Impact of Educational Intervention Program on Diabetic Retinopathy Patient's Compliance

Sabah S. Mohamed^1, , Rasha Fathy Mohamed² and Safa Hamed Mohamed²

¹Ass. Professor of Medical Surgical Nursing, Faculty of Nursing, Benha University, Egypt

²'Lecturer of Medical Surgical Nursing, Faculty of Nursing, Benha University, Egypt

Cite this paper:
Sabah S. Mohamed, Rasha Fathy Mohamed and Safa Hamed Mohamed. Impact of Educational Intervention Program on Diabetic Retinopathy Patient's Compliance. American Journal of Nursing Research. 2019; 7(6):1000-1008. doi: 10.12691/ajnr-7-6-14

Abstract

Background; diabetic retinopathy can lead to serious vision problems, patient education plays an important role in the management of retinopathy and the Compliance to treatment is a primary determinant of treatment success. Aim of the Study; The study aimed to evaluate the Impact of educational intervention program on diabetic retinopathy patient's compliance. Study Hypothesis; Patients knowledge about diabetic retinopathy will be improve post program than before and Patients compliance will improved after receiving the program. Design; Quasi experimental design used to achieve the aim of the study. Setting; the study was conducted at ophthalmology clinic at Benha University Hospital. Subjects; Convenience sample of 60 patients from both genders selected under criteria. Tools: two tools were used; Structured questionnaire regarding knowledge of diabetic and diabetic retinopathy; which used to assess patient's knowledge about diabetic and diabetic retinopathy and patient's compliance of diabetic retinopathy; to assess patient' compliance It included questionnaire about nutrition and eating habits , physical activity and treatment. Results; mean score of age was age 42.067 ± 9.716 also 56.7% are male, (78.3%) are married. Regarding to medical history 70.0% use insulin. and so 78.3% of them post hyperglycemia exposure caused by Sweet diet. Regarding total knowledge pre-program was 93.3 % of patients had unsatisfactory while 80.0% had satisfactory of knowledge post program. Regarding total compliance 95.0 % of patients not adherent preprogram while 96.7% had adherent post program. Also there were positive and highly significant correlations in post program between total knowledge and total compliance. Conclusion: there were highly significant statistically improvement in all items of knowledge and compliance post than preprogram regarding diabetic retinopathy. Recommendations; The need for increasing awareness and also the provision of access to retinopathy screening services to patient, Urgent need to evolve strategies to educate diabetic patients about potential retinopathy complication of diabetes.

Keywords:
diabetic retinopathy patient's compliance Benha University

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	Guanda, E. (2017). Diabetic over view, Available from www.guands.com/diabetes/diabetes.html: Accessed at January 28, 2018.
[2]	Lewi, K. (2015). Improving patient compliance with diabetic retinopathy screening and Hospital. Community eye health journal, 28(92), 68-69.
[3]	Thompson, V.M.D & Heiting, G.O.D. (2017). Diabetic Retinopathy, Available from https://www.allaboutvision.com/: Accessed at May 20, 2019.
[4]	Dunleavy, P.P. (2016). What is Diabetic Retinopathy: diabetic retinopathy complication, Available from: http://www.diabeticretionopathy.complication/hotmil: Accessed at December 16, 2018.
[5]	Mclauchlan, R. (2014). Patient support to reduce risk of diabetic retinopathy, Nursing Times journal; 110: (25), 12-15.
[6]	Gattullo, Barbara, Edelman & Maryann RN. (2018). Patient education: diabetic retinopathy. Nursing center, 37 (7), 51-51: Accessed at April 5, 2019.
[7]	Demirtas¸ A. & Akbayrak, N. (2017). Development of an assessment scale for treatment compliance in type 2 Diabetes Mellitus in Turkish population: Psychometric evaluation International Journal of Nursing Sciences 4(3) 244-251: Accessed at Jun 15, 2018.
[8]	Tidy, C. (2016). Diabetic Retinopathy and Diabetic Eye Problems, Available from https://patient.info/doctor/diabetic-retinopathy-and-diabetic-eye-problems: Accessed at November 11, 2018.
[9]	Al Kot, A. M. & Fahim, M. M. (2015). Early detection of diabetic retinopathy among type 2 diabetic patients in Qaluobia Governorate, Egypt Monufia Medical Journal, 428(2), 547-553. URL: Available from http://www.mmj.eg.net.:Accessed at March 26, 2019.
[10]	Alex, H. &Jill, E.K. (2012). Diabetic retinopathy management guidelines, University of Melbourne, Ophthalmic J. 7(5), 417-439. Accessed at September 23, 2018.
[11]	Macky, T.A., Khater, N., Al-Zamil, M.A., El Fishawy, H., & Soliman, M.M. (2011). Epidemiology of diabetic retinopathy in Egypt: a hospital-based study, 45(2):73-80. Accessed at 12Aug 2018.
[12]	Dervan, E. D. Lillis, E. L., Flynn, E. A.& Staines, E. (2008). Factors that influence the patient uptake of diabetic retinopathy, Ir J Med Sci. (4): 303-308.
[13]	Chethana, R., & Lakshmi, H., (2016). Effectiveness of Health Education on Knowledge and Attitude Regarding Diabetes in Type II Diabetes Mellitus patients", 7(7): 587-591.
[14]	Hartayu,T.,S., Izham, M., and Sri Suryawati, S., (2012). Improving of Type 2 Diabetic Patients’ Knowledge, Attitude and Practice Towards Diabetes Self-care by Implementing Community-Based Interactive Approach-Diabetes Mellitus Strategy, BMJ Journals, 5(5): 315.
[15]	Ahmed, M.M., El Degwy, H. M., Ali, M. I. & Hegazy, N. H. (2015). The effect of educational intervention on knowledge, attitude and glycemic control in patients with type 2 diabetes mellitus, nternational Journal of Community Medicine and Public Health, 2(3): 302-307.
[16]	Ranabir, P. Shrayan, P. Ankur, B. & Ghosh, M.K: (2010). Health education intervention on diabetes in Sikkim, Indian, Journal of Endocrinology and Metabolism 14(1): 3-7.
[17]	Duan, F., Liu, Y., Chen, X., Congdon, N., Zhang, J., Chen, Q., Chen, L., Chen, X., Zhang, X., Yu, C., & Liu, Y., (2017). Influencing factors on compliance of timely visits among patients with proliferative diabetic retinopathy in southern China: a qualitative study. BMJ Journals, 7(3): 13578.
[18]	PK Rani, R., Raman, S., Subramani, G. Perumal, G. & Kumaramanickavel, T. (2008). "Knowledge of diabetes and diabetic retinopathy among rural populations in India and the influence of knowledge of diabetic retinopathy on attitude and practice Rural and Remote Health. Available from: http://www.rrh.org.au. Accessed at: 10 January 2019.
[19]	Ahmad, N.S., Ramli, A., Islahudin, F., Paraidathathu, A. (2013). Medication adherence in patients with type 2 diabetes mellitus treated at primary health clinics in Malaysia. 17(7): 525-30.
[20]	Jaworski, M., Panczyk, M. Cedro, M. & Kucharska, A. (2018). Adherence to dietary recommendations in diabetes mellitus: disease acceptance as a potential mediator, Patient Prefer Adherence. (12): 163-174.
[21]	Alves Arrelias, C., Gimenes Faria, H., Souza Teixeira C., dos Santos & Zanetti, L.M. (2015). Adherence to diabetes mellitus treatment and sociodemographic, clinical and metabolic control variables vol. 28 no. 4. 23 December 2018.