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Diet regimens for hepatic patients advice and compliance

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Public Health

Advisors

Labib, Narges A., Kamel, Layla M., Atteya, Rasha A.

Authors

El-Agizi, Fayrouz Hamed

Accessioned

2017-04-26 12:27:38

Available

2017-04-26 12:27:38

type

M.Sc. Thesis

Abstract

Chronic liver disease (CLD) is considered one of the most prevalentdiseases in Egypt. This study was conducted on 60 inpatients with CLD admittedat the internal medicine and tropical medicine departments at Kasr El-AiniHospital and at the national hepatology and tropical medicine researchinstitute, the study also included interviewing 15 physicians and 5 nutritionsupervisors (from the previously mentioned hospitals). Nutrition advicereceived by the patients from the 3 hospitals was almost the same with nostatistically significant differences. The advice was consistently defective andincomplete. The source of the advice was the hospital physician in the greaterpart of cases (63.5%), and always in an oral form (100%). External physiciansprescribed advice in both manners (oral and written). About 62% of the patientsclaimed to be compliant with the dietary regimens prescribed. The most commoncause for non-compliance was not having a clear regimen to follow (43.5% ofnon-compliers). The patients being bored of the types of foods prescribed wasthe second commonest cause (39.1%). The dietary pattern of the patients fromthe 3 hospitals had no statistically significant difference. There is no unifiedprotocol in the hospitals for the diet of hepatic patients. Hospital meals werenot satisfactory (either from the medical or client satisfaction point of view).the reasons why the physicians didn't properly prescribe diet regimens for theirpatients were lack of knowledge (66.7% of the physicians), patients' attitudeand expected non-compliance (20%) and having too many patients (13.3%). Therewere no differences of statistical significance found neither in-between thephysician nor the nutrition supervisors.

Issued

1 Jan 2008

DOI

http://dx.doi.org/10.21473/iknito-space/32325

Details

Type

Thesis

Created At

28 Jan 2023