scholarly journals KNOWLEDGE AND SELF-CARE PRACTICES AMONG DIABETIC PATIENTS-A CASE STUDY OF THIKA LEVEL 5 HOSPITAL, KENYA

2020 ◽  
Vol 5 (5) ◽  
pp. 25
Author(s):  
Eunice Gathoni Wamucii ◽  
Beatrice Kiage ◽  
Florence Kyallo
Keyword(s):  
Employment Status ◽  
Self Care ◽  
Education Level ◽  
Diabetic Patients ◽  
Unique Contribution ◽  
Problem Solving Skills ◽  
Diabetic Clinic ◽  
Level Of Knowledge ◽  
The Mean ◽  
Care Practices

Purpose: The main aim of the study was to determine the level of self-care knowledge and practices among diabetic patients in Thika level 5 Hospital. Methodology: Cross-sectional study design was used in this study. The target population included patients living with diabetes seeking medical services at the diabetic clinic at Thika Level V hospital. Being the largest referral hospital that served patients form the entire Kiambu County, the hospital was purposely selected. Simple random sampling technique was used to select 190 respondents among patients visiting the diabetic clinic. Structured questionnaire that was interviewer administered was used to collect data. SPSS version 21 software was used for data analysis. Findings: The mean diabetes knowledge score was 7.7 out of a total of 14 and the mean self-care activities score was 7.6 out of a total of 14, indicating a deficit in a number of key areas in the knowledge and self-management of diabetes. There was statistical significant relationship between patient’s level of knowledge of diabetes self-care practices and age (χ2 (4, N=190) = 10.189, p = .037), education level, (χ2 (6, N=190) = 17.861, p = .007) and employment status, (χ2 (6, N=190) = 16.655, p = .011).Statistically significant association was also found between adherence to recommended diabetes self- care practices and age, χ2 (4, N=190) = 4.501,  p = .034, education level, χ2 (6, N=190) = 15.616,  p = .016, employment status, χ2 (1, N=190) = 3.830,  p = .005. Pearson correlation between knowledge of diabetes self-care practices and adherence to diabetes self-care practices was weak in strength and statistically significant r (188) =0.367, p=< 0.01. This implies that the three factors are significant determinants of the level of self-care knowledge and practices among diabetic patients in Thika level V hospital. Unique contribution to theory, practice and policy: The research demonstrated gaps in self-care knowledge and adherence to self-care practices. Moreover patient’s level of knowledge hardly translated to good self-care practices. It is hence important to integrate behavioral change theories into the diabetes educational interventions which may facilitate problem solving skills that will enhance the application of acquired knowledge among the diabetic patients. In addition, more research is warranted to explore patients’ perceptions and attitude towards the effectiveness of their self-care management so the diabetic education can be tailored according to patients’ needs.

scholarly journals A STUDY ON KNOWLEDGE, ATTITUDES, AND PRACTICES FOR THE PREVENTION OF DIABETIC FOOT IN RURAL TERTIARY CARE TEACHING HOSPITAL

2017 ◽  
Vol 9 (9) ◽  
pp. 138
Author(s):  
Gopal Teli ◽  
B. G. Ponnappa
Keyword(s):  
Diabetic Foot ◽  
Tertiary Care ◽  
Self Care ◽  
Research Centre ◽  
Care Practice ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
The Mean

