Assessment Of Self - Management For Patients With Type 2 Diabetes During The Syrian Crisis

Abstract Diabetes mellitus (DM) is a long-term metabolic disease in which blood glucose levels are elevated due to the complete absence or incomplete absence of the insulin hormone. The requirements for people with diabetes are not controlling blood glucose levels only; there is also an urge to prevent complications and side effects of the disease. Studies show that good self-care for individuals with this disease has led to good outcomes. Diabetics who do self-care have shown positive results by reducing diabetes complications and its development, which leads to a significant reduction in the burden of diabetes. Despite these positive changes, people who adhere to these self-care practices are very few, especially when we see broad and chronic changes. There are many factors that play a major role in adherence to self-care practices, such as social factors, demographic factors, and various economic factors. While the role of doctors plays an important role in increasing self-care practices for diabetic patients to achieve the desired result. Materials and methods used in this study A sample of 200 diabetic patients was assembled with electronic questionnaire that included a number of questions controlled to achieve the study objective, in Damascus; Syria, within specific inclusion and exclusion criteria mentioned later. The data were processed using SPSS version 26, a general descriptive study of the sample's answers was conducted, followed by appropriate statistical tests to reach scientific results documented by previous medical literature. Results By presenting the results of the descriptive study on the degree of availability of an organized community response that provides the greatest amount of assistance to enhance self-care for diabetes, and help patients to live with their disease and avoid its complications as much as possible. In addition to surveying the degree of patients' awareness and knowledge of the steps of self-care and their ability to manage the disease. An analytical study was conducted on some axes related to developing self-care from attending educational workshops and others; where the effect of some demographic indicators was studied from the effect of the patient's gender on his attending training workshops. The results of the study we conducted, indicated that there is no significant difference between males and females and patient's social status in their commitment to attending educational workshops. In the study we conducted, the impact of community response and promoting the concept of self-care for diabetes among patients (as one axis) on their level of awareness and dealing with the complications of the disease and their ability to manage the symptoms of the disease was studied. A one-way Anova test was conducted and its results indicated the existence of a significant impact of promoting the concept of self-care on patients’ lives and helping them avoid complications of the disease.