Transcript Evaluation Study Diabetic Awareness Questionnaire “Bullack District Hospital” Dr. Nihad Amer Mossaad Medical Director, Bullack Hospital Diabetic Youth Care Association (DYCA) www.diabetes-eg.org www.diabetes-eg.com.

Evaluation Study
Diabetic Awareness Questionnaire
“Bullack District Hospital”
Dr. Nihad Amer Mossaad
Medical Director, Bullack Hospital
Diabetic Youth Care Association (DYCA)
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> 200 m.
Introduction:
135 m.
30 m.
1985
WHO:
1995
2005
Pub. awareness is essential in tackling the various
health challenges of the 21st century.
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- Lack of public awareness and improper
knowledge of diabetes leads to increased
prevalence of complications and hospital
admissions with subsequent increase in degree
of disability and costs of treatment
Lee ET, et al Diabetes Care 2000; (23)
WHO: Fact sheet No. 236; Nov. 1999
Soliman EWIS, et al Diabetes May 1997; 46(suppl. 1)
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- Our Local Situation:
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A high prevalence of diabetes
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Nearly one out of two patients who have the
disease still undiagnosed
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We have a poor degree of public awareness by
symptoms of diabetes and its complications.
Soliman EWIS, et al Diabetes May 1999; 48(Suppl. 1)
Soliman EWIS, Diabetes In the Arab world (Conference) Bahrain 2000,
http://www.arabacc.org (May 19, 2006)
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- Aim of the Work:
- To determine the current level of public
awareness of diabetes, in order to
justify the guidelines for the
development of educational
interventions adaptable to the local
situation
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DYCA
Main Message
Awareness
Education
Prevention
Combat Complications of Diabetes
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- Methods:
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A cross sectional survey standard
questionnaire in Arabic language
- Those who included in the study were not
selected by any way other than they were all
ignorant of being diabetics, who attended the
out patient clinics at the Bullack District.
Hospital during the period of January to July
2007 6 months period.
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-Methods:
(Questionnaire)
- Name
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Address
Age
Gender (Male/ Female)
Social Status (Married/ Divorced/ Single/ Widow)
Occupation
Beside the demographic characteristics of the
participants, the questionnaire included basic
questions about symptoms, complications and
treatment of diabetes
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-Methods:
(Questionnaire)
- 200 patients completed the questionnaire (130 F
and 70 M), they were medically supervised 2
visits/week in diabetes clinic.
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Each participant completing the questionnaire had
the opportunity to discuss his/her answers with
one of the interviewers, with particular attention
being given to incorrect answers.
Hygiene / Diet / exercise health education
instructions were explained to them.
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- Results:
Gender
30
< 20 years old
Juvenile Diabetes
130
Females
65
35
“Fertility Age”
Above
60 years old
20- 45 yrs
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70
Males
20
< 20 years old
Juvenile Diabetes
50
20- 60 yrs
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Referred from outpatient clinics.
Antenatal Care Clinic.
Surgical Outpatient Clinics.
Gynecology & Obstetric Outpatient Clinic.
Renal Dialyses Unit.
Ophthalmology Clinic.
Dermatology Clinic.
Dental Clinic.
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Education Level
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70% illiterate.
30% less than primary education.
Diet
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Carbohydrates and Fats main component. (> 87%)
No Animal protein. (23%)
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Occupation
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30% House Wives “non working”.
20% Street Children.
50% Blue Collar Workers
Exercise & Life Style
• 65% Sedentary Life.
• 35% Heavy Workers
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Presenting Symptoms and Signs
Multiple abscess
Diabetic Foot
17%
17%
9%
11%
12%
12%
3%
2%
6%
22%
Renal
Cardiac
Obsteteric
Dental
Retinal Detch
Vision Loss
Dermatitis
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Awareness by Symptoms:
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72 % failed to nominate any symptom
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Only 14 % mentioned 2 or more symptoms

Polyurea and Polydepsia in combination recognized
only by 2%
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Awareness by Complications:
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81 % failed to nominate any complication
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Only 4 % mentioned more than 2 complications
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Awareness by symptoms and complications is
better among the educated and those with family
history of diabetes
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Misconceptions about Diabetes.
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Sugar particles appear on skin.
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Sweet taste in mouth.
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Believed Risks leading to Diabetes.
No. = 200
(%)
Inherited
59
Over Weight
23
Eating Too Much CHO
Lack of Exercise
10.8
4.2
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How is Diabetes Treated?
No. = 200
(%)
Diet
21
Tablets
33
Insulin
8
Don’t know
52
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Conclusion
1- The level of public knowledge of diabetes is
almost absent, although the disease is common
in our area.
2Public education to raise awareness of
diabetes should be a priority in health
promotion.
3- 60% improvement Juvenile diabetes group due
to exercise / diet / hygiene education beside
regular clinic visits twice a week and medication
given.
Conclusion
4- The questionnaire was useful to highlighting
areas of weakness & accordingly some
conclusions had been drawn regarding the
development of educational interventions
adaptable to the local situation.
5- 10% improvement in type II diabetes although
they suffered severe complication. They were
under control due to medication / diet
restriction / hygiene education. (Smoking and
addiction very common habit was restricted
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and forbidden 5%).
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Final conclusion
Awareness is vital factor to
prevent diabetes morbidity
and mortality
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THANKS TO
Bullack Hospital Medical Team
&
DYCA
For their great help to accomplish this study
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THANK YOU
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