L’évaluation d’un programme d’éducation thérapeutique chez le patient diabétique dans un Centre Hospitalier Universitaire marocain: résultats préliminaires d’une enquête pilote

Doubi, S.; Ouahabi, H. El; Dakkar, Otmane; Ajdi, F.

doi:10.11604/pamj.2014.18.258.3054

Cited by 4 publications

(4 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4). In Mali, diabetes treatment accounts for 70% of the patient's income, making it difficult to adhere to treatment [[16], [17], [18], [19], [20]], as well as in developing countries, where poverty is a major barrier to the management of chronic diseases [21].…”

Section: Discussionmentioning

confidence: 99%

Type 1 diabetes mellitus in Gabon

Damiens

–Zandzou

Ibounde

et al. 2019

International Journal of Pediatrics and Adolescent Medicine

View full text Add to dashboard Cite

Background and ObjectiveType 1 diabetes mellitus (T1DM) is the most frequent endocrinopathy in children. Its replacement therapy requires insulin, without which, death is inevitable. This treatment is expensive and a financial burden for diabetic children and their families, especially in Africa.In the absence of a national T1DM register, the purpose of this study was to describe epidemiological aspects of type 1 diabetes in children in Gabon, specify the difficulties met by the patients during the follow-up and identify factors explaining poor therapeutic observance and metabolic control.Material and methodsProspective transversal monocentric study. Data were firstly extracted from the registers of the Endocrinology Department of the University Hospital of Libreville (CHUL), Gabon, between 2010 and 2017.Secondly, patients were interviewed by telephone about the availability and cost of insulin, their self-monitoring of blood glucose, and diet.Results306 patients (154 girls and 152 boys) were diagnosed with T1D during the study period and followed-up in the Endocrinology Department at CHUL. Mean age at diagnosis was 17 ± 7 years (5% of patients were over 5 years of age, 30% were >20 years old). Mean follow-up period was 4.0 ± 2.0 years. 16% of the patients were hospitalized at least 2 times per month for ketoacidosis.Hospital mortality was about 7%. Number of factors linked with poor therapeutic observance (high cost of treatment, lack of patients’ therapeutic education, etc.) were identified.ConclusionT1D prevalence is constantly increasing worldwide, but at slower pace in Africa in comparison to developed countries. Difficulties to access to high standard care and population poverty in Sub-Saharan Africa, represents a major independent factor of poor therapeutic observance.

show abstract

Section: Discussionmentioning

confidence: 99%

Type 1 diabetes mellitus in Gabon

Damiens

–Zandzou

Ibounde

et al. 2019

International Journal of Pediatrics and Adolescent Medicine

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

“…Adequate glycaemic control is recommended in both type 1 and type 2 diabetic patients to delay the onset of complications, 9 , 10 improve the quality of life of patients and at the same time reduce the high cost of diabetes care for the health sector. 7 , 8 , 10 However, as it is with other chronic diseases, very few diabetic patients consult on time to obtain optimal medical intervention and treatment for their diseases because of multiple factors. 11 The prevalence of poor glycaemic control varies, from 29% to 73% in diabetic patients aged greater than or equal to 65 in the United States (US), 12 65% in France, 13 71% in East, West and Central Africa 14 and 68% in the DRC.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of poor glycaemic control amongst patients with diabetes followed at Vanga Evangelical Hospital, Democratic Republic of the Congo

