Journal of Family & Community Medicine
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contact us Login 
 

Users Online: 590 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size

 
ORIGINAL ARTICLE
Year : 2010  |  Volume : 17  |  Issue : 3  |  Page : 121-128

Physicians' therapeutic practice and compliance of diabetic patients attending rural primary health care units in Alexandria


1 Department of Epidemiology, High Institute of Public Health, Alexandria University, Egypt, King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia
2 Alexandria Directorate of Health Affairs, High Institute of Public Health, Alexandria University, Egypt
3 Department of Epidemiology, High Institute of Public Health, Alexandria University, Egypt
4 Department of Health Administration and Behavioral Sciences, High Institute of Public Health, Alexandria University, Egypt
5 Faculty of Medicine, Alexandria University, Egypt

Correspondence Address:
Nahla Khamis R Ibrahim
Prof. of Epidemiology and Community Medicine, Family& Community Medicine Department, KAAU, Jeddah, Kingdom of Saudi Arabia

Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-1683.74325

Rights and Permissions

Objectives: The objectives of the study were to investigate physician's therapeutic practice and the compliance of diabetic patients attending rural primary health units in Alexandria. Material and Methods: A cross-sectional study was conducted and a multistage stratified random sample method was used for the selection of 600 diabetic patients. Data were collected by means of an interviewing questionnaire, an observation checklist, review of prescriptions and laboratory investigations. A scoring system was made for a diabetic patient's knowledge and skills, patient's compliance, doctor-patient relationship, and glycemic control. Results: About 57% always took their medication as prescribed by doctor and on time, only 2.2% always complied with dietary regimen while no one reported regular compliance with exercise regimen. Complications of the regimen was the commonest cause (63.3%) of noncompliance. A highly statistically significant difference was found between compliance with all regimens and patient's knowledge of diabetes. The scores for doctor-patient relationship were all unsatisfactory. Results of glycosylated hemoglobin (HbA1c) revealed that metabolic control of four-fifth of the patients was satisfactory, 12% had fair and 8% had poor metabolic control. Conclusions: Patient's compliance with most of the diabetes regimen was low. Doctor-patient relationship and patient's compliance should be improved by conducting educational and training programs.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed5325    
    Printed256    
    Emailed1    
    PDF Downloaded632    
    Comments [Add]    
    Cited by others 7    

Recommend this journal

 

Advertise | Sitemap | What's New | Feedback | Disclaimer
Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
Online since 05th September, 2010