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العنوان
Evaluation of the Nutritional status of Diabetic inpatients and outpatients in a Hospital of Giza Governorate /
المؤلف
Mohamed, Ahmed Saleh Mahdy.
هيئة الاعداد
باحث / أحمد صالح مهدى محمد
مشرف / محمد سمير الدشلوطى
مشرف / سهام عزيز خضر
مشرف / محمد زكريا مهران
الموضوع
Nutrition.
تاريخ النشر
2023.
عدد الصفحات
188 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
اقتصاد منزلي
الناشر
تاريخ الإجازة
1/4/2023
مكان الإجازة
جامعة المنوفية - كلية الإقتصاد المنزلى - التغذية وعلوم الأطعمة
الفهرس
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Abstract

Identical sample of one hundred of diabetes mellitus patients were chosen from inpatients and outpatients from El Haram hospital-Giza Governorate, Egypt. They were divided into two groups, each of them 50 patients from inpatients and outpatients from El Haram hospital and divided the sample in a way identical to 25 male and 25 female at the group ages from 31 to 50 years old.
The objectives of this study are:-
This work aimed to study the relation between diabetes mellitus and nutrition on some inpatients and outpatients in a hospital of Giza Governorate.
1-Assess the nutritional status of diabetes mellitus patients at a hospital.
2-Identification of relationship between education level and diabetes mellitus patients under study.
3-study the relationship between the social level, economic level, nutritional status and health status of the patients.
4- Evaluation of food habits of diabetes mellitus patients.
5-Study the anthropometric measurements of patients under study.
6- Presenting suitable suggestion to improve the nutritional status of the studied sample.
- The results showed the following:
1- Diabetic patients were more in urban than in rural. Urban females tended to have healthcare more than males, while the reverse recorded for rural.
2-Spiritual values seem to have no effect considering diabetes mellitus as regards domicile, and kind of healthcare. 3- More educational level showed highest diabetes mellitus case (36%) which was read &write group (36-40%) for females. 4- Working females were less (68-76%) than males (80-84%) and male inpatients were more (84%) than female inpatients (68%). 5- Highest proportion of diabetic patients recorded for outpatients, of male and female physical working group. 6- Total working hours was more for males than females, provided that the latter group (females work also at home). 7- Monthly Income at high category > 3000 LE was found for males (32&32% for in-and outpatients respectively) than females (20&16% respectively). This high limit was raised in 2022 year to 3700 LE. 8- Least Healthcare expenditure recorded for that of 75% from income category. Which was less than either 25&50% expenditure from income. Inpatients showed some expenditure indicating that they do not have all their needs free from hospital. 9- Most of male (28%, 32% for in-and outpatients respectively) and most of female (36%, 40% for in-and outpatients respectively), belong to number of family members category ”five” indicating that the more the number of family members, the more the diabetic number of patients. 10- Most of study sample lived in homes 2-3 rooms (88, 92% and 84, 96% in-and outpatients males and females respectively), while homes with 4 rooms were not prevailing. Female homes were wider than that of males, and outpatients, lived in wider homes than the inpatients. Moreover, homes with 3 rooms were prevailing than that of 2 rooms. 11- Genetics was the main causative of diabetes mellitus for both male and females of in-and outpatients respectively. Obesity followed that of genetics, specially in case of female inpatients. Hypertension and wrong food habits followed that of obesity. 12-Males were more patients with diabetes since 36%, 36% of in-and outpatients considering diabetes belong to > 10 years of disease history. This do not cancel the fact that 52, 60% of in-and out respectively females, asked medical help before males (52, 52 % respectively). 13- Right after diabetes injury, males consult the doctor more than females; this was recorded for both in-and outpatients groups. 14-Complications urged males to consult the doctor faster than females, and this took place regardless of being inpatients or outpatients. 15- Damage of nerves prevailed more among females than males, and cardiovascular disease prevailed more among males than females. Inpatients suffered more than outpatients from complications.
16-Obesity seems to be causative of diabetes mellitus. Obese inpatient males responded more than outpatient males for treatment of obesity by a special diet. Response of females faced some problems. 17- As for the way to lose weight males preferred herbs followed by diet control then came the medications, while females preferred dieting, followed by herbs and medications. This took place regardless of place of healthcare.
18- Female families (inpatients and outpatients) revealed less percent of member’s injury than male’s families. 19- As closed degree of kinship, father of diabetes came first, followed by mother, brother and sister (for females only). This holds true mostly for females compared to males, specially for outpatients in comparison relatively to inpatients.
20- According to practicing sport, more outpatients (than inpatients) and more males than females practice sport. 21- More males than females practiced smoking, which was more for male outpatients and females outpatients compared to their counterparts.
22- Taking insulin injections or tablets to treat diabetes may be taken by the advice of hospital and not the patient.
23- Females took the drugs at fixed time more than males, which was more respected by inpatients than outpatients.
24- Most of patients had 3 meals per day, being 3 meals which was more for outpatients than the inpatients, and more for females than the males. Least percent of patients had ˃ 4 meals a day.
25- Males and females from outpatients sometimes took breakfast (12%) and lunch (12%) outside the home, while inpatients took breakfast (20% &12%) and lunch (16% &20%) respectively outside the home ,while none took the dinner outside the home. 26- Females took food away from the family more than males which was 48, 32% of sample and 32, 24% of sample for in-and outpatients respectively. More dieting control should given to inpatients, since they should eat in the hospital and the hospital food.