Ιωάννης Τούντας, Καθηγητής, Τμήμα Ιατρικής, ΕΚΠΑ
Μαρία Καντζανού, Επίκουρη Καθηγήτρια, Τμήμα Ιατρικής, ΕΚΠΑ
Κυριάκος Σουλιώτης, Αναπληρωτής Καθηγητής, Σχολή Κοινωνικών Επιστημών Τμήμα Κοινωνικής και Εκπαιδευτικής Πολιτικής, Πανεπιστήμιο Πελοποννήσου
Introduction: Compliance' is defined as 'the degree to which the patient's behavior is in line with the recommendations agreed upon by his physician'. Compliance is a complex, multifactorial issue, defined by factors that vary significantly among patients and among different treatments, which are altered over time. The importance of compliance in treatment is paramount, as poor compliance contributes to disease progression and it is associated with increased morbidity and mortality.
Purpose and Methodology: The main purpose of this study was to investigate the compliance of patients with diabetes mellitus in their treatment in primary health care. To this end, a systematic review was conducted, where relevant studies were searched in the Pubmed and Google Scholar databases with specific keywords, and then the most appropriate studies (based on specific inclusion / exclusion criteria) were selected and analyzed. The study collection and analysis period began in December and was completed by the end of January.
Results: A total of 19 studies were identified from the bibliography search. Based on these studies, patients with diabetes have a fairly low compliance with insulin therapy. Diabetes perceptions, drug availability, diabetes education, medication perceptions, current patient employment, younger age, education level, nationality, HbA1c levels, abstinence from alcohol, the presence of peripheral vascular disease,
income, compliance with primary health care appointments, and religious perceptions of treatment and therapeutic practices are important factors that influence the compliance of patients with diabetes in their treatment. Interventions aimed at better informing patients are significantly associated with increased adherence to treatment. Finally, full compliance with treatment has been found to significantly affect the quality of life of patients with diabetes mellitus
Conclusions: Compliance of diabetes patients with their treatment is an extremely important issue, as lack of compliance adversely affects patients' health and their quality of life. At the same time, it is a multidimensional variable that is heavily influenced by a wide variety of factors, and therefore, it is not easy to predict the degree of compliance of each individual with his/her treatment.
Patient compliance, Treatment, Diabetes, Primary health care