Knowledge and Compliance Status among Diabetes Mellitus Patients in a Tertiary Care Teaching Hospital

Selvaraj Subashree; Saravanan Revathy; Mukherjee Dipali

Knowledge and Compliance Status among Diabetes Mellitus Patients in a Tertiary Care Teaching Hospital

Selvaraj Subashree, Saravanan Revathy, Mukherjee Dipali

Abstract

Introduction Diabetes mellitus a major and common metabolic disorder with serious health and economic adverse consequences. Apart from other known factors, non-adherence to medical advice and treatment are also important preventable factors that results in complications of diabetes. Hence the analysis of knowledge and adherence status to
medical and other lifestyle changes, and their impact on controlling diabetes are needed.
Aim and Objectives To assess the knowledge and adherence status among Type 2 diabetic patients on treatment. Methodology A pre-tested questionnaire having 24 questions in Tamil, to collect informations like demographic status, knowledge and adherence of the participants were used in 100 adult diabetic patients from both sex on treatment for the past 1 year after obtaining their informed consent by direct interview and were recorded. The data were
analyzed with descriptive statistics using SPSS version 21. The interrelationship among knowledge, adherence and diabetic control were analyzed by chi-square test with significant p < 0.05.
Results and Discussion Out of 58 (58.0%) male and 42 (42.0%) female participants, low knowledge score of less than 30% was seen in 25 (43.1%) males and 22 (52.4%) females, 53 (53.0%) participants had a moderate score of 31–60% [33 (56.9 %) male and 20 (47.6%) female]. High score of >60% was not observed. A poor adherent score of 18–26 was obtained by 19 patients [8 (13.8%) males and 11 (26.2%) females] and very poor adherent score of <18 was seen in 81 patients [50 (86.2%) males and 31 (73.8%) females]. Knowledge showed a statistically significant influence on adherence
(p < 0.001). which was still poor and resulting in poor therapeutic outcome as evidenced by uncontrolled HbA1c level (p < 0.482).
Conclusion Our study has shown a weak relationship between knowledge and adherence resulting in the failure of long-term glycaemic control. Hence along with improving knowledge by educational aids like media, SMS, handouts and educative programmes with removal of impending factors for adherence are suggested for achieving good glycaemic control and avoiding the complications where healthcare providers have an important role.

Keywords

diabetes mellitus, knowledge, adherence, glycaemic control

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