes Self-Care Scale. Int J Diabetes Dev Ctries. 2015;35:148–156.
  25. Demirtaş A, Akbayrak N. Development of an assessment scale for treatment compliance in type 2 Diabetes Mellitus in Turkish population: Psychometric evaluation. Int J Nurs Sci. 2017;4:244–51.
  26. Mohandas A, Bhasin SK, Upadhyay M, Madhu SV. Diabetes self care activities among adults 20 years and above residing in a resettlement colony in East Delhi. Indian J Public Health. 2018;62:104–10.
  27. Xie Z, Liu K, Or C, Chen J, Yan M, Wang H. An examination of the socio-demographic correlates of patient adherence to self-management behaviors and the mediating roles of health attitudes and self-efficacy among patients with coexisting type 2 diabetes and hypertension. BMC Public Health. 2020;20:1227.
  28. Yuksel M, Bektas H. Compliance with treatment and fear of hypoglycaemia in patients with type 2 diabetes. J Clin Nurs. 2021;30:1773–86.
  29. Horii T, Momo K, Yasu T, Kabeya Y, Atsuda K. Determination of factors affecting medication adherence in type 2 diabetes mellitus patients using a nationwide claim-based database in Japan. PLoS One. 2019;14:e0223431.
  30. Mohebi S, Parham M, Sharifirad G, Gharlipour Z, Mohammadbeigi A, Rajati F. Relationship between perceived social support and self-care behavior in type 2 diabetics: A cross-sectional study. J Educ Health Promot. 2018;7:48.
  31. Krzemińska S, Lomper K, Chudiak A, Ausili D, Uchmanowicz I. The association of the level of self-care on adherence to treatment in patients diagnosed with type 2 diabetes. Acta Diabetol. 2021;58:437–45.
  32. Borba AKOT, Arruda IKG, Marques APO, Leal MCC, Diniz ADS. Knowledge and attitude about diabetes self-care of older adults in primary health care. Cien Saude Colet. 2019;24:125–36.
  33. Dehvan F, Qasim Nasif F, Dalvand S, Ausili D, Hasanpour Dehkordi A, Ghanei Gheshlagh R. Self-care in Iranian patients with diabetes: A systematic review and meta-analysis. Prim Care Diabetes. 2021;15:80–7.
  34. D'Souza MS, Karkada SN, Parahoo K, Venkatesaperumal R, Achora S, Cayaban ARR. Self-efficacy and self-care behaviours among adults with type 2 diabetes. Appl Nurs Res. 2017;36:25–32.
  35. Kenger EB, Ergün C. Tip 1 Diyabet, Egzersiz ve Beslenme [Type 1 Diabetes, Exercise and Nutrition]. Turkiye Klinikleri J Sports Sci. 2019;11:164–70. Turkish.
  36. Shruthi R, Jyothi R, Pundarikaksha HP, Nagesh GN, Tushar TJ. A study of medication compliance in geriatric patients with chronic illnesses at a tertiary care hospital. J Clin Diagn Res. 2016;10:FC40–3.
  37. Polański J, Chabowski M, Świątoniowska-Lonc N, Mazur G, Jankowska-Polańska B. Medication Compliance in COPD Patients. Adv Exp Med Biol. 2020;1279:81–91.
  38. Özer E, özdemir L. Yaşlı Bireyde Akılcı İlaç Kullanımı ve Hemşirenin Sorumlulukları [Rational drug usage in elderly and Nurse’s responsibilities]. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2009;16:42-51. Turkish.
  39. Jannoo Z, Mamode Khan N. Medication adherence and diabetes self-care activities among patients with type 2 diabetes mellitus. Value Health Reg Issues. 2019;18:30–5.
  40. Walker RJ, Smalls BL, Hernandez-Tejada MA, Campbell JA, Egede LE. Effect of diabetes self-efficacy on glycemic control, medication adherence, self-care behaviors, and quality of life in a predominantly low-income, minority population. Ethn Dis. 2014;24:349–55.

Creative Commons License

Creative Commons Attribution-Share Alike 3.0 License
This work is licensed under a Creative Commons Attribution-Share Alike 3.0 License.

Included in

Nursing Commons

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.