Adherence of diabetic patients to their respective Management Protocol at Ribat University Hospital in Khartoum – Sudan 2021

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Date
2021
Authors
Rudaina Ismail Osman
Rewa Ezzaldein
Nusaiba Bashir Osman
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Napata College
Abstract
Background: Despite diabetes being a well-known disease, many patients have diabetes-related complications, forexample: DSF, cataracts, macro – and micro vascular complications, etc.This research tries to understand diabetes from a patients’ view-points, on whether they consider themselves adherent to not just medications, but to their overall treatment regimen and if they are aware of their treatment being much more than just medications to be taken, but an overall package of medication and life-style changing, and how well they are willing to change in their lives to decreases morbidity and mortality associated with diabetes. Objectives: To determine the level of adherence of diabetic patients to their respective treatment protocol at Ribat University Hospital in Khartoum, Sudan 2021. Materials and Methods:Cross sectional facility based study with total number of sample size 101, random systemic sampling was used to select the participants for this research, and the data was analyzed using SPSS v.26. Results:The overall adherence rate in this study was 63%. Females were found to be statistically significant with adherence level (P value 0.043). Married individuals also had a better adherence rate (P value 0.043), there was a very statistically significant correlation between higher educational levels and adherence rate, as higher educational levels college education and above had a p value of 0.001. Individuals with higher socio-economic statuses were also better adherent, middle and higher classes had higher adherence rates. Middle classes had a p value of 0.039, and wealthier classes had a p value 0.049 respectively. Older age was also statistically significant in regards to adherence rates (p value 0.049). No significant correlation was found in regards to better adherence and co-morbidities. Conclusion: Among the studied variables female gender, married couples, middle and higher socio-economic statuses, and college education level and above were found to be statistically significant with better adherence rates. Older age groups older than 66 years old were found to have astatistically significant to a highly significant correlation. The study recommended FMoH to develop unified evidence based management protocols with conduction of awareness raising campaign about the importance of patient’s adherence to these protocols.
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