Compliance of diabetic patients. Pros and cons

ABSTRACT

Diabetes is a major public health problem allover the world. Compliance refers to a patient both agreeing to and then undergoing some part of their treatment program as advised by their doctor or other health care workers. This study was conducted to demonstrate the pattern of compliance among diabetic patients, its determinants and reasons beyond noncompliance. This cross section descriptive study was conducted at the outpatient Clinic of Diabetes, Kasr Al-Aini. Their compliance pattern were assessed using special scoring. Improper compliance to diet was more prevalent [104[34.7%]]. The significant determinants of improper compliance to diet were younger age, type 1 diabetes, long duration of illness, absence of complication, positive family history, receiving 3 or more drugs per day and improper compliance to drugs. Financial constraints and depression were beyond improper diet and drugs compliance. Compliance to appointment and drugs were better than compliance to diet. Cost and psychological depression were among the main reasons of improper compliance