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Compliance with chronic disease regimens: diabetes
The Journal of Diabetic Complications
|July 1, 1988
Summary
Patient adherence to prescribed management, including footwear, is crucial for diabetes control. Individualizing care and using patient-provider contracts can improve compliance among diabetic women.
Area of Science:
- Endocrinology
- Nephrology
- Podiatry
Background:
- Patient compliance is a critical factor in managing diabetes, alongside insulin, diet, and exercise.
- Noncompliance stems from diverse, individual-specific reasons.
- Footwear adherence is essential for diabetic patients, particularly those with kidney complications.
Purpose of the Study:
- To assess footwear compliance in diabetic women, including those with uremia and renal transplants.
- To identify factors influencing adherence to prescribed shoe recommendations.
- To explore strategies for enhancing patient compliance in diabetes management.
Main Methods:
- A survey was conducted among ten women with diabetes.
- Participants included two with uremia and eight renal transplant recipients.
- Compliance with advised shoe prescriptions was observed and analyzed.
Main Results:
- Three out of ten women did not consistently wear recommended footwear.
- One woman showed variable adherence to advised shoe prescriptions.
- Compliance was associated with how well the footwear fit into the patients' lifestyles.
Conclusions:
- Patient lifestyle integration is key to successful footwear compliance.
- Individualized healthcare approaches and patient-provider contracts can improve adherence.
- Tailoring management strategies to individual patient needs is paramount for diabetes care.