Department of Family Medicine, Federal Teaching Hospital, Ido-Ekiti, Ekiti State, Nigeria.
Department of Family Medicine, University College Hospital, Ibadan, Oyo State, Nigeria.
Ann Afr Med. 2021 Oct-Dec;20(4):282-287. doi: 10.4103/aam.aam_62_20.
Serious disability diabetes mellitus (DM) cause for patients and their support system-family and friends are enormous. It remains an important public health challenge, despite effective medical therapies for its management; patients' poor adherence remains a global problem.
The study assessed the relationship between family support and medication adherence among adult Type 2 DM (T2DM) attending family medicine clinic of a rural tertiary hospital.
This was an analytic cross-sectional hospital-based study carried out among 367 patients selected by systematic random sampling method. Relevant data collected through a semi-structured questionnaire and clinical data recorded and fasting plasma glucose (FPG) were utilized for the study. Data were analyzed using SPSS version 16.
The mean (standard deviation) age of respondents was 61.7 ± 11.4 years. Those with strong family support that achieved medium/high (Morisky Medication Adherence Scale-8 > 6) level of medication adherence (odds ratio [OR] [95% confidence interval (CI)] = 1 6.4 [9.1-29.6], P < 0.001) constituted 69.5% of respondents. Family support was also found to have a direct relationship to glycemic control (FPG < 7.1 mmol/l), 65.7% of those with strong family support achieved good glycemic control, P < 0.001, OR (95% CI) = 17.4 (9.2-37.2). The level of medication adherence was noted to be directly related to glycemic control, 79.4% of those with medium/high medication adherence had good glycemic control, OR (95% CI) = 25.0 (14.4-43.6), P < 0.001. Strong family support leads to higher medication adherence level which resulted into better glycemic control.
Family support improves medication adherence and glycemic control. Physicians should explore patients' family support system to improve medication adherence level and better management outcome of chronic diseases especially T2DM.
严重残疾的糖尿病（DM）给患者及其支持系统——家人和朋友带来了巨大的负担。尽管有有效的医疗治疗方法，但它仍然是一个重要的公共卫生挑战；患者的依从性差仍然是一个全球性问题。
本研究评估了农村三级医院家庭医学诊所的成年 2 型糖尿病（T2DM）患者的家庭支持与药物依从性之间的关系。
这是一项基于医院的分析性横断面研究，在通过系统随机抽样方法选择的 367 名患者中进行。通过半结构式问卷收集相关数据，并利用临床数据和空腹血糖（FPG）进行研究。使用 SPSS 版本 16 进行数据分析。
受访者的平均（标准差）年龄为 61.7 ± 11.4 岁。那些得到强大家庭支持且达到中等/高度（Morisky 药物依从性量表-8 > 6）药物依从性水平的人（优势比[OR] [95%置信区间（CI）] = 16.4 [9.1-29.6]，P < 0.001）占受访者的 69.5%。家庭支持也与血糖控制有直接关系（FPG < 7.1 mmol/l），65.7%得到强大家庭支持的人实现了良好的血糖控制，P < 0.001，OR（95%CI）= 17.4（9.2-37.2）。药物依从性水平也与血糖控制直接相关，79.4%中高度药物依从性的人血糖控制良好，OR（95%CI）= 25.0（14.4-43.6），P < 0.001。强大的家庭支持导致更高的药物依从性水平，从而实现更好的血糖控制。
家庭支持可提高药物依从性和血糖控制。医生应探讨患者的家庭支持系统，以提高药物依从性水平，改善慢性病特别是 T2DM 的管理结果。
