Impact of Educational Intervention Program on Diabetic Retinopathy Patient's Compliance

Abstract

Background; diabetic retinopathy can lead to serious vision problems, patient education plays an important role in the management of retinopathy and the Compliance to treatment is a primary determinant of treatment success. Aim of the Study; The study aimed to evaluate the Impact of educational intervention program on diabetic retinopathy patient's compliance. Study Hypothesis; Patients knowledge about diabetic retinopathy will be improve post program than before and Patients compliance will improved after receiving the program. Design; Quasi experimental design used to achieve the aim of the study. Setting; the study was conducted at ophthalmology clinic at Benha University Hospital. Subjects; Convenience sample of 60 patients from both genders selected under criteria. Tools: two tools were used; Structured questionnaire regarding knowledge of diabetic and diabetic retinopathy; which used to assess patient's knowledge about diabetic and diabetic retinopathy and patient's compliance of diabetic retinopathy; to assess patient' compliance It included questionnaire about nutrition and eating habits , physical activity and treatment. Results; mean score of age was age 42.067 ± 9.716 also 56.7% are male, (78.3%) are married. Regarding to medical history 70.0% use insulin. and so 78.3% of them post hyperglycemia exposure caused by Sweet diet. Regarding total knowledge pre-program was 93.3 % of patients had unsatisfactory while 80.0% had satisfactory of knowledge post program. Regarding total compliance 95.0 % of patients not adherent preprogram while 96.7% had adherent post program. Also there were positive and highly significant correlations in post program between total knowledge and total compliance. Conclusion: there were highly significant statistically improvement in all items of knowledge and compliance post than preprogram regarding diabetic retinopathy. Recommendations; The need for increasing awareness and also the provision of access to retinopathy screening services to patient, Urgent need to evolve strategies to educate diabetic patients about potential retinopathy complication of diabetes.