Liječnički vjesnik, Vol. 147 No. 1-2, 2025.
Izvorni znanstveni članak
https://doi.org/10.26800/LV-147-1-2-2
Patient adherence to diabetes treatment in family medicine in Croatia according to the EUROASPIRE V survey
LOVORKA KOVAČEC
VENIJA CEROVEČKI
*
INO KERMC
ZLATA OŽVAČIĆ ADŽIĆ
GORANKA PETRIČEK
MIROSLAV HANŽEVAČKI
NATAŠA BULJAN
PERO HRABAČ
JURE SAMARDŽIĆ
ŽELJKO REINER
DAVOR MILIČIĆ
* Dopisni autor.
Sažetak
Diabetes represents one of the leading public health problems worldwide and patients’ adherence to the recommended therapy is essential for achieving optimal glycemic control, disease control, and prevention of
complications. The aim of this research is to determine the patients’ adherence to lifestyle changes and pharmacotherapy for type 2 diabetes based upon the EUROASPIRE V survey conducted in Croatia. Patients and methods: A cross-sectional retrospective study was carried out in nine primary care centres in Zagreb. A total of 58 patients with type 2 diabetes were included. Questionnaires on pharmacotherapy, lifestyle changes, and the medication adherence questionnaire from the EUROASPIRE V survey were used. Results: A total of 53.4% patients selfreported 100% adherence to antihyperglycemic medication. The majority of patients were prescribed metformin
and 55.1% of them reported 100% adherence. According to the lifestyle changes questionnaire, the highest adherence was reported for the reduction of sugar intake (84.5%), while the lowest adherence was reported for attending a fitness center as a form of PA (3.4%), reducing excessive alcohol intake (44.8%) and weight loss (48.3% by participating in regular PA and 44.8% by following dietary recommendations). Smoking reduction was reported by 15% of advised smokers and 35% of participants stopped smoking. According to the results of the EUROASPIRE V survey, which includes other European countries, self-reported 100% adherence to antihyperglycemic medication was higher compared to the participants in Croatia (76.5%). According to the lifestyle changes questionnaire, adherence to reducing excessive alcohol intake (51.3%) and reducing fat intake (76.5%) was higher, while adherence to regular PA (51.4%) and reducing sugar intake (80.8%) was lower than those recorded in Croatia. Conclusion: The results of the EUROASPIRE V survey carried out in Croatia demonstrate insufficient adherence to pharmacotherapy and lifestyle changes among patients with type 2 diabetes. In order to
achieve optimal glycemic and disease control, additional efforts are required to enhance adherence to treatment.
Ključne riječi
DIABETES MELLITUS, TYPE 2 – drug therapy, epidemiology; HYPOGLYCEMIC AGENTS – therapeutic use; MEDICATION ADHERENCE – statistics and numerical data; PATIENT COMPLIANCE – statistics and numerical data; LIFE STYLE; FAMILY PRACTICE – statistics and numerical data; SURVEYS AND QUESTIONNAIRES; CROATIA – epidemiology
Hrčak ID:
328779
URI
Datum izdavanja:
10.3.2025.
Posjeta: 0 *