L’observance thérapeutique chez les patients diabétiques déséquilibrés : évaluation et facteurs interférant

Hamdi, S.; Kammoun, Inès; Grira, W.; Chikhrouhou, Nesrine; Salem, L. Ben; Slama, C. Ben

doi:10.1016/j.ando.2016.07.792

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“…At the global level, several studies have evaluated the factors that may influence, modify, interfere with the follow-up of these recommendations [ 10 - 21 ]. These factors may be related to the socio-demographic profile [ 22 - 24 ], to the treatment [ 25 - 27 ] or to the psychosocial profile [ 28 , 29 ]. In Morocco, and in the face of the inadequacy of work of this kind, particularly in socio-economically vulnerable provinces, there appeared relevant to evaluate the observance of hygiene and dietary rules in diabetic subjects in the province of Essaouira.…”

Section: Introductionmentioning

confidence: 99%

Observance of hygiene and dietary rules and the associated factors among diabetic subjects in Essaouira Province, Morocco: a cross-sectional study

Houguig¹,

Ouzennou²,

Rayadi³

et al. 2022

Pan Afr Med J

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Introduction hygiene and dietary recommendations are a fundamental pillar of diabetes management. The objective of this study is to measure the rate of observance of hygiene and dietary rules and the factors associated with these among a group of Moroccan diabetic subjects. Methods a cross-sectional questionnaire survey was conducted on 522 subjects with types 1 and 2 diabetes followed at different health centres in the province of Essaouira (Morocco). Results non-observance of hygiene and dietary rules rate was assessed at 41,4%, (66.5% for diet, 32.4% for lifestyle and 30.8% for physical activity). Rural area (p<0.001), poor glycaemic control (p<0.001), ignorance of hygiene and dietary rules (p<0.001) and long duration of diabetes (p<0.01) are associated with non-observance of diet. Good family support (p<0.01) is associated with good observance of lifestyle recommendations, short duration of diabetes progression (p<0.01) is associated with good observance of physical activity recommendations. Conclusion non-observance of hygiene and dietary rules is always a problem in the management of chronic diseases. Ignorance of hygiene and dietary measures, lassitude and difficulty in adapting to a new lifestyle are the main obstacles that diabetics must overcome in order to better manage their disease.

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