FACTORS AFFECTING TREATMENT COMPLIANCE AMONG TYPE 2 DIABETES PATIENTS ON FOLLOW-UP AT MOI TEACHING & REFERRAL HOSPITAL

Authors

  • Caleb Koech School of Nursing, Midwifery and paramedical sciences Masinde Muliro University of Science and Technology
  • Prof. A. J. Oloo School of Medicine, Masinde Muliro University of Science and Technology
  • Dr Gordon Nguka Department of Nutrition and Dietetics, Masinde Muliro University of Science and Technology
Abstract views: 458
PDF downloads: 278

Keywords:

Adherence, Compliance, Diabetes Mellitus, Factors, Treatment.

Abstract

Purpose: this cross sectional study sought to identify the factors associated with diabetic treatment compliance among type 2 diabetes patients on follow up at Moi Teaching and Referral Hospital, Eldoret Kenya.

Methodology: Data was collected using self administered questionnaire consisting of closed ended questions was used during the interviews together with Morisky’s eight question instrument was used. Test of significance were at 95% confidence level.

Findings: A total of 137 self-administered questionnaires were given to patients who were on follow-up at MTRH diabetic clinic during the study period and there was 100% response rate. 51.8% were female while 48.2% were male. Majority were aged 25 – 39 years (48.2%). 65% were single and 22.6% were married. Over 46% had attained diploma and above in education and about half (48.2%) were unemployed while 40.9% were employed. Income shows that 43.1% were earning between KSh. 10,000 – 49,999. Except for occupation that was with statistically significant difference (χ2=7.0; p = 0.03), there were no significant differences between patients with low and medium/high adherence for the remaining socio-demographic variables.

Unique contribution to theory, practice and policy: The research recommends that health care workers should enhance health education whereas Hospitals should have guidelines in patient teaching.

Downloads

Download data is not yet available.

Author Biographies

Caleb Koech, School of Nursing, Midwifery and paramedical sciences Masinde Muliro University of Science and Technology

Post Graduate Student

Prof. A. J. Oloo, School of Medicine, Masinde Muliro University of Science and Technology

Lecturer

Dr Gordon Nguka, Department of Nutrition and Dietetics, Masinde Muliro University of Science and Technology

Lecturer

References

Al Qazazz H.(2010) “Perception and knowledge of patients with type 2 diabetes in Malaysia about their disease and medication: a qualitative study”, Research in social and administrative pharmacy,7:p180-191.
Bailey C & Kodack M.(2011). Patient adherence to medication requirements for therapy of type 2 diabetes. International Journal of Clinical Practice 65: 314–322.
Bakken S.(2000). Relationships between perception of engagement with healthcare provider and demographic characteristics, health status, and adherence to therapeutic regimen in persons with HIV/AIDS. (4), 189–197
Chege, M.P.(2010.) Risk factors for type 2 diabetes mellitus among patients attending a rural Kenyan hospital. Africa Journal Primary Health Care Fam Med.;2(1), Art. #96, 5 pages. DOI: 10.4102/phcfm.v2i1.96
Clark, W.F, Forwel L.(2000). Patient compliance with drug therapy for diabetic nephropathy. CMAJ.162:1553–4.
Divya S, Nadig P.(2015) Factors contributing to non-adherence to medication among type 2 diabetes mellitus in patients attending tertiary care hospital in South India.Asian J Pharm Clin Res. 8(2)274-6.
Elous. A.(2017). Medications Adherence and Associated Factors among Patients with Type 2Diabetes Mellitus in the Gaza Strip, Palestine.2017.
Glanz K, Rimer BK, &Lewis FM (2002). Health behaviour and health education: theory, research and practice (3rd edition ed.). (Jossey-Bass, Ed.) San Francisco.
Haynes, R, McDonald, H, &Garg, A.(2002). Helping patients follow prescribed treatment, Clinical applications. JAMA , 288, 2880-3.
Joan, N.(2008). Non-adherence to diabetes treatment. African Health sciences medical journal, Kampala.
Jin, J. (2008). Factors Affecting Therapeutic Compliance: A review from the Patient’s Perspective.
Kirkwood BR, &Sterne J (2003). Essential Medical Statistics. 2nd ed. Oxford, UK: Blackwell Science.
Lung C.L.(2001). Adherence to asthma therapy. Ann Allergy Asthma Immunol ;86:24-30
Maina E. W.(2016). Factors associated with non-adherence to oral hypoglycemic medications among adult type 2 diabetes mellitus outpatients attending Mbagathi district hospital Nairobi, Kenya.
Martha F, &Robert A.(1991). Empowerment: An Idea Whose Time Has Come in Diabetes Education. The Diabetes Educator February, 17: 37-41
Mende Sorato M, Tesfahun C & Lamessa D Arba.(2016). Levels and Predictors of Adherence to Self-care Behaviour among Adult Type 2 Diabetics at ArbaMinch General Hospital, Southern Ethiopia Minch, Arba Minch, Ethiopia.
Mohammad Abdul Salam & Aesha Farheen Siddiqui.(2013). Socio-demographic Determinants of Compliance among Type 2 Diabetic Patients in Abha, Saudi Arabia, journal of clinical and diagnostic research.
Motala, A.(2000). Application of the new ADA criteria for the diagnosis of diabetes to population studies in sub-Saharan Africa. Diabetic Medicine, 17: 381–385.
Morisky, D.E (2008). Predictive validity of a medication adherence measure in an outpatient setting. J. Clin. Hypertension. 10(5):348–354.
Morisky DE, Green LW, &Levine DM.(1986). Concurrent and predictive validity of a self-reported measure of medication adherence. Medical Care , 24:67-74.
Senanu O.(2014). Non- Adherence to Medication in Outpatient setting in Nigeria: The effect of Employment status. Published online ncbi.nlm.nih.gov .
Sharma, T, Kalra, J, Dhasmana DC, &Basera H.(2014). Poor adherence to treatment: A major challenge in diabetes.JIACM. 15(1): 26-9.
Tuomilehto (2001). Prevention of type 2 dibetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance, New Engl J Med 344,; 1340-50

Downloads

Published

2019-10-04

How to Cite

Koech, C., Oloo, P. A. J., & Nguka, D. G. (2019). FACTORS AFFECTING TREATMENT COMPLIANCE AMONG TYPE 2 DIABETES PATIENTS ON FOLLOW-UP AT MOI TEACHING & REFERRAL HOSPITAL. Journal of Health, Medicine and Nursing, 4(5), 1 – 11. Retrieved from https://www.iprjb.org/journals/index.php/JHMN/article/view/982

Issue

Section

Articles