دراسة في الجغرافيا
الطبية
مقدمة إلى مجلس قسم الجغرافيا كلية الآداب في جامعة عدن
كجزء من متطلبات الحصول على درجة الماجستير في
الجغرافيا
إعداد الطالبة :
كلثوم طاهر أحمد ثابت
إشراف :
د. أمين علي محمد حسن
أستاذ الجغرافيا المشارك
قسم الجغرافيا كلية
الآداب - جامعة عدن
1437هـ - 2016م
THE SPATIAL
CHARACTERISTICS OF THE RENAL FAILURE PATIENTS IN ADEN GOVERNORATE
( A STUDY IN MADICAL
GEOGRAPHY)
A Dissertation Submitted
to the Department of Geography at the Faculty of Arts, the University of
Aden, in Partial Fulfillment of the Requirements for the Master Degree in
Geography.
By:
Kalthoom Taher Ahmed
Thabet
Supervision
Amin Ali Mohammed Hasson
Associate Professor of
Geography
Department of Geography
Faculty of Arts
University of Aden
2016 A.D. –
1437 A.H.
Abstract
The Spatial Characteristics of The Renal
Failure Patients in Aden Governorate (A Study in Medical Geography)
The study has dealt with the spatial
characteristics for the renal failure patients in Aden Governorate to identify
their demographic, social, economic, healthy characteristics, and their
distribution according to the renal dialysis centers and spatial locations,
governorates. It also aims to recognize the sector structure of the renal
dialysis centers in Aden governorate, and calculate the number of the patients,
doctors, nurses, families, and the kidney dialysis devices for the period (1993
– 2014). To collect the relevant data of the topic of the study , two
questionnaires were used, one questionnaire was for the renal failure patients,
and the other one was for the renal dialysis centers.
Some of the findings of the study indicate
that the number of renal failure patients is 370 patients who have a chronic
renal failure, most of them are from Aden governorate, followed by the patients
of Lahj governorate and Abyan governorate, and few of them are from Al-Dalea
governorate. The spatial distribution of the patients was also dissimilar
according to both the renal dialysis centers and residences.
At the level of the centers, it was found
that the Al-Estisfa Al-Damui Center has been ranked as the first (61.7%) among
the renal dialysis centers, while Tayba Charity Center is ranked as the second
(20.9%) regarding the patients total number who go frequently to the center. At
the level of the governorates, the study has found that Aden governorate rated
the first rank due to the average of incidence of the illness (47.2%). At the
level of Aden districts, Al-Sheikh Othman and Serah districts have recorded the
highest percentage of getting infected with the illness (39.1%) at the level of
the governorate. With reference to the characteristics of the patients, the
incidence of renal failure concentrated in males ( 67%) ; in the age range of
(51 – 60), it was (25%); the number of their family members is ranged from 4 to
9 members. Most of them (74%) are married. The patients who have a primary
education (38%) live in nuclear families and form (82.5%). II The source of
their drinking water is the public water net (50%).
The
occupations of patients (i.e. housewife, daily wage worker, and soldier) have
recorded the majority (59.1%) among the occupations of the patients'.
Their monthly income is ranged from 41,000
to 80,000 rial. The history of the incidence of renal failure recorded the
highest percent (80.9%) in the period (2009- 2014), most of the patients
suffered of past diseases such as diabetic, pressure, urinary tract infection,
and kidney stones. The main difficulties which face patients are the lack of
medicines and medical check-ups.
The most important recommendations of the
study are as follows:
Special means of
transport for the patients of renal failure in all kidney dialysis centers in
the governorate of Aden should be provided to alleviate the suffering of
patients of renal failure who use public transport because of their health
status.
Special places for women
of kidney failure should be assigned and separate them from the men, and
provide all medicines of kidney failure for each patient.
A monthly salary for
each patient who has a chronic kidney failure should be given.
It is also recommended
that training courses for nursing staff in how to deal with patients with renal
failure especially with regard to give the injections of dialysis process
should be established, in addition to inviting non-state actors in supporting
kidney dialysis centers and kidney failure patients.
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