The Relationship Between Spiritual Well-Being and Treatment Compliance in Adult Patients with Type 2 Diabetes in Northwestern Türkiye.

This study aimed to examine the relationship between treatment compliance and spiritual well-being in adult patients with type 2 diabetes. The sample included 165 patients diagnosed with type 2 diabetes who attended the endocrinology outpatient clinic of a public hospital in Istanbul, Türkiye, between November 2023 and May 2024. Data were collected using the Patient Information Form, the Type 2 Diabetes Mellitus Treatment Patient Compliance Scale, and the Spiritual Well-Being Scale. The participants had a mean age of 56.30 ± 11.82 years and a mean treatment duration of 9.33 ± 7.07 years; 58.2% were female. The mean treatment compliance score was 86.68 ± 5.69. Mean scores for the subscales of spiritual well-being were: transcendence, 66.80 ± 7.70; harmony with nature, 31.78 ± 3.04; and anomie, 20.44 ± 5.19. A significant relationship was found between the transcendence subscale and both age (r = 0.242; p = 0.002) and treatment duration (r = 0.143; p = 0.046). A significant correlation was also found between treatment compliance and the harmony with nature subscale (r = 0.160; p = 0.040). Significant differences were observed between gender and the subscales of transcendence (p = 0.000) and harmony with nature (p = 0.002); between marital status and the subscales of transcendence (p = 0.002) and anomie (p = 0.001); and between exercise status and the anomie subscale (p = 0.028). Receiving diabetes education was significantly associated with both harmony with nature (p = 0.022) and treatment compliance (p = 0.028). The findings suggest that spiritual well-being subscales and patient education play a crucial role in improving treatment compliance among individuals with type 2 diabetes.