Volume 9, Issue 4 (6-2024)
SJNMP 2024, 9(4): 321-333 |
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Hasanpour F, Mehravar F, Badeleh-Shamushaki M T, sabzi Z, Mancheri H. The association of health literacy and medication adherence in type 2 diabetic’s patients referring to comprehensive health centers in Gorgan city. SJNMP 2024; 9 (4) :321-333
URL: http://sjnmp.muk.ac.ir/article-1-585-en.html
URL: http://sjnmp.muk.ac.ir/article-1-585-en.html
Farina Hasanpour1 
, Fatemeh Mehravar2 , Mohammad Taghi Badeleh-Shamushaki3 , Zahra Sabzi4 , Hamideh Mancheri * 5
, Fatemeh Mehravar2 , Mohammad Taghi Badeleh-Shamushaki3 , Zahra Sabzi4 , Hamideh Mancheri * 5
1- Golestan University of Medical Sciences, Faculty of International Campus, Gorgan, Iran
2- Department of Biostatistics and Epidemiology, School of Health, Ischemic Disorders Research Center, Golestan University of Medical Sciences, Gorgan. Iran
3- Department of Health Psychology, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran
4- Nursing Research Center, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran
5- Nursing Research Center, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran ,hamideh.mancheri@yahoo.com
2- Department of Biostatistics and Epidemiology, School of Health, Ischemic Disorders Research Center, Golestan University of Medical Sciences, Gorgan. Iran
3- Department of Health Psychology, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran
4- Nursing Research Center, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran
5- Nursing Research Center, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran ,
Abstract: (835 Views)
Background & Aim: Medication adherence is one of the important health issues and key aspects of the desired quality of care in patients with diabetes, and one of the important factors affecting it is their health literacy. Therefore, the present study was conducted with the aim of determining the relationship between the level of health literacy and medication adherence in type 2 diabetes patients who referred to comprehensive health centers in Gorgan city during 2023.
Materials & methods: This study was conducted cross-sectional on 400 patients with type 2 diabetes who referred to comprehensive health centers in Gorgan city in 2023. The data was collected by stratified sampling method according to the volume and in each stratum of the convenience type. Moriski medication adherence questionnaires (MMAS-8) and short version health literacy questionnaire (HELIA-SH) were used. Data were analyzed in SPSS software using independent t-test, chi-square, analysis of variance and Pearson correlation.
Results: The average score of medication adherence and the total score of health literacy were 4.06 ± 1.46 and 36.47 ± 3.53, respectively. Among the participants in the study, only 8.20% of patients had high compliance and 16.80% had moderate compliance, and the rest (75%) had poor drug compliance. Patients' medication adherence had a direct and significant relationship with basic health literacy skills (P=0.004, r=0.14) and decision-making skills (P=0.003, r=0.15).
Conclusion: The findings of this study showed that the majority of patients had poor medication adherence and the level of health literacy was related to the dimensions of medication regimen adherence in patients with type 2 diabetes.
Materials & methods: This study was conducted cross-sectional on 400 patients with type 2 diabetes who referred to comprehensive health centers in Gorgan city in 2023. The data was collected by stratified sampling method according to the volume and in each stratum of the convenience type. Moriski medication adherence questionnaires (MMAS-8) and short version health literacy questionnaire (HELIA-SH) were used. Data were analyzed in SPSS software using independent t-test, chi-square, analysis of variance and Pearson correlation.
Results: The average score of medication adherence and the total score of health literacy were 4.06 ± 1.46 and 36.47 ± 3.53, respectively. Among the participants in the study, only 8.20% of patients had high compliance and 16.80% had moderate compliance, and the rest (75%) had poor drug compliance. Patients' medication adherence had a direct and significant relationship with basic health literacy skills (P=0.004, r=0.14) and decision-making skills (P=0.003, r=0.15).
Conclusion: The findings of this study showed that the majority of patients had poor medication adherence and the level of health literacy was related to the dimensions of medication regimen adherence in patients with type 2 diabetes.
