Medication adherence in type 2 diabetes mellitus patients: a cross-sectional study

Detalhes bibliográficos
Autor(a) principal: Vieira,Joana Filipa Ferreira
Data de Publicação: 2020
Outros Autores: Santos,Paulo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-51732020000200002
Resumo: Objectives: To evaluate the adherence to medication in patients with type 2 diabetes mellitus and to assess its impact on the disease-oriented outcomes. Type of study: Cross-sectional. Location: Porto, Portugal. Population: Patients with type 2 diabetes mellitus from a primary care setting. Methods: A convenience sample of patients regularly attending a primary care setting, from July to October 2017, answered anonymously a survey delivered by their family physician. Adherence was assessed by the Treatment Adherence Measure questionnaire. Other evaluated variables were demographic and psychosocial factors and disease-oriented outcomes (weight, height, glycated hemoglobin, and blood pressure). Results: Eighty-five patients completed the study (54.1% of females) with a mean age of 61.3 years (± 13.8 years). The proportion of patients presenting good adherence to medication was 62.3% (CI95%, 51.8-72.9%). The lowest adherence is more common in patients with depressive symptoms (p=0.004), history of smoking habits (p=0.019), living alone (p=0.009) or living without a marital partner (p=0.039), and it is associated with higher glycated hemoglobin levels (p=0.004). Conclusions: Poor adherence to medication is a significant problem in the diabetic population, leading to lower glycemic control rates. The identification of its determinants allows us to design a specific intervention in primary care, both in patients’ education and in therapeutic approach, able to improve their health outcomes.
id RCAP_43594f3fed6bc4bb2733e0764cd73982
oai_identifier_str oai:scielo:S2182-51732020000200002
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Medication adherence in type 2 diabetes mellitus patients: a cross-sectional studyDiabetes mellitus, type 2AdherenceSocioeconomic factorsDepressionPortugalObjectives: To evaluate the adherence to medication in patients with type 2 diabetes mellitus and to assess its impact on the disease-oriented outcomes. Type of study: Cross-sectional. Location: Porto, Portugal. Population: Patients with type 2 diabetes mellitus from a primary care setting. Methods: A convenience sample of patients regularly attending a primary care setting, from July to October 2017, answered anonymously a survey delivered by their family physician. Adherence was assessed by the Treatment Adherence Measure questionnaire. Other evaluated variables were demographic and psychosocial factors and disease-oriented outcomes (weight, height, glycated hemoglobin, and blood pressure). Results: Eighty-five patients completed the study (54.1% of females) with a mean age of 61.3 years (± 13.8 years). The proportion of patients presenting good adherence to medication was 62.3% (CI95%, 51.8-72.9%). The lowest adherence is more common in patients with depressive symptoms (p=0.004), history of smoking habits (p=0.019), living alone (p=0.009) or living without a marital partner (p=0.039), and it is associated with higher glycated hemoglobin levels (p=0.004). Conclusions: Poor adherence to medication is a significant problem in the diabetic population, leading to lower glycemic control rates. The identification of its determinants allows us to design a specific intervention in primary care, both in patients’ education and in therapeutic approach, able to improve their health outcomes.Associação Portuguesa de Medicina Geral e Familiar2020-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-51732020000200002Revista Portuguesa de Medicina Geral e Familiar v.36 n.2 2020reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-51732020000200002Vieira,Joana Filipa FerreiraSantos,Pauloinfo:eu-repo/semantics/openAccess2024-02-06T17:27:57Zoai:scielo:S2182-51732020000200002Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:32:28.016282Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Medication adherence in type 2 diabetes mellitus patients: a cross-sectional study
title Medication adherence in type 2 diabetes mellitus patients: a cross-sectional study
spellingShingle Medication adherence in type 2 diabetes mellitus patients: a cross-sectional study
Vieira,Joana Filipa Ferreira
Diabetes mellitus, type 2
Adherence
Socioeconomic factors
Depression
Portugal
title_short Medication adherence in type 2 diabetes mellitus patients: a cross-sectional study
title_full Medication adherence in type 2 diabetes mellitus patients: a cross-sectional study
title_fullStr Medication adherence in type 2 diabetes mellitus patients: a cross-sectional study
title_full_unstemmed Medication adherence in type 2 diabetes mellitus patients: a cross-sectional study
title_sort Medication adherence in type 2 diabetes mellitus patients: a cross-sectional study
author Vieira,Joana Filipa Ferreira
author_facet Vieira,Joana Filipa Ferreira
Santos,Paulo
author_role author
author2 Santos,Paulo
author2_role author
dc.contributor.author.fl_str_mv Vieira,Joana Filipa Ferreira
Santos,Paulo
dc.subject.por.fl_str_mv Diabetes mellitus, type 2
Adherence
Socioeconomic factors
Depression
Portugal
topic Diabetes mellitus, type 2
Adherence
Socioeconomic factors
Depression
Portugal
description Objectives: To evaluate the adherence to medication in patients with type 2 diabetes mellitus and to assess its impact on the disease-oriented outcomes. Type of study: Cross-sectional. Location: Porto, Portugal. Population: Patients with type 2 diabetes mellitus from a primary care setting. Methods: A convenience sample of patients regularly attending a primary care setting, from July to October 2017, answered anonymously a survey delivered by their family physician. Adherence was assessed by the Treatment Adherence Measure questionnaire. Other evaluated variables were demographic and psychosocial factors and disease-oriented outcomes (weight, height, glycated hemoglobin, and blood pressure). Results: Eighty-five patients completed the study (54.1% of females) with a mean age of 61.3 years (± 13.8 years). The proportion of patients presenting good adherence to medication was 62.3% (CI95%, 51.8-72.9%). The lowest adherence is more common in patients with depressive symptoms (p=0.004), history of smoking habits (p=0.019), living alone (p=0.009) or living without a marital partner (p=0.039), and it is associated with higher glycated hemoglobin levels (p=0.004). Conclusions: Poor adherence to medication is a significant problem in the diabetic population, leading to lower glycemic control rates. The identification of its determinants allows us to design a specific intervention in primary care, both in patients’ education and in therapeutic approach, able to improve their health outcomes.
publishDate 2020
dc.date.none.fl_str_mv 2020-04-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-51732020000200002
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-51732020000200002
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-51732020000200002
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Portuguesa de Medicina Geral e Familiar
publisher.none.fl_str_mv Associação Portuguesa de Medicina Geral e Familiar
dc.source.none.fl_str_mv Revista Portuguesa de Medicina Geral e Familiar v.36 n.2 2020
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799137385693315072