Knowledge, Attitude and Practices (KAP) Regarding Chronic Complications of Diabetes among Patients with Type 2 Diabetes

Abstract

BackgroundTo reduce morbidity and mortality, awareness regarding diabetes and its complications is necessary. This study aimed at assessing the level of knowledge, attitude, and practices (KAP) regarding complications of diabetes mellitus among patients with type 2 diabetes in Dhaka, Bangladesh.MethodsA cross-sectional study was carried out recruiting patients with diabetes from the outpatient department of BIRDEM hospital in Dhaka. Overall, 425 patients with diabetes were enrolled in this study. A pretested questionnaire was filled by the interviewer with face to face interview. Levels of KAP were determined by calculating the scores. Multivarable linear regression was used to determine significant predictors for knowledge, attitude, and practices.ResultsOn average, the level of knowledge, attitude, and practices were 9.2 (out of 14), 7.9 (out of 13), and 16.9 (out of 27), respectively. Age and gender were significant predictors of knowledge and attitude. Females had better level of knowledge and attitude compared to males (βs = 0.55 and 1.24, respectively). Patients with graduate degrees and above compared to illiterates reported significantly greater knowledge and practice (βs = 1.27 and 1.44, respectively), after adjustments for covariates. Educational program was the most important significant predictor of KAP. Higher duration of diabetes (β = 0.07) and positive marital status (β = 1.21) had influenced better practice.ConclusionsLack of knowledge, poor attitude, and inadequate practice were found in this surveyed communinty. Level of education and educational program on diabetes were the most significant contributing factors. The current study suggests the need of structured educational programs on diabetes and its complications on a regular basis to assist patients in living a productive life.

Attitude, Practice and its Associated Factors towards Diabetes Complications among Type 2 Diabetic Patients at Addis Zemen District Hospital, Northwest Ethiopia

“…Most (79.9%) of the respondents reported that they could prevent diabetic complications. This finding is in line with the finding of the same study in Bangladesh where the majority of study participants had reported that they could prevent diabetic complications (11), while in other studies it was only 52.7%, 55.6% and 62.3% in Ethiopia, India and Pakistan respectively (13,15,16). In this study, good glycemic control was assumed to prevent diabetic complications by only 16.9% of respondents.…”

“…This study showed that over two third (65.5%) of the study participants had a good attitude level while less than half (48.8%) of study participants had a good practice on DM complications. This finding is supported by a study done in Bangladesh which reported that 66.4% of participants had a good attitude but regarding practice only 20.1% were in good practice (11), which is lower than the finding of the present study. The possible justification may be due to socio-economic and cultural differences.…”

“…A structured pretested interviewer-administered questionnaire was used to collect data regarding to attitude, practice and associated factors. The questionnaire contained 9 attitude and 13 practice related questions towards diabetes complications adopted from literatures (11)(12)(13)(14). have a good attitude than those who live in a rural area ( Table 3).…”

Evaluation of the health seeking practices among diabetics (>10 years of duration) in the field practice areas of government medical college, Amritsar

“…6 A study conducted by Rahaman et al in Dhaka, Bangladesh revealed that out of total 425 diabetic respondents, 234 (55.1%) were males and 68 (16%), 204 (48%), 150 (35.3%) were taking oral medication, insulin and combined oral medication and insulin as treatment modality for diabetes and 64% got information about complication of diabetes from physician which showed same results with present study. 7 Abu Hassan et al conducted a study of 21 type 2 DM patients at a primary care clinic who had been on insulin for more than a year stated that about 50% of patients with poor control T2 DM had not started insulin therapy on time and the initiation was usually three to five years after failure of oral medicines and there were many factors influencing delayed insulin initiation, one of the main barriers was psychological insulin resistance defined as psychological opposition towards insulin use among patients and healthcare providers. 8 A study conducted by Feng et al to identify the individual and social factors that are associated with positive healthseeking behaviors and regular maintenance of diabetes showed that out of total 510 respondents, 49.2%, 51.8% were male and female respectively and 42.3% were between 60-80 years of age group and 27.9% were educated up to high school and out of total, 42.2% were taking regular treatment for diabetes.…”

Management of Type 2 Diabetes and Chronic Kidney Disease in Fiji in 2018: Knowledge, Attitude, and Practice of Patients

“…Patients' knowledge of disease and therapy options can have a substantial influence on the development of the disease and its treatment [11]. This shows that proper knowledge of a disease is vital for health and survival; it is critical for the entire disease management process [12]. Moreover, patients' attitude towards their disease affects immediate disease status as well as the long-term outcomes, which shows that their attitude is directly linked to their health status and the occurrence of later complications [13].…”