Factors affecting adherence to insulin therapy among patients with type 2 diabetes mellitus in a selected teaching hospital, Sri Lanka
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Date
2020
Authors
Weerakoon, L.N.
Amarasekara, T.D.
Jayasekara, R.
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Biomedical Journal of Scientific and Technical Research, 2020; 30(4):23608-23614
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Abstract
Objective: In recent decades, the prevalence of type 2 Diabetes Mellitus (T2DM)has increased significantly worldwide, including Sri Lanka. Insulin therapy is essential pharmacological management of T2DM. Studies conducted on adherence to insulin therapy among patients with T2DM are few in Sri Lanka; therefore, this study was conducted.
Methods: Descriptive cross-sectional design was used with purposively selected 252patients with T2DM who were admitted to the Colombo South Teaching Hospital (CSTH) during the study period.A pre-tested interviewer-administered questionnaire and 8-ItemMorisky Medication Adherence Scale were used to collect data and analyzed by using descriptive statistics. Ethical approval was obtained from the Ethics Review Committees of Faculty of Medical Sciences, University of Sri Jayawardenapura and CSTH.
Key Findings: From all participants, 135 (53.6%) were males, and 117(46.4%) were females. Mean age was 60.37 years. The overall adherence rate was 42.5%, and non adherence rate was 57.5%. There is a significant association (p>0.05) between adherence and age, gender, educational level, financial problem, knowing about the complications,stress or emotional problems, challenging to take insulin at the same time the same day,skipping meals and taking drugs for other diseases.
Conclusion: Adherence to insulin therapy is less due to inadequate patients’ awareness. Therefore, health care providers should provide effective and tailored health education to enhance adherence to recommended insulin therapy among adults withT2DM in Sri Lanka.
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Copyright 2020 The author(s). This work is licensed under Creative Commons Attribution 4.0 License