Diabetes is one of the major public health problems all over the world. The world health organization said that about 224 million persons in the world have diabetes mellitus (1). There is a globally agreed target to halt the rise in diabetes and obesity by 2025. Most of this increment will occur in the developing countries and this will be due to population growth, ageing, and sedentary life styles. Many patients with type 2 diabetes are taking a combined regimen of drugs. The lifestyle changes and the drugs to manage type 2 diabetes and the associated issues can only be effective by the attachment to the prescribed regimen. Effective treatment of diabetic patients requires good cooperation between doctors and patients. Compliance is one of the fundamental problems in this cooperation. (2)
AIMS OF THE STUDY:
To assess the compliance of type two diabetic patients with the medications, the diet, and the appointments to the diabetic clinics
To evaluate the Factors involved with it.
A cross- sectional study was carried out in 300 convenient samples of diabetic type 2 patients of both sexes and their age between 35-80 years attending Al-Imamein al-Kadhimein medical city and Alyarmook teaching hospital diabetic centers through the direct interview using a specially designed questionnaire.
Out of the whole sample (300) patients, two thirds (65%) of them were females. The average age of the studied sample was 55.1 (± 9.5) years, and ranged from 35 to 80 years. Good compliance of patients with medications was seen in (48.7%),while (49.7%) of the whole sample had good compliance to diet regimen that had been given to them by their doctors. only (49.3%) of the diabetic patients in our study had good compliance with appointments at the diabetic clinics. Fasting blood level was 243 ± 73.3 mg/dl in those with poor compliance to medication while those with good compliance readings of fasting blood sugar were 177.2 ± 67.5 mg/dl. Males were significantly associated (p= 0.004) with good compliance for medication, as 112 (42.6%) of females reported good compliance in comparison to (60%) of males. Poor compliance was prevalent among 67 (64.4%) of the rural cases in comparison to 87 (44.4%) of the urban cases. The study showed a significant poor compliance in the illiterate as compared to the higher education groups.
Compliance of type 2 diabetic patients to the treatment was relatively low in Baghdad city. Extremely significant protection against the poor compliance was seen among the diet followers and to those satisfied by the consultations and doctors advices.