FACTORS ASSOCIATED WITH KNOWLEDGE, PERCEPTION, AND PRACTICE TOWARD SELF-CARE AMONG ELDERLY PATIENTS SUFFERING FROM TYPE 2 DIABETES MELLITUS IN RURAL THAILAND
Abstract
Background: Globally, diabetes caused 4.6 million deaths during 2011 and burdened health care systems worldwide with $465 billion. The diabetes prevalence rate in Thailand has risen dramatically in recent years, from just 2.3% in 1991 to 6.9% in 2009. The objective of this study was to explore factors associated with knowledge, perception, and practice toward self-care among elderly type 2 diabetes mellitus patients aged 50–70 years. Methods: A cross sectional study design was conducted by enrolling 140 aged people of both gender suffering from type 2 diabetes mellitus and registered at three clinics of Primary healthcare at Taladnoi, Horathep, and Khokyai, Saraburi, Thailand. Participants whose age was 50-70 were rechecked through laboratory testing like Hba1c, FBS, and BMI were included. Data was analysed by using descriptive statistics and chi-square. Results: The participants mean age was 62.11±0.59 years and 69.4% were female, 27.8% belonged to indigenous caste and 82.6% were married. About one-fourth of the participants were housewives, 15.2% government employee and 12.1% were farmer. Participants suffering from diabetes since1-5 years were 48.5%. Among the diabetic patients, 51.5% reported to have family history of diabetes. The mean knowledge score of the respondents was 3.61 (±1.80), perception was 4.34 (±1.41), practice was 12.14 (±4.47). A significant different existed between gender with Hba1c (<0.05), knowledge, and work status with Hba1c (<0.05). Conclusion: Study concluded that the knowledge, perception, and practice about type 2 diabetes mellitus among patient were significantly poor. However, the factors like; gender, work and practice were found significantly correlated with glycated haemoglobin.Keywords: Diabetes Mellitus Type 2; Knowledge; Perception; self-care; elderly population and associated factorsReferences
Alberti KG, Zimmet P, Shaw J. Metabolic syndrome--a new world-wide definition. A Consensus Statement from the International Diabetes Federation. Diabet Med 2006;23(5):469–80.
Xu T, He Y, Dainelli L, Yu K, Detzel P, Silva-Zolezzi I, et al. Healthcare interventions for the prevention and control of gestational diabetes mellitus in China: a scoping review. BMC Pregnancy Childbirth 2017;17(1):171.
Neupane D, Kallestrup P. Non-communicable diseases in Nepal: challenges and opportunities. J Nepal Health Res Counc 2013;11(24):225–8.
Papier K, Jordan S, D'Este C, Bain C, Peungson J, Banwell C, et al. Incidence and risk factors for type 2 diabetes mellitus in transitional Thailand: results from the Thai cohort study. BMJ Open 2016;6(12):e014102.
Chavasit V, Kriengsinyos W, Photi J, Tontisirin K. Trends of increases in potential risk factors and prevalence rates of diabetes mellitus in Thailand. Eur J Clin Nutr 2017;71(7):839–43.
Reutrakul S, Deerochanawong C. Diabetes in Thailand: Status and Policy. Curr Diab Rep 2016;16(3):28.
Figueira ALG, Boas LCGV, Coelho ACM, Freitas MCF, Pace AE. Educational interventions for knowledge on the disease, treatment adherence and control of diabetes mellitus. Rev Lat Am Enfermagem 2017;25:e2863.
Lenherr SM, Clemens JQ, Braffett BH, Dunn RL, Cleary PA, Kim C, et al. Glycaemic control and risk of incident urinary incontinence in women with Type 1 diabetes: results from the Diabetes Control and Complications Trial and Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) study. Diabet Med 2016;33(11):1528–35.
Fernandez Fernandez MJ, Amo Alfonso M, Jara Albarran A. [Diabetes mellitus in old age: prevalence in a population of 576 individuals]. Med Clin (Barc) 1987;88(12):490–3.
Gillani SW, Syed Sulaiman SA, Abdul MIM, Saad SY. Physical Disability and Diabetes Mellitus; Qualitative Exploration of Patients' Perception and Behavior. Curr Diabetes Rev 2017.
Paula JS, Braga LD, Moreira RO, Kupfer R. Correlation between parameters of self-monitoring of blood glucose and the perception of health-related quality of life in patients with type 1 diabetes mellitus. Arch Endocrinol Metab 2017;61(4):343–7.
Salcedo-Rocha AL, Garcia-de-Alba-Garcia JE, Velasquez-Herrera JG, Barba-Gonzalez EA. Oral Health: Validation of a questionnaire of self-perception and self-care habits in Diabetes Mellitus 2, hypertensive and obese patients. The UISESS-B scale. Med Oral Patol Oral Cir Bucal 2011;16(6):e834–9.
Taddei S. Blood pressure through aging and menopause. Climacteric 2009;12(Suppl 1):36–40.
Benetos A, Salvi P, Lacolley P. Blood pressure regulation during the aging process: the end of the ‘hypertension era’? J Hypertens 2011;29(4):646–52.
Hu H, Li G, Arao T. The association of family social support, depression, anxiety and self-efficacy with specific hypertension self-care behaviours in Chinese local community. J Hum Hypertens 2015;29(3):198–203.
Dickinson HO, Mason JM, Nicolson DJ, Campbell F, Beyer FR, Cook JV, et al. Lifestyle interventions to reduce raised blood pressure: a systematic review of randomized controlled trials. J Hypertens 2006;24(2):215–33.
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, et al. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. JAMA 2003;289(19):2560–72.
Stewart O, Yamarat K, Neeser KJ, Lertmaharit. S. Effectiveness of temple-based stroke education program for risk reduction and promoting appropriate emergency response after acute stroke among Buddhist elderly in Uttaradit province Thailand [photo]. Thailand: Chulalongkorn University; 2012.
Hartley L, Flowers N, Ernst E, Rees K. Qigong for the primary prevention of cardiovascular disease. In: The Cochrane Collaboration, editor. Cochrane Database of Systematic Reviews [Internet]. Chichester, UK: John Wiley & Sons, Ltd; 2013 [cited 2017 Aug 16]. Available from: http://doi.wiley.com/10.1002/14651858.CD010390
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