• No results found

Recommendations

In document Quality of Life (Page 106-129)

In view of the findings in this study:

1. PCC should be instituted in the management of patients with T2DM in the GOPD of JUTH.

2. A well-organized and structured education/counseling programme should be established at the GOPD of JUTH as quickly as possible for DM patients.

3. Outreach programmes should be organized in schools, civil service centers and rural communities.

4. Health care providers should take time to explain in depth on DM, causes and prevention/control through health and self-care measures to prevent complications.

5. Family members of DM patients should also be counselled to adopt a healthy lifestyle in order to prevent DM.

6. Programmes such as exercise and self-care monitoring should be organized to equip diabetics to effectively monitor their blood glucose level as well as control their diet accordingly.

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120 APPENDIX A CONSENT FORM

I am Dr. Anuye R. Jeremiah of the Department of family medicine of the Jos University Teaching Hospital, seeking to determine the IMPACT OF PATIENT-CENTRED-CARE COMPARED WITH ROUTINE CARE ON:

1. THE GLYCAEMIC CONTROL AND

2. QUALITY OF LIFE OF PATIENTS WITH TYPE 2 DIABETES MELLITUS,

IN THE GENERAL OUT PATIENTS’ DEPARTMENT (GOPD) OF THE JOS UNIVERSITY TEACHING HOSPITAL (JUTH).

You are being requested to participate in this research. You have the right to refuse participation in this study. Non – participation will not affect your treatment in anyway. You will be requested to answer some questions about your age, marital status, occupation, educational status, eating and exercise habits, no of hypoglycaemic drugs used, symptoms and duration of diabetes. You may be required to attend intensive nutrition and exercise workshops for duration of one hour every week, for a period of three months. A questionnaire to assess your quality of life (QOL) will be administered to you at the beginning and at the end of the study. You will also be requested to come for follow up every four weeks for duration of three months.

Your weight, height and blood pressure will be measured. Also, 5ml of your blood will be collected for fasting plasma glucose and glycated haemoglobin estimation to assess your diabetes control.

You will experience minimal pain while blood is collected and no money will be collected for these tests. The results of the study will be used for your management.

All information collected from you will be treated as confidential. If you want to be part of the study, please sign below. Thank you.

I (initials) ……… have read and understood all the information given to me about my participation in this study. I voluntarily agree to be a part of the research.

Signature / thumb print of subject ………. Date ……… Phone No. ………

Initials of subject ………

Signature of the investigator ………..Date ………

Phone number of investigator ……… Date ………

Witness ………..………… Date ………

121 APPENDIX B

QUESTIONNAIRE ON COMPARISON OF PATIENT- CENTRED-CARE COMPARED WITH ROUTINE CARE IN THE GLYCAEMIC CONTROL OF TYPE 2 DIABETES

MELLITUS PATIENTS IN GOPD, JUTH.

Pro Forma

Serial No………. Hospital

No………

Date ……… Phone number …………..….

A. Demographic parameters

1. Initials ……….

2. Age (years): ………

3. Sex: a. Male b. Female ( )

4. Marital Status a. Single b. Married c. Divorced ( ) d. Widowed

5. Occupation: a. Student b. Civil servant c. Farmer ( ) d. Self employed e. Non – employed 6. Educational status: a. Primary b. Secondary c. Tertiary ( )

d. Informal e. None B. Eating Habits

1. How many times do you eat in a day?

Once Twice Thrice

Greater than three

2. Are you on any special (Strict) diet?

Yes No

3. If Yes, what type of food ---

122

4. How many bottles of soft drinks do you take in a day?

One Two ThreeGreater than three

5. Do you eat fruits?

Yes No

6. If yes, how frequent?

Daily Twice daily Greater than twice Occasionally

C. Exercise habit

1. Do you exercise?

Yes No

a. If No, why --- b. If Yes, How often --- c. How long --- D. Duration of diabetes mellitus ---

123 E. Clinical History

Parameters Base line

FOLLOW UP

4 weeks 8 weeks 12 weeks Polyuria

Polydypsia Polyphagia Weakness Blurred Vision Numbness Nocturia

No of hypoglycaemic drugs used

F. Physical examination

Parameters Base line

FOLLOW UP

4 weeks 8 weeks 12 weeks Weight (Kg)

Height (m) BMI BP

G. Investigations

Parameters Base line

FOLLOW- UP

4 weeks 8 weeks 12 weeks HbA1c

FBG

124 APPENDIX C QUALITY OF LIFE

Serial No ……….. Hospital No………

Date ………. Phone No……….

The following questions ask how you feel about your quality of life, health, or other areas of your life. I will read out each question to you, along with the response options. Please choose the answer that appears most appropriate. If you are unsure about which response to give to a question, the first response you think of is often the best one.

Please keep in mind your standards, hopes, pleasures and concerns. We ask that you think about your life in the last four weeks.

Very poor Poor Neither poor nor

good Good Very

good 1. How would you rate your

quality of life?

1 2 3 4 5

Very

dissatisfied Dissatisfied Neither satisfied nor

dissatisfied Satisfied Very satisfied 2. How satisfied are you

with your health?

1 2 3 4 5

In document Quality of Life (Page 106-129)