Assessment of patient role, quality of life and compliance of treatment in cronic disease management

INTRODUCTION AND OBJECTIVE: The chronic diseases that are increasingly prevalence and incidence all over the world are important health problems that limit the lives of the individuals, cause many physical, psychological and social problems, affect patients' treatment compliance and quality of life negatively. The most important factor in increasing the compliance of patients with their treatment, decrease the limitations in their lives and the problems they experience is that they take an active role in the treatment and care of the patients. For this reason, it was aimed to determine the role of the patients, evaluate the quality of life and treatment compliance in chronic disease management MATERIAL AND METHOD: This methodological, descriptive and cross-sectional study was carried out on 140 patients attended to the Hendek State Hospital Internal Medicine Polyclinic between the dates of September 2016 - November 2016 after obtaining the institutional permit and the approval of ethics committee. The Data were analysed by self-description form regarding socio-demographic attributes, Patient Activation Measure (PAM), Morisky 8 Medication Adherence Scale and SF 36 Quality of Life Scale was carried out in a computer environment by using percentage, mean, Mann-Whitney U, Kruskal Wallis-H, Pearson's correlation test and Pearson Chi Square test. FINDINGS: It was determined that the mean PAM score of the patients was 57,81±18,87; Morisky 8 scale mean scores was 5,08±2,31; SF 36 quality of life scale mean physical dimension score was 37,83±20,47 and mental dimension score average was 42,34±15,03 and in all subscales the quality of life mean scores ranged from 10,44±19,17 to 65,17±15,46. In chronic disease management, 31,4 % of the patients were found to have low levels of taking an active role, 51,4 % of the patients had reduction in the treatment compliance, and it was determined that the patients had low quality of life scores. It was seen that age, education status, drug use status out of the physician's recommendation and going to regular health check-ups affected the quality of life, compliance with treatment and taking an active role situations. CONCLUSION: It has been determined that patients' activation levels, their compliance with treatment and their quality of life is low so that taking an active role in the management of illnesses of patients could improve treatment compliance and increase their quality of life.