ECE2021 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (82 abstracts)
1Hedi Chaker Hospital, Department of Endocrinology, Sfax, Tunisia; 2Hedi Chaker Hospital, Department of Family Medicine, Sfax, Tunisia
Background
Faced with the increase in the number of diabetic patients in Tunisia, an inventory of their needs as well as their expectations is necessary to help the medical staff deliver appropriate means of therapeutic education of the patient.
Aim
We aim to assess Tunisian diabetic patients understanding of the disease, evaluate its impact on several aspects of their life, and classify their needs and expectations.
Methods
We used a semi structured qualitative interviews analyzed using SPSS. Tunisian adults (≥18 years) living with type 1 diabetes mellitus (DM) or type 2 DM able to describe their situation in Arabic were included.
Findings
We have collected 55 patients, 7 with type 1 DM and 48 with type 2 DM. Only half of interviewees think they have a good understanding of diabetes and its complications while two thirds of them think that they were not well educated concerning anti-diabetic therapies. For over 45% of patients, diabetes has badly impacted their life quality. In terms of satisfaction, 76% of interviewees were satisfied with the procured medical care while only 50% were satisfied with the financial and psychological support they receive. Interestingly, we found that over two thirds of diabetic patients find that they get an unsatisfactory therapeutic education. This goes hand in hand with the fact that two thirds of the interviewees were unaware of the existence of therapeutic educational programs. Regarding patients expectations, we found that most of our patients consider getting information about the disease as their first priority. In the second place, our patients were expecting to be more informed about dietary and therapeutic issues. Thirdly, they expressed their need to be educated about preventive measures against diabetes complications. Education about economic, legal, psychological and social aspects of the disease came as a last tier concern. Finally, collected data suggest that whether a patient is treated in public or private sector had a significant influence on his priorities.
Conclusion
These findings highlight a need to develop and promote context-specific, patient-oriented therapeutic educational programs.