KNOWLEDGE, ATTITUDES AND PRACTICES OF TYPE 2 DIABETIC PATIENTS

Authors

  • Naheed Gul

Abstract

Background: Education is the cornerstone of diabetes care. Because of lack of awareness, mostpatients suffer from diabetes complications. This study was conducted to determine the knowledge,attitudes and practices among patients with type 2 diabetes. Methods: This descriptive study includedone hundred type 2 diabetics. Patients were interviewed using a structured questionnaire. The mean ageof the patients was 50±5 years with the male to female ratio being 1:3. The data was collected usingconvenience sampling technique and analyzed using statistical package Epi Info 6.0. The patients,knowledge about the disease, their attitudes and practices were the main outcome measures. Results: Inour study, patients’ awareness about diabetes was low. The mean of correct answers for glycemiccontrol, risk factors and complications was 33.5%, 69% and 39% respectively. Sixty-one percent of thepatients regularly checked blood sugar but only few knew target blood glucose values. Only one sixthof all the patients could correctly answer question regarding nutrition. 92% recognized blood pressureas a risk factor while the correct answers for hyperlipedimia, cigarette smoking, sedentary life style andbody weight were 42%, 70%, 76% and 66% respectively. Awareness about eye and renalcomplications was also quite low. Doctors were the main source of information available to the testpopulation. Conclusions: The knowledge, attitude and practice scores were low in most areas ofdiabetes care emphasising the need for additional educational efforts.Keywords: Type 2 diabetes, knowledge, attitudes, practices

References

Wild S, Roglic G, Green A, Sicree R, King H. Global

prevalence of diabetes–Estimates for the year 2000 and

projections for 2030. Diabetes Care 2004;27:1047–53.

Shera AS, Jawad F, Maqsood A. Prevalence of diabetes in

Pakistan. Diabetes Res Clin Pract 2007;76:219–22.

Sheikh MZ. Diabetes Mellitus- The Continuing Challenge. J

Coll Physicians Surg Pak 2004;14:63.

Zhang X, Geiss LS, Cheng YJ, Beckless GL, Gregg EW,

Kahn HS. The missed patients with diabetes: how access to

health care affects the detection of diabetes. Diabetes Care

;31:1748–53.

Rquibi M, Belasen R. Prevalence and associated risk factors

of undiagnosed diabetes among adult Moroccan Sahraoui

women. Public Health Nutr 2006;9:722–7.

Brandle M, Zhou H, Smith BRK, Marriot T, Burke R, Jabaei

BP, et al. The direct medical cost of type 2 diabetes. Diabetes

care 2003;26:2300–4.

Kirigia JM, Sambo HB, Sambo LG, Barry SP. Economic

burden of diabetes mellitus in WHO African region. BMC Int

Health Hum Rights 2009;9:6.

Holman RR, Paul SK, Bethel MA, Matthews DR, Neil HH.

year follow up of intensive glucose control in type 2

diabetes. N Engl J Med 2008;359:1577–89.

Johnson ST, Bell GJ, MCcargar LJ, Welsh RS, Bell RC.

Improved cardiovascular health following a progressive

walking and dietary intervention for type 2 diabetes. Diabetes

Obes Metab 2009;11:836–43.

Gutschall MP, Miller CK, Mitchell DC, Lawrence FR. A

randomized behavioral trial targeting glycemic index

improves dietary, weight and metabolic outcomes in patients

with type 2 diabetes. Public Health Nutr 2009;23:1–9.

Baradran HR, Knill-Jones RP, Wallia S, Rodgers A. A

controlled trial of the effectiveness of a diabetes education

programme in a multiethnic community in Glasgow. BMC

Public health 2006;6:134.

Peyrot M, Rubin RR, Funnell MM, Siminerio LM. Access to

diabetes self management education; Results of national

surveys of patients, educators and physicians. Diabetes Educ

;35(2):246–8, 252–6, 258–63.

Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM,

Jenson B, et al. National standards for diabetes self

management education. Diabetes Care 2009;32(suppl

:S87–S94.

Van Zyl DG, Rheeder P. Survey on knowledge and attitudes

regarding diabetic inpatient management by medical and

nursing staff at kalafong hospital. J Endocrinol Metab

Diabetes South Africa 2008;13(3):90–7.

Shera AS, Jawad F, Basit A. Diabetes related knowledge,

attitude and practices of family physicians in Pakistan. J Pak

Med Assoc 2002;52:465–70.

American diabetes association. Standards of Medical care in

Diabetes. Diabetes Care 2009;32(suppl 1):S13–S61.

Jabbar A, Hameed A, Chawla R, Akhter J. how well do

Pakistani patients and physicians adhere to standards of

diabetes care. Int J Diabetes Dev Ctries 2007;27:93–6. [cited

Aug 20]

Shah VN, Kamdar PK, Shah N. Assessing the knowledge

attitudes and practice of type 2 diabetes among patients of

Saurashtra region Gujrat. Int J Diabetes Dev Ctries

;29:118–22.

Tham KY, Ong JJY, Tan DkL, How KY. How much do

diabetic patients know about diabetes mellitus and

complications? Ann Acad Med Singapore 2004;33(4):503–9.

Jabbar A, Contractor Z, Ebrahim MA, Mahmood K. Standard

of knowledge about their disease among patients with

diabetes in Karachi, Pakistan. J Pak Med Assoc

;51(6):216–8.

Upadhyay DK, Palaian S, Shankar PR, Mishra P.

Knowledge, Attitude and Practice about Diabetes among

Diabetes Patients in Western Nepal. Rawal Med J

;23(1):1–12.

Rafique G, Azam SI, White F. Diabetes knowledge, beliefs

and practices among people with diabetes attending a

university hospital in Karachi, Pakistan. East Mediterr Health

J 2006; 12(5):590–8.

Murugesan N, Snehalatha C, Shobana R, Roglic G,

Ramachandran A. awareness about diabetes and its

complications in the general and diabetic population in a city

in southern India. Diabetes Res Clin Prac 2007;77:433–7.

Opalinska E, Strzemecka J, Latalski M, Goniewicz M. Health

behavior among patients with type 1 and 2 diabetes mellitus

reported to provincial diabetic outpatient department. Ann

Univ Mariae Curie Sklodowska 2003;58(2):64–70.

Downloads

Published

2010-09-01