Investigation of treatment adherence levels and influencing factors of patients with TYPE 2 diabetes hospitalized in A university hospital

Diabetes is an important health problem in our country and around the world. The aim of this study is to investigate treatment adherence levels and influencing factors in patients hospitalized in the hospital of Fırat University Faculty of Medicine and treated for type 2 diabetes. In this cross-sectional study, a questionnaire was administered to 215 patients diagnosed with type 2 diabetes who were hospitalized in the wards of Fırat University Faculty of Medicine Hospital after obtaining the necessary permissions and the ethics committee's decision. The first part of the questionnaire contains socio-demographic questions and questions about the disease. The second part consists of the risk perception scale for complications in diabetes, the third part consists of the type 2 diabetes treatment adherence scale, and the fourth part consists of the diabetes barriers scale. The mean age of patients included in the study was 59.5±8.7 (min=39-max=81), 53% were women and 75.8% were married. It was observed that 20.5% of patients had good adherence to treatment, 73.5% had moderate adherence and 6% had poor adherence. The total treatment adherence scale score of those who had secondary and lower educational status was significantly higher than in the group who had high school and above educational status (p<0.001). As the economic status increased, the total treatment adherence scale score decreased (p<0.001). The total score of the treatment adherence scale was significantly lower in patients who lived in the province than in those who lived in the district/village (p<0.001). There was a significant difference between the smoking status in terms of the total score of the adherence to treatment scale (p=0.011). Those who had difficulty paying for their disease (p=0.031), those who did not exercise (p<0.001), those who did not receive diabetes education (p<0.001), and those who developed complications (p=0.002) were found to have significantly higher treatment adherence scores. As a result, it was seen that patients' treatment adherence was generally at a moderate level and there were deficits in adherence. Educating patients about the disease and improving their socioeconomic status could increase treatment adherence. Keywords: Diabetes, treatment adherence, risk perception, diabetes barriers