An investigation of the diabetes health literacy level and compliance to the treatment in patients with diabetes in Turkey

Aim: This study aims to investigate the relationship between the diabetes health literacy level and compliance to the treatment in individuals with diabetes. Material and Method: This descriptive study was conducted in the Internal Diseases-1 and Endocrinology clinics of a hospital between January 2019 and April 2020. The target population was the patients who were hospitalized in these clinics due to Type-II diabetes between the dates when data were collected. Sampling was performed using the sampling method with a known population, and the sample was composed of 237 patients. Data were collected through the Socio-demographic Form, the Diabetes Health Literacy Scale, and the Scale for Compliance to the Treatment in Type II Diabetes Mellitus. Data analysis included Kolmogorov Smirnov test, numbers, percentages, Cronbach’s Alpha, t-test, Kruskal Wallis, analysis of variance, chi-square test, and correlation test. Result: This study found the health literacy scale total mean score as above-average (38.41±8.59), and the compliance to the treatment mean score as moderate (83.14±12.35). A negative and significant relationship was found between compliance to the treatment and diabetes health literacy scale total score and the communicative health literacy and critical health literacy mean scores (p

Keywords:

chronic diseases, health literacy, diabetes mellitus compliance, treatment,

PDF

___

WHO. Health literacy: The solid facts. 2013.
Unıted Natıons Educatıonal Scientific and Cultural Organization, The global literacy challenge a profile of youth and adult literacy at themid-point of the united nations literacy decade 2003-2012.
Kutner M,Greenberg E, Jin Y, Paulsen C, White S. The health literacy of America’s adults, National Assessment of Adult Literacy 2003.
Tanrıöver M, Yıldırım H, Ready FND, Çakır B, Akalın E. Turkey Health Literacy Survey. Saglık-Sen Publications 2014.
Okyay P, Abacıgil F. Türkiye sağlık okuryazarlığı ölçekleri güvenirlilik ve geçerlilik çalışması. T.C. Sağlık Bakanlığı 2016; 19-75.
Bakan AB, Yıldız M. A study on determining the health literacy levels of individuals aged 21-64. Sağlık ve Toplum 2019; 29: 33-8.
Hashempour L,Önal İ.Health and diabetes literacy, Master Thesis, The Case of Hacettepe University Hospitals, 2018.
Durna Z. Kronik Hastalıklar ve Bakım, Nobel Tıp Kitapevleri, İstanbul, 2012.
Satman I, Omer B,Tutuncu Y, et al. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. EJE 2013; 28: 169-80.
Akalın E, Tanrıöver MD,Sayran F. Sürdürülebilir sağlık sistemi için kronik hastalık yönetiminde elektronik sağlık kayıtlarının rolü. TÜSİAD 40 2012; 29-52.
Ho PM, Bryson CL, Rumsfeld JS. Medication adherence: Its importance in cardiovascular outcomes. Circulation 2009; 119: 3028-35.
Wood B.Medication adherence, thereal problem when treating chronic conditions. US Pharmacist 2012; 37: 3-6.
Jin J, Sklar GE, Oh VMS, Li SC. Factors affecting therapeutic compliance: A review from the patient’s perspective. Ther Clin Risk Manag 2008; 4: 269-86.
Ishikawa H, Takeuchi T, Yano E. Measuring functional, communicative and critical health literacy among diabetic patients. Am Diabet Assoc 2008; 31: 874-9.
Kartal A, Özsoy SA. Effect of planned diabetes education on health beliefs and metabolic control in type 2 diabetes patients. Journal of Hacettepe Universirty Faculty of Nursing 2014; 1: 1-5.
Ağralı H, Akyar I.Turkish validation and reliability of health literacy scalefor diabetic patients. Acıbadem Üniversitesi Sağlık Bilimleri Derg 2018; 9: 314-21.
Demirtas A, Akbayrak N. Development of an assessment scale for treatment compliance in type 2 diabetes mellitus in Turkish population: Psychometrice valuation. Int J Nurs Sci 2017; 4: 244-51.
Sørensen K, Pelikan JM, Röthlin F. Health literacy in Europe: Comparative results of the Europe an health literacy survey (HLS-EU). Eur J Public Health 2015; 25: 1-6.
Bal Özkaptan B, Kapucu S, Demirci İ. Relationship between adherence to treatment and acceptance of illness in patients with type 2 diabetes. Çukurova Üniversitesi Tıp Fakültesi Derg 2019; 44: 447-54.
Kav S, Bulut Y, Karaaslan Eşer A. et al. Evaluation of the patient compliance in type 2 diabetes mellitus treatment. Ege Üniversitesi Hemşirelik Fakültesi Derg 2018; 34: 64-76.
Krass I, Schieback P, Dhippayom T. Systematic review or meta-analysis adherence to diabetes medication: a systematic review. Diabet Med 2015; 32: 725-37.
Kim S, Love F, Quistberg DA, Shea JA. Association of health literacy with self management behavior in patients with diabetes. Diabetes Care 2004; 27: 2980-2.
Özonuk E, Yılmaz M. Relationship between health literacy and compliance with the treatment among individuals with type 2 diabetes mellitus. Hemşirelikte Eğitim ve Araştırma Derg 2019; 16: 96-103.
Shokair FN. Pattern and determinants of compliance of diabetics to health care in Alexandria: A community based study. Bull Alex Fac Med 2010; 34: 200-10.
Sweileh WM, Sa’ed HZ, Nab’a RJA. et al. Influence of patients’ disease knowledge and beliefs about medicines on medication adherence: Findings from a cross-sectional survey among patients with type 2 diabetes mellitus in Palestine. BMC Public Health 2014; 94: 2-7.
Arslan E. Tip 2 Diabetes Mellituslu Hastaların Tedaviye Uyumlarını Etkileyen Faktörler, Tıpta uzmanlık tezi, Dicle Üniversitesi 2011.
Lai AY, Ishikawa H, Kiuchi T, et al. Communicative and critical health literacy and self-management behaviors in end-stage renal disease patients with diabetes on hemodialysis. Patient Educat Counsel 2013; 91: 221-7.
Osborn CY, Cavanaugh K, Wallston KA. Health literacy explains racial disparities in diabetes medication adherence. J Health Commun 2011 16: 268-78.
Bauer AM, Parker MM, Schillinger D. Associations between antidepressant adherence and shared decision making, patient–provider trust, and communication among adults with diabetes: Diabetes study of northern California (DISTANCE). J Gen Intern Med 2014; 29: 1139-47.
Thurston MM, Bourg CA, Phillips BB, Huston SA. Impact of health literacy level on aspects of medication nonadherence reported by underserved patients with type 2 diabetes. Diabetes Technology Therapeutics 2015; 17: 187-93.