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Client's knowledge on type 2 diabetes mellitus and their level of compliance with treatment regimen.

Author

Gina P. Requina,
Teotima C. Amborgo

Related Institution

College of Nursing - Holy Name University

Publication Information

Publication Type
Thesis/Dissertations
Thesis Degree
MA
Specialization
Medical - Surgical Nursing
Publication Date
March 2010

Abstract

INTRODUCTION:


Diabetes Mellitus is a chronic disorder characterized by the abnormal metabolism of fuels, particularly carbohydrate, protein and fat. It is not a single disease but a group of disorders with glucose intolerance in common. It encompasses many casually  unrelated diseases and includes many different causes and disturbed glucose tolerance with vascular and neurologic complications and distinguished by weight loss and excessive urination, thirst and hunger. a key feature of diabetes is elevated blood glucose called hyperglycemia. 


For the nearly 21 million Americans who have diabetes and the estimated 39 million who will have it by the year 2050, over 200,000 people die each year due to related complications; the challenge is to juggle many aspects of their lives with the many demands of therapy. The latest statistics revealed that more than 150 million people worldwide suffer from diabetes (WHO, 2004).


The prevalence of diabetes mellitus is increasing at alarming proportions. From a study undertaken by the WHO (2004) in cooperation with the US-based Prudential Center for Health Care Research in Atlanta, Georgia and the University of Michigan in Ann Arbor, Diabetes Care, a most authoritative professional publication on the subject, published a report. The report stated that a 122 percent increase is projected worldwide-from a total of 135 million in 1995 to 300 million in 2025. This more that two-fol increase will occur because of population aging and growth, as well as from obesity, unhealthy diets and a sedentary lifestyle. These latter factors are closely associated with urbanization and industrialization.


In Asia, diabetes is on of the top ten causes of death. Diabetes is among the five leading causes of death in most countries in but mortality Southeast statistics greatly underestimate the true rate of diabetes-related mortality because the disease is frequently underreported in death certificates. Consequently, diabetes is often ignored when public health priorities are set apart from its health impact, the economic cost of diabetes and its complications is enormous in terms of health care costs and decreased or loss of productivity among its victims. Diabetes has devastating effects. Complications include nerve damage and blood vessel damage that can lead to blindness, impotence, heart disease, kidney failure and limb amputations. (http://www.aoa.gov/prof/Statistics/profile/2003/2003profile) . 


In the Philippines, 1 out of 25 Filipinos is diabetic. According to the Philippine Diabetes Association (PDA), there are 4.2 million diabetics. Diabetes ranked as the ninth top killer disease. According to the Department of Health (DOH), diabetes claims at least 5,000 lives a year, and the mortality rate has increased by 92 percent over a 10-year period. They predict that 20 years from now, around 8.4 million Filipinos would become diabetic. (http://www.aoa.gov/prof/Statistics/profile/2003/2033profile).


In Bohol alone, it is surprising that many are diabetics, which frustratingly are admitted in hospitals due to complication. Statistical report from the Provincial Health Office (2008), diabetes ranks 9th as a cause of death in this province, in contrast to the previous years during which diabetes was not among the top ten causes of death.


 One major problem is that people, in general, just do not realize how serious diabetes really is. One study showed that less than one in four people who had diabetes sought an eye examination that could save their sight. Another problem is that there are many people who have diabetes and do not know it.


The only defense of this disease is prevention and control. But are the clients aware and have they complied the treatment regimen of their diseases? These are the reasons why the researcher wanted to study on the client's knowledge on type 2 diabetes mellitus and their compliance with treatment regimen. The researcher wanted to emphasize that patient must understand what to do and how to do it. The patient needs enough knowledge to adjust the treatment or prevention regimen in response to changing circumstances. In as much as the researcher herself has both familial hereditary of the disease and both her grandparents died of related complications. She has also her personal reason that encouraged her to study about diabetes mellitus control and management.

References

1. Ignatavicius, Donna D. . Medical-Surgical Nursing: Critical Thinking for Collaborative Care. Singapore: Saunders an imprint of Elsevier Inc., 2006.
2. Kluwer, Wolters . "Diabetes Under Control" , November 2008
3. Cuevas, Prescilla , Reyala, Jean . Public health nursing in the Philippines. National League of Philippine Government Nurses, Inc. Philippines: 2007. (10th ed)
4. Batuyog, Mary Jacquiline . "Knowledge and compliance of diabetes mellitus" Philippine Journal of Nursing Education , October 2007
5. Anonuevo, Cora A.. Theoretical Foundation Nursing Philippines: University of the Philippines College of Nursing, 2000.
6. Floresca, Elizabeth A.. Patient's Acceptance and their Knowledge, Skills and Attitudes Toward Diabetes Mellitus Cebu City: 2000.

Physical Location

LocationLocation CodeAvailable FormatAvailability
Holy Name University Library Periodical Section Grad/T R29 c2010 Fulltext Print Format

 
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