COMPLIANCE OF DIABETIC PATIENTS TO THERAPEUTIC REGIMEN امتثال مرضى السکرى للنظام العلاجى | ||||
| Assiut University Bulletin for Environmental Researches | ||||
| Article 9, Volume 6.2, Issue 6.2, October 2003, Page 125-134 PDF (329.12 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/auber.2003.150977 | ||||
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| Abstract | ||||
| ABSTRACT : Diabetes is a chronic disease of life long duration, and its management require a fundamental change in the patients’ life style. The success of long term maintenance therapy for diabetes mellitus depends largely upon the patients compliance with a therapeutic plan. This study aimed to assess compliance to therapeutic regimen of diabetic patients attending out-patient clinic and in-patinet department at Assiut University Hospital (n=100). The results showed that, more than half of the patients 60(60%) had good compliance with diet regimen, and majority of the patients (78%) had good compliance with treatment regimen, and 75% of the patients had good compliance for periodic check up for glycemic status. However, 45%, 70%, 56% and 88% had poor compliance with foot care, smoking cessation, blood pressure monitoring and eye examination respectively. يعتبر مرض السکرى من الأمراض المزمنة والتى تستمر طيلة الحياة، وعلاجه يحتاج إلى تغيرات أساسية فى نمط حياة المريض؛ لذلک فأن نجاح العلاج لفترات طويلة يعتمد بصورة کبيرة على امتثال المريض لخطة العلاج، وتهدف هذه الدراسة إلى تقييم الامتثال لنظام العلاج لمرضى السکرى المترددين على العيادة الخارجية والقسم الداخلى بمستشفى أسيوط الجامعى . وقد تم دراسة 100 مريض، وأظهرت النتائج إلى أن أکثر من نصف المرضى 60% قد امتثلوا جيداً للنظام الغذائى، 78% امتثلوا جيداً لنظام العلاج الدوائى، 75% امتثلوا جيداً للمتابعة الدورية لحالة السکر بالدم وعلى الجانب الآخر فقد کان الامتثال ضعيفاً للعناية بالقدمين والتوقف عن التدخين ومتابعة ضغط الدم وفحص العين فى 45%، 70%، 56%، 88% على الترتيب . | ||||
| References | ||||
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REFERENCES : 1-Alwan A (1994): Epidemiology and clinical aspects of diabetes in the Eastern Mediterra-nean Region. EMR epidemiology bulletin, 23:5.
2-Anderson RM, Fitzgerald JT, Oh MS. (1993): The relationship between diabetes-related attitudes and patient’s self-reported adher-ence. Diabetes educator; 19(4):287-292.
3-Anokute CC, Hussein S (1991): Screening of King Saud University community of diabetes mellitus. Practical diabetes mellitus, June: 87-88.
4-Arab MM (1991): An update profile of diabetes mellitus in Egypt. In Rifkin H, Colwell JA, Taylor SI, eds. Proceedings of the 14th international Diabetes Federation Congress, Washington DC, 23-28 June 1991. Brussels, International Diabetes Federation.
5-Bergman U, Wiholm BE. (1981): Drug-related problems causing admission to a medical clinic. Eur J Clin Pharmacol; 20: 193-200.
6-Brunner & Suddarth (2001): A text book of medical–surgical nursing: foot and leg problems in diabetes, 9th ed. Lippin cott. Raven publisher; 1016-1017.
7-Cerkoney KAB, Hart LK. (1980): The relationship beteen the health belief model and compliance of persons with diabetes mellitus. Diabetes care; 3(5):594-598.
8-Clark Jr CM, Lee DA. (1995): Prevention and treatment of complications of diabetes. New England journal of medicine; 332: 1210-1217.
9-Close EJ, Wiles PG, Lockton JA (1993): The degree of day-to-day variation in food intake in diabetic patients. Diabet Med; 10:514.
10-Diabetes Control and Complication Trial Research Group (1993): The effects of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. New England journal of medicine, 329(14): 977-986.
11-Diabetes mellitus. Geneva, World Health Organization, 1985 (Technical Report Series, No. 727).
12-Dun SM. (1988): Treatment education is a sort of treatment for diabetes. Bailliéres clinical endocrinology and metabolism; 2 (2): 493-506.
13-Evans CE, Haynes RB. (1993): Patients compliance. In: Rakel RE, Ed. Essentials of family practice. Philadelphia, WB Saunders Company, 103-118.
