| dc.description.abstract | Diabetes mellitus is one of the most common non-communicable diseases and one of the
leading cause of disability, morbidity and mortality globally (Jackson et al., 2014). The
aim of the study was to assess adherence to treatment by type 2 Diabetes mellitus patients
aged 20 years and above at Monze Mission Hospital in Monze district. It sought to answer
the research questions: (1) What is the level of adherence to treatment by patients with type
2 Diabetes mellitus receiving care from Monze Mission Hospital? (2) What factors
influence adherence to treatment by patients with type 2 Diabetes mellitus?
A cross-sectional study design was used at Monze Mission Hospital in Monze district.
Simple random sampling method was used to select 138 patients who sought medical
services from the Out-patient medical clinic as well as admitted patients in the hospital. A
structured interview schedule was used to collect data. Data was entered and analyzed
using the IBM® Statistical Package for Social Sciences (SPSS®) for Windows version 22
to predict levels of adherence to treatment as well as to identify factors which influenced
adherence among type 2 DM patients. Chi – Square (X2) test was used to test the
associations between variables. The binary logistic regression was used for multivariate
analysis to determine true predictors of adherence.
The findings showed that, 56.5% patients had poor adherence to treatment while 44.2%
had good adherence to treatment. More than half of the patients (55.6%) had knowledge
about Diabetes mellitus treatment. About 65.2% of patients indicated that distance to the
hospital and financial challenges were a hindrance to seeking regular medical reviews. The
study results showed a statistically significant association between adherence and
knowledge of type 2 Diabetes mellitus treatment (p = 0.024). Distance to the hospital,
health care services and attitude to self-care management were statistically insignificant
despite influencing adherence to Diabetes mellitus treatment (p > 0.05)
The study showed that poor adherence to treatment reduced as knowledge about Diabetes
mellitus increased. However, distance to hospital impacted negatively to adherence as
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patients‟ adherence to treatment reduced as distance to the hospital increased. There is
need to consider educational programs to strengthen adherence to dietary advice, regular
exercise and follow up, to achieve normal glycemic levels as opposed to adhering to either
oral hypoglycaemic drugs or insulin or both, to improve the management of type 2
Diabetes mellitus patients at Monze Mission Hospital.
Adherence to type 2 Diabetes mellitus; Treatment; Patients. | en |
