Birinci basamakta tip 2 diyabet hastalarının ilaç uyumu ve yaşam kalitesi ilişkisi: Kesitsel bir çalışma

Amaç: Bu çalışmada, birinci basamakta tip 2 diyabet hastalarının ilaç uyumu ve yaşam kalitesi ilişkisinin değerlendirilmesi amaçlandı. Yöntem: Bu kesitsel tipte çalışmaya Temmuz-Ekim 2022 tarihleri arasında 18-65 yaş arası tip 2 diyabet hastaları dahil edildi. Katılımcılara bir anket uygulandı. Ankette sosyodemografik özellikler, Diyabet Yaşam Kalitesi Ölçeği (DYKÖ) ve Modifiye Morisky Ölçeği (MMÖ) yer aldı. Bulgular: Çalışmaya toplam 209 tip 2 diyabet hastası katıldı. Katılımcıların yaş ortalaması 53,5±9,2 yıl ve %51,7’si kadındı. Katılımcıların DYKÖ puan ortalaması 3,8±0,7 bulundu. MMÖ ortalama puanı 4,09±2,09 bulundu. Katılımcılardan evli olanların, gelir durumu orta-yüksek olanların, diyabet tanı süresi <5 yıl olanların, diyabet komplikasyonu olmayanların, diyabet tedavisi olarak sadece oral antidiyabetik kullananların, diyabet ilaçlarını düzenli kullananların, diyabete yönelik diyet ve egzersiz yapanların ve diyabet kontrollerine düzenli gidenlerin yaşam kalitesi daha yüksek bulundu (p<0,05). MMÖ ilaç uyumu motivasyon düzeyi ve bilgi düzeyi yüksek olanların yaşam kalitesi daha yüksek bulundu (p<0,01). Sonuç: Katılımcıların ilaç uyumu motivasyon ve bilgi düzeyleri artan yaşam kalitesi ile ilişkiliydi. Diyabet kontrolleri için birinci basamağa başvuru yüksek yaşam kalitesi ile ilişkiliydi.

Anahtar Kelimeler:

diabetes mellitus, yaşam kalitesi, tedavi uyumu, birinci basamak

The association between medication adherence and quality of life in patients with diabetes receiving primary healthcare centers: A cross-sectional study

Aim: This study aimed to evaluate the association between medication adherence and quality of life in patients with diabetes receiving primary healthcare centers. Method: Patients with type 2 diabetes, aged 18-65 between July and October 2022, were included in this cross-sectional study. A questionnaire including sociodemographic characteristics, the Diabetes Quality of Life (DQOL) scale, and the Modified Morisky Scale (MMS) were used. Results: Two hundred nine patients with type 2 diabetes participated in this study. The mean age of the participants was 53.5±9.2 years, and 51.7% were women. The mean DQOL score of the participants was 3.8±0.7. Quality of life was higher among married participants and those with medium-high income, diagnosed with diabetes <5 years previously, without diabetes complications, using only oral antidiabetic drugs for the treatment of diabetes, who regularly used diabetes medications, who dieted and exercised for diabetes, and who regularly attended diabetes follow-up (p<0.05). Quality of life was also higher in those with better MMS showing a better medication adherence motivation and knowledge levels (p<0.01). Conclusions: Participants' medication adherence motivation and knowledge levels were associated with an increased quality of life. Admission to primary healthcare centers for diabetes follow-up was also associated with a higher quality of life.

Keywords:

diabetes mellitus, quality of life, medication adherence, primary care,

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