The knowledge and practice of self-care management among patients attending a diabetes clinic in Kigali, Rwanda

Mukeshimana, M; Hakizimana, G; Mwali, C; Umuhoza, C; Uwambajimana, J; Asingizwe, Domina

doi:10.4314/rj.v2i1.3f

Cited by 11 publications

(15 citation statements)

References 10 publications

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“…A chi-square test was performed and highly association between knowledge and SMBG frequencies was noticed. Majority of respondents (89.5%) knew that it was important to exercise, similar results were obtained by Mukeshimana (24). There is a high association between knowledge and exercise (P=0.000), regarding patients who exercise we found that nearly two-thirds of them have sufficient knowledge (59.2%) and one third have insufficient knowledge (33.8%).…”

Section: Discussionsupporting

confidence: 85%

Knowledge and self-care activities among Sudanese individuals with diabetes: a cross sectional survey

Farag¹,

Ali²,

Alabdeen³

et al. 2020

J Hosp Manag Health Policy

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Background: Increasing knowledge and self-care practices may lead to adequate glycemic control and decrease diabetes complications. Therefore, the aim of the current study was to determine the knowledge and self-care activities among Sudanese individuals with diabetes.Method: A cross-sectional study was conducted in four centers of diabetes in Khartoum state (286 participants). The respondents were interviewed using a set of validated questionnaires. The data collected were analyzed using the statistical package for the social sciences (SPSS) version 20.Results: Among 286 of individuals with diabetes, 43.4% were males and 56.6% females. Regarding knowledge, 19±5.145 was obtained as the median of total score of knowledge and 51.4% consider had sufficient knowledge about diabetes, and its complication, while 48.6% had insufficient knowledge. The respondent's practice towards self-care activity in regards to foot examination, inspection of shoes and diet was acceptable (56.0%, 59.0%, 66.0%) respectively. But their practice towards exercise and eye examination was insufficient (47.0%, 45.1%) respectively. There was a significant association between knowledge and hypertension (HTN), patient that received education before staring treatment for diabetes and the patient that tells the health care provider about diabetes before taking any other medication. There was a significant association between the mean score of knowledge and the name of centers, education level and duration of diabetes. Importantly, no association was found between knowledge with the Frequency of meeting health care provider. Conclusions:The overall knowledge of Sudanese individuals with diabetes towards diabetes was sufficient and their practice towards self-care activity was acceptable. Clinical and community pharmacists may have role in increasing knowledge and practice of diabetes.

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Section: Discussionsupporting

confidence: 85%

Knowledge and self-care activities among Sudanese individuals with diabetes: a cross sectional survey

Farag¹,

Ali²,

Alabdeen³

et al. 2020

J Hosp Manag Health Policy

View full text Add to dashboard Cite

show abstract

“…As observed in Rwanda 30% diabetics did not exercise at all and none of rest 70% exercised every day. 16 Adherence to recommended medications including oral anti-diabetic drugs and insulin injections was also poor and found only among 71.4%, which might be due to inattention or consultation from AYUSH practitioners. However Selvaraj et al in Puducherry had found high level of medication adherence as 95.6% patients had taken recommended medication for at least 6 days in a week, which might be ascribed to facility based study setting.…”

Section: Discussionmentioning

confidence: 99%

Self-care practices among known type 2 diabetic patients in Haldwani, India: a community based cross-sectional study

Goyal

Gupta

2019

Int J Community Med Public Health

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Background: The prevalence of diabetes worldwide is expected to rise to 9.9% by 2045 and with this rising prevalence raises the need for good self-care practices by patients themselves, which play a key role in effective management and prevention of complications.Methods: Present community-based cross-sectional study was conducted among 168 type 2 diabetes mellitus patients by interviewing them using a structured questionnaire assessing their self-care practices using summary of diabetes self-care activities (SDSCA) scale. Different domains were diet, exercise, blood glucose monitoring, medication compliance, foot care and smoking and responses were graded according to number of days in previous week a particular self-care activity of a domain was followed. Data analysis was done with help of SPSS version 21.Results: Mean age of diabetic patients in this study subjects was 54.37±13.24 years. 43.45% respondents have poor self-care practice scores. Bivariate analysis showed that self-care practices were significantly poorer among the diabetic patients less than 60 years of age, residing in rural area, either illiterate or studied till primary/intermediate, had diabetes for less than a year and were taking treatment from public health facilities. Poor self-care practices were insignificantly related with gender, marital status, occupation, monthly family income, type of family, food habits, hypertension as comorbidity, family history, BMI and mode of diagnosis. Multivariate analysis indicates that age, education and duration of diabetes are significant predictors for self-care practices.Conclusions: Self-care practices among diabetic patients were poor among 43.45% patients and there is a need for improving them across all assessed domains.

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“…The current finding was consistent with previous evidence that the language barrier, 73 lack of training, having limited knowledge, and lack of confidence to care for patients with diabetes complications 51 though they expected to have better diabetes self-care knowledge to treat and teach the patients. 74 This might be due to non-adherence to the national guideline so that the health care providers transmit incorrect information, which interferes with patients’ self-care practices. Another reason might be that the study settings are training centers for health and medical sciences students with different years of study and diverse knowledge levels that could expose the patients to inconsistent and contradictory information.…”

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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The knowledge and practice of self-care management among patients attending a diabetes clinic in Kigali, Rwanda

Cited by 11 publications

References 10 publications

Knowledge and self-care activities among Sudanese individuals with diabetes: a cross sectional survey

Knowledge and self-care activities among Sudanese individuals with diabetes: a cross sectional survey

Self-care practices among known type 2 diabetic patients in Haldwani, India: a community based cross-sectional study

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

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