Jenesh Singh Shrestha
B.P Koirala Institute of Health Sciences, Nepal
Title: A study of treatment compliance in regular follow up, routine investigation and complication screening among diabetic patients presenting in BPKIHS, Dharan
Biography
Biography: Jenesh Singh Shrestha
Abstract
Background: Type 2 diabetes is typically a chronic disease associated with a ten-year-shorter life expectancy because of the number of complications with which it is associated.
Objective: To find the association between treatment compliance (adherence in regular follow up, routine investigations and complication screening) and other related variables.
Method & Materials: One hundred and twenty consecutive out-patients of internal medicine BPKIHS for follow up of diabetes who are diagnosed as diabetic for at least 1 year. Face to face interview was taken to fill the semi-structured questionnaire which included patients detail and information regarding regular follow up, routine investigations and complication screening.
Results: Out of 120 respondents, most were of age group more than 60 years with female preponderance 76 (63.3%).60 (50%) respondents were compliant for follow up and reasons of missing the appointment were 21 (35%) reported due to poor accessibility, 19 (31.6%) reported lack of time, 15 (25%) reported being unable to come by oneself (geriatric patients), 4 (6.7%) reported financial problem and 1 (1.7%) reported ignorance about follow-up.71 (64.5%) had some complications which are 47 (42.7%) had hyperlipidemia, 11 (10%) had diabetic retinopathy, 9 (8.1%) had nephropathy, 4 (3.6%) had neuropathy, 6 (5.4%) had cataract and 3 (2.7%) had glaucoma.
Conclusion: We found that the compliance in the routine investigation (i.e.90.0%) and screening of the complication (i.e. 91.8%) was much better than that in follow-up (i.e. 50.0%).