Document Type : Original Article
Authors
1
Lecturer of medical-surgical nursing, Faculty of Nursing, Kafrelsheikh university.
2
Assistant Professor of Community Health Nursing, Faculty of Nursing, Fayoum University, Egypt.
3
Lecturer of Community Health Nursing Fayoum University, Egypt.
4
Assistant Prof. of Family &Community Health Nursing, Faculty of Nursing, Damietta University, Egypt.
Abstract
Background: Management of diabetes requires a complex treatment plan and lifestyle
changes to enhance patient adherence toward treatment. However, in patients with type-2 diabetes,
living with the disease faces various obstacles. If these obstacles are not recognized, non-
compliance with recommended self-care treatments and complications may occur as a result. Aim:
To determine the coping obstacles among type 2 diabetic patients. Methods: A cross-sectional
research design was conducted at diabetic outpatient clinics affiliated to El Mahalla El Kubra
general hospital. Sample: A purposive sample of 570 patients were included and data collected by
interviewing questionnaire to assess socio-demographic, clinical data and diabetes obstacles
questionnaire for 5 months from beginning of October 2021 to end of February 2022. Results: The
studied subjects had obstacles with medications subscales, self-monitoring, and knowledge &
believe, diagnosis, life style and coping subscales with mean score 5.17± 6.09, 3.53± 3.47, 5.03±
4.76, 4.38± 5.18, 3.44± 5.66 and 4.14± 3.69 respectively. On the other side, the studied subjects
didn’t experience obstacles in receiving guidance or supporting and relationship with health care
sub-scales with mean scores -5.08± 7.10 and -2.73± 6.02 respectively. Conclusion: There are
several obstacles faced by patients with type 2 diabetes, the total mean scores of the obstacles were
influenced by educational level, occupational status, smoking habit, follow-up, practicing exercises,
dietary compliance, diabetes complications, and duration of disease. Recommendation: Expanding
in the application of the educational programs for diabetic patients which include health information
and practical skills to cope with their disease and lifestyle changes.
Keywords
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