scholarly journals Knowledge, attitude and practice of insulin use and its adverse effects in adult diabetic population

Author(s):  
Nivethitha T. ◽  
Manickavasagam S. ◽  
Paramasivam M. ◽  
Sai Thaejasvi G.

Background: Diabetes is a disease when left untreated, leads to many complications. India is emerging as a diabetic capital of the world. Insulin is widely used as a therapeutic option, and hence this study was conducted to assess the awareness of Insulin use and its adverse effects in diabetic population.Methods: The study was a questionnaire survey conducted in adult patients with diabetes who are on Insulin therapy. The participants’ knowledge, attitude and practice were assessed by using a questionnaire consisting of 32 questions. Scores were allotted to each question, and evaluated after applying appropriate statistical tests.Results: The mean age of the participants was 57.26±11.24 years. About 54% were males. 46% belonged to rural areas. The mean knowledge score was 17.53±4.40, mean attitude score 7.42±4.85 and the mean practice score was 6.56±1.91. 40% responded that they will return the expired insulin vials to the pharmacy. The most common reason for non adherence was economical constraints (60%). The females had better knowledge (17.60±4.43 vs. 17.45±4.40, p>0.88), attitude (8.21±3.84 vs. 6.58±5.56, p>0.09) and practice (6.97±1.84 vs. 6.13±1.92, p<0.02) of insulin use than males. Also, the urban population had better knowledge (17.58±3.64 vs. 17.32±4.97, p>0.297), attitude (8.70±3.95 vs. 6.06±5.37, p <0.002) and practice scores (6.92±1.89 vs. 6.38±1.92, p>1.395) than the rural counterparts.Conclusions: There exists a gap between knowledge attitude and practice of insulin use. This can be overcome by conducting awareness programmes by health care providers, to sensitise people about the proper use, side effects and the methods of disposal of insulin vials.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nazirum Mubin ◽  
Redwan Bin Abdul Baten ◽  
Sayeeda Jahan ◽  
Fatema Tuz Zohora ◽  
Naim Mahmud Chowdhury ◽  
...  

Abstract Background Cancer remains one of the primary causes of death in Bangladesh. The success of cancer control in rural areas depends on the ability of the health care system and workforce to identify and manage cases properly at early stages. Community Health Workers (CHW) can play a vital role in this process. The present study aims to assess cancer related Knowledge, Attitude, and Practice (KAP) among 2 categories of CHWs - Community Health Care Providers (CHCP) and Health Assistants (HA) in rural Bangladesh. Methods A descriptive cross-sectional study was conducted using a self-administered questionnaire from July 2019 to June 2020. Multi-stage sampling technique was used to determine the sample. One Upazilla Health Complex (UHC) from each of the eight administrative divisions of Bangladesh were randomly chosen as study sites, from which 325 CHCPs and HAs were in the final sample. Multivariate logistic regression models were developed to determine the association between KAP scores and demographic variables. Results Our study shows that a modest number of respondents scored above average in the knowledge (54.15%), attitude (58.15%), and practice (65.54%) sections. Majority CHCPs (90.91%) and HAs (96.06%) did not receive govt. training on cancer. Only 20.71% HAs and 25.2% CHCPs knew about the availability of cancer treatment options in Bangladesh. Uncertainty about the availability of relevant treatments or vaccinations at public facilities was also high. Having cancer in the family, income, duration of employment and workplace locations were important predictors of cancer related KAP scores. Conclusion Healthcare workforce’s knowledge gap and unfavorable attitude towards cancer may result in poor delivery of care at the rural level. For many people in rural areas, CHCPs and HAs are the first point of contact with the healthcare system and thus effective cancer control strategies must consider them as key stakeholders. Targeted training programs must be adopted to address the cancer related KAP gaps among CHCPs and HAs.


