Correlation between Illness Presentations and Treatment Adherence among Insulin-Dependent Diabetic Patients at District Head Quarter Hospital Sheikhupura
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N\AAbstract
Background: Diabetes mellitus, particularly type 1 diabetes, poses a significant global health challenge due to its chronic nature and the necessity for lifelong insulin therapy. Medication adherence is crucial in managing glycemic levels and preventing complications; however, patients’ perceptions of their illness can strongly influence adherence behaviors. Understanding the relationship between illness presentations and treatment adherence can inform targeted interventions to improve patient outcomes
- To ascertain the extent of association between individuals with insulin-dependent diabetes's self-reported treatment adherence and their views about their illness.
- To assess how insulin-dependent diabetics view themselves and how well they comply to their treatment regimen.
Methodology: This study aimed to examine the correlation between self-reported medication adherence and illness presentations among patients with type 1 diabetes mellitus. A correlational study design was employed, involving 115 patients aged 18 to 36 years, attending the outpatient diabetic clinic at DHQ Hospital Sheikhupura. Convenience sampling was used to select participants who met the inclusion criteria. Data were collected using a structured questionnaire comprising demographic information, the Revised Illness Perception Questionnaire (IPQ-R), and the 8-item Morisky Medication Adherence Scale (8-MMAS). Statistical analysis was conducted using SPSS version 26, with correlation analysis performed to explore relationships between variables.
Results indicated that 67% of patients exhibited low medication adherence, with a mean MMAS score of 4.78 ± 1.61. A weak negative correlation was found between medication adherence and illness identity as well as treatment control perceptions, while no significant correlation existed between adherence and other illness presentations domains. These findings suggest that patients’ beliefs about their condition and treatment influence adherence behaviors.
Conclusion: It addressing illness presentations through tailored psychoeducational interventions could enhance medication adherence and self-management in type 1 diabetes patients. Future research with larger, randomized samples and objective adherence measures is recommended to further elucidate these relationships and improve diabetes care outcomes
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