Introduction: The studies reported in this thesis investigated a number of patient
orientated aspects of its current diagnosis, management and treatment in Kuwait. A
comprehensive literature survey is presented with a detailed critical analysis of the
very limited number of published material relevant to type 2 diabetes in Kuwait is
also provided. A concise list of aims and objectives is also provided.
Methodology: The methodology used to derive knowledge of the present situation
from the patient perspective, was a series of relevant questions, devised based on the
internationally used diabetes Michigan questionnaire. Face to face interviews were
used throughout for both patients and medical staff. Suitable data analysis was
performed.
Results: A pilot study consulted 10 Kuwaiti and 10 non-Kuwaiti patients, and after
analysis of their data it was found to be reliable, appropriate and capable of being
analysed and so was extended to a larger study of 109 diabetic patients. These 109
diabetic patients were studied in thirteen clinics distributed throughout Kuwait. Two
groups of patients were studied – Kuwaiti nationals and non-Kuwaitis both of whom
were treated at these clinics during their residency in Kuwait. 38 questions were
asked including demographics, medical treatment, monitoring of their disease,
physiological consequences and dietary aspects. The major findings were that
patients considered two major areas could be improved to enhance the treatment of
their disease. The first was to improve the degree of empathy shown to them by the
medical/nursing staff and secondly to provide simple practical advice on exercise,
dietary considerations and renal aspects of their disease. More comprehensive
findings are presented in the thesis but many of these were minor compared with
these two major aspects. Also presented are interviews with the medical staff in
Kuwait who treat diabetic patients and the problems they face when treating their
disease. The opinions and views of selected ophthalmologists and renal specialists
are also presented. Medical views were also sought in the UK- Ascot Rehabilitation
above their experiences treating diabetic patients from Kuwait. Another aspect of the
study was to interview Kuwaiti nationals who had been sent to a clinic in Ascot, UK
for the treatment of the serious consequences of their conditions. Many of these were
had type 2 diabetes and their views and perspectives of their treatment in Kuwait
were gathered as being representative of the long term treatment of this condition.
Discussions and Conclusions: The thesis discusses in some detail all the results
which were obtained and concludes with a series of recommendations which could
be taken to improve the treatment of type 2 diabetes in Kuwait.
| Identifer | oai:union.ndltd.org:BRADFORD/oai:bradscholars.brad.ac.uk:10454/14182 |
| Date | January 2015 |
| Creators | Buhajeeh, Eman A.A. |
| Contributors | Naylor, Ian |
| Publisher | University of Bradford, School of Pharmacy |
| Source Sets | Bradford Scholars |
| Language | English |
| Detected Language | English |
| Type | Thesis, doctoral, PhD |
| Rights | <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><img alt="Creative Commons License" style="border-width:0" src="http://i.creativecommons.org/l/by-nc-nd/3.0/88x31.png" /></a><br />The University of Bradford theses are licenced under a <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/">Creative Commons Licence</a>. |
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