Evaluation of illness perceptions and their associations with glycaemic control, medication adherence and chronic kidney disease in type 2 diabetes mellitus patients in Malaysia.
Diabetes Metab Syndr
; 13(4): 2585-2591, 2019.
Article
in En
| MEDLINE
| ID: mdl-31405680
ABSTRACT
BACKGROUND:
Illness perceptions (IP) involve coping strategies and behavioural responses that can influence glycaemic control. Despite the importance of good glycaemic control, the majority of patients in Asia are not achieving glycaemic targets. An evaluation of IP in association with glycaemic control, medication adherence and chronic kidney disease (CKD) in Type 2 diabetes mellitus patients (T2DM) was carried out in an outpatient setting in MalaysiaMETHOD:
A cross-sectional study was conducted using the Revised Illness Perception Questionnaire in a purposive sample of 384 T2DM patients.RESULTS:
There were 55.7% females, median age was 58.2 years and median duration of diabetes was 13 years. The majority (79.4%) of patients had poor diabetes control (HbA1câ¯≥â¯7.0%) and 39.6% of patients had low medication adherence. Patients with good glycaemic control had a higher Timeline Acute/Chronic and Emotional Representations score, hence they held the correct belief that diabetes is chronic and experienced negative emotions. Highly adherent patients had a higher Illness Coherence (χ2â¯=â¯21.385, pâ¯<â¯0.001) score but a lower Consequences (χ2â¯=â¯17.592, pâ¯<â¯0.001) and Emotional Representations (χ2â¯=â¯16.849, pâ¯<â¯0.001) score indicating good understanding and less negative perceptions of disease burden. Patients in a more advanced stage of CKD had a significantly higher Timeline Cyclical score (χ2â¯=â¯18.718, pâ¯=â¯0.001), believing that diabetes was unpredictable.CONCLUSION:
Dimensions of IP have been shown to be significantly associated with the assessed variables, therefore intervention studies with education, support and counselling should be conducted in Asia with the ultimate aim of empowering patients through IP-targeted management.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Health Knowledge, Attitudes, Practice
/
Diabetes Mellitus, Type 2
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Renal Insufficiency, Chronic
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Medication Adherence
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Hyperglycemia
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Hypoglycemia
/
Hypoglycemic Agents
Type of study:
Evaluation_studies
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Observational_studies
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Prevalence_studies
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Prognostic_studies
/
Qualitative_research
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Risk_factors_studies
Limits:
Aged
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Female
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Humans
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Male
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Middle aged
Country/Region as subject:
Asia
Language:
En
Journal:
Diabetes Metab Syndr
Year:
2019
Document type:
Article