Home Print this page Email this page
Users Online: 330
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2018  |  Volume : 7  |  Issue : 1  |  Page : 23-30

Family functionality, medication adherence, and blood glucose control among ambulatory type 2 diabetic patients in a primary care clinic in Nigeria


1 Department of Family Medicine; Nutrition and Dietetics, Federal Medical Centre, Umuahia, Abia State, Nigeria
2 Department of Public Health, Federal University of Technology, Owerri, Imo State, Nigeria
3 Department of Nutrition and Dietetics, Federal Medical Centre, Umuahia, Abia State, Nigeria

Correspondence Address:
Dr. Gabriel Uche Pascal Iloh
Department of Family Medicine, Federal Medical Centre, Umuahia, Abia State
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijhas.IJHAS_29_17

Rights and Permissions

BACKGROUND: Family functionality is a patient-oriented medical outcome of care that is emerging in scientific literature. It is a family-related factor that influences medication adherence and glycemic control, yet it is not easily recognized by clinicians. AIM: The study was aimed at determining the role of family functionality on medication adherence and glycemic control among ambulatory type 2 diabetic patients in a primary care clinic in Nigerian. MATERIALS AND METHODS: A clinic-based descriptive study was carried out on 120 type 2 diabetic Nigerians who were on treatment for at least 3 months at the primary care clinic in Nigeria. Family functionality and medication adherence were assessed in the previous 3 months and 1 month preceding the study using General Functioning Subscale of the Family Assessment Device and interviewer-administered questionnaire on self-reported adherence to therapy, respectively. Glycemic control was assessed in the previous 1 month. RESULTS: The age of the study participants ranged from 27 to 81 years and there were 37.5% males and 62.5% females. Healthy family function, medication adherence, and glycemic control rates were 90.8%, 72.5%, and 61.7%, respectively. Family functionality was significantly associated with household family (P = 0.048), medication adherence (P = 0.031), and glycemic control (P = 0.022). The most significant demographic predictor of family functionality was household family (odds ratio = 5.19 (3.31–7.01); P = 0.029). The type 2 diabetic patients in household families were five times more likely to have functional families compared to their counterparts who were from nonhousehold families. CONCLUSION: Family functionality was significantly associated with household family, medication adherence, and glycemic control. Assessment of family functionality should be part of reason for encounter during consultation with diabetic patients in order to unravel family factors that can positively or negatively influence medication adherence and glycemic control.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed181    
    Printed1    
    Emailed0    
    PDF Downloaded63    
    Comments [Add]    

Recommend this journal