Alharbi Samaher, Alhofaian Aisha, Alaamri Marym M
Department of Medical Surgical Nursing, Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia.
Saudi J Med Med Sci. 2024 Jul-Sep;12(3):244-251. doi: 10.4103/sjmms.sjmms_511_23. Epub 2024 Jun 20.
This study aimed to assess the level of illness perception and medication adherence among adult patients with type 2 diabetes mellitus (T2DM) in Jeddah, Saudi Arabia, with a specific focus on understanding how these two factors may be related.
This descriptive correlation study included all adult patients with T2DM attending the Jeddah Care Centre for Diabetes and Hypertension at King Abdulaziz Hospital between January and April 2022. Data were collected using a questionnaire that elicited sociodemographic and clinical information, and the Arabic versions of the Brief Illness Perception Questionnaire and the Morisky Medication Adherence Scale. Descriptive statistics and Pearson's correlation analysis were used for data analysis.
A total of 365 patients were included (mean age: 50.9 ± 15.9 years), with the majority being female (53.4%). Overall, the level of medication adherence was moderate (mean score: 5.36 ± 1.73). Patients with lower medication adherence perceived the consequences of T2DM as more severe, had a stronger association with the illness identity, and experienced more intense emotional responses (for all, < 0.001). Conversely, patients with higher adherence had a greater sense of personal control, a stronger belief in treatment effectiveness, and a better understanding of the illness (for all, < 0.001).
The study found a correlation between illness perception and medication adherence in patients with T2DM. Addressing patients' perceptions may enhance their ability to manage the condition more effectively.
本研究旨在评估沙特阿拉伯吉达成年2型糖尿病（T2DM）患者的疾病认知水平和药物依从性，特别关注这两个因素之间的关系。
这项描述性相关性研究纳入了2022年1月至4月期间在阿卜杜勒阿齐兹国王医院吉达糖尿病与高血压护理中心就诊的所有成年T2DM患者。使用问卷收集社会人口统计学和临床信息，以及阿拉伯语版的简短疾病认知问卷和莫利斯基药物依从性量表。采用描述性统计和Pearson相关性分析进行数据分析。
共纳入365例患者（平均年龄：50.9±15.9岁），大多数为女性（53.4%）。总体而言，药物依从性水平为中等（平均得分：5.36±1.73）。药物依从性较低的患者认为T2DM的后果更严重，与疾病认同的关联更强，且经历的情绪反应更强烈（所有P均<0.001）。相反，依从性较高的患者有更强的个人控制感、对治疗效果的更强信念以及对疾病的更好理解（所有P均<0.001）。
该研究发现T2DM患者的疾病认知与药物依从性之间存在相关性。解决患者的认知问题可能会提高他们更有效地管理病情的能力。
