scholarly journals Assessment of Diabetic Patients in a Tertiary Hospital on Knowledge, Practice of and Attitude to Lifestyle Modifications

2020 ◽  
Vol 8 (1) ◽  
pp. 7-13
Author(s):  
Stella Folajole Usifoh ◽  
Bose Ademola

Objective: To assessed the types 2 diabetic patient’s knowledge, the practice of, and attitude to lifestyle modification at University College Hospital (UCH), Ibadan. Methods: A cross-sectional descriptive study of types- 2 diabetic patients at the Medical outpatient clinic in UCH was done with a validated structured 48 item self-administered questionnaire that measured the socio-demographics, knowledge, practice of and attitude to lifestyle modifications. A purposive sampling of 99 consenting patients out of 103 determined with Yaro Tamane formulae was done.  Data were entered into SPSS v. 21 for descriptive and inferential analysis. Results: About 59.6% of respondents were within ≥60 years age range, and 68.7% of them were females. Many (51.5%) of them had tertiary education qualifications. On knowledge of symptoms, the majority 78 (78.8%) had good knowledge and 21(21.2%) had poor knowledge of diabetes mellitus. While 64 (64.6%) respondents had a good attitude and 35(35.4%) had a poor attitude towards lifestyle modification. Besides, a vast majority (94.9%) reported that lifestyle modification helps attain normal blood glucose levels, preserves life, assuage symptoms, and avert extended complications. The respondents tend to strongly agree to have a good practice of lifestyle modification with a weighted mean of 3.76 to 4.69 on a 5point scale. Conclusion: The majority of the respondents had good knowledge, the practice of and attitude to lifestyle modification which can help patients in altering long-term habits, eating or physical activity, and maintaining these practices as part of the management of the disorder.

2020 ◽  
Vol 7 (2) ◽  
pp. 256-263
Author(s):  
Abdul Qodir

Penatalaksanaan farmakologis dan non farmakologis dipercaya dapat mengontrol tekanan darah dan mencegah komplikasi, tetapi banyak pasien hipertensi tekanan darahnya tidak terkontrol. Hal tersebut dikarenakan kepatuhan yang buruk dalam melaksanakan rekomendasi gaya hidup. Penelitian ini bertujuan untuk menganalisis determinan faktor yang berhungan dengan kepatuhan melaksanakan rekomendasi modifikasi gaya hidup. Penelitian ini menggunakan metode cross-sectional di pukesmas dinoyo Kota Malang tahun 2019. Teknik pengambilan sampel menggunakan Consecutive Sampling. Kuesioner yang digunakan meliputi : karakteristik demografi, pengetahuan dan rekomendasi mofifikasi gaya hidup pasien hipertensi. Hubungan antara rekomendasi modifikasi gaya hidup dengan variabel independen dianalisis menggunakan uji chi square dan analisis regresi logistik. 140 pasien hipertensi berpartisipasi dalam penelitian ini (60 laki-laki, 80 wanita). Prevalensi kepatuhan adalah 28,6 %. Tingkat pengetahuan berhubungan signifikan  dengan kepatuhan melaksanakan rekomendasi gaya hidup (p=0,00). Jenis kelamin, usia, dan tingkat pendidikan tidak mempunyai hubungan signifikan dengan kepatuhan rekomendasi modifikasi gaya hidup (p= 0,06; p=0,21; p=0,87). Pengetahuan mempunyai hubungan yang signifikan dengan kepatuhan rekomendasi modifikasi gaya hidup. Management of pharmacological and non-pharmacological is believed to control blood pressure and prevent complications,  but many hypertensive patients have uncontrolled blood pressure. This is due to poor adherence to recommended lifestyle modifications. This study was aimed to determine the factors associated with adherence to recommended lifestyle modifications of hypertensive patients. A cross-sectional study was conducted in Pukesmas Dinoyo Malang in 2019. Consecutive Sampling was used to select study subjects. The questionnaire included information about demographic characteristics, knowledge, practice of lifestyle-modification measures. Associations between adherence to lifestyle modification and independent variables were analyzed using chi square and multivariate logistic regression analysis. 140 hypertensive patients participated in the study (60 men, 80 women). The prevalence of adherence was 28.6%. The level of knowledge was significant associated with adherence to recommended lifestyle modifications (p = 0.00). Genders , age, and educational level were no significant associated with to recommended lifestyle modifications (p= 0.06; p=0.21; p=0.87). Knowledge was significant associated with adherence to recommended lifestyle modifications of hypertensive patients.