2020 ◽  
Vol 5 (1) ◽  
pp. 23
Author(s):  
Venkataraman A P ◽  
Laxminarayana Kamath ◽  
Samhita Shankar

 Diabetes mellitus (DM) is a group of common metabolic disorders that share the phenotype of hyperglycemia. India is emerging as the world diabetic capital. Insulin is a therapeutic option to treat either type 1 and type 2 DM. Inadequate awareness about the use of insulin is likely to influence its acceptance and adherence. The present study was done to assess the knowledge, attitude, and practice regarding insulin use among diabetic patients at Victoria Hospital, Bangalore, India. Knowledge, attitude, and practice of sixty diabetic patients (either inpatients or outpatients) were assessed by using a validated questionnaire consisting of 24 items. Scores were allotted to each question and evaluated after applying appropriate statistical tests. The mean age of the patients was 53.51±6.48 years (58.33% males). The mean knowledge score was 9.06±1.88 out of 22, attitude score was 4.78±1.37 out of 12 and practice score was 7.75±1.24 out of 11. The mean score of attitude was better in females compared to male patients (5.32±1.34 vs. 4.4±1.28). Male patients scored 38.57% compared to female patients (41.33%) for the question regarding symptoms of hypoglycemia. 57.14% of male patients and 72% of female patients carried simple carbohydrates when going out. Despite good practice scores, the knowledge and attitude scores regarding insulin use were inadequate. Potential adverse effects of insulin can be avoided and better knowledge, attitude, and practice can be achieved by providing proper education to patients. Keywords: knowledge, attitude, practice, diabetic, insulin 


2020 ◽  
Author(s):  
Nazirum Mubin ◽  
Redwan Bin Abdul Baten ◽  
Sayeeda Jahan ◽  
Fatema Tuz Zohora ◽  
Naim Chowdhury ◽  
...  

Abstract Background: Cancer remains one of the primary causes of death in Bangladesh. The success of cancer control in rural areas depends on the ability of the health care system and workforce to identify and manage cases properly at early stages. Community Health Workers (CHW) can play a vital role in this process. The present study aims to assess cancer related Knowledge, Attitude, and Practice (KAP) among 2 categories of CHWs - Community Health Care Providers (CHCP) and Health Assistants (HA) in rural Bangladesh. Methods: A descriptive cross-sectional study was conducted using a self-administered questionnaire from July 2019 to June 2020. Multi-stage sampling technique was used to determine the sample. One Upazilla Health Complex (UHC) from each of the eight administrative divisions of Bangladesh were randomly chosen as study sites, from which 325 CHCPs and HAs were in the final sample. Multivariate logistic regression models were developed to determine the association between KAP scores and demographic variables. Results: Our study shows that a modest number of respondents scored above average in the knowledge (54.15%), attitude (58.15%), and practice (65.54%) sections. Majority CHCPs (90.91%) and HAs (96.06%) did not receive govt. training on cancer. Only 20.71% HAs and 25.2% CHCPs knew about the availability of cancer treatment options in Bangladesh. Uncertainty about the availability of relevant treatments or vaccinations at public facilities was also high. Having cancer in the family, income, duration of employment and workplace locations were important predictors of cancer related KAP scores. Conclusion: Healthcare workforce’s knowledge gap and unfavorable attitude towards cancer may result in poor delivery of care at the rural level. For many people in rural areas, CHCPs and HAs are the first point of contact with the healthcare system and thus effective cancer control strategies must consider them as key stakeholders. Targeted training programs must be adopted to address the cancer related KAP gaps among CHCPs and HAs.


2019 ◽  
Vol 4 (4) ◽  
pp. 87
Author(s):  
Evason Mandona ◽  
Ebenezer Obi Daniel ◽  
Paul Olaiya Abiodun ◽  
Israel Olukayode Popoola ◽  
Olayinka Victor Ojo ◽  
...  

Objectives: The primary objective of this study is to assess three domains - the knowledge, attitude and practice related to the Intrauterine Contraceptive Device (IUCD) among primary health care providers (physicians and nurses) in Oman. The secondary objective is to compare the IUCD-related knowledge, attitude and practice of health care providers in primary health care between physicians and nurses. Methods: A descriptive cross-sectional survey was conducted in primary health care centers in Muscat region of Oman from May, 2014 until September, 2015. The survey was a self-administered questionnaire contained questions to assess factual knowledge, attitudes and practice of IUCD. The questionnaire was distributed to female health care providers only. Data was collected by researchers and analyzed using SPSS version 20. Results: Total 269 primary health care providers completed the questionnaire. 109 (40.52%) participants had good and 131 (48.70%) had average actual knowledge related to IUCD. The main reasons providers cited for not recommending the IUCD were concerns about the side effects; 174 (64.68%) mentioned that it causes bleeding and 127 (47.21%) reported that it needs service provider. Only 140 (52.43%) of the providers would routinely recommend IUCD to their clients. Conclusion: Future educational programs for health care providers should address the educational needs in the identified areas including misconceptions with regards to IUCD failure rate and side effects. Future training programs are also required to increase the technical competence of insertion and confidence in handling the side effects of IUCD.


