Assessment of the awareness of patients with type 2 diabetes of their disease: A multi-center cross-sectional study in Lebanon (original) (raw)
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Knowledge and practice of patients with diabetes mellitus in Lebanon: a cross-sectional study
BMC Public Health
Background: The objective of this study was to assess the knowledge and practice of Lebanese patients living with diabetes mellitus in regards to their diabetes self-management. Methods: A cross-sectional study, conducted between January and June 2015, enrolled 207 urban adult patients with diabetes mellitus from community pharmacies while purchasing their diabetes medications. Their knowledge and self-management practices were assessed using a structured anonymous interview survey questionnaire. Results: The mean age of the participants was 60.2 ± 15.5 years, and the Male/Female ratio was 1.38. The mean knowledge score was 2.34 ± 0.88 points (out of 6). Very few participants (17.4%) knew their current medication side effects. The mean practice score was 5.86 ± 1.77 points (out of 8). Only 15.9% of patients reported current physical activity. A multiple linear analysis showed that those with a university degree had a significantly higher knowledge (Beta = 0.448, p = 0.001) and practice score (Beta = 0.523 p = 0.047) than those with intermediate or primary schooling. Those who reported following a special diabetes diet had a higher knowledge score (Beta = 0.482, p < 0.001) than those who did not. Knowledge score and practice score were highly correlated (Beta = 0.844, p < 0.001). There was no significant differential by gender and age for knowledge and practice scores. Conclusions: The knowledge and practice scores of patients with diabetes mellitus were not satisfactory. Well-targeted interventions are needed, such as improving the communication between the pharmacist and people living with diabetes. The observed low adherence to physical exercise among patients with diabetes should also be addressed.
wjpr, 2018
Background: Diabetes Mellitus (DM) is a chronic metabolic disorder that characterized by long-term hyperglycemia which lead to different complications. Diabetes Mellitus Type I is an autoimmune disorder characterized by destroying of insulin-producing pancreatic β cells. One of the most prescribed medications in the hospital is insulin, which can be a harmful medication if not used appropriately. There were 3.4 million cases of Diabetes in Saudi Arabia in 2015, in which 109.5 per 100,000 were diagnosed as Type I Diabetes Mellitus. Objective: to assess Type I Diabetic patient's awareness about Diabetes Mellitus disease and the insulin utilization. Method: A cross section study was conducted among 65 diabetic patients from 19 Jan 2016 to 5 May 2016. The questionnaire design based on the recent literature and updated American Diabetes Association (ADA) guidelines 2016. It consisted of 48 questions and distributed using different social media programs, also to community pharmacies or as oral interview in Eastern Region of Saudi Arabia. Results: Total of 65 patients filled the questionnaire, the majority were males 46 (75.38%) aged between 25 to 34 years 16 (24. 61%). The percentage of their awareness about the proper use of insulin and its common side effects was (71.06%) which indicated a high level of their awareness and (76.92%) aware about hypoglycemia symptoms and its treatment but they were unaware of the hyperglycemia symptoms and its treatment (20%). In addition, they were moderately aware about the blood glucose monitoring parameters (36.92%) and only (36.69%) of them aware about their recommended diet .There were only (29.74%) aware about the type and duration of exercise. Also, they were a moderately aware about diabetes mellitus disease
Background:- Several challenges in diabetes management need to be tackled in Saudi Arabia, including the growing prevalence, particularly among children and young adults, micro-and macrovascular complications, lifestyle changes, late diagnosis, poor awareness and high treatment costs. Objectives: To assess the level of awareness on diabetes, its complications and medications among diabetic patients in Taif City. Subjects and methods:- This is a cross-sectional study carried out among a convenient sample of 100 diabetic patients of both genders and aged over 30 years attended diabetic clinics, King Faisal Hospital in Taif City. Data were collected using a valid questionnaire contained question about socio-demographic characteristics of the patients, questions on patient’s diabetic characteristics and 15 questions inquing about patients` knowledge regarding diabetes.In addition last level of HbA1c has been obtained from patients` medical files. Results:- One hundred patients with type 2 diabetes were recruited for the study. Forty percent of them were in the age group of ?60 years. Half of them were females. Insufficient knowledge regarding diabetes was reported among 61% of the diabetics. However, among those treated with insulin, 93.1% stored it in the