الفهرس 
Introduction and rationaleOnly 14 pages are availabe for public view
 |  | from | 132 |  |  |
| | | from | 132 | | |
Abstract
The promotion of therapeutic adherence is considered as an integral
component of pharmaceutical care practice and patient healthcare. It has been shown
that despite effective methods of’treatment, 50% of diabetic patients fail to achieve
satisfactory glycemic control, which leads to accelerated development of
complications and increased mortality.
Aim of work and objectives
Toimprove the quality of diabetic care in Fanara center affiliated to Suez Canal
University, improve adherence of diabetic patients towards different therapeutic
regimens and assess patterns and obstacles of oral antidiabetic medications adherence.
Subjects and Methods
A total of 376 Type 2 diabetic patients who fulfilled the inclusion criteria were
recruited in the current study. Adherence to the treatment was evaluated in Fanara
center. The medication adherence had been assessed during a personal interview with
each patient using a multiple-choice questionnaire. Also using the Measure Treatment
Adherence scale to assess the factors affecting the adherence and the adherence scale
among the patients.
Results
Our study results showed that, 193 patients (52.39%) had poor knowledge about the
disease and its complications. As regards to the factors affecting the adherence,255
patients (67.82%) had weak believes and motivations, on the same time 230 patients
(61.17%) had poor communications with health care providers,272 patients (72.34%)
were not regularly monitoring blood glucose level. Concerning the relation between
variables; there was a highly statistical significant effect among studied population
between different gender and direct and indirect cost income,(p=.0005) also there
were relationship between patient believes and motivation, patient health care
providers relationship and family support(p=.04),(p=.02) respectively, while there
were no statistical significantrelations with other factors.As regards to assess the
adherence rate, we used the MT A scale which was consisting of six questions, 178
patients (47.09%) had fair adherence, 100 patients (26.59%)had good adherence
rate,while 98 patients (26.32%) had non adherence rate. ~
Conclusions
Evaluation of adherence is vital for patients with diabetes in order to manage them
also the adher~l1ce rates to medication, dietary/exercise and appointment were
observed to be suboptimal. These causes are call for improvement of the adherence
through continuing patient education about diabetes, improvement of patients’
economical levels as well as a reduction in the cost of medication.
Keywords: Therapeutic adherence, drug adherence,T2DM,Oral hypoglycemic agents.