Abstract
Background: Chronic diseases continue to cause high morbidity and mortality in Saudi Arabia. Patients severing from diabetes mellitus, hypertension and associated complications have recently increased and most of these patients find it extremely difficult to understand or cope with their illness. The objective of this study is to determine the level of patients’ enablement in chronic disease and its predictors. Methods: A community based cross-sectional study was conducted between December 2014 and January 2015. Six hundred and four (604) Patients attending the Chronic Disease Clinic in Alwazarat Health center were randomly selected to participate in the study. Patients aged 18 years and above, who willingly agreed to participate, were included in the study. Self-reported questionnaire was used to determine patient level of enablement. Descriptive statistics such as mean and median were calculated and binary logistic regression was employed to determine the predictors of patient’s enablement to chronic disease. Results: Our results show that five hundred and sixty five (565) out of (604) patients participated in the study with 86.6% response rate. Type 2 diabetes mellitus affecting 40.65% while hypertension affecting 37.79% of the patients in Al wazarat health center. Patient’s enablement to chronic disease was very low and ranged between 2.41 and 1.53 out of 5.0. Binary logistic regression shows that age (male: OR; 0.84, 95% CI, 0.72 - 1.04, female. OR; 1.04, 95% CI 0.88 - 1.39), marital status (male: OR; 0.72, 95% CI 0.54 - 1.11, female: OR 1.01; 95% CI 0.82 - 1.29), patient educational level and number of problems discussed with physician and consultation length between male patients and their physician were statistically significant and correlated with patients enablement to chronic disease (P < 0.05). Conclusion: This study shows that patient’s enablement in chronic disease is very low but constitutes an important arm in patients care management. It should be considered as a measurable patient outcome from healthcare services. More prospective studies on this important topic are highly recommended.
Highlights
The Global Burden of Disease and Injury study estimated that worldwide death due to chronic conditions is increasing and projected to rise up to about 70% by 2020 [1]-[3]
Chronic diseases consume a lot of time and efforts from health professions and it is for the benefit of both parties that patients enablement is considered highly [6]
A lot of guidelines were published on the management of different chronic disease such as diabetes, hypertension and asthma but there is a gap in the effective patient involvement of their own problems [8]
Summary
The Global Burden of Disease and Injury study estimated that worldwide death due to chronic conditions is increasing and projected to rise up to about 70% by 2020 [1]-[3]. In Saudi Arabia the improvement in the quality of healthcare provided has shifted and reduces death due to infection diseases with similar increase in the prevalence of death due to chronic conditions such as diabetic mellitus, hypertension and associated complications [4] [5]. Self-reported questionnaire was used to determine patient level of enablement Descriptive statistics such as mean and median were calculated and binary logistic regression was employed to determine the predictors of patient’s enablement to chronic disease. Conclusion: This study shows that patient’s enablement in chronic disease is very low but constitutes an important arm in patients care management. It should be considered as a measurable patient outcome from healthcare services. More prospective studies on this important topic are highly recommended
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