Type of Study: Research |
Subject:
General
Received: 2023/12/27 | Revised: 2024/07/11 | Accepted: 2024/04/24 | Published: 2024/06/26 | ePublished: 2024/06/26
Received: 2023/12/27 | Revised: 2024/07/11 | Accepted: 2024/04/24 | Published: 2024/06/26 | ePublished: 2024/06/26
References
1. Wang H, Akbari-Alavijeh S, Parhar RS, Gaugler R, Hashmi S. Partners in diabetes epidemic: A global perspective. World Journal of Diabetes. 2023;14(10):1463. [DOI:10.4239/wjd.v14.i10.1463]
2. Epakchipoor F, Bastani F, Pashaei Sabet F. Self-management and medication adherence in older adults with type II diabetes referring to the endocrinology clinics of the teaching hospital affiliated to Iran University of Medical Sciences (2019). Iran Journal of Nursing. 2021;34(129):1-14. [Persian] [DOI:10.52547/ijn.34.129.1]
3. Hashemi SM, Bouya S. Treatment adherence in diabetic patients: an important but forgotten issue. Journal of Diabetes Nursing. 2018;6(1):341-51. [Persian]
4. Rahmati M, Rejeh N, Heravi Karimooi M, Tadrisi SD. Investigating the relationship between health literacy and adherence with treatment regimen in the elderly with hypertension. Iranian Journal of Nursing Research. 2019;13(5):15-22. [Persian]
5. Norouzadeh R, Roshan AG, Hosseinkhani SN. The Relationship between Health Literacy of Elderly Diabetics and Adherence to Treatment, Babol, Iran, 2021. Journal of Qom University of Medical Sciences. 2021;14(12). [Persian] [DOI:10.52547/qums.14.12.70]
6. Mata ARd, Álvares J, Diniz LM, Ruberson Ribeiro da Silva M, Alvernaz dos Santos BR, Guerra Junior AA, et al. Quality of life of patients with Diabetes Mellitus Types 1 and 2 from a referal health centre in Minas Gerais, Brazil. Expert review of clinical pharmacology. 2016;9(5):739-46. [DOI:10.1586/17512433.2016.1152180]
7. Pirdeghan A, Shafieyan AM, Esna-Ashari F, Borzouei S. Evaluation Medication-Related Beliefs and Treatment in patients with diabetes Typ2 in Hamadan in 2021. Iranian Journal of Diabetes and Metabolism. 2022;22(5):312-20. [Persian]
8. Pourhabibi N, Sadeghi R, Mohebbi B, Shakibazadeh E, Sanjari M, Tol A, et al. Factors affecting nonadherence to treatment among type 2 diabetic patients with limited health literacy: Perspectives of patients, their families, and healthcare providers. Journal of Education and Health Promotion. 2022;11(1):388. [DOI:10.4103/jehp.jehp_804_22]
9. Abdi M, Alaee N, Norouzadeh R. Investigating the Association Between Health Literacy and Quality of Life Among Patients With Heart Failure Hospitalized in Coronary Care Unit at Selected Hospitals in Tehran, Iran. Qom University of Medical Sciences Journal. 2021;15(4):230-9. [Persian] [DOI:10.32598/qums.15.4.230]
10. Fleary SA, Joseph P, Pappagianopoulos JE. Adolescent health literacy and health behaviors: A systematic review. Journal of adolescence. 2018;62:116-27. [DOI:10.1016/j.adolescence.2017.11.010]
11. Hussain N, Said AS, Khan Z. Influence of health literacy on medication adherence among elderly females with type 2 diabetes in Pakistan. International Quarterly of Community Health Education. 2020;41(1):35-44. [DOI:10.1177/0272684X19896724]
12. Pourhabibi N, Sadeghi R, Mohebbi B, Shakibazadeh E, Sanjari M, Tol A, et al. Factors affecting nonadherence to treatment among type 2 diabetic patients with limited health literacy: Perspectives of patients, their families, and healthcare providers. Journal of Education and Health Promotion. 2022;11. [DOI:10.4103/jehp.jehp_804_22]
13. Delavar F, Pashaeypoor S, Negarandeh R. Health literacy index: A new tool for health literacy assessment. Hayat. 2018;24(1):1-6. [Persian]
14. Arbabi H, Mansouri A, Nooshirvani S, Arbab A. The relationship between health literacy and general health in patients with type II diabetes referring to diabetes clinic of Zabol in 2016. Journal of Diabetes Nursing. 2017;5(1):29-39. [Persian]
15. Rowlands G. Health literacy: Ways to maximise the impact and effectiveness of vaccination information. Human vaccines & immunotherapeutics. 2014;10(7):2130-5. [DOI:10.4161/hv.29603]
16. Tavousi M, Haeri-Mehrizi A, Rakhshani F, Rafiefar S, Soleymanian A, Sarbandi F, et al. Development and validation of a short and easy-to-use instrument for measuring health literacy: The Health Literacy Instrument for Adults (HELIA). BMC Public Health. 2020;20:1-11. [DOI:10.1186/s12889-020-08787-2]