Cedrick

Lubaki

Francois

et al. 2021

African Journal of Primary Health Care & Family Medicine

View full text Add to dashboard Cite

Democratic Republic of the Congo (DRC). 5 In Kinshasa, a study conducted in 2000 estimated the prevalence of diabetes to 7% in adults. 6 In Kisantu, a semi-urban area in the DRC, the prevalence of diabetes mellitus was estimated at 4.8% in 2007. 7 In Bukavu, Katchunga et al. reported a prevalence rate of 7.3% in 2012. 8 Background: The prevalence of diabetes mellitus is increasing dramatically in developing countries, where diabetic patients usually present with poor glycaemic control, leading to complications and worsening the prognosis. Aim:The aim of this study was to determine the extent of poor glycaemic control and its determinants in diabetic patients. Setting:The study was conducted in a rural area of the province of Kwilu, Democratic Republic of the Congo.Methods: This research comprised a cross-sectional study involving 300 Type 1 and 2 diabetic patients attending Vanga Evangelical Hospital in the Democratic Republic of the Congo from January 2018 to March 2018. Patients' sociodemographic, clinical and biological characteristics, accessibility to the health structure and treatment were described. The determinants of poor glycaemic control were identified using multivariate logistic regression at the p < 0.05 level of statistical significance. Results:The mean age of participants was 46.9 ± 16.3 years, 68.4% were men, and 62.3% had Type 2 diabetes mellitus. Poor glycaemic control was present in 78% of patients. The independent determinants of poor glycaemic control were tobacco use (adjusted odds ratio [aOR]: 2.01 [1.77-5.20], p = 0.015), the presence of comorbidities (aOR: 2.86 [1.95-6.65], p = 0.007), the presence of a factor contributing to hyperglycaemia (aOR: 2.74 [1.83-3.67], p = 0.014), missing scheduled appointments (aOR: 2.59 [1.94-7.13], p = 0.006) and non-adherence to treatment (aOR: 4.09 [1.35-6.39], p = 0.008). Conclusion:This study shows that more than three-quarters of diabetics undergoing treatment are not controlled, with mainly patient-related factors as the main explanatory factors for this poor glycaemic control. Therefore, the establishment of a therapeutic education programme and wider integration of diabetes care services, mainly at the primary level of the healthcare pyramid, should contribute to improved diabetes treatment.

show abstract

“…Analysis of the eating behavior of people with diabetes showed that their regime includes a high percentage of lipids (mainly monounsaturated fatty acid) and proteins [ 54 ]; while fish consumption was low, they largely consumed cold meat, cheese, green vegetables (which are part of traditional Moroccan food, in particular tajine and couscous). Another study evaluating therapeutic education showed that the vast majority of Moroccan diabetics (91%) receive education about hygienic measurements, diet, and glycemic self-control (98.0%) [ 55 ]. The same study indicated that 34% of diabetes patients do not respect this education.…”

Section: Cvd Risk Factorsmentioning

confidence: 99%

Epidemiology of Cardiovascular Diseases in Morocco: A Systematic Review

Elyamani

Soulaymani

Hami

2021

Review of Diabetic Studies

View full text Add to dashboard Cite

OBJECTIVE: To provide a systematic review of studies on cardiovascular diseases (CVD) and their risk factors in the Moroccan population. METHODS: A systematic analysis was performed based on PRISMA guidelines by retrieving data bases (Medline, Embase, and other) using technical keywords in addition to manual research on official websites. Published studies in the English or French language, conducted in Morocco or concerning the Moroccan population within the last two decades, were identified. RESULTS: This is the first systematic review of CVD in Morocco. Data from 159 studies were retrieved and analyzed. Most studies were written in the English language (75.89%) and published between 2010 and 2019 (85.47%). The mortality rate caused by CVD in Morocco has reached 38%, with ischemic heart disease and stroke as the main events causing death (31.0% and 22.5% respectively). The risk factors present in the population studied were headed by tobacco smoking (45- 50%), followed by physical inactivity (21.1%), elevated rate of hypertension (25.3%), and depression (5.47%). Impacted by a high rate of illiteracy and poverty and an unprepared health care system in Morocco, these numbers are expected to increase over the next decade. CONCLUSIONS: Based on these alarming incidences, investment in scientific research and epidemiological studies should be increased to determine the needs of the local population. The available evidence shows that the risk of cardiovascular disease and the associated mortality is very high in Morocco and will rise in the next years prospectively, which calls for urgent multi-sectorial approaches and treatment strategies.

show abstract

L’évaluation d’un programme d’éducation thérapeutique chez le patient diabétique dans un Centre Hospitalier Universitaire marocain: résultats préliminaires d’une enquête pilote

Cited by 4 publications

References 10 publications

Type 1 diabetes mellitus in Gabon

Type 1 diabetes mellitus in Gabon

Prevalence and determinants of poor glycaemic control amongst patients with diabetes followed at Vanga Evangelical Hospital, Democratic Republic of the Congo

Epidemiology of Cardiovascular Diseases in Morocco: A Systematic Review

Contact Info

Product

Resources

About