Concerns of Patients with Non-Insulin Dependent Diabetes Mellitus in Al-Hussaeny Hospital in Holy Karbala

Abstract

Background:non-insulin dependent diabetes mellitus NIDDM is considered the most common health problems in the world, and concerns is statement made by patients which indicates an opinion, interest in, feeling related to patients state of health problem and effect on the patients from physical, psychosocial, and spiritual.
Aims:To determine the concerns of patients with non-insulin dependent diabetes mellitus.
Method :This study was conducted through a convenience sampling on (200) at diabetic outpatients clinic of Al-Hussaeny hospital in holy Karbala. Results:There is about 55% of patients were female, while half of the studied patients were between 40 to 50 years old and 3% of them were illiterate and read\write, and 39.5% of them had secondary education and 30% were not work and 92.5% of them were married while 83.5% of them living with relative, and majority of them had moderate physical, spiritual and economic concerns, while there is significant differences between total mean concerns score and gender, residence, monthly income, level education, occupation and physical, psychosocial, economic, and spiritual concerns.
Conclusion:The researcher conclude that, non-insulin dependent were more between female and majority of them had moderate concerns related to physical, spiritual, and psychosocial, and most of them had high economic concerns, and relation was found between gender, area of residence, monthly income, level education, occupation and role of nurses in health education, clarify information and answers questions of patients and concerns of those patients, and no relation was found between age and concerns of studied patients related to psychological status.
Recommendations :
in order to improve the health status of patients with NIDDM, the researcher recommended the following:
Provide diabetic patients with health education program and simple booklet and figures about diabetes mellitus disease and sharing family member in treatment plan. increase diabetic nurse awareness about diabetes mellitus related to concerns and impact of their concerns on the patients' health status and encouraging attending national and international conferences and update their knowledge through attending in training program, workshops, and lectures. Due to the lack in such researches in Iraq, further studies will be required to focusing on improving the patient's ability to tolerate the concerns of treatment and to cope with increased intensity of treatment which enhances health status, and the role of family and its influence on diabetic concerns care.