ADHERENCE TO THERAPEUTIC REGIMEN AMONG DIABETIC PATIENT IN ITAHARI-5 SUNSARI
Shashi Sharma Rijal*
ABSTRACT
Introduction: Adherence to treatment regimen among diabetes patients is very crucial for good glycemic control. Poor adherence is a widely recognized problem causing great impact on poor health outcomes and healthcare costs. Hence, this study was conducted to identify the adherence to prescribed therapeutic regimen among diabetic patients. Methods: descriptive cross sectional research design was adopted. Data was collected purposively among 400 respondents at Itahari, sub metropolitian city Of Province 1 Nepal. Through interview using structured questionnaire. Analysis was done by descriptive and inferential statistics. Results: The study findings revealed Adherence to medicine and diet were (16%) & (25%) respectively. Dietary adherence was associated with age, sex, educational level, attending diabetic counseling (p<0.001). Exercise adherence was associated with age, sex, educational level, occupation and attending diabetic counseling (p<0.05). Medication adherence was associated with attending diabetic counseling (p=0.03). Follow up adherence was associated with education, occupation, attending diabetic counseling, duration of diabetes mellitus, frequency of follow up visit, and knowledge level (p<0.05). Moreover, respondents with good adherence to exercise (75.7%), medicine (63.3%) and follow up adherence (66%) had controlled fasting blood sugar level (p=0.01, p=0.03 and p=0.01 respectively). Conclusion: Adherence on diet and exercise was very low than other components among diabetes patients. So, it is recommended to focus on education especially on diet and exercise adherence which would be of great benefit in glycemic control.
Keywords: Adherence, compliance, diabetic patient, treatment.
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