Tip 2 Diabetes Mellituslu Hastalar Tarafından Başvurulan Hekim Sayısının Hedef Değerlere Ulaşma ve Tedaviye Uyum Oranları Üzerine Etkileri

Year 2017, Volume: 9 Issue: 1, 1 - 6, 23.03.2017

Elmira Cemalettin İlhami Ünlüoğlu Uğur Bilge Aysen Akalın Hülya Yılmaz

https://doi.org/10.18521/ktd.296809

Abstract

Amaç: Bu çalışmanın amacı, tip 2 diabetes mellitus (DM) hastalarının
antidiyabetik ve antihiperlipidemik ilaçlarına uyumunu ve diyabetin kontrolü ve
tedavisi için farklı sağlık merkezlerinde ziyaret ettikleri toplam hekim
sayısını belirlemek, glisemik ve lipid hedeflerine ulaşma oranları ile bu
değişkenler arasındaki ilişkiyi araştırmaktır.

Gereç ve Yöntem: Tip 2 DM hastalarında; lipid ve HbA1C hedef değerlerine  ulaşma
oranını ve tedaviye uyumu etkileyen faktörleri (yani üniversite hastanesine
gelmeden önce ki diyabet için ziyaret edilen sağlık merkezlerinin sayısı ve
tipi ve hekimlerin sayısı) belirlemek için bir anket uygulandı.

Bulgular: Toplam 400 DM hastası, yani 51-65 yaş arasındaki 226 (% 56.5) kadın ve 52-67
yaşları arasında ki 174 (% 43.5) erkek hasta çalışmaya dahil edildi. Hastaların
en az 1 ve en fazla 4 hekimi ziyaret ettikleri tespit edildi. Hastalar; ziyaret
ettikleri hekim sayısına göre karşılaştırıldığında, 2 veya daha az hekim
ziyaret eden hastalarda; açlık, glikoz, HbA1C, trigliserid, düşük yoğunluklu
lipoprotien ve total kolestrol değerleri istatistiksel olarak daha düşük ve
yüksek yoğunluklu lipoprotein düzeyleri ise daha yüksekti .

Tartışma: Hastalar DM takibi için iki doktordan fazlasından  yardım
aldıklarında hedef değerleri yakalamak ve tedaviye uyumu sağlamak daha zor hale
gelmektedir.

Keywords

Tip 2 Diabetes Mellitus, Doktor sayısı, metabolik kontrol

The Effects of the Number of Physicians Visited byType 2 Diabetes Mellitus Patients on the Rate of Achieving Target Values and Adherence to Medication

Abstract

Aim: The aim of
this study is to identify the adherence to antidiabetic and antihyperlipidemic
medications of type 2 diabetes mellitus (DM) patients, and to determine the
total number physicians they visited in different healthcare centers for the
control and treatment of diabetes, the rate of achieving glycemic and lipid
targets and the relationship between these variables. 

Material and Methods:
A
survey was administered to find out the rate of achieving target levels of
lipid and HbA1C intype 2 DM patients and the factors that affect adherence to
treatment (i.e. the number and type of healthcare centers visited for diabetes
and the number of physicians visited before and in the university hospital) as
well as the rate of resort to complementary medicine and the methods used.

Results: A total of 400 DM patients – i.e. 226 (56.5%)
women aged between 51 and 65 and 174 (43.5%) men aged between 52 and 67 – were
included in this study. We found that patients visited minimum 1 and maximum 4
physicians. The comparison of patients by the number of physicians they visited
suggests that the values of fasting glucose, 
HbA1C, triglyceride, low-density lipoprotien and total cholesterol were
statistically lower and the level of high-density  was higher in patients that visited 2 or fewer
physicians.

Discussion: It becomes more difficult to
achieve target values and ensure adherence to treatment when patients seek help
from more than one or two physicians for the follow-up of DM.

Keywords

Type 2 Diabetes Mellitus, Number of phycisian, metabolic control

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