Evaluation of Patient Compliance, Knowledge, and Health Services among Diabetic Patients Admitted in the Internal Department of Kamal Odwan Hospital

Diabetes mellitus is a chronic disorder characterized by hyperglycemia andthe late development of vascular and neuropathic complications. Diabetes is best managed by multidisciplinary care team and overlapping skills: physician, specialist diabetes nurse, dietitian, and chiropodist. The aim of this study is to evaluate patient knowledge and compliance with treatment of diabetes. The study conducted in Kamal Odwan Hospital in Gaza between designed prospective studies in which all patients that are admitted to the internal medical department and diagnosed with diabetes alone or associated with other diseases were included in this study. The patients were filled questionnaire regarding their age, history of the disease and other variables. the data analyzed manually and the results is shown below.The results that patient education and knowledge is very poor and the patients visit the physicians only to take their medications without any follow up as measurement of blood glucose level or other investigations. Only 20% of patient knows about the disease and only 20% were educated by specialist I primary health care or physician. So we recommend increase the role of health education in primary health care and other centers to reduce the complications of diabetes

___

1. Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, eds, Harrison's Principles of Internal Medicine. 18th edition. New York: McGraw-Hill Companies, Inc., 2012.

2. Goldman L, Schafer AI. Goldman’s Cecil Medicine, 24th edition.New York: Elsevier, 2012.

3. Warrel DA, Cox TM, Firth JD. Oxford Text Book of Medicine, 5th edition. Oxford: Oxford Press, 2010.

4. McDermott MT. Endocrine Secrets, 4th edition. Denver: Mosby, 2004.

5. Koura MR1, Khairy AE, Abdel-Aal NM, Mohamed HF, Amin GA, Sabra AY. The role of primary health care in patient education for diabetes control. J Egypt Public Health Assoc. 2001;76(3-4):241-64.

6. Type 2 diabetes - newer agents (partial update); NICE Clinical Guideline (May 2009). https://www.nice.org.uk/guidance/cg87/resources/cg87-type-2-diabetes-newer-agentsa-partial-update-of-cg66-short-guideline2 access date 05.08.2015

7. Diagnosis and management of type 1 diabetes in children, young people and adults; NICE Clinical Guideline (July 2004). http://www.nhs.uk/ipgmedia/national/nice/assets/type1diabetesinadults.pdf access date 05.08.2015

8. Hjelm K, Mufunda E, Nambozi G, Kemp J. Preparing nurses to face the pandemic of diabetes mellitus, a literature review. J Adv Nurs. 2003;41(5):424-34.

9. Lin D, Hale Sh, Kirby E. Improving diabetes management. Structured clinic program for Canadian primary care. Can Fam Physician. 2007;53(1):73-7.

10. Kirkman MS, Williams SR, Caffrey HH, Marrero DG. Impact of a program to improve adherence to diabetes guidelines by primary care physicians. Diabetes Care. 2002;25(11):1946-51.

11. Tessier DM, Lassmann-Vague VJ. Diabetes and education in the elderly. Diabetes Metab. 2007;33 Suppl 1:S75-8.

12. Structured Patient Education in Diabetes, Dept of Health, June 2005. http://www.ipcem.org/etp/PDFetp/StructuredReport.pdf access date 05.08.2015

13. Deakin TA, Cade JE, Williams R, Greenwood DC. Structured patient education: the diabetes X-PERT Programme makes a difference. Diabet Med. 2006;23(9):944-54.

14. Gillett M, Dallosso HM, Dixon S, Brennan A, Carey ME, Campbell MJ, Heller S, Khunti K, Skinner TC, Davies MJ. Delivering the diabetes education and self management for ongoing and newly. BMJ. 2010;341:c4093.

15. Skinner TC, Carey ME, Cradock S, Daly H, Davies MJ, Doherty Y, Heller S, Khunti K, Oliver L. Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND): process modelling of pilot study. Patient Educ Couns. 2006;64(1-3):369-77.

16. Davies MJ, Heller S, Skinner TC, Campbell MJ, Carey ME, Cradock S, Dallosso HM, Daly H, Doherty Y, Eaton S, Fox C, Oliver L, Rantell K, Rayman G, Khunti K. Effectiveness of the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial. BMJ. 2008;336(7642):491-5.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

Primary Non-Hodgkin's Lymphoma Mimicking Lateral Epicondylitis

Semra AKTURK, Arzu KAYA, Derya CETİNTAS, Tulin KAYA GUCER

An Evaluation of the Efficacy of ESWT and Placebo-ESWT Treatment for Chronic Plantar Fasciitis

Gülsen AYKOL, YÜKSEL ERSOY

A Rare Case of Brucella Spondylodiscitis Mimicking Lumbar Disc Herniation

Ergenekon KARAGÖZ, Asım ÜLÇAY, HAKAN ŞİMŞEK, Vedat TURHAN, Hakan ERDEM, Ali ACAR, Oral ÖNCÜL, Levent GÖRENEK

The Effect of Dexamethasone in Tramadol Induced Nausea and Vomiting

Nurçin GÜLHAŞ, MUKADDER ŞANLI, Abdul Vahap ASLAN, Ülkü ÖZGÜL, Murat BİCAKCİOGLU, MAHMUT DURMUŞ

The Cause of Foot-Drop in a Patient with Ganglion Cyst in Lumbar Region: A Case Report

Mustafa Kemal ILIK, Özgür ÖZDEMİR, İlker COVEN

Cheek Trauma and Mass Formation Caused by Pricker: Diagnostic Value of Fine Needle Aspiration Cytology in an Interesting Case

Jamal MUSAYEV, Adalat HASANOV, Anar YUSUBOV

Hypothermia Frequency of Patients in the Postoperative Period

Münire BABAYİĞİT, Zehra BAYKAL TUTAL, Handan GÜLEÇ, Necla DERELİ, Seda İLHAN, Mustafa Alparslan BABAYİĞİT, Eyüp HORASANLI

The Value of Tc-99m Mibi for Differential Diagnosis of Biliary Atresia and Hepatitis in Rats

Ismail KOKSAL, Ersoy KEKİLLİ, Reyhan KÖROĞLU, Fatih BATİ, Abdurrahman KARAMAN, Alaattin POLAT

Acute Ethanol Intoxication Following Percutaneous Treatment of Liver Hydatid Cysts in a 13-Week Pregnant Patient

Mehmet SARGIN, MEHMET SELÇUK ULUER, Sadık ÖZMEN

Safety and efficacy of Methotrexate Monotherapy Vs Methotrexate plus Leflunomide Combination Therapy in Early Active Rheumatoid Arthritis Patients

Mariane S. BOSHRA, Amira S. AHMED, Heba F SALEM, Mohamed N. ABD EL HAMİD