Journal of Family and Community Medicine

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

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


Nahla Khamis R Ibrahim1, Saeid G Attia2, Sunny A Sallam4, Ebtisam M Fetohy3, Fatihey El-Sewi4 
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 Health Administration and Behavioral Sciences, High Institute of Public Health, Alexandria University, Egypt
4 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

Objectives: The objectives of the study were to investigate physician«SQ»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«SQ»s knowledge and skills, patient«SQ»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«SQ»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«SQ»s compliance with most of the diabetes regimen was low. Doctor-patient relationship and patient«SQ»s compliance should be improved by conducting educational and training programs.


How to cite this article:
Ibrahim NR, Attia SG, Sallam SA, Fetohy EM, El-Sewi F. Physicians' therapeutic practice and compliance of diabetic patients attending rural primary health care units in Alexandria.J Fam Community Med 2010;17:121-128


How to cite this URL:
Ibrahim NR, Attia SG, Sallam SA, Fetohy EM, El-Sewi F. Physicians' therapeutic practice and compliance of diabetic patients attending rural primary health care units in Alexandria. J Fam Community Med [serial online] 2010 [cited 2020 Nov 24 ];17:121-128
Available from: https://www.jfcmonline.com/article.asp?issn=2230-8229;year=2010;volume=17;issue=3;spage=121;epage=128;aulast=Ibrahim;type=0