Diabetic Youth Care Association (DYCA) Evaluation Study Diabetic Awareness Questionnaire “Bullack District Hospital” “Bullack District Hospital” Dr. Nihad

Diabetic Youth Care Association (DYCA)Diabetic Youth Care Association (DYCA)

Evaluation StudyEvaluation Study

Diabetic Awareness QuestionnaireDiabetic Awareness Questionnaire ““Bullack District HospitalBullack District Hospital””

Dr. Nihad Amer MossaadMedical Director, Bullack Hospital

www.diabetes-eg.orgwww.diabetes-eg.com

IntroductionIntroduction::

1985 1995 2005

30 m.

135 m.

>200 m.

98%

in A

frica

97%

in M

.

East

330

m. b

y 20

25

WHO:WHO: Pub. awareness is essential in tackling Pub. awareness is essential in tackling the various the various health challenges of the 21st health challenges of the 21st century. century.


- - Lack of public awareness and improper - Lack of public awareness and improper knowledge of diabetes leads to increased knowledge of diabetes leads to increased prevalence of complications and hospital prevalence of complications and hospital admissions with subsequent increase in admissions with subsequent increase in degree of disability and costs of treatmentdegree of disability and costs of treatment

Lee ET, et al Lee ET, et al Diabetes CareDiabetes Care 2000; (23) 2000; (23)

WHO: Fact sheet No. 236; Nov. 1999WHO: Fact sheet No. 236; Nov. 1999

Soliman EWIS, et al Soliman EWIS, et al Diabetes Diabetes MayMay 1997; 46(suppl. 1) 1997; 46(suppl. 1)


-- Our Local SituationOur Local Situation::

- A high prevalence of diabetesA high prevalence of diabetes

- Nearly one out of two patients who have the Nearly one out of two patients who have the disease still undiagnoseddisease still undiagnosed

- We have a poor degree of public awareness by We have a poor degree of public awareness by symptoms of diabetes and its complications. symptoms of diabetes and its complications.

Soliman EWISSoliman EWIS, , et alet al Diabetes May 1999; 48(Suppl. 1) Diabetes May 1999; 48(Suppl. 1) Soliman EWISSoliman EWIS, Diabetes In the Arab world (Conference) Bahrain 2000, , Diabetes In the Arab world (Conference) Bahrain 2000, http://www.arabacc.org (May 19, 2006) (May 19, 2006)


-- Aim of the WorkAim of the Work::

- -To determine the current level of public To determine the current level of public awareness of diabetes, in order to awareness of diabetes, in order to justify the guidelines for the justify the guidelines for the development of educational development of educational interventions adaptable to the local interventions adaptable to the local

situationsituation


DYCAMain Message

Awareness

Education

Prevention

Combat Complications of Diabetes


-- MethodsMethods::

- A cross sectional survey standard A cross sectional survey standard questionnaire in Arabic languagequestionnaire in Arabic language

- Those who included in the study were not - Those who included in the study were not selected by any way other than they were all selected by any way other than they were all ignorant of being diabetics, who attended the ignorant of being diabetics, who attended the out patient clinics at the Bullack District. out patient clinics at the Bullack District. Hospital during the period ofHospital during the period of January to July January to July 20072007 6 months period. 6 months period.


-Methods:Methods:((QuestionnaireQuestionnaire))

- - NameName AddressAddress AgeAge Gender (Male/ Female)Gender (Male/ Female) Social Status (Married/ Divorced/ Single/ Widow)Social Status (Married/ Divorced/ Single/ Widow) OccupationOccupation

- - Beside the demographic characteristics of Beside the demographic characteristics of the participants, the questionnaire included the participants, the questionnaire included basic questions about symptoms, basic questions about symptoms, complications and treatment of diabetescomplications and treatment of diabetes


-Methods:Methods:((QuestionnaireQuestionnaire))

- - 200 patients completed the questionnaire (130 200 patients completed the questionnaire (130 F and 70 M), they were medically supervised 2 F and 70 M), they were medically supervised 2 visits/week in diabetes clinic. visits/week in diabetes clinic.

- Each participant completing the questionnaire Each participant completing the questionnaire had the opportunity to discuss his/her answers had the opportunity to discuss his/her answers with one of the interviewers, with particular with one of the interviewers, with particular attention being given to incorrect answers.attention being given to incorrect answers.

- Hygiene / Diet / exercise health education Hygiene / Diet / exercise health education instructions were explained to them. instructions were explained to them.


