Research Article


DOI :10.26650/IUITFD.1050290   IUP :10.26650/IUITFD.1050290    Full Text (PDF)

DIABETIC PATIENTS’ COMPLIANCE WITH TREATMENT DURING COVID-19 PANDEMIC PERIOD

Ayşe BasmakçıOrkide KutluSemih KalyonTülay SertdemirMine Adaş

Objective: Diabetes mellitus is a chronic, complex disease with many components that must be managed. Treatment success depends on excellent treatment compliance. In this study, we aimed to evaluate the treatment adherence of diabetic patients during the COVID-19 (Coronavirus Disease) pandemic and the factors affecting this condition. Material and Methods: The study was carried out on 474 diabetic patients with a questionnaire consisting of questions based on The Medication Compliance Questionnaire (MCQ) and the World Health Organization (WHO) 2003 compliance guideline. Results: The rate of non-compliance with the treatment based on the MCQ scale was 82.3%. Non-compliance with treatment was significantly associated with oral antidiabetic (OAD) drug use, smoking status, glycosylated hemoglobin (HbA1c) <7%, and patient comments of “I don’t have regular doctor follow-up,” “I can’t communicate well with my doctor,” “My blood glucose is not at the target value,” and “My medications are not comfortable enough for use”(p=0.011; 0.010; 0.014; 0.011; 0.002; 0.019; 0.001). Patients under insulin treatment or with an HbA1c value of ≥7% were found to be more compliant with the treatment. Conclusion: Unlike the classical results, the incompatibility of diabetic patients with HbA1c <7% and under OADs with the treatment was emphasized. Patients using insulin and with advanced duration of diabetes were more compliant with the treatment in the stressful period of the COVID-19 pandemic. Lack of follow-up by the doctor and low patient effort to communicate with the doctor have been decisive factors in the non-compliance.

DOI :10.26650/IUITFD.1050290   IUP :10.26650/IUITFD.1050290    Full Text (PDF)

COVID-19 PANDEMİ DÖNEMİNDE DİYABET HASTASININ TEDAVİYE UYUM DURUMUNUN DEĞERLENDİRİLMESİ

Ayşe BasmakçıOrkide KutluSemih KalyonTülay SertdemirMine Adaş

Amaç: Diyabet, yönetimi çok bileşenli olan kronik, kompleks bir hastalıktır. Tedavi başarısı ancak iyi bir tedavi uyumuyla sağlanabilmektedir. Bu çalışmada, diyabet hastalarının COVID-19 (Koronavirüs hastalığı) pandemisi döneminde tedaviye uyum durumu ve bu durumu etkileyen faktörlerin değerlendirilmesi amaçlandı. Gereç ve Yöntem: Çalışma, The Medication Compliance Questionnaire (MCQ) ve Dünya Sağlık Örgütü (DSÖ) uyum klavuzu 2003’e göre belirlenmiş sorularından oluşan bir anket ile 474 diyabetik hasta ile gerçekleştirilmiştir. Bulgular: MCQ ölçeğine göre tedaviye uyumsuzluk oranı %82,3 idi. Tedaviye uyumsuzluk, oral antidiyabetik (OAD) ilaç kullanımı, sigara içme durumu, glukolize hemoglobinin (HbA1c) <%7 olması ve hasta yorum sorularından; ‘’düzenli doktor takibim yok’’,’’doktorumla iyi iletişim kuramıyorum’’, ‘’şekerim belirlenen hedef değerde değil’’,’’ilaçlarım kullanım yönünden yeterince konforlu değil’’ ifadeleriyle ilişkili bulunmuştur (p=0,011; 0,010; 0,014; 0,011; 0,002; 0,019; 0,000). İnsülin kullanan, HbA1c değeri ≥%7 olan hastalar ise tedaviye daha uyumlu olarak tespit edilmiştir. Sonuç: Bu çalışmada klasik sonuçlardan farklı olarak HbA1c <%7 ve OAD kullanmakta olan diyabetik hastaların uyumsuzluğu gündeme getirilmiştir. COVID-19 pandemisi döneminde insülin kullanan ve hastalık süresi uzun olan hastalar tedaviye daha bağlı kalmışlardır. Doktor takibinin olmaması ve doktorla iyi iletişim kuramama uyumsuzluk açısından belirleyici olmuştur.


