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العنوان
Non-compliance on treatment among diabetic students at Sohag University :
المؤلف
Elkhayat, Samah Wagdy Abdelaziz.
هيئة الاعداد
باحث / سماح وجدي عبد العزيز الخياط
مشرف / أحمد فتحي حامد أحمد النحاس
مشرف / سهام احمد ابوكريشة
مشرف / رشا جمال الدين ابو الجود
مناقش / مدحت عربي مرسي
مناقش / نجاح محمد ابوالفتوح
الموضوع
Diabetics.
تاريخ النشر
2023.
عدد الصفحات
101 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
ممارسة طب الأسرة
تاريخ الإجازة
7/3/2023
مكان الإجازة
جامعة سوهاج - كلية الطب - طب الأسرة
الفهرس
Only 14 pages are availabe for public view

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Abstract

The results of the current study revealed that the DSMQ total mean score was (17.90±4.35). The scores of the different domains of DSMQ in order was as following : Glucose Management (4.97±1.28) > Dietary Control (4.54±1.22) with > Physical activity mean (4.33±2.18) > Health Care use (4.06±1.78).
In our study, there was significant positive correlation between glucose management, dietary control, health care use, physical activity and total DSMQ score.
Several factors were found to affect compliance on treatment among diabetic students as gender; females had higher glucose management and DSMQ total scores than males, and physical activity score were statistically significantly higher in females than males.
As regards residence of participants, Glucose management score was statistically significantly higher in urban than rural. As regards health care use score in our current study, it was statistically significantly higher in rural than urban.
As regards complications,21.6% participants suffered from complications of diabetes mainly diabetic neuropathy. lower glucose management scores were associated with a higher prevalence of neuropathy.
There is no correlation between health care use domain and development of diabetes complications.
There was no correlation between the age of participants and the compliance on treatment .
Glucose management had positive significant correlation with dietary control, healthcare use and total DSMQ.
As regards duration of diabetes in our study, There was no correlation between the duration of diabetes (years) of participants and the domains of the DMSQ. This may be due to almost similar duration of diabetes of all the participants.
Recommendations:
• Doctors/Nurse must educate diabetic patients about their disease on the importance of complying with their medications, the consequences of non-compliance with treatment. Patients should be told that the drugs are for life and the disadvantage of skipping the dose.
• Training the health care provider on how to counsel patients in a constructive manner.
• Strategies to improve compliance such as improving education campaign on the importance of compliance to diabetes medications, by the media, posters, and religion centers e.g. masjid and church.
• The availability of insulin at general administration of medical affairs at Sohag university must be improved because it has a major role in students compliance.
Summary
Studying non-compliance on treatment among diabetic students in Sohag University was accomplished by this study including 153 diabetic students. We used DSMQ and its 16 questions to assess 4 different domains (glucose management , dietary control , health care use and physical activity ) for all the diabetic students at Sohag university.
The current study evaluate 153 students 62 males with type 1 diabetes aged between 17 and 24 years old attending outpatient clinic at general administration of medical affairs at Sohag university.
The results of the current study revealed that the DSMQ total mean score was (17.90±4.35). The scores of the different domains of DSMQ in order was as following : Glucose Management (4.97±1.28) > Dietary Control (4.54±1.22) with > Physical activity mean (4.33±2.18) > Health Care use (4.06±1.78).
Several factors were found to affect compliance on treatment among diabetic students as gender; females had higher glucose management and DSMQ total scores than males, and physical activity score were statistically significantly higher in females than males.
As regards residence of participants, Glucose management score was statistically significantly higher in urban than rural. As regards health care use score in our current study, it was statistically significantly higher in rural than urban. As regards complications,21.6% participants suffered from complications of diabetes mainly diabetic neuropathy. Lower glucose management scores were associated with a higher prevalence of neuropathy.
There was no correlation between the age of participants and the compliance on treatment .
Glucose management had positive significant correlation with dietary control, healthcare use and total DSMQ. As regards duration of diabetes in our study, There was no correlation between the duration of diabetes (years) of participants and the domains of the DMSQ. This may be due to almost similar duration of diabetes of all the participants.
Recommendations:
• Doctors/Nurse must educate diabetic patients about their disease on the importance of complying with their medications, the consequences of non-compliance with treatment. Patients should be told that the drugs are for life and the disadvantage of skipping the dose.
• Training the health care provider on how to counsel patients in a constructive manner.
• Strategies to improve compliance such as improving education campaign on the importance of compliance to diabetes medications, by the media, posters, and religion centers e.g. masjid and church.
• The availability of insulin at general administration of medical affairs at Sohag university must be improved because it has a major role in students compliance.