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Revista médica de Chile · Aug 2022
[Factors associated with the lack of adherence to treatment among patients with type 2 diabetes mellitus].
- Alfredo Briones, Lino Iván Wong, Daniela Marisol Flores, Marian Guzmán, Manuela Castellanos, and Cidronio Albavera.
- Facultad de Medicina Humana, Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, México.
- Rev Med Chil. 2022 Aug 1; 150 (8): 985993985-993.
BackgroundAdherence to pharmacological treatment (APT) is crucial for patients with type 2 diabetes mellitus (T2DM) to achieve metabolic control and decrease complications.AimTo establish the proportion of APT in patients with T2DM, the influence of the same on blood glucose, and the factors involved in a lack of ATP.Material And MethodsDiabetic patients were interrogated about sociodemographic factors, the evolution of the disease, their fasting blood glucose levels, and the use of other treatments. APT was evaluated with the Morisky-Green questionnaire, patient beliefs about treatments with the Beliefs about Medicines Questionnaire (BMQ), and patient knowledge about T2DM with the standard questionnaire.ResultsA representative sample of 400 individuals of both sexes was studied, finding a lack of APT in 74.5% of patients. The latter patients showed a significantly greater level of blood glucose while being more preoccupied and less informed about the disease. A lack of APT was associated with the refusal to undergo the blood glucose test among men (Odds ratio (OR)=3.70; 95% confidence intervals (CI), 1.58-8.66) and with the consumption of medicinal plants among women (OR=2.53; IC 95%, 1.23-5.23).ConclusionsA lack of APT in patients with T2DM is a serious problem and associated with a lack of knowledge about the disease. It is urgent to strengthen the educational programs in relation to T2DM to promote adherence to treatment.
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