Asefa, Adane (2017) Psychological Problems and Adherence Prevalence on Medication, Dietary, and Physical Activity Among Type Two Diabetes Patients: The Case of Ras Desta Damtew Memorial Hospital. Masters thesis, Addis Ababa University.
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Abstract
Nowadays no country is free of diabetes in the world and about 80% of cases lives in low and middle income countries. Failure to adherence to medication, diet, and physical activity lead to uncontrolled hyperglycemia and related complications of death. Psychological problems are common causes of failure to adherence. Identifying such factors will help health care providers to design programs that could improve quality of services provided to diabetic patients. The main objective of the study was to assess the prevalence of adherence to medication, diet and physical activity and associated psychological problems among Type 2 diabetes patients at Ras Desta Dametew Memorial Hospital. A facility based cross sectional study was conducted on a sample of 208 type 2 diabetic patients attending diabetic referral clinic of Ras Desta Damtew Hospital. The study subjects were selected using systematic random sampling technique. Quantitative data was collected on demographic characteristics, practice of caring and psychological problems using structured questionnaires. The data was entered and analyzed on SPSS V20. Descriptive statistics was used to determine prevalence of adherence to medication, diet, physical activity and psychological problems among type 2 diabetes patients. Logistic regression was used to identify the association between demographic variables and psychological problems and adherence. A total of 208 type 2 diabetic patients were interviewed. The mean age of participants is 55.38 years. About 57.2% of the respondents were females and 42.8% were males. The mean duration of diabetes is 7.87 years. The prevalence of medication, diet, physical activity, depression and anxiety is 31.7%. 47.6%, 23.1%, 52.2% and 40.4% respectively. Education, household income, and the family sizes were predictors of medication adherence. Education and household income were predictors of dietary adherence (p = 0.010). Sex, age, occupation, and household income were significantly associated with the physical activity adherence. Age is significantly associated with the anxiety (P = 0.029, while depression has no significance association with socio-demographic variables. There is no significance association between psychological problems and mentioned adherences. To conclude, the prevalence of treatment adherence is very low and diabetes patients had psychological problems. Education was seen as main predictor of adherence, it implies self-care to control diabetes is very poor, therefore, diabetes education and counseling given at hospital is very low or absent.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Health Psychology |
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > HQ The family. Marriage. Woman R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RM Therapeutics. Pharmacology R Medicine > RZ Other systems of medicine |
| Divisions: | Africana |
| Depositing User: | Andriamparany Edilbert RANOARIVONY |
| Date Deposited: | 27 Jul 2018 10:08 |
| Last Modified: | 27 Jul 2018 10:08 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/8324 |
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