Contributors of Non-Adherence to Type Ii Diabetes Treatment Among Patients at Thogoto Hospital in Kiambu County, Kenya
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Date
2022
Authors
Ongugo, Roxventa A
Journal Title
Journal ISSN
Volume Title
Publisher
Kenyatta University
Abstract
People are diagnosed as having diabetes when their blood glucose level is higher than normal. There are various treatment regimens for diabetes and these include the appropriate maintenance of diet, commitment to regular physical activity or exercise, regular monitoring of blood glucose, and taking of prescribed medications which the patient needs to adhere to. Treatment adherence complications however are rampant amongst people living with diabetes, consequently rendering the control of glucose difficult to achieve. This low level of adherence often leads to risks amongst the patients. These risks can be reduced by proper adherence. However, studies show that adherence to diabetes treatment is very low worldwide. This study sought to identify factors associated with non-adherence to diabetes treatment among patients with Type 2 diabetes. The study‘s primary objective was to investigate factors that contribute to non-adherence of treatment regimens for Type 2 diabetes patients. The specific objectives included to determine the status of the non-adherence to diabetes treatment among Kiambu County patients, to determine the socio-economic factors that contribute to non-adherence tendencies among the patients, to establish individual factors that promote non- adherence tendencies among diabetic individuals, and to suggest methods of improving adherence to diabetes treatment regimens among diabetes patients. This study was guided by the Andersen model of Healthcare utilization and the Health Belief Model (HBM). The study was conducted in Thogoto hospital, Kiambu County using the survey research design. Data was collected through questionnaires and key informant interviews with medical personnel at the hospital. Systematic random sampling was used to identify the study participants. Data from the questionnaires was analyzed using SPSS v.21. Chi square was used to assess whether there was a relationship between the dependent and the independent variables. In the study, factors associated with non-adherence were considered to be statistically significant at the level of P ≤ 0.05. Quantitative data was presented using pie charts, graphs and frequency tables and qualitative data was presented in narrative form. The results indicated that a majority of the patients were on oral medication. Adherence among patients was fairly good with majority of the patients showing adherence to the treatment routine by following the recommended treatment regimens. The results further revealed that there were significant associations between variables like gender, income and increasing age to treatment adherence. The study recommendations were there is need to put in place strategies to aid patients understand their treatment regimen; the government should equip all hospitals at county level with staff for monitoring adherence and offering patient education. Where necessary, there should be mobile diabetic clinics to ensure that all patients can access treatment. There is need for greater sensitization on the seriousness of diabetes and the need to contain and control it in Kenya. Lastly, the government needs to invest in subsidized pharmaceuticals products to ease patient burden of the drugs prescribed by the doctors.
Description
A Thesis Submitted to the School of Humanities and Social Sciences in Partial Fulfilment of the Requirements for the Award of the Degree of Master of Arts (Sociology) of Kenyatta University
Keywords
Contributors of Non-Adherence, Ii Diabetes, Treatment, Patients, Thogoto Hospital, Kiambu County, Kenya