14-Feinstein AR. (1990): On white-coat effects and the electronic monitoring of compliance. Arch Intern Med. 150: 137-138.
15-Gatling W. (1988): The long-term care of non-insulin dependent diabetes. Baillieres clinical endocrinology and metabolism; 2 (2): 507-526.
16-Glasgow RE. (1991): Compliance to diabetes regimen. Conceptualization complexity and determinants. In: Cramer JA, Spilker, eds. Patients compliance in medical practice and clinical trials. New York, Raven Press Limited; 209-224.
17-Hanestad BR & Albrektsen G (1991): Quality of life, perceived difficulties in adherence to a diabetes regimen, and blood glucose control. Diabet Med; 8:759-764.
18-Herman WH (1995): Diabetes mellitus in Egypt: risk factors and prevalence. Diabetic medicine; 12 (12): 1126-1131.
19-Javitt JC, Aiello LP, Chiang Y, Ferris FL 3d, Canner JK, Greenfield S. (1994): Preventive eye care in people with diabetes is cost-saving to the federal government. Implications for health-care reform. Diabetes Care; 17:909-917.
20-Kamel NM, Badawy NA, EL. 2einyond Merdan I.A (1999): Soliodemoglaphicde terminates of management behaviour of diabetic patients. Port I. Behaviour of patient in relation to management of their disease; 5(5): 967-973.
21-Kaplan RM & Simon HJ (1990): Compliance in medical care: Reconsideration of self-predictions. Annals of Behavioral Medicine; 12: 66-71.
22-Klein R, Klein BK. (1995): Vision disorders in diabetes. In: National Diabetes Data Group. Diabetes in America.2nd ed. Bethesds, Md., National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, NH pulication no. 95-1468.
23-Kozak GP, Rowbothman JL, Gibbons GW. (1995): Diabetic foot disease: A major problen. In: Kozak GP et al., eds. Managem-ent of diabetic foot problems, 2nd ed. Philad-elphia/London, WB Saunders Company.
24-Kravitz RL (1993): Recall of recommenda-tions and adherence to advice among patients with chronic medical conditions. Archives of internal medicine; 153(16):1569-1578.
25-Kriska AM (1991): The association of physical activity and diabetic complications in individuals with insulin-dependent diabetes mellitus. The epidemiology of diabetic complications study-VII. Journal of clinical epidemiology; 44(11): 1207-1214.
26-Martin IK, Wahren J. (1993): Glucose metabolism during physical exercise in patients with non-insulin dependent (type II) diabetes. Advances in experimental medicine and biology; 334:221-233.
27-Mayfield J, Reiber G, Nelson, Greene T (2000): Do foot examination reduce the risk of diabetic foot amputation. Journal of family practice 49(6): 499-504.
28-Parving HH, Hommel E. (1989): Prognosis in diabetic nephropathy. British medical association; 299, (6693): 230-233.
29-Raskin P, Arauz-Pacheco C. (1992): The treatment of diabetic retinopathy: a review for the internist. Annals of internal medicine; 117 (3):226-233.
30-Shama ME. (1997): Study pattern of compliance behaviour of diabetic patients attending diabetic health insurance clinics in Alexandira (Thesis). Alexandria, Egypt, University of Alexandria.
31-Taylor SE (1999): Problems in self manage-ment of diabetes, Health Psychology; 6, 424.
32-Toljamo M (1999): Insuliinihoitoisten diabeetikoden omahoito. Acta Univ Oul D 504.
33-Udine (2002): Smoking in diabetes, http:// www.diabeticretinopathy. org. uk.
34-Vignatti L, Cunningham LN. (1985): exercise and diabetes. In: Marble A et al., eds. Joslin’s diabetes mellitus. Philadelphia, Lea and Febiger, 453-62.
35-Waterhouse DM, Calzone KA, Mele C, Brenner DE. (1993): Adherence to oral Tamoxifen: A comparison of patients self-report, pill counts, and microelectronic monitoring. J Clin Oncol; 11:1189-97.
36-Wing RR, Nowalk LH, Marcus MD, Koeske R, Fingold D (1986): Subclinical eating disorders and glycemic control in adolecents with type I diabetes. Diabetes Care; 9: 162-167.
37-Zoorab RJ & Hagen MD (1997): Guide lines on the care of diabetic nephropathy, retinopathy and foot disease. American Family Physicion; 56(6): 1-11. | ||||
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