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APA

Basmakçı, A., Kutlu, O., Kalyon, S., Sertdemir, T., & Adaş, M. (2022). DIABETIC PATIENTS’ COMPLIANCE WITH TREATMENT DURING COVID-19 PANDEMIC PERIOD. Journal of Istanbul Faculty of Medicine, 85(4), 485-493. https://doi.org/10.26650/IUITFD.1050290


AMA

Basmakçı A, Kutlu O, Kalyon S, Sertdemir T, Adaş M. DIABETIC PATIENTS’ COMPLIANCE WITH TREATMENT DURING COVID-19 PANDEMIC PERIOD. Journal of Istanbul Faculty of Medicine. 2022;85(4):485-493. https://doi.org/10.26650/IUITFD.1050290


ABNT

Basmakçı, A.; Kutlu, O.; Kalyon, S.; Sertdemir, T.; Adaş, M. DIABETIC PATIENTS’ COMPLIANCE WITH TREATMENT DURING COVID-19 PANDEMIC PERIOD. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 85, n. 4, p. 485-493, 2022.


Chicago: Author-Date Style

Basmakçı, Ayşe, and Orkide Kutlu and Semih Kalyon and Tülay Sertdemir and Mine Adaş. 2022. “DIABETIC PATIENTS’ COMPLIANCE WITH TREATMENT DURING COVID-19 PANDEMIC PERIOD.” Journal of Istanbul Faculty of Medicine 85, no. 4: 485-493. https://doi.org/10.26650/IUITFD.1050290


Chicago: Humanities Style

Basmakçı, Ayşe, and Orkide Kutlu and Semih Kalyon and Tülay Sertdemir and Mine Adaş. DIABETIC PATIENTS’ COMPLIANCE WITH TREATMENT DURING COVID-19 PANDEMIC PERIOD.” Journal of Istanbul Faculty of Medicine 85, no. 4 (Dec. 2022): 485-493. https://doi.org/10.26650/IUITFD.1050290


Harvard: Australian Style

Basmakçı, A & Kutlu, O & Kalyon, S & Sertdemir, T & Adaş, M 2022, 'DIABETIC PATIENTS’ COMPLIANCE WITH TREATMENT DURING COVID-19 PANDEMIC PERIOD', Journal of Istanbul Faculty of Medicine, vol. 85, no. 4, pp. 485-493, viewed 4 Dec. 2022, https://doi.org/10.26650/IUITFD.1050290


Harvard: Author-Date Style

Basmakçı, A. and Kutlu, O. and Kalyon, S. and Sertdemir, T. and Adaş, M. (2022) ‘DIABETIC PATIENTS’ COMPLIANCE WITH TREATMENT DURING COVID-19 PANDEMIC PERIOD’, Journal of Istanbul Faculty of Medicine, 85(4), pp. 485-493. https://doi.org/10.26650/IUITFD.1050290 (4 Dec. 2022).


MLA

Basmakçı, Ayşe, and Orkide Kutlu and Semih Kalyon and Tülay Sertdemir and Mine Adaş. DIABETIC PATIENTS’ COMPLIANCE WITH TREATMENT DURING COVID-19 PANDEMIC PERIOD.” Journal of Istanbul Faculty of Medicine, vol. 85, no. 4, 2022, pp. 485-493. [Database Container], https://doi.org/10.26650/IUITFD.1050290


Vancouver

Basmakçı A, Kutlu O, Kalyon S, Sertdemir T, Adaş M. DIABETIC PATIENTS’ COMPLIANCE WITH TREATMENT DURING COVID-19 PANDEMIC PERIOD. Journal of Istanbul Faculty of Medicine [Internet]. 4 Dec. 2022 [cited 4 Dec. 2022];85(4):485-493. Available from: https://doi.org/10.26650/IUITFD.1050290 doi: 10.26650/IUITFD.1050290


ISNAD

Basmakçı, Ayşe - Kutlu, Orkide - Kalyon, Semih - Sertdemir, Tülay - Adaş, Mine. DIABETIC PATIENTS’ COMPLIANCE WITH TREATMENT DURING COVID-19 PANDEMIC PERIOD”. Journal of Istanbul Faculty of Medicine 85/4 (Dec. 2022): 485-493. https://doi.org/10.26650/IUITFD.1050290



TIMELINE


Submitted30.12.2021
Accepted21.03.2022
Published Online03.10.2022

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