Author(s):  
Oluwaseun Oladapo Akinyemi ◽  
Babatunde Ayeni ◽  
Olayinka Stephen Ilesanmi ◽  
Oluwatomi Owopetu

Objective: The management of Diabetes Mellitus (DM) is long-term and can be expensive. This study aimed to describe access to anti-diabetic medicines among patients in tertiary health care facilities in Oyo State, Nigeria. Materials and Methods: This was a hospital-based cross-sectional study. The study sites were the University College Hospital (UCH), Ibadan, and Ladoke Akintola University Teaching Hospital, Ogbomosho. It was conducted among 366 diabetic patients who had been attending the endocrinology clinic of these two tertiary health institutions for at least one year. Data analysis was done with the Statistical Program for Social Sciences. Results: Female participants were 186 (50.8%) and 298 (85.6%) depended on close relatives to purchase their drugs. Those who had difficulties affording their anti-diabetic medications were 142 (38.8%) and 80 (56.3%) preferred buying a cheaper brand of anti-diabetic medication. Also, 136 (37.2%) respondents had missed their required drugs at some point due to insufficient funds. Males who were able to afford their anti-diabetic medication were 96 (53.3%) compared to 128 (68.8%) females (P-value= 0.002). Those with no formal education had the highest proportion of respondents who could not easily afford anti-diabetic drugs (60.9%), those with tertiary education had the highest proportion of respondents who could afford their medication (77.5%), (P-value=< 0.001). Among those in the 61-70 years age group, 78 (66.1%) achieved glycaemic control compared to 34 (42.5%) of those above 70 years (P-value=< 0.001). Conclusion: To improve affordability, subsidizing the cost of anti-diabetic medications and encouraging patients to enrol in the Health Insurance Scheme will be beneficial.


Author(s):  
Olanrewaju D. Eniade ◽  
Dolapo E. Agbana ◽  
Bridget O. Afam

Introduction: To assess knowledge, attitude and prevention practice of coronavirus disease 2019 (COVID-19) in Southwest, Nigeria. This was an online cross-sectional study among dwellers of southwest Nigeria. Methods: Data were collected online with kobo toolbox and analyzed using the Statistical package for social sciences (SPSS, 2018) and the descriptive statistics, test of independence and binary logistic regression were presented. Results: Of the 286 study participants, 96.1% had good knowledge, 99.3% had positive attitude towards control of COVID-19, while 77.3% had good practices for prevention of the virus. Majority of the participants (86.9%) had tertiary education, 11.3% were 40 years or older. Age and education were independently associated with COVID-19 prevention practice. After adjustment for some selected socio-demographic factors, only age of 10 – 19 years (OR: 3.83, CI: 1.05, 14), age 20-29 years (OR: 2.99, CI: 1.18 -7.55), and 30 -39 years (OR: 4.35, CI: 1.49-12.67) were more likely to have good practice of COVID-19 prevention compared to age >=40 years. Conclusion: The result revealed a high prevalence of good practices, and the majority had good knowledge of COVID-19 and positive attitude towards control of COVID-19. Age and education were identified to be associated with practice of COVID-19 prevention. Further exploration revealed that elders (>=40years) were not likely to have good practice of COVID-19 prevention. We deduced that good practice of COVID-19 prevention was high in southwest Nigeria but notably low among elders and those who attained below tertiary education in southwest Nigeria. However, people of older age and poor education should be given much attention for proper enlightening and prevention strategies in this pandemic.


2020 ◽  
Author(s):  
Olanrewaju Davies Eniade ◽  
Dolapo E. Agbana ◽  
Bridget O Afam

To assess COVID-19 knowledge, attitude and prevention practice as well as the associated factors among people living in Southwest, Nigeria. This was an online cross-sectional study among dwellers of southwest Nigeria. Data were collected online with kobo toolbox and analyzed using descriptive statistics, test of independence and binary logistic regression. Of the 286 study participants, 96.1% had good knowledge, 99.3% had positive attitude towards control of COVID-19, while 77.3% had good practices for prevention of the virus. Majority of the participants (86.9%) had tertiary education, 11.3% were 40years or older. Age and education were independently associated with COVID-19 prevention practice. After adjustment for some selected socio-demographic factors, only age of 10 – 19 years (OR: 3.83, CI: 1.05, 14), age 20-29 years (OR: 2.99, CI: 1.18 -7.55), and 30 -39 years (OR: 4.35, CI: 1.49-12.67) were more likely to have good practice of COVID-19 prevention compared to age >=40 years. The result revealed a high prevalence of good practices, and majority had good knowledge of COVID-19 and positive attitude towards control of COVID-19. Age and education were identified to be associated with practice of COVID-19 prevention. While further exploration revealed that elders (>=40years) were not likely to have good practice of COVID-19 prevention. We deduced that good practice of COVID-19 prevention was high in southwest Nigeria but notably low among elders and those who attained below tertiary education in southwest Nigeria. However, people of older age and poor education should be given much attention for proper enlightening and prevention strategies in this pandemic.