Objective: To assess the knowledge, attitude, and practice of diabetic patients regarding care of their own feet.Methods: This is a cross-sectional study conducted in the inpatient department of surgery at Adichunchanagiri hospital and research centre, B. G. Nagara, Karnataka, India from 1st Nov. 2016 to 31st Dec. 2016. The relation between gender and knowledge, attitude and practices of people with diabetes patients were compared by using the Chi-square test at 95% confidence interval at p<0.05.Results: Out of 51 patients, 72.54% were male and 27.46% female and 45.1% of the patients were in the age range 61-80 y. The mean SD of the age was 60.49±14.02. The mean SD of body weight of the patient was 66.17±8.54. The majority of the patients 45.1% were farmers and 41.7% were illiterate. Most of them did not know the practice of correct foot hygiene (39.22%) and what abnormalities observe in their feet (66.67%). We found that 90.2% patients were engaged in foot self-care practice and more than half of them (54.1%) always inspected their footwear before using it. Interestingly, more women were involved in foot care (100%) as compared to men (86.46%) but statistically not significant (p=0.147).Conclusion: We found that patients were not having sufficient knowledge about the correct hygiene of the foot, what abnormalities to observe in their feet and about ideal footwear. Even though females were showing interest towards self-care examination and foot care practice, it is essential that all the diabetic patients must be educated about the knowledge, attitude and foot self-care practice to prevent diabetic foot related complications.

scholarly journals Assessment of Self-Care Practices among Type 2 Diabetic Patients in a Secondary Care Teaching Hospital

2020 ◽  
Vol 10 (3) ◽  
pp. 119-124
Author(s):  
Jeeba Chinnappan ◽  
Athira KP ◽  
Faheem Iqbal ◽  
Jasna V ◽  
Purnima Ashok ◽  
...  
Keyword(s):  
Economic Status ◽  
Self Care ◽  
The Self ◽  
Diabetic Patients ◽  
Foot Care ◽  
Type 2 Diabetic Patients ◽  
Socio Economic Status ◽  
Care Practices ◽  
Type 2 Diabetic

Background: Diabetes is one of the major health problems worldwide that can be effectively managed by good self-care activities like medication adherence, exercise, monitoring of blood glucose, foot care and diet. Objectives: The study assessed the self-care activities of diabetic patients using summary of diabetes self-care activities scale (SDSCA) and the variables (Age, gender, educational level, socioeconomic status (SES)) associated with it. Methods: A cross-sectional descriptive study was undertaken in 400 Type 2 diabetic patients. Self-care practices of the patients were evaluated by using SDSCA and correlation with variables were determined statistically. Results: Among 400 diabetic patients about 215 (53.75%) had an average score of self-care. Self-care was poor in 184 (46%) subjects, and only 1 subject (0.25%) scored good. Blood sugar monitoring was the highest (100%) followed by medication adherence (92.75%) whereas inadequate levels of self-care were reported in foot care (1.5%), and physical activity (31.5%) domains. A significant positive correlation was found between self-care practices and socio-demographic variables such as age (r=0.298, p=0.000), income (r=0.490, p=0.000) occupation (r=0.433, p=0.000), education (r=0.582, p=0.000), and Socio-Economic status (r=0.599, p=0.000). Conclusion: The study revealed higher level of adherence to self-care activities in terms of blood sugar monitoring and medication taking behaviour in the current setting, but self-care in other domains such as foot care is critically low. Age, education and Socio-Economic status seems to affect the self-care practice by the patients. Keywords:  Diabetes, Diabetes self- care, Diabetic foot care, Summary of diabetes self-care activities (SDSCA) score.

scholarly journals Diabetes Self-Care Practice, and Associated Factors Among Type 2 Diabetic Patients in Public Hospitals of Tigray Region, Ethiopia

2020 ◽  
Author(s):  
Medina Abdulkadir Wehabrebi ◽  
Goitom Molalign Takele ◽  
Hiyab Teklemichael Kidane ◽  
Kahsu Gebrekirstos Gebrekidan ◽  
Birhan Gebresillassie Gebregiorgis
Keyword(s):  
Type 2 Diabetes ◽  
Self Care ◽  
Public Hospitals ◽  
Care Practice ◽  
Diabetic Patients ◽  
Care Providers ◽  
Factors Associated ◽  
Tigray Region ◽  
Care Practices

