Diabetes care knowledge and practice among primary care physicians in Southeast Nigeria: a cross-sectional study

Ugwu, Ejiofor; Young, Ekenechukwu; Nkpozi, Marcellinus

doi:10.1186/s12875-020-01202-0

Cited by 23 publications

(28 citation statements)

References 22 publications

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“…These results showed positive and significant relationships between good practice of diabetes self-care and glycemic control [35,36]. This was further supported by the result of a similar study conducted by ugwu et al, who found that diabetes care knowledge and practice were poor even among Primary Health Care Physicians in Southwest Nigeria [37]. A study done by Tewahido et al in Addis Ababa also concluded that self-care practices for effective management of diabetes is not adequately emphasized in diabetes care centers, and most patients lack sufficient knowledge for proper self-care [38].…”

Section: Discussionsupporting

confidence: 53%

The role of diabetes self-care education and practice in the management of type 2 diabetes mellitus (T2DM)

Adams¹,

Shabi²,

Akinola³

et al. 2021

fmpcr

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Background. diabetes self-care is yet to be incorporated into diabetes management policy, hence the need to establish its practice as an essential catalyst for good glycemic control in the management of diabetes patients. Objectives. This study was aimed at determining the role of diabetes self-care education (DSME) and practice in the management of T2DM patients. Material and methods. A hospital-based study was conducted on 120 adults with T2DM who had been presenting at the clinic for at least two months. The study participants were divided into two groups. Group 1 was the test group and had DSME, while group 2 served as the control. Data was collected using a questionnaire, and clinical parameters of glycemic control were measured both preand post-intervention period. Results. A significant relationship was found between diabetes education, diabetes self-care and glycemic control. This was demonstrated by the significant difference in the proportion of those who achieved good FPG from 28.3% pre-intervention to 51.7% post--intervention (p = 0.001); 2HPP from 30% to 46.7% (p = 0.060) and HbA 1c from 53.3% to 85% (p < 0.001) in the test group; while that of the control was FPG 18.3% to 30% (p = 1.355), 2HPP 11.7% to 26.7% (p = 0.369) and HbA 1c 43.3% to 53.3% (p = 0.804). This showed a significant improvement in the glycemic control of the test group compared to the control group. Conclusions. We conclude that good knowledge and practice of diabetes self-care is relevant to the achievement of good glycemic control.

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Section: Discussionsupporting

confidence: 53%

The role of diabetes self-care education and practice in the management of type 2 diabetes mellitus (T2DM)

Adams¹,

Shabi²,

Akinola³

et al. 2021

fmpcr

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“… 41 For example, a recent study in Nigeria revealed that physicians treated diabetes patients without in-service training after they graduated from medical school, significantly hindering the patients’ self-care practices. 42 Similarly, another review indicated a limited knowledge of nurses in diabetes care associated with a lack of additional in-service training on diabetes 29 which adversely influences the provision of quality diabetes care. 43 However, this finding contradicted the national action plans that endorsed the training of health professionals to provide quality diabetes care.…”

Section: Discussionmentioning

confidence: 99%

Barriers to Diabetes Patients’ Self-Care Practices in Eastern Ethiopia: A Qualitative Study from the Health Care Providers Perspective

Letta¹,

Aga²,

Yadeta³

et al. 2021

DMSO

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Background All types of diabetes can damage the heart, blood vessels, eyes, kidneys, nerves and increase the overall risk of disability and premature death. Diabetes mellitus requires a range of self-care practices, scientifically recommended to control the glycemic level and maintain the patient’s health. However, perceived barriers that hinder patients from fully implementing these diabetes self-care practices and obstacles have not been thoroughly explored. Therefore, this study aimed to explore the barriers to diabetes patients’ self-care practices from the perspective of health care providers in two public hospitals in Harar City, Eastern Ethiopia. Methods Researchers conducted an exploratory qualitative study among 26 health care providers working in two public hospitals from March to June 2021. The study participants were recruited from different disciplines working on diabetes care. Interviews were conducted in the Amharic language until the saturation point was reached. The interviews were tape-recorded, transcribed, and translated to English. Each transcript was read, re-read, and then exported to ATLAS.ti 7 software for coding. Field notes were used to supplement verbatim transcriptions. Initial codes were generated. The consistency between the two coders and their alignment with research questions were checked and applied to all subsequent transcripts after reached on consensus. The thematic analysis was employed in line with the primary set research question. Results Researchers identified barriers to diabetes patients’ self-care practices such as system, health care providers, and patient-level. These barriers were categorized under three main themes: lack of organized diabetes care services, limited collaborative care practices, and perceived lack of knowledge on self-care practices. In addition, the lack of multidisciplinary team care, lack of training for health care providers on diabetes self-care practices, and availability of laboratory tests and diabetes medication were prominent barriers. Conclusion Multi-level barriers to diabetes patients’ self-care practices such as system, health care providers, and patients were identified. Therefore, interventions targeting proper service integration, building providers’ and patients’ capacity on diabetes self-care practices, and ensuring the sustainability of laboratory tests and medication supplies are essential. These interventions need to be accomplished through multi-level stakeholders’ engagement and one-to-one or group interventions covering the multi-level challenges.

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“…There is report of very low level of assessment for potential complications and limited interventions in high risk cases (Figure 4). A recent report has also highlighted the need to improve on diabetes care knowledge and practice among PCPs [8].…”

Section: Results Of the Evaluationmentioning

confidence: 99%

Primary Healthcare and diabetes management in the rural communities

Anowa¹,

Nwose²,

Nwajei³

et al. 2020

CMRR

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Primary health care (PHC) was conceptualized to play a ‘central hub’ role in health systems. Diabetes care services are presently unavailable in PHC facilities, except the screening programs that are carried out by non-governmental organizations. This implies there is issue of behavioural change wheel (BCW) of the stakeholders including the quartet of ministry of health, hospital management board, healthcare professionals (HCP) and diabetes patients. This narrative review investigates perception of stakeholders towards scaling-up of a diabetes context of PHC agenda in Delta State Nigeria. The study utilized data from ongoing studies including opportunistic and purposive sampling designs. Data from published literatures on Nigeria were also reviewed. The various stakeholders’ perceptions is that motivation is poor across board. The ministry of health as well as the hospitals management board, but not patients, have the capacity. Suggested ways of improving BCW in the state include increased allocation for the ministry of health, and retraining healthcare professionals. Others improvement measures including tackling socio-cultural beliefs, and taboos are suggested. Scaling-up and sustaining diabetes care program at the PHC level in Delta State is agreed to be the responsibility of all stakeholders. There is need to enhance capacity/knowledge among community members living with diabetes, and opportunity/practice among the HCPs, but most importantly attitude/motivation of all stakeholders.

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Diabetes care knowledge and practice among primary care physicians in Southeast Nigeria: a cross-sectional study

Cited by 23 publications

References 22 publications

The role of diabetes self-care education and practice in the management of type 2 diabetes mellitus (T2DM)

The role of diabetes self-care education and practice in the management of type 2 diabetes mellitus (T2DM)

Barriers to Diabetes Patients’ Self-Care Practices in Eastern Ethiopia: A Qualitative Study from the Health Care Providers Perspective

Primary Healthcare and diabetes management in the rural communities

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