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ASSESS THE INDICATORS AND OUTCOME OF NEGLIGENCE OF MEAL REGIMEN ADHERENCE AMONG DIABETES MELLITUS PATIENTS IN UNIVERSITY OF ILORIN TEACHING HOSPITAL, KWARA, NIGERIA

Among patients with chronic illnesses, non-adherence is very prevalent. This study assesses the indicators and outcomes of negligence of meal regimen adherence among diabetes mellitus patients at the University of Ilorin Teaching Hospital, Ilorin, Kwara State. A quantitative study design that employs a descriptive methodology. Using the Taro Yamane Formula, the sample size of 83 respondents was selected from the target population of 92. Instrument used for this study is self-structured questionnaire, and SPSS version 25 was utilized for analysis. The socio-emographic characteristics of this study reveal that majority of the respondents are female (69.9%), within the ages of 21-25years (50.6%), are into Islam (48.2%), from Yoruba tribe (65%). Findings show that majority of the respondents are single (48.2%), have tertiary education (65.8%), students (39.8%) with 5years duration of diagnosis (66.3%). The result of this study shows that the level of knowledge of meal regimen among diabetes mellitus patients is high (67%) and their source of knowledge is through health workers (36.1%). Result shows that the indicators of negligence of meal regimen adherence among diabetes mellitus patients are; Socio-economic issues (69%), Lack of communication with the healthcare provider (79.5%), Alcohol consumption (61.5%), Smoking (65.1%), Duration of the disease ( 6 6 . 3 % ) , P h y si c a l i n a c ti v it y ( 6 3 . 9 % ), Overweight/obesity (62.2%) and Patient’s perception regarding the necessary meal modifications (65.8%). Lastly, this study observes that the outcome of negligence of meal regimen adherence among diabetes mellitus patients are Treatment failure (81.9%), Increase in side effects of the Disease (82%), Prolongs in treatment time (82%), Higher healthcare costs (80.8%) Long duration of hospital stays (71.1%) and Economic burden (98.3%). Indicators of the neglect of meal regimen adherence among individuals with diabetes mellitus included socioeconomic difficulties (95.2%), poor communication with the healthcare provider (79.5%), duration of the disease (90.4%), overweight/obesity (90.3%), smoking (79.6%), physical inactivity (88%), and patients’ perception of the required meal modifications (91.4%). Findings show the outcome of negligence to meal regimen adherence are treatment failure (95.2%), the side effects of the disease increases (97.7%), prolongs treatment time (97.7%), leads to higher healthcare costs (97.7%) and economic burdens (94%). In conclusion, it is recommendation that in order to effectively promote diet self-management, healthcare practitioners should customize their therapy for diabetes patients by prioritizing patient-centred dietary education sessions, especially diet awareness programs. To avoid treatment failure and problems,  community health nurses should create programs to improve behavioural change using behavioural change communication materials to encourage adherence to their meal.

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