Palestinian Medical and Pharmaceutical Journal (Pal. Med. Pharm. J.)

Adherence to the management of type i diabetes among Palestinian patients in Nablus city: a cross-sectional study

Article info

2019-10-09
2020-02-09
125 - 132

Keywords

  • Self
  • Palestine
  • Adherence;
  • Inventory;
  • 1
  • Diabetes;
  • Type
  • Care

Abstract

The purpose of this study is to investigate the adherence to the management of Type I Diabetes and to investigate factors associated with non-adherence among Palestinian Type 1 Diabetes patients. One hundred and twenty-six patients diagnosed with Type 1 Diabetes were enrolled in an observational cross-sectional study. Diabetes self-care adherence was meas-ured using the Self Care Inventory (SCI). The patients were recruited from a diabetes clinic in Nablus city in Palestine. One-way ANOVA test and simple linear regressions were used in the statistical analysis. Participants age ranged from 3-43 years; 56% of them were females. The mean age at diagnosis for them was 10 years (+/-6.25). The mean glycosylated hemoglobin (A1C) was 9 +/-2.32. 66% of patients reported significant non-adherence to glucose testing, 89% reported non-adherence to diet recommendations, 79% reported non-adherence to exer-cise, and 21% reported non-adherence to administering insulin on time. Age (r = 0.29, P < 0.05), A1C (r = 0.21, P < 0.05), sex (P < 0.05), and patient educational level (P< 0.05) were significantly related to adherence score. Adherence to treatment among pa-tients with Type 1 Diabetes is poor and is associated with age, sex, A1C, and patient educa-tional level. Designed education programs should be implemented among patients with Type 1 Diabetes, which address the importance of adherence to the management of the diseases. More strategies should focus on monitoring the diet and insulin administration.

Adherence to the management of type i diabetes among Palestinian patients in Nablus city: a cross-sectional study

معلومات المقال

2019-10-09
2020-02-09
125 - 132

الكلمات الإفتتاحية

  • Self
  • Palestine
  • Adherence;
  • Inventory;
  • 1
  • Diabetes;
  • Type
  • Care

الملخص

The purpose of this study is to investigate the adherence to the management of Type I Diabetes and to investigate factors associated with non-adherence among Palestinian Type 1 Diabetes patients. One hundred and twenty-six patients diagnosed with Type 1 Diabetes were enrolled in an observational cross-sectional study. Diabetes self-care adherence was meas-ured using the Self Care Inventory (SCI). The patients were recruited from a diabetes clinic in Nablus city in Palestine. One-way ANOVA test and simple linear regressions were used in the statistical analysis. Participants age ranged from 3-43 years; 56% of them were females. The mean age at diagnosis for them was 10 years (+/-6.25). The mean glycosylated hemoglobin (A1C) was 9 +/-2.32. 66% of patients reported significant non-adherence to glucose testing, 89% reported non-adherence to diet recommendations, 79% reported non-adherence to exer-cise, and 21% reported non-adherence to administering insulin on time. Age (r = 0.29, P < 0.05), A1C (r = 0.21, P < 0.05), sex (P < 0.05), and patient educational level (P< 0.05) were significantly related to adherence score. Adherence to treatment among pa-tients with Type 1 Diabetes is poor and is associated with age, sex, A1C, and patient educa-tional level. Designed education programs should be implemented among patients with Type 1 Diabetes, which address the importance of adherence to the management of the diseases. More strategies should focus on monitoring the diet and insulin administration.

An-Najah National University
Nablus, Palestine
P.O. Box
7, 707
Fax
(970)(9)2345982
Tel.
(970)(9)2345560
(970)(9)2345113/5/6/7-Ext. 2628
E-mail
[email protected]
EIC
Prof. Ismail Warad