2017 ◽  
Vol 56 (3) ◽  
pp. 434-438 ◽  
Author(s):  
Bayeh Abera ◽  
Beyan Mohammed ◽  
Wendmagegn Betela ◽  
Reshid Yimam ◽  
Adam Oljira ◽  
...  

2021 ◽  
Vol 18 (38) ◽  
pp. 176-187
Author(s):  
Marzieh MOHAMADIMOGHADAM ◽  
Seyed Hojat SHAKIB ◽  
Fatemeh SALMANI

Background: Periodontal infection leads to adverse pregnancy outcomes such as preterm delivery, low birth weight, preeclampsia, miscarriage, or early pregnancy loss. Aim: The aim of this study was to investigate the knowledge, attitude, and practice of pregnant women about periodontal health and oral health and their effect on the fetus. Methods: The present study is a descriptive-analytical study on 210 pregnant women in the first and second trimesters referring to health centers in Birjand in 2019. The tool used in this study was a researchermade questionnaire with four parts: women's demographic information, and women's knowledge, attitude, and practice, the validity, and reliability of which were confirmed. After data collection, it was entered into SPSS software version 22 and then analyzed using descriptive statistics, independent t-test, and one-way analysis of variance. The significance level was considered 0.05 in all tests. Results and Discussion: In this study, the mean scores of knowledge, attitude, and practice of pregnant women were 5.6 ±1.92, 55.9 ± 5.1, and 25.9± 3.7, respectively. There was a significant difference between the mean attitude score and mothers' age. There was also a significant difference between the mean scores of knowledge, attitude, and practice of women and significant difference in knowledge, attitude, and practice of employee and housewife pregnant women; In terms practice, there were significant differences between pregnant housewives and self-employed women. There was a significant relationship between the mean of these scores and mothers' jobs so that the mean scores were higher in employed women than others. Conclusions: The results of our study showed that the average score of knowledge, attitude, and practice of pregnant women in Birjand regarding oral hygiene during pregnancy is not satisfactory and appropriate.


2021 ◽  
Vol 10 (1) ◽  
pp. 71-77
Author(s):  
Aadil Ameer Ali ◽  
Noman Haq ◽  
Muhammad Rafiq ◽  
Amjad Hussain ◽  
Muhammad Ismail ◽  
...  

This observational study was conducted to assess the attitude, knowledge and practices of health-care providers in context of novel corona virus or COvid-19 in Pakistan. A cross sectional survey has been conducted among the physicians, dentists, physiotherapists, pharmacists and nurses in a number of medical and health related facilities of Pakistan from April to June 2020. A self-constructed questionnaire was used among the 277 health care providers and SPSS version 23 was used to analyze the data. Male participants constituted 55.6% (n=154) of the total sample size. However, 91% of total participants aged between 23 to 33 years (n=252). In addition to this 71% participants were unmarried. In academic perspective 74.4% of the candidates were graduates and most of them were MBBS. Around 46.6 % people were permanent residents of Sindh while others belong to different regions of the country. Assessment revealed of knowledge, attitude and practice results showed that the great majority i.e. 96% (n=266) of the healthcare providers had adequate knowledge with respect to Covid-19. Moreover, 59.2% people (n=164) demonstrated positive attitude towards covid-19. Contrastingly, practices of a large number of healthcare providers were not found appropriate that makes up to 57.4% (n=159). The study concluded that the health care providers working in Pakistan have good knowledge and positive attitude towards covid-19, whereas the practice of Pakistani health care providers needs serious attention, because the results reveled the practice is below the mark.


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