This study assessed factors related to non-adherence to dietary modification among patients with diabetes attending clinic at Holy Family Hospital, Nkawkaw.
Diabetes is one of the most rapidly increasing non communicable diseases which has emerged as a public health concern across the world. Adherence to recommended dietary practices for patients with diabetes is very critical to achieve optimal metabolic control, as non-adherence is associated with adverse effects, which eventually lead to major complications. The study was a descriptive cross-sectional study, and had a sample size of 100 respondents. Data was analyzed using SPSS version 20. The study results revealed that the participants possessed a reasonably good level of knowledge regarding dietary management.
Participants showed a sound understanding on the various major nutrients in foods, and were aware that skipping dietary management prescribed by health experts may not help their condition, were aware of the effect of foods on blood glucose. Also, most of them knew that brown sugar is a healthy alternative to white sugar, were knowledgeable on the levels of sugar in foods, and had good knowledge on foods which helps in proper management of blood glucose. The study results revealed that the participants demonstrated good dietary practices in dietary management. Some of the dietary practices included taking their main meals thrice in a day, most of them eating their first meal between 7am to 8 O’clock, eating more of vegetables and fruits and consuming less starchy, sugary, fatty and salty foods. The findings of this study also revealed that, factors such as individual preferences, lack of adequate information on healthy diet, difficulty to change existing meals, occupation and busy schedule, limited food choices, frequent social gathering, inability to afford recommended diet, inadequate and accuracy of dietary advice and poor awareness to dietary management hindered adherence to dietary modifications among patients with diabetes.
Table of Contents
1.1. BACKGROUND OF THE STUDY
1.2. STATEMENT OF PROBLEM
1.3. PURPOSE OF THE STUDY
1.4. OBJECTIVES
1.4.1. MAIN OBJECTIVE
1.4.2. SPECIFIC OBJECTIVES
1.5. RESEARCH QUESTIONS
1.6. SIGNIFICANCE OF THE STUDY
1.7. LIMITATION
1.8. DELIMITATION
1.9. OPERATIONAL DEFINITIONS
2.1 INTRODUCTION
2.2 KNOWLEDGE ON DIETARY MANAGEMENT OF DIABETES MELLITUS AMONG PATIENT WITH DIABETES
2.3 DIETARY PRACTICES ON DIETARY MANAGEMENT AMONG PATIENTS WITH THE CONDITION
2.4 FACTORS THAT LEAD TO NON-ADHERENCE TO DIETARY MODIFICATION AMONG PATIENTS WITH DIABETES
3.0 INTRODUCTION
3.1 STUDY DESIGN
3.2 STUDY SETTING
3.3 STUDY POPULATION
3.4 SAMPLE SIZE AND SAMPLING METHOD
3.4.1 SAMPLE SIZE
3.4.2 SAMPLING TECHNIQUE
3.5 INCLUSION CRITERIA
3.6 EXCLUSION CRITERIA
3.7 DATA COLLECTION INSTRUMENT
3.8 DATA COLLECTION PROCEDURE
3.9 DATA ANALYSIS
3.10 VALIDITY AND RELIABILITY
3.10.1 VALIDITY
3.10.2 RELIABILITY
3.11 ETHICAL CONSIDERATIONS
4.0. INTRODUCTION
4.1. SOCIO-DEMOGRAPHIC DATA
4.2 KNOWLEDGE ON DIETARY MANAGEMENT AMONG PATIENTS WITH DIABETES
4.4 FACTORS THAT LEAD TO NON-ADHERENCE TO DIETARY MODIFICATION AMONG PATIENTS WITH DIABETES
5.1. SUMMARY
5.2 CONCLUSIONS
5.3 RECOMMENDATIONS
Research Objectives and Themes
This study aims to identify and analyze the various factors that contribute to non-adherence to recommended dietary modifications among patients diagnosed with diabetes mellitus treated at the Holy Family Hospital in Nkawkaw, with the ultimate goal of improving glycemic control and reducing the prevalence of related health complications.
- Knowledge levels regarding dietary management of diabetes mellitus.
- Assessment of current dietary practices among patients with diabetes.
- Identification of barriers to dietary adherence, including socio-economic and individual factors.
- Evaluation of the impact of lifestyle modifications on blood glucose control.
- Formulation of strategies to support effective long-term dietary compliance.
Excerpt from the Book
1.1. BACKGROUND OF THE STUDY
Diabetes mellitus is one of the most rapidly increasing non communicable diseases which has emerged as a public health concern across the world (Guariguata et al, 2014). Diabetes mellitus is defined as a chronic metabolic disorder characterized by persistent high blood sugar levels (Goyal & Jialal, 2022). Globally, the prevalence of diabetes among adults over 18 years of age has risen from 4.7% in 1980 to 8.5% in 2015, with the disease rising more rapidly in low and middle income countries (World Health Organization, 2014). In 2012, an estimated 1.5 million deaths were directly caused by diabetes and another 2.2 million deaths were attributable to high blood glucose. It is projected that diabetes will be the seventh leading cause of death in 2030 (World Health Organization, 2016).