1970 ◽  
Vol 28 (5) ◽  
Author(s):  
Belete Biadgo ◽  
Tadele Melak ◽  
Sintayehu Ambachew ◽  
Habtamu Wondifraw Baynes ◽  
Miteku Andualem Limenih ◽  
...  

BACKGROUND: Metabolic syndrome is a cluster of risk factors that is responsible for the risk of coronary heart disease and stroke. Therefore, the aim of this study was to assess the prevalence of MetS and its components among T2DM patients.METHODS: A cross-sectional study was conducted at the Diabetes Clinic of the Hospital, from June to July, 2015. Data were entered into EPI INFO software and exported to SPSS 20 for analysis. MetS prevalence was estimated using NCEP ATPIII and IDF criteria. Anthropometric measurements, investigations of serum glucose and lipid profiles were done. Logistic regression analysis was used to evaluate associated factors. A P-value ≤ 0.05 wasconsidered statistically significant.RESULT: A total of 159 participants were included in the study; 119 (59.7%) were females with mean (±SD) age of (49.8±8.7) year. The prevalence of MetS was 66.7% in NCEP-ATP III and 53.5% in IDF definitions. The most prevalent component of MetS was elevated triglyceride (56.6% in ATPIII and 62.3% in IDF criteria), followed by abdominal obesity (61%) IDF and elevated blood pressure (55.4%) NCEP-ATPIII criteria. The regression analysis showed that increased age, being female, high BMI, having diabetes for over 5 years and poor glycemic control were significantly associated with metabolic syndrome.CONCLUSION: The prevalence of MetS and its components among T2DM patients were high, suggesting that diabetic patients are at increased risk of CVD and other complications. Efforts should be geared towards addressing these abnormalities through lifestyle modification, health awareness and medications in order to reduce this complication. 


2021 ◽  
Vol 15 (5) ◽  
pp. 1441-1444
Author(s):  
M. Ahmad ◽  
U. Hussain ◽  
A. Elahi ◽  
A. Nazir ◽  
Jawad tareen ◽  
...  

Background: Corona Virus Disease 2019 (COVID-19) is a global pandemic still at large whose vaccination is in a trial phase. Dental practitioners are at high risk of exposure to this deadly epidemic. Therefore, the purpose of this study is to assess the knowledge and practice of dentists in the city of Multan, Pakistan. Method: This cross-sectional study was carried out in Multan, Pakistan from January to March 2021. A 30 items valid and reliable self-administrative questionnaire was used to assess the knowledge, practice, and source of information regarding the COVID-19 pandemic from dentists. Result: The results showed that the majority of dentists practicing in Multan had good knowledge (97.8%) and more than half of the respondents had good practice (65.6%). The most common source of their knowledge was WHO and Television. Almost half of the respondents showed fear of this virus in their practices. Conclusion: Dental practitioners of Multan revealed good knowledge regarding COVID-19. However, some key points were lacking in their knowledge and practice. Our findings have important implications for developing strategies that will improve the knowledge and practices of dentists in this region and also in whole country. Keywords: COVID-19, Coronavirus, Knowledge, Awareness, Dentists, Multan.


2021 ◽  
Vol 0 ◽  
pp. 1-8
Author(s):  
Al-Amin Abubakar Sadiq ◽  
Shmaila Mustafa Hanif ◽  
Daha Garba Muhammad

Objectives: To determine the level of knowledge, attitude and practice with the barriers causing non adherence to lifestyle modification (LSM). Materials and Methods: This is a cross-sectional study; purposive sampling technique was used to recruit 140 individuals having diabetes mellitus from diabetic clinic of Murtala Muhammad Specialist Hospital, Kano. Data were collected using the Michigan Diabetes Research Training Centre Questionnaire and the ‘Barriers to Being Active Quiz’ which assessed knowledge, attitude, practice and barriers of lifestyle modification. Descriptive statistics of mean, frequency and percentage were used to summarize participant/study characteristics; Chi square was used to assess the association among knowledge, attitude, practice and barriers to LSM as well as the association between knowledge, attitude, practice, barriers and demographic variables of participants. Results: Majority were Female 76 (54.3%) within the age range of 40-59 years 83 (59.3%) and mostly obese 98 (70%). Majority have good knowledge, positive attitude and good practice. Lack of will and time were the main important barriers of exercise. Conclusion: It can be concluded that there was a good knowledge, attitude and practice of LSM among individuals having diabetes mellitus.


