Background: Poor adherence to treatment regimens is a complex problem, especially for those with chronic illnesses. Noncompliance is believed to be the most common reason for treatment failure in diabetic patients, leading to the absence of metabolic control and accelerating disease-related complications. Data on the adherence of people with diabetes in Iraq are lacking. Objectives: The purpose of this study was to measure the rate of adherence among Iraqi patients with diabetes. Methods: This was a cross-sectional study conducted in the Specialized Endocrine and Diabetes Center in Basra, southern Iraq, during the period from June to August 2018. Data were collected by completing an interviewing questionnaire consisting of 13 questions. Results: A total of 231 patients were included in the study (54.5% were female). Mean age was 51.85 ± 13.55 years. 65.4% of the participants were taking their medications at the right times. The most common reason for not taking their medication (48.8%) was difficulty in remembering the dosage times. 40.7% of the participants were sedentary. Only one-third of the patients followed their doctors’ instructions regarding diet. Conclusions: The rate of adherence to medication regimens and lifestyle advice was unsatisfactory in this study group. The awareness of diabetic patients and their caring physicians about the importance of adherence to therapy, exercise, and diet should be emphasized.

中文翻译：

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伊拉克南部巴士拉糖尿病患者遵守生活方式建议和管理计划的情况

背景：治疗方案依从性差是一个复杂的问题，特别是对于那些患有慢性病的人。不依从被认为是糖尿病患者治疗失败的最常见原因，导致代谢控制缺失并加速疾病相关并发症。缺乏关于伊拉克糖尿病患者依从性的数据。目的：本研究的目的是衡量伊拉克糖尿病患者的依从率。方法：这是一项横断面研究，于 2018 年 6 月至 8 月期间在伊拉克南部巴士拉的专门内分泌和糖尿病中心进行。通过完成由 13 个问题组成的访谈问卷收集数据。结果：研究共纳入 231 名患者（54.5% 为女性）。平均年龄为 51.85 ± 13。55 岁。65.4% 的参与者在正确的时间服药。不服药的最常见原因 (48.8%) 是难以记住给药时间。40.7% 的参与者久坐不动。只有三分之一的患者遵循了医生关于饮食的指示。结论：该研究组对药物治疗方案和生活方式建议的依从率不令人满意。应强调糖尿病患者及其护理医师对坚持治疗、锻炼和饮食的重要性的认识。只有三分之一的患者遵循了医生关于饮食的指示。结论：该研究组对药物治疗方案和生活方式建议的依从率不令人满意。应强调糖尿病患者及其护理医生对坚持治疗、锻炼和饮食的重要性的认识。只有三分之一的患者遵循了医生关于饮食的指示。结论：该研究组对药物治疗方案和生活方式建议的依从率不令人满意。应强调糖尿病患者及其护理医生对坚持治疗、锻炼和饮食的重要性的认识。