Diabetes Self-Care Activities (Diet & Exercise) and Adherence to Treatment: A Hospital –Based Study among Diabetic Male Patients in Taif, Saudi Arabia
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Keywords

 Diabetes, self-care activities, diet, exercise, medication, adherence.

How to Cite

Abubaker Ibrahim Elbur. (2014). Diabetes Self-Care Activities (Diet & Exercise) and Adherence to Treatment: A Hospital –Based Study among Diabetic Male Patients in Taif, Saudi Arabia. Journal of Pharmacy and Nutrition Sciences, 4(2), 106–113. https://doi.org/10.6000/1927-5951.2014.04.02.6

Abstract

Diabetes mellitus is a complex disorder that requires constant adherence to certain lifestyle measures and medication to achieve good glycaemic control. The main aim of this study was to measure adherence to self- care practices (diet, exercise and medication) among diabetic patients and to identify predicators of adherence. A hospital-based study was conducted in King Abdul Aziz Specialized Hospital, Taif, KSA during June – October 2013. Convenient method of sampling was adopted, whereby all adult (> 18 years) male diabetic patients were recruited. Data was collected through face-to-face interview method using structured questionnaire. Data was processed using the software Statistical Package for Social Science (SPSS) (Version 21). Overall 378 patients were eligible; 191 (50.5%) > 50 years old and nearly two third had secondary or university education. Overweight and obese patients constituted more than two third of the respondents. Generally adherence to diet, exercise was found to be low. Multivariate analysis showed that only presence of other diseases {adjusted OR 2.8 (1.3-6.0), P = 0.011} and marital status {adjusted OR 3.4 (1.0-11.7), P = 0.049} were found to be significantly associated with adherence to diet.Patients’ age was the only predicator for patients’ commitment to practicing exercise {adjusted OR 4.7(1.3-17.8), P = 0.020)}. Non adherence to medication was found to 80.6 % (n=305). In conclusion non-adherence to the studied self-care practices was suboptimal. Proper and continuous health education accompanied with patients’ motivation may improve patients’ adherence.

https://doi.org/10.6000/1927-5951.2014.04.02.6
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References

Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract 2010; 87: 4-14. http://dx.doi.org/10.1016/j.diabres.2009.10.007

Alqurashi KA, Aljabri KS, Bokhari SA. Prevalence of diabetes mellitus in a Saudi community. Ann Saudi Med 2011; 31: 19-23. http://dx.doi.org/10.4103/0256-4947.75773

Cooper H, Booth K, Gill G. Patients’ perspectives on diabetes health care education. Health Educ Res 2003; 18: 191-206. http://dx.doi.org/10.1093/her/18.2.191

Paterson B, Thorne S. Developmental evolution of expertise in diabetes self management. Clin Nurs Res 2000; 9: 402-419. http://dx.doi.org/10.1177/10547730022158663

American Association of Diabetes Educators: AADE7 Self-Care Behaviors. Diabet Educ 2008; 34: 445-449. http://dx.doi.org/10.1177/0145721708316625

Delamater AM. Improving Patient Adherence. Clin Diabet 2006; 24: 71-77. http://dx.doi.org/10.2337/diaclin.24.2.71

Zhou Y, Liao L, Sun M, He G. Self-care practices of Chinese individuals with diabetes. Exp Ther Med 2013; 5: 1137-1142.

Adibe M, Aguwa C. Diabetes self-care knowledge among type 2 diabetic outpatients in south-eastern Nigira. Int J Drug Develop Res 2009; 1: 85-104.

Thomas N, Alder E, Leese G P. Barriers to physical activity in patients with diabetes. Postgrad Med J 2004; 80: 287-291. http://dx.doi.org/10.1136/pgmj.2003.010553

Vijan S, Stuart NS, Fitzgerald JT, et al. Barriers to following dietary recommendations in type 2 diabetes. Diabet Med 2005; 22: 32-38. http://dx.doi.org/10.1111/j.1464-5491.2004.01342.x

World Health Organization. Physical status: The use and interpretation of Anthropometry 1995. Report of a WHO Expert Committee. WHO Technical Report Series 854. World Health Organization, Geneva.

Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabet Care 2000; 23: 943-950. http://dx.doi.org/10.2337/diacare.23.7.943

Aljohani, Khalid A. Factors affecting the self-management practices of people with type 2 diabetes in Almadinah, Saudi Arabia. Ph.D. Curtin University, School of Nursing and Midwifery 2011.

Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care 1986; 24: 67-74. http://dx.doi.org/10.1097/00005650-198601000-00007

Alqurashi KA, Aljabri KS, Bokhari SA. Prevalence of diabetes mellitus in a Saudi community. Ann Saudi Med 2011; 31: 19-23. http://dx.doi.org/10.4103/0256-4947.75773

Hu FB. Globalization of diabetes the role of diet, lifestyle, and genes. Diabet Care 2011; 34: 1249-1257. http://dx.doi.org/10.2337/dc11-0442

Al-Moosa S, Allin S, Jemiai N, et al. Diabetes and urbanization in the Omani population: an analysis of national survey data. Popul Health Metr 2006; 24: 4: 5.

Jørgensen ME, Borch-Johnsen K, Witte DR, Bjerregaard P. Diabetes in Greenland and its relationship with urbanization. Diabet Med 2012; 29: 755-60. http://dx.doi.org/10.1111/j.1464-5491.2011.03527.x

Madani KA, Al-Amoudi NS, Kumosani TA. The state of nutrition in Saudi Arabia. Nutr Health 2000; 14: 17-31. http://dx.doi.org/10.1177/026010600001400103

Al-Shehri FS, Moqbel MM, Al-Shahrani AM, et al. Management of obesity: Saudi Clinical Guideline. Saudi J Obesity 2013; 1: 18-30. http://dx.doi.org/10.4103/2347-2618.119472

Al-Shammari SA, Khoja TA, Al-Maatoug MA. The prevalence of obesity among Saudi males in the Riyadh Region. Ann Saudi Med 1996; 16: 269-73.

Ayele K, Tesfa B, Abebe L, et al. Self Care Behavior among Patients with Diabetes in Harari, Eastern Ethiopia: The Health Belief Model Perspective. PLoS One 2012; 7(4): e35515. http://dx.doi.org/10.1371/journal.pone.0035515

Salman RA, Al-Rubeaan KA. Incidence and risk factors of hypertension among Saudi type 2 diabetes adult patients: an 11-year prospective randomized study. J Diabet Complicat 2009; 23: 95-101. http://dx.doi.org/10.1016/j.jdiacomp.2007.10.004

Goldberg RB. Hyperlipidemia and cardiovascular risk factors in patients with type 2 diabetes. Am J Manag Care 2000; 6(13 Suppl): S682-91.

Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. J Diabetes Metab Disord 2013; 12: 14. http://dx.doi.org/10.1186/2251-6581-12-14

Tan SL, Juliana S, Sakinah H. Dietary compliance and its association with glycemic control among poorly controlled type 2 diabetic outpatients in Hospital Universiti Sains Malaysia. Malays J Nutr 2011; 17: 287-99.

Guo XH, Yuan L, Lou QQ, et al. Chinese Diabetes Education Status Survey Study Group. A nationwide survey of diabetes education, self-management and glycemic control in patients with type 2 diabetes in China. Chin Med J (Engl) 2012; 125: 4175-80.

Ganiyu AB, Mabuza LH, Malete NH, et al. Non-adherence to diet and exercise recommendations amongst patients with type 2 diabetes mellitus attending Extension II Clinic in Botswana. Afr J Primary Health Care & Family Med 2013; 5: 6. doi: 10.4102/phcfm.v5i1.457.

Tol A, Shojaeezadeh D, Eslami A, et al. Evaluation of self-care practices and relative components among type 2 diabetic patients. J Educ Health Promot 2012; 1: 19. http://dx.doi.org/10.4103/2277-9531.99219

Miller TA, Dimatteo MR. Importance of family/social support and impact on adherence to diabetic therapy. Diabet Metab Syndr Obes 2013; 6: 421-426. http://dx.doi.org/10.2147/DMSO.S36368

Colberg SR, Sigal RJ, Fernhall B, et al. Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement. Diabet Care 2010; 33: e147-67. doi: 10.2337/dc10-9990.

Nelson KM, Reiber G, Boyko EJ, NHANES III. Diet and exercise among adults with type 2 diabetes: findings from the third national health and nutrition examination survey (NHANES III). Diabet Care 2002; 25: 1722-8. http://dx.doi.org/10.2337/diacare.25.10.1722

Chourdakis M, Kontogiannis V, Malachas K, et al. Self-Care Behaviors of Adults with Type 2 Diabetes Mellitus in Greece. J Community Health 2014. [Epub ahead of print

Mukherjee S, Sharmasarkar B, Kumar Das K, Bhattacharyya A, Animesh Deb A. Compliance to anti-diabetic drugs: observations from the diabetic clinic of a medical college in Kolkata, India. J Clin Diagn Res 2013; 7: 661-5. doi: 10.7860/JCDR/2013/5352.2876.

Lee H, Ahn S, Kim Y. Self-care, self-efficacy, and glycemic control of Koreans with diabetes mellitus. Asian Nursing Res 2009; 3: 139-146. http://dx.doi.org/10.1016/S1976-1317(09)60025-6

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Copyright (c) 2014 Abubaker Ibrahim Elbur