Abstract Background: The prevalence of Type 2 diabetes is increasing steadily at an alarming rate and Ethiopia is placed fourth among the top five countries of the Africa region according to the International diabetes federation. Regardless of its burden, the self-care behaviors are still unknown. This study is aimed to determine the level of diabetes self-care practice and factors associated with among Type 2 diabetes mellitus patients in public hospitals of Tigray region.Methods: Institution-based, cross-sectional study was conducted in six selected hospitals of Tigray region from January to February, 2020. Data was collected by trained nurses with a face to face interview method using Summary Diabetes Self-Care Activities (SDSCA). Bivariate and multivariate logistic regression was used to identify factors associated with self-care practices. Statistical significance was declared at P-value < 0.05.Results: A total of 570 patients with type 2 diabetes were included in this study. The mean age of the participant was 46 ± 14.6 years. Less than half (46.7%) of the participants has good diabetes self-care practices. Urban residency (AOR=2.79, 95% CI 1.858-4.205), age group above 64 years (AOR=2.384, 95% CI 1.258-4.518), not having formal education (AOR=2.616, 95% CI 1.337-4.518), having family or social support (AOR=1.878, 95% CI 1.243-2.837), duration DM above 10 years (AOR=2.325, 95% CI 1.224-4.418), having personal glucometer at home (AOR=5.9, 95% CI 2.790-12.764) were determinant factors of good diabetes self-care practice. Conclusion: the diabetes self-care practices in the region was found to be low. Health care providers might have to consider actions to act on the identified factors and improve self-care practices of the patients. Especially, focusing on caring and giving follow up services to younger adults and DM patients coming from a rural areas.

scholarly journals Self- care practices and associated factors among adult diabetic patients in public hospitals of Dire Dawa administration, Eastern Ethiopia

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Asmare Getie ◽  
Biftu Geda ◽  
Tadesse Alemayhu ◽  
Agenehu Bante ◽  
Zeleke Aschalew ◽  
...  
Keyword(s):  
Associated Factors ◽  
Self Care ◽  
Public Hospitals ◽  
Diabetic Patients ◽  
Eastern Ethiopia ◽  
Dire Dawa ◽  
Care Practices

scholarly journals Association between knowledge and adherence to foot self-care practices performed by diabetics

2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Ilaíse Brilhante Batista ◽  
Lívia Maia Pascoal ◽  
Paula Vitória Costa Gontijo ◽  
Paula dos Santos Brito ◽  
Maysa Alves de Sousa ◽  
...  
Keyword(s):  
Self Care ◽  
Cross Sectional ◽  
Patients With Diabetes ◽  
Level Of Knowledge ◽  
Care Practices ◽  
Self Examination ◽  
Insufficient Knowledge ◽  
Basic Health Units ◽  
Structured Questionnaire

ABSTRACT Objectives: to verify the association between knowledge and adherence to foot self-care practices performed by patients with diabetes mellitus type 2. Methods: cross-sectional, descriptive study carried out with 197 patients in basic health units located in the Northeast region of Brazil. For data collection, we used a semi-structured questionnaire that addressed issues inherent to knowledge and Diabetes Self-Care Activities. Results: we observed that patients with moderate knowledge about self-care practices were more likely to perform foot self-examination, dry the interdigital spaces, moisturize their feet with creams and oils, observe the presence of mycosis and ingrown toenail when compared to patients with insufficient knowledge. Conclusions: the patients' level of knowledge was closely related to the self-care activities carried out, which reinforces the importance of nurses working on training those on essential health care.

scholarly journals Assessment of knowledge, attitude and practice of diabetic eye care among non-ophthalmic speciality doctors at a tertiary institute in India

2022 ◽  
Vol 7 (4) ◽  
pp. 676-680
Author(s):  
Sinchana Adyanthaya ◽  
Mahesh Babu
Keyword(s):  
Average Score ◽  
Diabetic Patients ◽  
Eye Care ◽  
Cross Sectional ◽  
Kap Survey ◽  
Diabetic Eye Disease ◽  
Level Of Knowledge ◽  
Care Practices ◽  
Knowledge And Attitude ◽  
Busy Schedule

