Non-compliance to treatment among type 2diabetic men in Mosul: A case-control study

Abstract

Context: Non-compliance to treatment among diabetic patients is a worldwide problem and its underlying risk factors can be the subject of many studies in different localities. Objective: To identify risk factors for non-compliance to treatment plan among type 2 diabetic men attending Al-Wafaa Center for diabetes in Mosul City. Methods: A case-control study design has been adopted. A special questionnaire form has been prepared and filled in by the investigator for each patient (case and control) through direct interview with patients. Results: Study results revealed a significant association between non-compliance and socioeconomic strata, duration of disease >10 years, number of tablets >2 daily, frequency of taking medication >2, poor patient satisfaction about health personnel, body mass index >30 and sedentary life style activities. On the other hand, an inverse association was found between non-compliance and urban place of residence, marriage, 1 0 and 2 0 school level of education, taking medical treatment without herbals and type A personality. Conclusion: The study concluded that health care professionals are in need to identify risky patients for non-compliance and recommends to use the counseling approach of communication before applying any individual patient management plan characteristics. ‫اﻟﺨﻼﺻﺔ‬ ‫اﻟﺪراﺳﺔ‬ ‫إﺟﺮاء‬ ‫ﺧﻠﻔﻴﺔ‬ : ‫اﻟﻤ‬ ‫ﻣﻦ‬ ‫ﺑﺎﻟﻌﻼج‬ ‫اﻟﺴﻜﺮي‬ ‫ﻣﺮﺿﻰ‬ ‫اﻟﺘﺰام‬ ‫ﻋﺪم‬ ‫ﻳﻌﺘﺒﺮ‬ ‫ﻌ‬ ‫و‬ ‫اﻟﻌﺎﻟﻤﻴﺔ‬ ‫ﻀﻼت‬ ‫اﻟﺨﻄﻮرة‬ ‫ﻋﻮاﻣﻞ‬ ‫دراﺳﺔ‬ ‫إن‬ ‫اﻹ‬ ‫ﻟﻌﺪم‬ ‫ﻟ‬ ‫اﻟﺴﻜﺮي‬ ‫ﻣﺮﺿﻰ‬ ‫ﺻﺤﺔ‬ ‫ﻋﻠﻰ‬ ‫اﻟﺴﻠﺒﻴﺔ‬ ‫وﺗﺄﺛﻴﺮاﺗﻪ‬ ‫اﻟﻤﺮض‬ ‫ﻣﻀﺎﻋﻔﺎت‬ ‫ﻣﻦ‬ ‫ﺗﺤﺪ‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬ ‫اﻟﺘﻲ‬ ‫اﻷﻣﻮر‬ ‫ﻣﻦ‬ ‫ﺘﺰام‬. ‫اﻟﺪراﺳﺔ‬ ‫هﺪف‬ : ‫ا‬ ‫ﻟﻌﺪم‬ ‫اﻟﺨﻄﻮرة‬ ‫ﻋﻮاﻣﻞ‬ ‫ﻋﻠﻰ‬ ‫اﻟﺘﻌﺮف‬ ‫ﻹ‬ ‫اﻟﺴﻜﺮ‬ ‫ﺑﺪاء‬ ‫اﻟﻤﺼﺎﺑﻴﻦ‬ ‫اﻟﻤﺮﺿﻰ‬ ‫ﻟﺪى‬ ‫اﻟﻌﻼج‬ ‫ﺑﺨﻄﺔ‬ ‫ﻟﺘﺰام‬-‫اﻟﺜﺎﻧﻲ‬ ‫اﻟﻨﻮع‬ ‫اﻟﻤﻮﺻﻞ‬ ‫ﻣﺪﻳﻨﺔ‬ ‫ﻓﻲ‬ ‫اﻟﺴﻜﺮي‬ ‫ﻟﺪاء‬ ‫اﻟﻮﻓﺎء‬ ‫ﻟﻤﺮآﺰ‬ ‫واﻟﻤﺮاﺟﻌﻴﻦ‬. ‫ﻃﺮﻳﻘ‬ ‫اﻟﺪراﺳﺔ‬ ‫إﺟﺮاء‬ ‫ﺔ‬ : ‫ﺣﻴﺚ‬ ‫واﻟﺸﺎهﺪ‬ ‫اﻟﻌﻴﻨﺔ‬ ‫دراﺳﺔ‬ ‫ﺗﺼﻤﻴﻢ‬ ‫اﺧﺘﻴﺎر‬ ‫ﺗﻢ‬ ‫أ‬ ‫ﻣﻦ‬ ‫ﻣﻸﻩ‬ ‫ﺗﻢ‬ ‫اﻟﺒﻴﺎﻧﺎت‬ ‫ﻟﺠﻤﻊ‬ ‫ﺧﺎص‬ ‫ﻧﻤﻮذج‬ ‫اﻟﺒﺎﺣﺚ‬ ‫ﻋﺪ‬ ‫ﻣﺮﻳﺾ‬ ‫ﻟﻜﻞ‬ ‫اﻟﺒﺎﺣﺚ‬ ‫ﻗﺒﻞ‬) ‫ﺷﺎهﺪ‬ ‫أم‬ ‫آﺎن‬ ‫ﻋﻴﻨﺔ‬ (‫اﻟﻤﺮﻳﺾ‬ ‫ﻣﻊ‬ ‫اﻟﻤﺒﺎﺷﺮة‬ ‫اﻟﻤﻘﺎﺑﻠﺔ‬ ‫وﺑﺄﺳﻠﻮب‬. ‫اﻟﺪراﺳﺔ‬ ‫ﻧﺘﺎﺋﺞ‬ : ‫اﻻﻟﺘﺰا‬ ‫ﻋﺪم‬ ‫ﺑﻴﻦ‬ ‫ﻣﻌﻨﻮﻳﺔ‬ ‫إﺣﺼﺎﺋﻴﺔ‬ ‫ﻋﻼﻗﺔ‬ ‫وﺟﻮد‬ ‫اﻟﺪراﺳﺔ‬ ‫ﻧﺘﺎﺋﺞ‬ ‫أﻇﻬﺮت‬ ‫اﻹ‬ ‫اﻟﻤﺴﺘﻮى‬ ‫وﺗﺪﻧﻲ‬ ‫ﺑﺎﻟﻌﻼج‬ ‫م‬ ‫ﻗﺘﺼﺎدي‬ ‫ﻟﻠﻔﺮد‬ ، ‫و‬ ‫ﺳﻨﻮات‬ ‫ﻋﺸﺮ‬ ‫ﻣﻦ‬ ‫ﻷآﺜﺮ‬ ‫ﺑﺎﻟﻤﺮض‬ ‫اﻹﺻﺎﺑﺔ‬ ‫ﻣﺪة‬ ، ‫وأ‬ ‫ﻣﻦ‬ ‫أآﺜﺮ‬ ‫ﻋﻼج‬ ‫أﻗﺮاص‬ ‫ﺧﺬ‬ ‫إ‬ ‫ﺑﺎﻟﻴﻮم‬ ‫ﻣﺮﺗﻴﻦ‬ ‫ﻣﻦ‬ ‫وﻷآﺜﺮ‬ ‫ﺛﻨﻴﻦ‬ ، ‫و‬ ‫اﻟﺼﺤﻴﺔ‬ ‫ﺑﺎﻟﻜﻮادر‬ ‫اﻟﻤﺮﻳﺾ‬ ‫ﻟﺪى‬ ‫ﻗﻨﺎﻋﺔ‬ ‫ﻋﺪم‬ ‫وﺟﻮد‬ ، ‫و‬ ‫ﻣﻦ‬ ‫أآﺜﺮ‬ ‫اﻟﺒﺪاﻧﺔ‬ ‫ﻣﻌﻴﺎر‬ ٣٠ ‫وﺷﺤ‬ ‫ﺔ‬ ‫ﻧﻤﻂ‬ ‫ﻓﻲ‬ ‫اﻟﺒﺪﻧﻴﺔ‬ ‫اﻟﻨﺸﺎﻃﺎت‬ ‫إﺟﺮاء‬ ‫اﻟﻤﻌﻴﺸﺔ‬. ‫ﻧﺎﺣ‬ ‫وﻣﻦ‬ ‫اﻻﻟﺘﺰا‬ ‫ﻋﺪم‬ ‫ﺑﻴﻦ‬ ‫ﻋﻜﺴﻴﺔ‬ ‫إﺣﺼﺎﺋﻴﺔ‬ ‫ﻋﻼﻗﺔ‬ ‫وﺟﻮد‬ ‫ﻟﻮﺣﻆ‬ ‫ﻓﻘﺪ‬ ‫أﺧﺮى‬ ‫ﻴﺔ‬ ‫م‬ ‫اﻟﻤﺪﻳﻨﺔ‬ ‫ﻓﻲ‬ ‫واﻟﺴﻜﻦ‬ ‫ﺑﺎﻟﻌﻼج‬ ، ‫و‬ ‫اﻟﺰواج‬ ، ‫و‬ ‫واﻟﺜﺎﻧﻮي‬ ‫اﻻﺑﺘﺪاﺋﻲ‬ ‫اﻟﺘﻌﻠﻴﻢ‬ ‫ﻣﺴﺘﻮى‬ ، ‫و‬ ‫أ‬ ‫وﻧﻤﻂ‬ ‫أﻋﺸﺎب‬ ‫ﺑﺪون‬ ‫اﻟﻄﺒﻲ‬ ‫اﻟﻌﻼج‬ ‫ﺧﺬ‬ ‫ا‬ ‫ﻟﺸﺨﺼﻴﺔ‬ .