Author(s):  
Oluwalana Timothy Oyekale ◽  
Samsudeen Adeniran Adegbile ◽  
Oluwatosin Bola Ojo ◽  
Damilola Esther Oguntunmbi ◽  
Oluwatoyin Ige Oyekale

Background: The most common means of transmission of Healthcare-Associated Infections (HAIs) is the contaminated hand of Healthcare Workers (HCWs), proper handwashing by HCWs is the best method of halting this transmission, however, there is poor adherence to the practice of the simple handwashing procedure in many health facilities. Aims: To assess the knowledge and practice of proper handwashing, to identify the factors impeding adherence to its good practice among HCWs and to identify the handwashing and hand drying facilities available to these HCWs. Study Design: This is a descriptive cross-sectional study. Place and Duration of Study: The study was carried out at Federal Teaching Hospital, Ido-Ekiti (FETHI), Southwestern Nigeria between July 2020 and December 2020. Methods: The study involved 328 randomly selected HCWs. Data was collected using pretested self administered questionnaires, entered into Microsoft Excel 2016 and analyzed by SPSS version 23. Results: Only 31.10% of respondents had good knowledge of handwashing while 80.18% had good practice of handwashing. Longer stay in service and being a doctor or nurse were associated with good knowledge and good practice of handwashing. Only 16.46% of respondents had previous training on handwashing within 3 years prior to this study. Previous training on handwashing was associated with good knowledge of handwashing (P=.001). Up to 68.60% of respondents used stored water and soap for handwashing. The most common hand drying facility reported in the study was common towel, no respondent ever used paper towel. The most common reason given for poor adherence to handwashing practices was the busy schedule. Conclusion: Hospital managers must prioritize the regular provision of handwashing and hand drying facilities for their centre, in addition to organizing regular hand hygiene training for HCWs, to improve their knowledge and practice of handwashing and thus reduce the rate of HAIs


Author(s):  
Khayal Muhammad ◽  
Muhammad Saqlain ◽  
Gul Muhammad ◽  
Ataullah Hamdard ◽  
Muhammad Naveed ◽  
...  

Abstract The coronavirus disease 2019 (COVID-19) is a global pandemic having no therapy and pharmacists being a part of the healthcare system had a vital role in the management of COVID-19. The purpose of this study is to assess the knowledge, attitude, and practices (KAPs) of community pharmacists (CPs) regarding COVID-19. An online survey was conducted among 393 CPs in two provinces of Pakistan during the lockdown period. A validated questionnaire (Cronbach alpha, 0.745) was used for data collection. All statistical analysis was analyzed by using SPSS version 21. Among 393 participants, 71.5% (n=281) had good knowledge, 44% (n=175) positive attitude and 57.3% (n=225) had good practice regarding COVID-19. Social media (45.29%, n=178) was reported as the main source to seek information of COVID-19. Good knowledge, age ≥ 26 years and Ph.D. degree level were the substantial determinants (p= <0.05) of a good attitude. Similarly, community pharmacist who had an experience of >5 years, hold a Ph.D. degree, good knowledge and good attitude had higher odds of good practice as compared to reference categories (p= <0.05). In short, majority of CPs had good knowledge, but had a poor attitude and practice towards the COVID-19. Standard-structured educational and counselling programs for CPs regarding COVID-19 are needed for effective management.


2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Bogale Kassahun Desta ◽  
Nega Tezera Assimamaw ◽  
Tesfaye Demeke Ashenafi

Introduction. In Ethiopia, it is the second cause for clinical presentation among under five-year child population. Objective. The main aim of this study was to assess knowledge, practice, and associated factors of home-based management of diarrhea among caregivers of children attending the under-five clinic. Methods. Institution based quantitative cross-sectional study was carried out from March 1, 2016, to April 22, 2016. Results. Two hundred eight (56.2%) of them had good knowledge and one hundred thirty-nine (37.6%) of them had the good practice of home management of diarrhea, specifically, primary education (AOR: 5.384, 95% CI: 2.008, 14.438), secondary and above education (AOR: 11.769, 95% CI: 3.527, 39.275), daily laborer (AOR: 0.208, 95% CI: 0.054, 0.810), and no information about diarrhea (AOR: 0.139, 95% CI: 0.054, 0.354). Moreover, age range of 25–35 (AOR: 4.091, 95% CI: 1.741, 9.616) and 36–45 (AOR: 3.639, 95% CI: 1.155, 11.460), being single (AOR: 0.111, 95% CI: 0.013, 0.938), being divorced (AOR: 0.120, 95% CI: 0.024, 0.598), illiteracy (AOR: 0.052, 95% CI: 0.017, 0.518), primary education (AOR: 0.143, CI: 0.046, 0.440), and no information about diarrhea (AOR: 0.197, 95% CI: 0.057, 0.685) were significantly associated variables with the outcome variables in multivariate regression. Conclusion. Caregivers had slightly adequate knowledge but poor practice.


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