Literature Review About Diabetic Non-Compliance

Literature Review on Diabetic Non-compliance
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August 6, 2017
Introduction
Despite its characteristic of “preventability”, diabetes (type I and type II) is one of the most widespread illness today that inflicts millions of individuals in every corner of the world. In most cases, this disease is caused by the unbalanced and unhinged lifestyle that people continues causing the disease to become worse, while in a number of cases, it is simply genetic. However, what causes the worst effects in patients with diabetes is the lifestyle and negative routine that they continue even after they were already diagnosed. One of these negative routines which can prove to be fatal is ‘non-compliance’ or ‘non-adherence’ to the medication, treatment, and the prescribed way of living by the health providers themselves. While a lot of scholars have debated about the intrinsic and extrinsic factors that could lead to both non-adherence and other negative consequences of this diabetes, the following are just some of the major factors that bears the most weight according to scholars: (1) Patient-physician communication (Hulka, Cassel, Kupper, & Burdette, 1976), (2) Self-perception (Dasbach, Klein, Klein, & Moss, 1994), (3) resources and cost, and (4) screening and assessment methods (Anabtawi & Mathew, 2013) among others. In this article though, the authors would focus on the traits which could easily be improved in the part of the healthcare providers (patient-physician communication and screening and assessment methods), as compared to those which are personal and could be improved in the part of the patient. More specifically, this article would provide a literature review of communication and assessment strategies in relation to its PICOT statement, which is; “how does (I) nursing assessment and intervention through EBS (Evidence-based solution), (O) affect the rate of compliance of (P) patients with a diagnosed Type II diabetes in geriatric hospitals in the state of California, as (C) compared to health care providers who focus less on EBS. Aside from shedding light to this PICOT statement in the succeeding chapters, the author would also develop his argument and proposed a solution that, “in order to minimize non-adherence for diabetic patients, proper patient-physician/nurse communication must include education based on Evidence-based knowledge”.
Research Questions
Although both articles written by Hulka, et. al (1976), and Anabtawi and Mathew (2013), are aimed at finding methods and best-practices to increase compliance amongst diabetic patients, the two differs in terms of their research focus, with regards to the factor that contributes to the most number of non-adherence in this population. On one hand, Hulka, et. al (1976), focused on the errors in terms of patient-physician communication, and proceeded under the research question, What are the errors in terms of communication that causes patient-on adherence for patients with diabetes mellitus [and congestive heart failure]? On the other hand, Anabtawi and Mathew (2013), inquired about the correlation of a number of patients diabetic patients screened for Microalbuminuria...