fridge and 41.4% reported changeable sites for insulin injection as shown in figure 2. Majority of diabetic patients were aware about diabetes risk factors (95%). On the other hand, only 9% of patients were aware of the diabetic complications and almost one third of them were aware of the normal level of blood glucose (31%), normal level of blood glucose during fasting (35%) and two hours after meal (38%). University graduated patients were more significantly had higher sufficient knowledge of diabetes than illiterates (62.9% versus 20.6%), p=0.013. Working patients were more knowledgeable than not working patients (61.9% versus 24.4%), p=0.011. Duration of diabetes was a significant predictor for having sufficient awareness and knowledge about the disease as 47.9% of those whose duration of diabetes exceeded 10 years compared to none of those with less than two years of diabetes had sufficient knowledge about the disease, p=0.047. Controlled diabetic patients (HBA1c% 6.5-7) had higher sufficient knowledge about diabetes compared to those whose HBA1c exceeded 10% (71.4% versus 40%). The difference was statistically significant, p=0.041. Conclusion:- Diabetic patients in Taifhave enough knowledge of the risk factors and symptoms of diabetes. However, they are not very well aware of thediabetes associated secondary complications.
The Egyptian Journal of Hospital Medicine, 2018
Background: According to World Health Organization (WHO) in 2012, an estimated 1.5 million deaths were a direct outcome to diabetes and another 2.2 million deaths were attributively related to high blood glucose in a global population. As a consequence, researches confirmed that diabetics have a shorter life expectancy than non-diabetic individuals and this extravagant mortality is predominantly due to diabetic complications. Methods: We have conducted a descriptive cross-sectional study on Makkah Region population, Saudi Arabia. All Saudi patients diagnosed with DM, regardless the type, and living in Makkah regions were included in this study. The total sample obtained was 299 patients. A self-administered questionnaire, about knowledge of diabetes mellitus complications, was filled by participants. Results: Participants were classified into five categories according to age. Male and female groups percent was (39.1%) and (60.9%) respectively. Nearly two thirds of participants have the disease for more than five years (63.2%), and nearly two thirds were compliant to their medications (62.5%). Three quarters of participants (76.9%) had positive family history of diabetes mellitus. (26.1%) of participants had only one family member with diabetes mellitus, (16.7%) had two members, and (14.7%) had five members or more with diabetes mellitus.Conclusion: To develop effective patient education and improve patients' diabetic control and own complications, educational strategies are needed so as they may help diabetic patients to improve selfknowledge and recognition of early signs and symptoms of DM complications, and this will prevent further deterioration, which will improve life quality and increase life expectancy for those patients.
Knowledge and Awareness of Diabetes in Diabetic Patients: A Cross-Sectional Study
https://ijshr.com/IJSHR\_Vol.5\_Issue.4\_Oct2020/IJSHR\_Abstract.0028.html, 2020
Aim: To check for Knowledge and Awareness of Diabetes amongst Diabetic Patients. Background: Diabetes mellitus is a common chronic disease with increasing prevalence worldwide; it leads to devastating human, social and economic impact. Poor patient knowledge of recommended diabetic self-care practices is a major barrier toward attainment of good glycemic control and prevention of diabetic complications. Methodology: A Study was performed in 66 diabetic patients age 18 or above years both male and female. A structured questionnaire "Diabetes Knowledge Questionnaire" was filled by Diabetic patients and submitted questionnaire on Google form. Results: The results showed that there is a statistically significant difference in knowledge on diabetes among different age groups, but there is no significant difference in knowledge among different gender and education level. Out of 66 respondents, (53.3%) knew that diabetes is actually a condition characterized by raised blood sugar. (46.7%) are unaware of cause of diabetes. (40%) were aware of hereditary significance of diabetes. (60%) of participants responded that diabetes can be cured. Age and education level of respondents were found to be predominant predictive factors on diabetes knowledge, whereas the gender of respondents did not affect findings of this study. Low level of knowledge of diabetes was a predictor of poor glycemic control but not medication adherence. Conclusion: Knowledge and awareness of diabetes in patients having diabetes is found low. Future studies should explore low-cost health education interventions feasible in Indian health care context for improving patient knowledge of diabetes. Better knowledge of diabetes can improve glycemic control and treatment satisfaction in patients.