Aim of this study was to assess the knowledge, attitude and practices (KAP) in eye care of diabetics by non-ophthalmic doctors of different specialization. The was a cross-sectional questionnaire based KAP survey among 108 non-ophthalmic diabetes mellitus treating faculties of various departments at our institute. The level of Knowledge was considered excellent if the overall average score was &#62; 75%, similarly questionnaire focusing on attitude was considered positive if the average score was &#62; 50% and excellent practice constituted an average score &#62; 75%. The findings will be noted in percentages with 95% confidence interval limit. Out of the 108 subjects, 75.57% {95%CI(61%-78%)} of participants had excellent knowledge, while &#62;87.6% {95%CI(73%-88%)} of participants had a positive attitude towards diabetic eye care, whereas there were glaring deficits in diabetic eye care practices accounting to only 45.5%{95%CI(32.8%-51.4%)} which was considered poor. Knowledge and attitude regarding diabetic eye care was excellent, there was glaring deficits in the practice of diabetic eye care by non-ophthalmic treating doctors. The deficit was probably due to busy schedule of some doctors, due to lack of uniform eye care protocols of diabetic patients, and lack of updated timely education of eye care practices among non-ophthalmic medical professionals. Hence based on the findings of our study we aim to train and educate our non-ophthalmic medical faculty regularly for adequate and better management of spectrum of diabetic eye disease.

scholarly journals TO ASSESS THE IMPACT OF PROPOSED TEACHING PROGRAMME ON POST-OPERATIVE SELF-CARE AMONG CATARACT PATIENTS

2021 ◽  
Vol 10 (3) ◽  
pp. 2997-3000
Author(s):  
Pratiksha Kamdi
Keyword(s):  
Self Care ◽  
Knowledge Score ◽  
Teaching Program ◽  
Maximum Score ◽  
Cataract Patient ◽  
Post Test ◽  
Minimum Score ◽  
Level Of Knowledge ◽  
The Mean ◽  
Cataract Patients

Cataract is a significant cause of preventable blindness and vision impairment worldwide and is expected to pose a growing obstacle to health care systems as the population ages worldwide due to increased life expectancies. The aim of the study is to assess the effectiveness of post-operative self-care among cataract patients. To assess the existing knowledge regarding post-operative self-care among cataract patients. To assess the effectiveness of a planned teaching program on post-operative self-care among cataract patients. To associate post knowledge score with demographic variables. The study was based on a descriptive evaluative research approach. The population was all post-operative cataract patients. The subject consisted of 60. Study shows that in pre-test 27(45%) of subjects are having poor level of knowledge score, 32(53.33%) were having an average level of knowledge score, 1(6.66%) were having good, were having an excellent level of knowledge 0(0%), knowledge regarding post-operative self-care among cataract patient. And the minimum score is 1, the maximum score is 9, the mean score is 5.07±1.755 and mean percentage is 31.6876%. In post-test 0(0%) of subjects are having poor level of knowledge score, 0(0%) were having an average level of knowledge score, 25(41.66%) were having good, were having an excellent level of knowledge 35(58.33%) knowledge regarding post-operative self-care among cataract patient. And the minimum score is 10, the maximum score is 15, the mean score is 12.87±1.321, and the mean percentage is 80.4375%. The shows that there is a significant difference between pre-test and post-test knowledge scores interpreting effective planned teaching on knowledge regarding post-operative self-care among cataract patients. The mean value of the pre-test is 5.07 and post-test is 12.87 and standard deviation values of the pre-test are 1.755 and the post-test is 1.321. The calculated t-value is 31.754 and the tabulated t- value is 2.02 and the p-value is 0.000. the study was concluded that a planned teaching program is an effective method to improve the knowledge among the patients.

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