Comprehension of Long-Term Medications in Patient with Type 2 Diabetes Mellitus: A Kap Study
DOI:
https://doi.org/10.37762/jgmds.11-2.535Keywords:
Type 2 Diabetes Mellitus, Adherence, Education Level, Glycemic ControlAbstract
OBJECTIVES
The study aimed to assess the comprehension of long-term medications in patients with Type 2 diabetes mellitus.
METHODOLOGY
A descriptive cross-sectional study was conducted in Khyber Teaching Hospital Peshawar, Pakistan, a region with potentially low literacy rates that could affect health outcomes. After acquiring approval from the Institutional Ethical Review Board, the study utilized an appropriately designed and validated questionnaire to collect data from 305 willing participants. The questionnaire assessed demographic information, comorbid conditions, and comprehension of long-term medications.
RESULTS
The mean age of the patients was 58.52 ± 10.3 years, with a mean HbA1c of 9.15 ± 2.1%. Regarding T2DM treatment, 55.1% used oral anti-diabetic agents, 34.4% used insulin, and 10.2% used both. The complications were diabetic retinopathy (40.7%), chronic kidney disease (28.9%), diabetic foot ulcers (24.9%), cerebrovascular disease (16.7%), and cardiovascular disease (16.6%). Over 50% had T2DM for more than five years. Regarding affordability and access to healthcare, 8.2% couldn't afford medications, 44.9% occasionally missed medicines due to cost, and 74.4% had easy access to healthcare. Comorbidities included hypertension (47.5%) and dyslipidemia (12.8%).
CONCLUSION
Medication comprehension is crucial for T2DM patients’ health outcomes. Tailored interventions can improve glycemic control and reduce complications risk.
Downloads
Metrics
References
AshaRani PV, Abdin E, Kumarasan R. Study protocol for a nationwide Knowledge, Attitudes and Practices (KAP) survey on diabetes in Singapore’s general population. Br Med J Open 2020; 10:e037125
International Diabetes Federation. IDF Diabetes Atlas, 10th edn. Brussels, Belgium: 2021. Available at: https://www.diabetesatlas.org
Hu FB, Satija A, Manson JE. Curbing the diabetes pandemic: the need for global policy solutions. J Am Med Assoc 2015;313(23):2319-20
Dehdari L, Dehdari T. The determinants of anti-diabetic medication adherence based on the experiences of patients with type 2 diabetes. Archives of Public Health 2019; 77:1-9
Guerci B, Chanan N, Kaur S, Jasso-Mosqueda JG, Lew E. Lack of treatment persistence and treatment non-adherence as barriers to glycemic control in patients with type 2 diabetes. Diabetes Therapy 2019; 10:437-49
Marusic S, Melis P, Lucijanic M, Grgurevic I, Turcic P, Obreli Neto PR, Bilic-Curcic I. Impact of pharmacotherapeutic Education on medication adherence and adverse outcomes in patients with type 2 diabetes mellitus: a prospective, randomized study. Croatian Med J 2018; 59(6):290-7
Jackson IL, Adibe MO, Okonta MJ, Ukwe CV. Medication adherence in type 2 diabetes patients in Nigeria. Diabetes Technol Ther 2015; 17(6):398-404.
Currie CJ, Peyrot M, Morgan CL, Poole CD, Jenkins-Jones S, Rubin RR, et al. The impact of treatment noncompliance on mortality in people with type 2 diabetes. Diabetes care 2012; 35(6):1279-84.
Abdullah A, Liew SM, Salim H, Ng CJ, Chinna K. Prevalence of limited health literacy among patients with type 2 diabetes mellitus: A systematic review. PloS one 2019; 14(5):e0216402
Hussain N, Said AS, Khan Z. Influence of health literacy on medication adherence among elderly females with type 2 diabetes in Pakistan. Int Q Comm Health Edu 2020; 41(1):35-44
Nazir SU, Hassali MA, Saleem F, Bashir S, Aljadhey H. Disease related knowledge, medication adherence and glycemic control among patients with type 2 diabetes mellitus in Pakistan. Primary care diabetes 2016; 10(2):136-41
Iqbal Q, Bashir S, Iqbal J, Iftikhar S, Godman B. Assessment of medication adherence among type 2 diabetic patients in Quetta city, Pakistan. Postgrad Med 2017; 129(6):637-43
Aguayo-Mazzucato C, Diaque P, Hernandez S, Rosas S, Kostic A, Caballero AE. Understanding the growing epidemic of type 2 diabetes in the Hispanic population living in the United States. Diabetes Metab Res Rev 2019; 35(2):e3097
Lingam S, Rani PK, Sheeladevi S, Kotapati V, Das T. Knowledge, attitude and practices on diabetes, hypertension and diabetic retinopathy and the factors that motivate screening for diabetes and diabetic retinopathy in a pyramidal model of eye health care. Rural Remote Health 2018; 18(1):4304
Peter PI, Steinberg WJ,van Rooyen C,Botes J. Type 2 diabetes mellitus patients’ knowledge attitude and practice of lifestyle modifications. Health SA 2020; 27.
Adam HMI , Elmosaad YM, Ahmed AEE, Khan A, Mahmud I. Dietary knowledge attitude and practice among type 2 diabetes mellitus patients in Sudan: A hospital-based cross-sectional study. Afr Health Sci 2021; 21(1):32-40
Gautam SK, Gupta V. Impact of knowledge attitude and practice on the management of type 2 diabetes mellitus in developing countries: a review. Curr Diabetes Rev 2022;18(3):e010521189965.
Choo JY, Ng YP, Ariffin Abdul Jamil AK, Heng WK, Ng YM, Ng J, Yap CH. An exploratory study on the knowledge attitude and practice of sharp disposal among type 2 diabetes mellitus patients in Northern Peninsular Malaysia. Diabetes Metab Synd 2022; 16(4):102479
Mansy W, Wajid S, Alwhaibi A. Assessing outpatients’ knowledge attitude and practice toward managing diabetes in Saudi Arabia. Inquiry 2022; 59: 469580221082781
Alaofe, H, Hounkpatin WA, Djrolo F. Knowledge, attitude, practice and associated factors among patients with type 2 diabetes in Cotonou, Southern Benin. BMC Public Health 2021: 39
Fatema K, Hossain S, Natasha K, Chowdhury HA, Akter J, Khan T, et al. Knowledge attitude and practice regarding diabetes mellitus among Non-diabetic and diabetic study participants in Bangladesh. BMC Public Health 2017; 17(1):364.
Al-Eidi S, Tayel S, Al-Slail F, Qureshi NA, Sohaibani I, Khalil M, et al. Knowledge, attitude and practice of patients with type 2 diabetes mellitus towards complementary and alternative medicine. J Integr Med 2016; 14(3): 187-96
Chawla SPS, Kaur S, Bharti A, Garg R, Kaur M, Soin D, et al. Impact of health education on knowledge, attitude, practices and glycemic control in type 2 diabetes mellitus. J Family Med Prim Care 2019; 8(1):261-8
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Suleman Elahi Malik, Shaista Kanwal, Iqbal Haider, Javeria Javed , Yasir Iqbal, Sidra Bibi
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