17. Seyedfatemi N, Zeinali E, Bahremand M, Mehran A, Zeinali M. The Relationship Between Medication Adherence and Coping Skills in Patients With Heart Failure. Avicenna Journal of Nursing and Midwifery Care. 2019;27(2):89-96. [Persian] [DOI:10.30699/sjhnmf.27.2.89]
18. Ghanei Gheshlagh R, Ebadi A, Veisi Raygani A, Nourozi Tabrizi K, Dalvandi A, Mahmoodi H. Determining concurrent validity of the Morisky medication adherence scale in patients with type 2 diabetes. Iranian Journal of Rehabilitation Research. 2015;1(3):24-32. [Persian]
19. Al-Haj Mohd MM, Phung H, Sun J, Morisky DE. Improving adherence to medication in adults with diabetes in the United Arab Emirates. BMC Public Health. 2016;16:1-11. [DOI:10.1186/s12889-016-3492-0]
20. Pirdeghan A, Shafieyan AM, Esna-Ashari F, Borzouei S. Evaluation Medication-Related Beliefs and Treatment in patients with diabetes Typ2 in Hamadan in 2021. Iranian Journal of Diabetes and Lipid Disorders. 2022;22(5):312-20. eng. [Persian]
21. Fadare J, Olamoyegun M, Gbadegesin B. Medication adherence and direct treatment cost among diabetes patients attending a tertiary healthcare facility in Ogbomosho, Nigeria. Malawi medical journal. 2015;27(2):65-70. [DOI:10.4314/mmj.v27i2.7]
22. Otaghi M. The relationship between health literacy and general health status in patients with type 2 diabetes. Technology and Research Information System. 2018;1(2):0-.
23. Kirkman MS, Rowan-Martin MT, Levin R, Fonseca VA, Schmittdiel JA, Herman WH, et al. Determinants of adherence to diabetes medications: findings from a large pharmacy claims database. Diabetes care. 2015;38(4):604-9. [DOI:10.2337/dc14-2098]
24. Bakar ZA, Fahrni ML, Khan TM. Patient satisfaction and medication adherence assessment amongst patients at the diabetes medication therapy adherence clinic. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2016;10(2):S139-S43. [DOI:10.1016/j.dsx.2016.03.015]
25. Afshana Badrizadeh HRJ, , Mostafa Khanzadeh,Saeed Foroughi,Mandana Saki,. Adherence to drug treatment in type 2 diabetic patients and related factors. Scientific-Research Quarterly of Lorestan University of Medical Sciences. 2021;23(2). [Persian]
26. Mirahmadizadeh A, Khorshidsavar H, Seif M, Sharifi MH. Adherence to medication, diet and physical activity and the associated factors amongst patients with type 2 diabetes. Diabetes Therapy. 2020;11:479-94. [DOI:10.1007/s13300-019-00750-8]
27. Serap T, Bayram S. Factors influencing adherence to diabetes medication in Turkey. Sch J App Med Sci. 2015;3(2A):602-7.
28. Bazargan M, Smith J, Yazdanshenas H, Movassaghi M, Martins D, Orum G. Non-adherence to medication regimens among older African-American adults. BMC geriatrics. 2017;17:1-12. [DOI:10.1186/s12877-017-0558-5]
29. RobatSarpooshi D, Mahdizadeh M, Alizadeh Siuki H, Haddadi M, Robatsarpooshi H, Peyman N. The relationship between health literacy level and self-care behaviors in patients with diabetes. Patient related outcome measures. 2020:129-35. [DOI:10.2147/PROM.S243678]
30. Bains SS, Egede LE. Associations between health literacy, diabetes knowledge, self-care behaviors, and glycemic control in a low income population with type 2 diabetes. Diabetes technology & therapeutics. 2011;13(3):335-41. [DOI:10.1089/dia.2010.0160]
31. Khosravi A AK, Arastoopoor Sh, Tahmasbi R. Health Literacy Levels of Diabetic Patients Referred to Shiraz Health Centers and Its Effective Factors. Health Inf Manage 2015; 12(2):205.
32. Wheeler SM, Bryant AS. Racial and ethnic disparities in health and health care. Obstetrics and Gynecology Clinics. 2017;44(1):1-11. [DOI:10.1016/j.ogc.2016.10.001]
33. Kooshiar H, Shoorvazi M, Dalir Z, Hosseini M. Health literacy and health-related quality of life in older adults with type 2 diabetes: The mediating role of treatment regimen adherence. Journal of Health Literacy. 2021;5(4):31-40.
34. Borji M, Tarjoman A, Otaghi M, Khodarahmi Z, Sharifi A. The relationship between health literacy and general health status of patients with type II diabetes. Bioscience Biotechnology Research Communications. 2017;10(2):138-42. [DOI:10.21786/bbrc/10.2/24]
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