科研之友
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摘要
Objectives: To determine the percentage of non-adherent patients with type 2 diabetes (T2D) attending primary health care (PHC) settings and to assess related factors %26lt;br%26gt;Design: Cross sectional case-control study %26lt;br%26gt;Setting: Five primary health care centers (one from each health region in Kuwait) %26lt;br%26gt;Subjects: Six hundred and ninety-three T2D patients %26lt;br%26gt;Methods: Comparison between cases and control was conducted using univariate analysis followed by a logistic regression analysis. The collected data included socio-demographic, clinical, and patients%26apos; practice data. %26lt;br%26gt;Main Outcome Measures: Adherence to T2D treatment recommendations %26lt;br%26gt;Results: Among 693 participants in this study, 181 were diagnosed as non-adherent to treatment recommendations with an overall 26.1% rate. They were compared with 512 adherent patients. Within socio-demographic variables, only education and family income were proved to be significantly associated with adherence to treatment. Among clinical variables, poor glycemic state (OR = 2.1, 95% CI: 1.2 - 4.7), hypertension (OR = 1.9, 95% CI: 1.2 - 3.2); co-morbid conditions (OR = 3.2, 95% CI: 1.3 - 6.2) were significant determinants of the outcome of interest. Regular followup visits, compliance with diet recommendations and mild physical activity were significant protective determinants related to patients%26apos; practice (OR = 0.4, 95% CI: 0.1 - 0.9), (OR = 0.3, 95% CI: 0.1 - 0.6), (OR = 0.3, 95% CI: 0.2 - 0.8),and (OR = 0.5, 95% CI: 0.2 - 0.9) respectively. %26lt;br%26gt;Conclusion: Many amenable factors were associated with non-adherence. Health education to diabetic patients should be emphasied to improve patients%26apos; knowledge, attitude and practice to encourage their adheience. Further studies are needed regarding physicians%26apos; practice and their relation with patients.
- 出版日期2014-9
