evaluation of compliance with drug regimens in diabetic patients referred to the endocrinology clinic of afzalipour hospital, kerman, iran

نویسندگان

مهدیه مشروطه

پزشک عمومی و دانشجوی mph، گروه mph، دانشکده بهداشت، دانشگاه علوم پزشکی کرمان، کرمان، ایران نرگس خانجانی

استادیار اپیدمیولوژی، مرکز تحقیقات بیماری های مغز و اعصاب، دانشگاه علوم پزشکی کرمان، کرمان، ایران محمدحسین گذشتی

استادیار، فوق تخصص غدد و متابولیسم، مرکز تحقیقات فیزیولوژی، دانشگاه علوم پزشکی کرمان، کرمان، ایران

mahdieh mashrouteh general practitioner and mph student, department of mph, school of public health, kerman university of medical sciences, kerman, iran

چکیده

background: low compliance with drugs regimens in diabetic patients is one of the greatest challenges in the treatment of diabetes. the aim of this study was to evaluate compliance with medical orders in diabetic patients referred to the endocrinology clinic of afzalipour hospital, kerman, iran. methods: in this cross sectional study 345 of the 3000 patients, who referred to the endocrinology clinic and had medical records, were chosen randomly in 2010. information including demographic characteristics and variables about the disease and treatment of diabetes were collected. lab tests including fbs and hba1c were done. results: 74.6% of patients had good compliance (90% and more). compliance, in educated patients and those who visited their physician with an interval of more than 3 months, was better than others (p < 0.05). the mean of fbs and hba1c were respectively 143 ± 54.2 and 7.4 ± 1.3 in good compliance and 172.8 ± 72.2 and 8.1 ± 1.7 in the bad compliance group. both differences were statistically significant. conclusion: this study shows that educated patients have higher compliance, and less educated patients are at higher risk and need more support and surveillance for glycemic control. we suggest that more studies be undertaken on the different factors related to diabetic patients’ compliance.

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بهداشت و توسعه

جلد ۱، شماره ۳، صفحات ۱۸۲-۰

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