الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 257 |  |  |
| | | from | 257 | | |
Abstract
Diabetes is a serious, chronic disease and, as a public health problem classified as a lifestyle disease, is an important social, epidemiological and economical problem. The number of people with diabetes rose from 108 million in 1980 to 422 million in 2014. Prevalence has been rising more rapidly in low- and middle-income countries than in high-income countries. Diabetes is a major cause of blindness, kidney failure, heart attacks, stroke and lower limb amputation (Weledegebriel et al., 2021).
Lifestyle with Diabetes type 2, it is lifelong disease and can lead to severe complications and increased risk for mortality. People diagnosed with it responsible for their own care, and healthy lifestyle, including balanced diet, achieving modest weight loss, and performing regular physical activity, smoking cessation, can maintain healthy blood glucose levels and reduce the risk of complications of type 2 diabetes (Parkkola et al., 2021).
Aim of the study
Comparison between life style of patients with Insulin Dependent versus Non-Insulin Dependent with Diabetes through:
- Assessing health status among diabetic patient’s insulin dependent and non-insulin dependent.
- Assess of diabetic patient knowledge regarding diabetes type 2, medication, diet, sign and symptoms, complications.
- Assessing diabetic patient’s practices related to insulin dependent & non-insulin dependent.
- Assessing life style among insulin dependent and non-insulin dependent diabetic patient.
Research Questions
- What is the relation between diabetic patient’s health status for insulin dependent and non-insulin dependent associated with their life style?
- What is the relation between diabetic patients’ life style and their knowledge, practice related to insulin dependent and non-insulin dependent?
- What is the relation between diabetic patients’ socio-demographic and their life style related insulin dependent and non-insulin dependent?
Setting:
¬The study was conducted at Diabetic out patient clinic in Ain Shams University Hospital and Fayoum university hospital.
Sample
Purposive sample was used for this study choice 400 cases diagnosed with diabetes type 2 consist of two group insulin dependent and non-insulin dependent.
Tool for data collection: The data were collected by using the following tool.
Frist Tool
Structured Interviewing Questionnaire: The questionnaire is consisted of four main parts.
Part (1):
Socio demographic variables of the study subject such as gender, age, social status and education, income, residence, occupation.
Part (2)
Diabetes past and current medical history form questionnaire which include onset of disease, family history of disease,asscioted disease, current treatment, time of taking medication, health complain, cause of change diabetic treatment, cause of refused change medication despite doctor order, difference after change medication,other medication taking besides diabetic medication.
Part (3): Patient knowledge regarding diabetes type 2.
Include definition of diabetes, types of diabetes, complication of diabetes, and symptoms of diabetes, s\s of hyper and hypoglycemia, normal level of blood glucose, mean of hemoglobin (A1C).
Part (4): Reported life style questionnaires it includes (diet, exercise, sleep, follow up and foot care).
Second tool: Observational checklist practice questionnaire:
Used to assess self-insulin injection practice and blood
sugar test practice
Third tool: Physical assessment done by investigators which include blood sugar, blood pressure, body mass index.
The result of the present study could be summarized as
following:
- More than one third 36 ℅ of studied patients were male in both insulin group and non-insulin group while 64% are female in both group. Also half 50% of insulin group their age ranged between 45 to 65 years old with mean65.9±11.7 and (64.0%) of them were females. Concerning residence 60,0% of them were from rural areas and 46.0% of them had Secondary, University education, ,compare to 49%, 64.5%, 57%, 38% respectively in non-insulin group. It is seen that there was no significant difference between two groups regarding socio-demographic characteristic.
- Presents that 58% of insulin group has family history to diabetes compare to 56% in non-insulin group, in addition to, show 39% had hypertension associated with diabetes in insulin group compare to 44.5% in non-insulin group.
- The present study showed that about (48.5%: 60.5%) respectively of insulin group and non-insulin group had poor knowledge, (21.5%:14%) had good knowledge for both group, in addition revealed statically significant difference between two group regarding total level of knowledge items. when p value <0.05.
- The present study showed that about 66.5. 5%:76.5 % respectively of insulin group and non-insulin group had inadequate practice, 33.5%: 23.5% had adequate Practice for both group, In addition to showed statistically significant between two group in regarding total level of practice items. when p value <0.05.
- The present study showed that there were statistical significant differences ’between two groups regarding total level of life style items. Also show that there were 63.5% of insulin group had unsatisfied life style compare to 73% of non-insulin group, while 36.5% of insulin group had satisfied life style compare 27% of non-insulin group.
- The present study showed that there was insignificant statistical difference between the two groups regarding anthropometric measurements such as (weight, height, and body mass index when p value >0.05.
- The present study showed that there was highly statistically significant and positive correlation between Total life style score in two group with Total Knowledge, Total practice scores when p-value was <0.001*.
- The present study showed that There was highly statistically significant between Total life style in both group with health satus when p-value was <0.001*.
- The current study showed that There was highly statistically significant between Total life style in two groups with socio demographic characteristics when p-value was <0.001*.