THE RELATIONSHIP BETWEEN THE LEVEL OF KNOWLEDGE AND PATIENT COMPLIANCE IN CONSUMING DIABETES MELLITUS MEDICATION IN THE INPATIENT UNIT TOTO KABILA HOSPITAL
DOI:
https://doi.org/10.47918/9d3yk186Kata Kunci:
diabetes mellitus, knowledge level, medication adherence, inpatients, cross-sectional studyAbstrak
This study aimed to determine the relationship between knowledge levels and medication adherence among patients with diabetes mellitus in the inpatient unit of Toto Kabila Hospital, Gorontalo. A quantitative analytical observational study with a cross-sectional design was conducted involving 58 patients in July–August 2025. Knowledge was assessed using the 24-item Diabetes Knowledge Questionnaire (DKQ), while medication adherence was measured using the eight-item Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using the chi-square test. The results showed that most respondents had a moderate level of knowledge (63.8%), followed by good knowledge (22.4%) and low knowledge (13.8%). Regarding medication adherence, 44.8% of respondents had moderate adherence, 37.9% had low adherence, and 17.2% had high adherence. The chi-square analysis revealed a statistically significant relationship between knowledge level and medication adherence ((\chi^2=16.005), (df=4), (p=0.003)). These findings indicate that knowledge level was significantly associated with medication adherence among patients with diabetes mellitus at Toto Kabila Hospital. However, because of the cross-sectional design, the findings do not establish a causal relationship. The results highlight the importance of patient education and medication counseling as components of diabetes management.
Referensi
[1] N. F. Abdullah, L. Khuan, C. A. Theng, S. N. Sowtali, and M. H. Juni, “Effect of patient characteristics on medication adherence among patients with type 2 diabetes mellitus: a cross-sectional survey,” Contemp. Nurse, vol. 55, no. 1, pp. 27–37, 2019, doi: 10.1080/10376178.2019.1583067.
[2] D. M. AlShayban et al., “Association of Disease Knowledge and Medication Adherence Among Out-Patients With Type 2 Diabetes Mellitus in Khobar, Saudi Arabia,” Front. Pharmacol., vol. 11, 2020, doi: 10.3389/fphar.2020.00060.
[3] O. W. K. Handayani, P. Lindasari, S. R. Rahayu, A. Yuniastuti, and E. Nugroho, “Path Analysis of Blood Glucose Determinant on Diabetes Mellitus Patients through Intervening Variables of Medication Adherence,” Unnes J. Public Heal., vol. 8, no. 2, pp. 81–87, 2019, doi: 10.15294/ujph.v0i0.30420.
[4] R. Alfian, N. Ariani, Y. Nita, and U. Athiyah, “Assessment to barriers of medication adherence among patients with Type 2 Diabetes Mellitus,” J. Res. Pharm., vol. 29, no. 3, pp. 918–927, 2025, doi: 10.12991/jrespharm.1693752.
[5] J. Pan, X. Xue, H. Li, and L. Wu, “Determinants of medication adherence and knowledge among patients with Type 2 diabetes mellitus: A cross-sectional study in Northwestern China,” PLoS One, vol. 21, no. 2 February, 2026, doi: 10.1371/journal.pone.0343091.
[6] Y. Kang and Y. Hur, “Medication Adherence and Its Associated Factors in Laotians With Type 2 Diabetes Mellitus,” Clin. Nurs. Res., vol. 29, no. 5, pp. 331–338, 2020, doi: 10.1177/1054773819849349.
[7] A. A. Alsaidan et al., “Medication Adherence and Its Associated Factors among Patients with Type 2 Diabetes Mellitus Attending Primary Health Centers of Eastern Province, Saudi Arabia,” Med., vol. 59, no. 5, 2023, doi: 10.3390/medicina59050989.
[8] F. Hadush, G. Beedemariam, M. H. Kahissay, S. A. Patel, and B. M. Habte, “Patients’ Perceptions and Knowledge of Diabetes and Medications: Implications for Medication Adherence and Glycemic Control in Type 2 Diabetes Patients, Northern Ethiopia,” J. Diabetes Res., vol. 2024, no. 1, 2024, doi: 10.1155/2024/3652855.
[9] I. L. Jackson, M. O. Adibe, M. J. Okonta, and C. V Ukwe, “Medication adherence in type 2 diabetes patients in Nigeria,” Diabetes Technol. Ther., vol. 17, no. 6, pp. 398–404, 2015, doi: 10.1089/dia.2014.0279.
[10] P. E. Aflakpui, D. A. B. Bandoh, E. E. Kploanyi, E. Kenu, and A. A. Addo-Lartey, “Prevalence and factors associated with low medication adherence among Type 2 Diabetic patients attending a diabetic clinic at the Tema general hospital, Ghana,” J. Interv. Epidemiol. Public Heal., vol. 5, 2022, doi: 10.37432/jieph.2022.5.2.52.
[11] M. Ansari, “A cross-sectional survey on exploring adherence to diabetes treatment regimens: Insights from Hail region, Saudi Arabia,” Med. (United States), vol. 105, no. 33, p. e49485, 2026, doi: 10.1097/MD.0000000000049485.
[12] K. Alayed, N. Alsubaie, M. Altwaim, M. Almutairi, and N. Alawlah, “The association between diabetes knowledge and medication adherence among patients in Saudi Arabia,” Pakistan J. Med. Sci., vol. 42, no. 2, pp. 423–431, 2026, doi: 10.12669/pjms.42.2.12752.
[13] A. M. Schoenthaler, B. S. Schwartz, C. Wood, and W. F. Stewart, “Patient and Physician Factors Associated With Adherence to Diabetes Medications,” Diabetes Educ., vol. 38, no. 3, pp. 397–408, 2012, doi: 10.1177/0145721712440333.
[14] A. P et al., “Factors influencing adherence towards oral hypoglycaemic agents- A cross-sectional study among patients with Type II Diabetes Mellitus,” Diabetes Epidemiol. Manag., vol. 12, 2023, doi: 10.1016/j.deman.2023.100163.
[15] W. Chen, Y. Qiu, X. Pan, Y. Ye, and J. Ren, “Analysis of medication adherence and influencing factors in hypertensive patients combined with diabetes mellitus,” Chinese J. Gen. Pract., vol. 22, no. 4, pp. 601–604, 2024, doi: 10.16766/j.cnki.issn.1674-4152.003460.
[16] K. Gow, A. Rashidi, and L. Whithead, “Factors Influencing Medication Adherence Among Adults Living with Diabetes and Comorbidities: a Qualitative Systematic Review,” Curr. Diab. Rep., vol. 24, no. 2, pp. 19–25, 2024, doi: 10.1007/s11892-023-01532-0.
[17] F. Farahani Dastjani, M. Shamsi, M. Khorsandi, M. Ranjbaran, and M. Rezvanfar, “Evaluation of the effects of education based on health belief model on medication adherence in diabetic patients,” Iran. J. Endocrinol. Metab., vol. 18, no. 2, pp. 143–150, 2016, [Online]. Available: https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979243234&partnerID=40&md5=345ff5633d0fa75ded9c5c19f6d448d8
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