scholarly journals Diabetic Complications among Adult Diabetic Patients of a Tertiary Hospital in Northeast Ethiopia

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Asrat Agalu Abejew ◽  
Abebe Zeleke Belay ◽  
Mirkuzie Woldie Kerie

Background.The diabetic complications are becoming common community problems. The outcomes of diabetic complications are increased hospitalization, increased direct patient costs, and mortality. In Dessie, the prevalence of the diabetic complications is not well studied so far. Thus, the aim of this study is to assess prevalence of diabetic complications and associated factors among adult diabetic patients of Dessie Referral Hospital, Northeast Ethiopia.Methods.Cross-sectional study was conducted in the diabetic clinic of Dessie Referral Hospital from April to May 31, 2013. All diabetic patients who visited the clinic during the study period were included. Data was collected using interview guided self-administered questionnaire. Presence of complications and the type of medications the patient was on were identified through review of patient records. Data were cleaned, coded, and entered into SPSS for Windows version 17.0. Descriptive statistics and chi-square tests were carried out to meet the stated objective.The Results.Overall 129 (59.7%) of the patients were found to have been affected by one or more of the diabetic complications. Complications were identified mainly among type II diabetic patients. The age of patients (Pvalue-0.048), type of diabetes (Pvalue-0.00), and medication (Pvalue-0.00) were strongly associated with the occurrence of diabetic complication but self-reported adherence, attitude, and knowledge level of patients and the family history were not associated with the presence of complication.Conclusion.The prevalence of complications among diabetic patients in Dessie Referral Hospital was high. Targeted counseling and health information provision to the patients by the clinical staff will be helpful in reducing avoidable morbidity and mortality in the patients.

2020 ◽  
Vol 33 (6) ◽  
pp. 463-475
Author(s):  
Priscilla Anaba ◽  
Emmanuel Anongeba Anaba ◽  
Aaron Asibi Abuosi

PurposePromoting patient satisfaction is crucial for healthcare quality improvement. However, literature on patient satisfaction with nursing care in Ghana is limited. The aim of this study was to assess patient satisfaction with perioperative nursing care in Korle-Bu Teaching Hospital, the largest tertiary hospital in Ghana.Design/methodology/approachThe study was a cross-sectional study. A sample of one hundred (n = 100) in-patients in the surgical department were interviewed. Statistical Package for Social Science (SPSS), version 22, was used to analyze the data. The results were presented using univariate, bivariate and multivariate analyses.FindingsIt was found that majority of the respondents were males (53%), employed (56%) and insured (85%). It was also found that eight in ten respondents were satisfied with the perioperative nursing care. Overall patient satisfaction with perioperative nursing care was significantly associated with information provision (p < 0.001), nurse–patient relationship (p < 0.001), fear and concern (p < 0.05) and discomfort and need (p < 0.05). At the multivariate level, overall patient satisfaction was significantly influenced by nurse–patient relationship (β = 0.430, p = 0.002).Originality/valueThere is limited literature on nursing care in surgical departments and rarely are patients' views considered in assessing quality of perioperative care, especially in Low- and Middle- Income Countries (LMICs). This study is a modest contribution to the literature on patient satisfaction with perioperative nursing care in Ghana.


1970 ◽  
Vol 10 (2) ◽  
pp. 90-93 ◽  
Author(s):  
Mirza Azizul Hoque ◽  
Md Sirajul Islam ◽  
Md Abdul Maleque Khan ◽  
HAM Nazmul Ahasan

This cross-sectional, questionnaire based descriptive study was carried out to evaluate the individual knowledge of diabetic complications in the diabetic patients and also to find the association of knowledge towards educational status and other socio-demographic profiles. A total 184 patients were included in this study. In this study, we found 91 subjects (48.9%) knew that heart disease was the most important diabetic complication, if blood glucose level wasn't controlled properly followed by cerebrovascular disease 27(14.7%), renal disease 24(13%) and eye diseases 9(4.9%). Unfortunately, awareness about frequency of diabetic foot disease, peripheral neurological problems, occurrence of sudden death were found in only 1(0.5%) cases. Awarness about other complications (miscellaneous) was 12(6.5%) and 8(4.3%) didn't know any of the above mentioned complications. Each subject was also asked whether they were apprehensive about the dreaded diabetic complications or not. Statistical difference wasn't observed in any of the parameter (i.e., individual education, an area of residence, monthly income, occupations, family history of individual) when compared with the degree of apprehension. None of the parameters was statistically significant. Further expansion of diabetic education programs like using mass media and involving national curriculum of education can improve self-regulatory awareness of diabetic complications which may reduce the morbidity and mortality of diabetic patients. Key words: diabetic complication, apprehension.   doi: 10.3329/jom.v10i2.2821 J MEDICINE 2009; 10 : 90-93


2017 ◽  
Vol 27 (5) ◽  
pp. 473 ◽  
Author(s):  
Semvua B. Kilonzo ◽  
Daniel W. Gunda ◽  
Fatma A. Bakshi ◽  
Fredrick Kalokola ◽  
Henry A. Mayala ◽  
...  

2020 ◽  
Author(s):  
Faith Nakubulwa ◽  
Rebecca Claire Lusobya ◽  
Anthony Batte ◽  
Bashir Ssuna ◽  
Damalie Nakanjako ◽  
...  

Abstract Background Nephrotic syndrome is the most common glomerulopathy among children aged 2–18 years and high dose corticosteroids are the backbone of its management. Potentially blinding ocular complications often result from nephrotic syndrome and/or its treatment. We conducted a study to determine the prevalence and predictors of ocular complications among children with nephrotic syndrome receiving care at Mulago National Referral Hospital. Methods This was a cross-sectional study conducted for three (3) months at pediatric renal unit of Mulago National Referral Hospital (MNRH). Data from a consecutive sample of 100 children was collected using a semi-structured questionnaire, entered into Epi-data 4.4.2 and exported to STATA 14 for analysis at univariate, bivariate and multivariate levels. A robust Poisson regression model was used to identify predictors of ocular complications. Results Out of 100 patients examined, 80(80%) had ocular complications. The median age was 10 (IQR: 7–12) and 52 (52%) were girls. The most frequent complications were hypertrichosis and refractive errors in 71%(95%CI 61.1–79.6) and 56%(95%CI 45.7–65.9) of the patients respectively. Age above 10 years was the predictor for ocular complications with a RR = 1.37 (95%CI:1.14–1.64) P = 0.001. Conclusions We found a high prevalence of ocular complications among children with nephrotic syndrome in this tertiary hospital. The predictor of ocular complications was age greater than 10 years. We recommend that all children with nephrotic syndrome undergo a baseline ocular examination prior to commencement of treatment and be reviewed periodically by an ophthalmologist.


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