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Analysis of the Impact of Disease Acceptance, Demographic, and Clinical Variables on Adherence to Treatment Recommendations in Elderly Type 2 Diabetes Mellitus Patients

Author

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  • Iwona Bonikowska

    (Institute of Health Sciences, Department Nursing, University of Zielona Góra, 2 Energetyków Street, 65-00 Zielona Góra, Poland)

  • Katarzyna Szwamel

    (Institute of Health Sciences, University of Opole, Katowicka Street 68, 45-060 Opole, Poland)

  • Izabella Uchmanowicz

    (Faculty of Health Sciences, Wrocław Medical University, K. Bartla 5, 51-618 Wroclaw, Poland)

Abstract

This project aimed to analyze the impact of disease acceptance and selected demographic and clinical factors on the adherence to treatment recommendations in elderly type 2 diabetes mellitus patients. The observational study was performed using standardized research questionnaires: the Acceptance of Illness Scale (AIS), the Self-Care of Diabetes Inventory (SCODI), and the Adherence in Chronic Diseases Scale ( ACDS ). Two hundred patients with T2DM were studied (age M = 70.21 years, SD = 6.63 years). The median degree of disease acceptance was 29 (min–max = 8–40) and the median level of adherence was 24 (min–max = 13–28). Disease acceptance was a significant ( p = 0.002) independent predictor of the odds of qualifying for non-adherence OR = 0.903, 95% CI = 0.846–0.963. The respondents gave the lowest scores for glycemic control (Mdn = 38.99, min–max = 8.33–150), and health control (Mdn = 55.88, min–max = 11.76–100). A one-way ANOVA showed that the non-adhering patients were significantly older compared to the adherence group and were taking significantly more diabetes pills per day. The level of disease acceptance was average, but it turned out to be an independent predictor of adherence. Therefore, it is justified to use psychological and behavioral interventions that are aimed at increasing the level of diabetes acceptance in elderly people with T2DM. It is important to have a holistic approach to the patient and to take actions that consider the patient’s deficits in the entire biopsychosocial sphere. The obtained result confirmed the legitimacy of interventions aimed at increasing the level of disease acceptance in this group of patients.

Suggested Citation

  • Iwona Bonikowska & Katarzyna Szwamel & Izabella Uchmanowicz, 2021. "Analysis of the Impact of Disease Acceptance, Demographic, and Clinical Variables on Adherence to Treatment Recommendations in Elderly Type 2 Diabetes Mellitus Patients," IJERPH, MDPI, vol. 18(16), pages 1-18, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8658-:d:615551
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    References listed on IDEAS

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    1. Ewelina Bąk & Czeslaw Marcisz & Sylwia Krzemińska & Dorota Dobrzyn-Matusiak & Agnieszka Foltyn & Agnieszka Drosdzol-Cop, 2017. "Relationships of Sexual Dysfunction with Depression and Acceptance of Illness in Women and Men with Type 2 Diabetes Mellitus," IJERPH, MDPI, vol. 14(9), pages 1-14, September.
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    Cited by:

    1. Aurea Grané & Irene Albarrán, 2022. "Editorial on S.I. “Advances in Measuring Health and Wellbeing” in the International Journal of Environmental Research and Public Health," IJERPH, MDPI, vol. 19(9), pages 1-3, April.

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