- -Results:Results: GenderGender 130

Females

30

< 20 years oldJuvenile Diabetes

35

Above60 years old

65

“Fertility Age”20- 45 yrs


70Males

20

< 20 years oldJuvenile Diabetes

50

20- 60 yrs


- Referred from outpatient clinicsReferred from outpatient clinics..

Antenatal Care Clinic.Antenatal Care Clinic. Surgical Outpatient Clinics.Surgical Outpatient Clinics. Gynecology & Obstetric Outpatient Clinic.Gynecology & Obstetric Outpatient Clinic. Renal Dialyses Unit.Renal Dialyses Unit. Ophthalmology Clinic.Ophthalmology Clinic. Dermatology Clinic.Dermatology Clinic. Dental Clinic.Dental Clinic.


Education LevelEducation Level

70% illiterate.70% illiterate. 30% less than primary education.30% less than primary education.

Carbohydrates and Fats main component. (Carbohydrates and Fats main component. (> > 87%)87%)

No Animal protein. (23%)No Animal protein. (23%)

Diet


OccupationOccupation

30% House Wives 30% House Wives ““non workingnon working””.. 20% Street Children.20% Street Children. 50% Blue Collar Workers50% Blue Collar Workers

Exercise & Life Style

• 65% Sedentary Life.

• 35% Heavy Workers


Presenting Symptoms and Presenting Symptoms and SignsSigns

22%12%

12%

17%

17%

9% 3%

2%

6%11%

Multiple abscess

Diabetic Foot

Renal

Cardiac

Obsteteric

Dental

Retinal Detch

Vision Loss

Dermatitis


Awareness by SymptomsAwareness by Symptoms::

72 % failed to nominate any symptom72 % failed to nominate any symptom

Only 14 % mentioned 2 or more symptomsOnly 14 % mentioned 2 or more symptoms

Polyurea and Polydepsia in combination Polyurea and Polydepsia in combination recognized only by 2% recognized only by 2%


Awareness by ComplicationsAwareness by Complications::

81 % failed to nominate any complication81 % failed to nominate any complication

Only 4 % mentioned more than 2 Only 4 % mentioned more than 2 complications complications

Awareness by symptoms and complications Awareness by symptoms and complications is better among the educated and those with is better among the educated and those with family history of diabetesfamily history of diabetes


Misconceptions about DiabetesMisconceptions about Diabetes..

Sugar particles appear on skin.Sugar particles appear on skin.

Sweet taste in mouth.Sweet taste in mouth.


Believed Risks leading to Diabetes.Believed Risks leading to Diabetes.No. = 200No. = 200

4.2Lack of Exercise

10.8Eating Too Much CHO

23Over Weight

59Inherited

(%)


How is Diabetes Treated?How is Diabetes Treated?No. = 200No. = 200

52Don’t know

8Insulin

33Tablets

21Diet

(%)


ConclusionConclusion

1-1- The level of public knowledge of diabetes is The level of public knowledge of diabetes is almost absent, although the disease is almost absent, although the disease is common in our area.common in our area.

2- Public education to raise awareness of 2- Public education to raise awareness of diabetes should be a priority in health diabetes should be a priority in health promotion.promotion.

3- 60% improvement Juvenile diabetes group due 3- 60% improvement Juvenile diabetes group due to exercise / diet / hygiene education beside to exercise / diet / hygiene education beside regular clinic visits twice a week and regular clinic visits twice a week and medication given. medication given.

ConclusionConclusion

4- 4- The questionnaire was useful to highlighting The questionnaire was useful to highlighting areas of weakness & accordingly some areas of weakness & accordingly some conclusions had been drawn regarding the conclusions had been drawn regarding the development of educational interventions development of educational interventions adaptable to the local situation.adaptable to the local situation.

5- 10% improvement in type II diabetes although 5- 10% improvement in type II diabetes although they suffered severe complication. They were they suffered severe complication. They were under control due to medication / diet under control due to medication / diet restriction / hygiene education. (Smoking and restriction / hygiene education. (Smoking and addiction very common habit was restricted and addiction very common habit was restricted and forbidden 5%).forbidden 5%).


Final conclusionFinal conclusion

Awareness is vital factor Awareness is vital factor to prevent diabetes to prevent diabetes

morbidity and mortality morbidity and mortality


THANKS TOTHANKS TO Bullack Hospital Medical TeamBullack Hospital Medical Team

&&

DYCADYCA

For their great help to accomplish this For their great help to accomplish this studystudy


THANK YOUTHANK YOU


Documents

Diabetic Youth Care Association (DYCA) Evaluation Study Diabetic Awareness Questionnaire “Bullack District Hospital” “Bullack District Hospital” Dr. Nihad