In 2017, 518,400 Ghanaians were estimated to be having diabetes disease with a prevalence rate of 5%. Also diabetes related deaths in Ghana (among ages 20-79 years) amounted to 9,778 (International Diabetes Federation, 2017). In a review of previous studies which assessed the prevalence of diabetes in Ghana, it was indicated that the prevalence of diabetes has risen from 0.2% in the late 1950s (in a study conducted in the Volta Region) to 6.0% in 2009 (in a study undertaken in Kumasi, Ashanti Region) (Aikins, Owusu-Dabo & Agyemang, 2013). Diabetes is one of the major causes of heart attacks, blindness, and lower limb amputation among others. (Facts & Diabetes, 2011).
Diabetes is a complex disorder that requires the need for therapeutic lifestyle modification and self-care management to achieve good control (World Health Organization, 2021). Lifestyle modification is the non-pharmacological management including, dietary modification, physical activities, and exercise to control blood glucose level and prevent complications (Thoma et al., 2012).
Summary of Chapters
1.1. BACKGROUND OF THE STUDY: Provides a global and national overview of diabetes prevalence and emphasizes the critical role of lifestyle and dietary modification.
1.2. STATEMENT OF PROBLEM: Identifies the challenges of dietary non-adherence and its severe health consequences, highlighting the need to understand specific patient barriers.
1.3. PURPOSE OF THE STUDY: States the primary goal of assessing factors relating to dietary non-adherence at the specific research site.
1.4. OBJECTIVES: Defines the main objective and specific research goals regarding knowledge, practices, and factors of non-adherence.
2.1 INTRODUCTION: Outlines the scope of the literature review conducted to support the research project.
2.2 KNOWLEDGE ON DIETARY MANAGEMENT OF DIABETES MELLITUS AMONG PATIENT WITH DIABETES: Examines existing evidence on the role of nutrition literacy in managing blood glucose levels.
2.3 DIETARY PRACTICES ON DIETARY MANAGEMENT AMONG PATIENTS WITH THE CONDITION: Summarizes guidelines for healthy eating and reports on findings from other studies regarding patient dietary compliance.
2.4 FACTORS THAT LEAD TO NON-ADHERENCE TO DIETARY MODIFICATION AMONG PATIENTS WITH DIABETES: Reviews factors such as individual preferences, socio-economic status, and lack of information as common barriers.
3.0 INTRODUCTION: Describes the methodological approach chosen for the research.
3.1 STUDY DESIGN: Explains the use of a descriptive cross-sectional design to gather specific patient data at the hospital.
Keywords
Diabetes Mellitus, Dietary Modification, Non-Adherence, Metabolic Control, Blood Glucose, Lifestyle Modification, Self-Care, Patient Knowledge, Dietary Practices, Public Health, Healthcare Barriers, Chronic Diseases, Ghana, Holy Family Hospital, Dietary Regimen.
Frequently Asked Questions
What is the primary focus of this research?
The research focuses on identifying the specific factors that lead to non-adherence to dietary modifications among patients suffering from diabetes mellitus at the Holy Family Hospital in Nkawkaw, Ghana.
What are the central themes discussed in the study?
The study revolves around themes of patient knowledge regarding nutrition, common dietary habits of diabetic patients, and the identification of barriers such as socio-economic constraints and lack of information that prevent successful dietary management.
What is the main objective of the study?
The main objective is to assess the factors related to non-adherence to dietary modification among patients with diabetes, helping to establish the reasons for poor compliance in a clinical setting.
What methodology was applied?
The study employed a descriptive cross-sectional methodology with a quantitative research approach, using a structured questionnaire administered to 100 respondents, with data analyzed via SPSS version 20.
What does the main body of the work address?
The main body covers the theoretical background of diabetes management, a detailed review of literature on dietary adherence, the methodology used, and a comprehensive presentation and discussion of the research findings.
Which keywords characterize this work?
Key terms include Diabetes Mellitus, Dietary Modification, Non-Adherence, Metabolic Control, Blood Glucose, and Patient Knowledge.
How does socio-economic status affect dietary adherence?
The study identifies the inability to afford a recommended diet, occupation-related busy schedules, and limited food choices as significant external barriers that directly contribute to non-adherence.
What role does nutrition knowledge play in this patient group?
While the study found that participants possessed a reasonably good level of knowledge about nutrition, it concludes that knowledge alone is often insufficient to guarantee adherence when faced with other hindering factors like cultural habits or financial constraints.
- Arbeit zitieren
- Emmanuel Ofosu Antwi (Autor:in), 2023, Factors related to non-adherence to dietary modification among patients with diabetes, München, GRIN Verlag, https://www.grin.com/document/1436562
