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Observational Study
. 2021 Apr;58(4):437-445.
doi: 10.1007/s00592-020-01628-z. Epub 2020 Nov 29.

The association of the level of self-care on adherence to treatment in patients diagnosed with type 2 diabetes

Sylwia Krzemińska  1 , Katarzyna Lomper  1 , Anna Chudiak  1 , Davide Ausili  2 , Izabella Uchmanowicz  3
Affiliations
Observational Study

The association of the level of self-care on adherence to treatment in patients diagnosed with type 2 diabetes

Sylwia Krzemińska et al. Acta Diabetol. 2021 Apr.

Abstract

Aims: The study aimed to assess the impact of self-care on adherence to treatment in patients diagnosed with type 2 diabetes and effect of complex interaction of social, lifestyle, economic, environmental and behavioural.

Methods: The study was carried out between June 2018 and May 2019 on 324 patients (162 females, 162 males) with type 2 diabetes. To measure the levels of self-care, the Self-Care of Diabetes Index (SCODI) questionnaire was used. Adherence to treatment was assessed with the Adherence in Chronic Diseases Scale (ACDS).

Results: The highest scores of health behaviour were on the subscale of adherence with the mean value of 68.37, and the lowest results on the subscale of blood sugar self-monitoring, with the mean of 56.05. We found that low adherence to treatment was present in 52.47% of respondents, the moderate level in 39.20%, while only 8.33% of patients showed the high level. There were significant positive correlations between the ACDS and SCODI subscales (p < 0.05): self-care maintenance (0.436), self-care management (0.413), self-care monitoring (0.384), and self-care confidence (0.453).

Conclusions: Self-care affects on adherence in patients with type 2 diabetes. The higher self-efficacy in each of the areas of functioning, the higher the level of adherence to treatment. We found that demographic variables such as female sex, education and employment status can influence self-care in managing chronic illnesses such as type 2 diabetes.

Keywords: Adherence in chronic diseases scale (ACDS); Adherence to treatment; Nursing; Self-care; Self-care of diabetes index (SCODI); Type 2 diabetes.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Correlation between the level of adherence and self-care ability
See this image and copyright information in PMC

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