Non-Adherence To Treatment Among Diabetic Patients Attending Outpatients Clinic At Mutare Provincial Hospital, Manicaland Province, Zimbabwe.

摘要: Introduction: World-wide, diabetes mellitus is increasing affecting millions of people and its related complications continue to be great concern. Hence, the issue non- adherence treatment recommendations featuring as major problem achieve optimal control management disease. Non-adherence usually associated with increases in HbA1c levels, hospitalization rates, disability overall premature deaths. Background: Mutare Provincial Hospital a referral teaching hospital Manicaland Province Zimbabwe. Study Purpose: This study was done determine factors non-adherence among diabetic patients attending clinic Hospital, Zimbabwe from February-April 2012.Research Design: An unmatched 1:1 Case-Control conducted order collect data 104 Cases Controls. A total 208 participants aged between 19 98 were recruited participate this study. The majority females (58 males 150 Females). Semi- structured questionnaire employed where face-to face interviews administered sixteen key informants. participants, 78.3% (n=163) on oral anti-diabetic regimens 11.5 (n=24) insulin alone and10 (n=21) both antigens. Findings: results indicated that prevalence medication 38.9%, diet43.3% exercise 26%. Factors which found significantly after multivariate analysis were: financial constraints (OR 7.4; 95% CI 3.20-16-93; p<0.001), travelling away 2.8;95% 1.70-24.71; when very ill (OR6.6; 1.45-30.50; p=0.014), eating out 4.4; 1.81- 11.13; p=0.001, longer duration ( more than 10 years OR 3.1 1.70-5.71; p< 0.001), lack detailed information how exercise( 2.3; distance health facility 2.5; 1.15-5.50; p =0.02) affordability drugs 3.7;95% C.I 1.81-7.59; p=0.014). However, receiving support family (financial, material, emotional or moral 0.41; 0.20-0.8; p= 0.013), being member Diabetic Association 0.27; CI0.15-0.53; p=0.001) having attended two education sessions past six months 0.40; CI0.17-0.93; p=0.003) appeared protective against recommendations. Conclusion: result interplay many, varied multifaceted factors. Therefore, strategies improve provincial province requires collaboration important stakeholders such care workers, patients, givers government. In addition, interventions are needed enhance patient education, patients' self behaviours facilitate identification self- skills administration, dietary management. There also need widen network facilities through decentralizing stocking dispensing peripheral sites.