Non adherence factors to treatment of people with type 2 Diabetes Mellitus at home. Family caregiver’s view

Teresa Nury Hoyos Duque, María Victoria Arteaga Henao, Mónica Johana Muñoz Cardona


Objective. To understand the non adherence factors to treatment of people with type 2 Diabetes Mellitus (DM2) from the family caregiver’s view. Methodology. Ethnographic study performed in 2008. 18 interviews to type 2 DM patient’s caregivers who be­longed to diabetes control programs from healthcare institutions of the city of Medellin (Colombia) were conducted. Six observa­tions of significant moments of care were also made. Results. Treatment adherence in people with type 2 DM is mediated by multiple factors that difficult it, as: Cultural beliefs of the disea­se, disagreement between healthcare professionals and popular knowledge, tiredness of taking that many medicines, fear of multiple punctures for insulin application, dis­satisfaction with healthcare services and the long term cost of the disease. Conclusion. From the family caregiver’s view, treatment adherence of people with type 2 DM is low as a consequence of multiple factors which influence it.

Key words: medication adherence; patient compliance; caregivers; home nursing; diabetes mellitus, type 2; qualitative research

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