Апстракт
Background: Diabetes mellitus in sub-Saharan Africa is a chronic and debilitating disease with increasing morbidity and mortality and health care costs.
Aim: This study focused on determination of the role of patient satisfaction on glycemic control among persons with diabetes attending the Family Medicine clinic of Federal Medical Centre, Ido-Ekiti, Nigeria
Materials and methods: A cross-sectional descriptive study was conducted on 156 adults with diabetes diagnosed in the hospital and had been attending the clinic for at least 6 months. Relevant data were collected using interviewer-administered semi-structured questionnaire and clinical parameters measured include fasting plasma glucose (FPG). Data were analyzed using statistical package for the social sciences (SPSS) software version 17.
Result: In this study, 127 (81.4%) of the participants were satisfied with services provided while 134 86%) had good glycemic control. There was significant difference between the satisfied and dissatisfied articipants with regard to age group, ethnicity, glycaemic control (based on FPG) as well as in the pattern of medication adherence (based on Morisky medication adherence scale MMAS). The age of participants is a predictor of satisfaction while the level of patient satisfaction and age of the patients are predictors of pattern of glycaemic control and medication adherence of the participants. A positive association existed between patient satisfaction, medication adherence and glycaemic control in persons with diabetes.
Conclusion: Therefore, physicians and health care providers ought to seek ways of improving patient satisfaction with a view to enhancing good glycemic control.
Keywords: Diabetes mellitus, satisfaction, medication adherence, Fasting Plasma Glucose, Glycaemic control.
Résumé
Contexte : Le diabète sucré en Afrique subsaharienne est une maladie chronique et débilitante qui entraîne une morbidité et une mortalité croissantes, ainsi que des coûts en soins de santé. But : Cette étude portait sur la détermination du rôle de la satisfaction du patient sur le contrôle glycémique chez les personnes atteintes de diabète fréquentant la clinique de médecine familiale du Centre Médical Fédéral, Ido-Ekiti, Nigéria.
Matériels et méthodes : Une étude descriptive transversale a été menée sur 156 adultes atteints de diabète diagnostiqué à l’hôpital et fréquentant la clinique depuis au moins 6 mois. Les données pertinentes ont été collectées à l’aide d’un questionnaire semi-structuré administré par intervieweur et les paramètres cliniques mesurés incluent la glycémie à jeun. Les données ont été analysées à l’aide du logiciel SPSS (Statistical Package for Social Sciences) version 17.
Résultat : Dans cette étude, 127 (81,4%) des participants étaient satisfaits des services fournis, tandis que 134 (86%) avaient un bon contrôle de la glycémie. Il existe une différence significative entre les participants satisfaits et insatisfaits en ce qui concerne le groupe d’âge, l’appartenance ethnique, le contrôle glycémique (basé sur la glycémie à jeun) ainsi que sur le schéma d’adhérence thérapeutique (basé sur l’échelle d’adhérence thérapeutique, MMAS de Morisky). L’âge des participants est un facteur prédictif de satisfaction, tandis que le niveau de satisfaction du patient et l’âge des patients sont des facteurs prédictifs du modèle de contrôle glycémique et de l’adhérence thérapeutique des participants. Une association positive existait entre la satisfaction du patient, l’adhérence thérapeutique et le contrôle glycémique chez les personnes atteintes de diabète.
Conclusion : Par conséquent, les médecins et les prestataires de soins de santé doivent rechercher des moyens d’améliorer la satisfaction des patients afin d’améliorer le contrôle de la glycémie.
Mots-clés : diabète sucré, satisfaction, adhérence thérapeutique, glucose plasmatique à jeun, contrôle glycémique.
Correspoondence: Dr. B.K. Akinola, Department of Family Medicine, Federal Teaching Hospital, Ido Ekiti,
Nigeria. E-mail: bkakinola@futa.edu.ng
Референце
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