Science Journal of Public Health, 2015
Following fast increase in the incidence of type 2 diabetes among Iranians, diabetes self-care activities are important. This cross-sectional study was carried out to evaluate the knowledge, attitude and practices regarding diabetes among 100 Iranian type 2 diabetics (61 female, 39 male) aged between 37 to 66 years, attending the out-patient Diabetes Clinic at Golestan Hospital, Ahvaz, Iran. A face-to-face interview was done and a validated knowledge, attitude and practice (KAP) questionnaire was used to determine knowledge, attitude and practices of diabetes patients. The mean duration of diabetes among patients was 4.05 ± 1.4 years. Fifty three percent of patients had good glycemic control (HbA1c level (=<7%)). The results showed that attitude related to diabetes was acceptable in the majority; while knowledge and self-care practices were insufficient. The overall mean (± SD) score of the knowledge, attitude and practice of patients based on KAP questionnaire was in medium level (17.37± 2.23) in which total maximum possible score was 29. KAP score was low for 9 % of patients. There was significant association between low level of education (primary) or not having formal education with poor KAP score about diabetes compare to higher level of education [illiterate: OR=2.6, 95% CI= (0.23-30.80), primary: OR=0.23, 95% CI= (0.43-1.27), P<0.05]. While there was no significant association between the KAP scores and HbA1c level. As the consequence of low awareness of diabetes among patients affects their ability of self-care management and lead to negative impact on outcome of diabetes. Patients need to be educated on how to prevent diabetes complications. Health care providers should promote self-care activities in the process of diabetes education.
Zenodo (CERN European Organization for Nuclear Research), 2023
Type 2 diabetes mellitus is a common health problem in Saudi Arabia. Awareness of patients about the disease, its complications, preventive measures, and management modalities will play a vital role in its better control and avoidance of hazardous complications. The objective was to assess type 2 diabetic patients` awareness of DM, its complications, preventive measures, and treatment modalities. A cross-sectional study was conducted among a sample of adult type 2 diabetic patients attending the chronic diseases clinic at Alwazarat primary healthcare center in Riyadh City, Saudi Arabia. Data were collected by interviewing patients using a valid questionnaire consisting of four main sections: socio-demographic characteristics of patients, diabetes-related characteristics, awareness about diabetic complications, and knowledge about different aspects of diabetes. The study included 252 type 2 diabetic patients. The age of 29.4% of them ranged between 50 and 59 years and males represented 58.7% of the patients. The majority of patients (92.5%) were aware of the development of diabetic complications in case of uncontrolled blood sugar levels. Among those patients, the most reported source of information was diabetologists (54.1%). The overall level of diabetic patients` knowledge about diabetes mellitus, its complications, and prevention and management modalities was good among 21% of patients whereas, it was poor among 31% of them. Patients aged between 30 and 49 years, females, housewives, university graduated patients (p<0.001) and married patients (p=0.001) were more knowledgeable about diabetes compared to their peers. Additionally, patients with a longer duration of diabetes (>5 years) (p=0.001), patients who reported nonadherence to anti-diabetic medications (p<0.001), those with a family history of diabetes (p<0.001), those having their information from diabetologists (p<0.001), and reported previous clinical examination for diabetic complications (p<0.001) were more knowledgeable about diabetes than their counterparts. The majority of type 2 diabetic patients were aware of the development of diabetic complications in case of uncontrolled blood sugar levels. However, the overall level of diabetic patients` knowledge about diabetes mellitus, its complications, prevention and management modalities was good among almost fifth of patients.
ASSESSMENT OF KNOWLEDGE, ATTITUDE AND PRACTICE TOWARD DIABETIC PATIENTS IN RIYADH CITY, 2016
Background: Diabetes mellitus (DM) is a global public health problem. he prevalence of diabetes mellitus is increasing and the number of persons with the disease will double by 2025. The management of diabetes mellitus (DM) largely depends on patients\' ability to self-care in their daily lives, and therefore, patient education is always considered an essential element of DM management. Studies have consistently shown that improved glycemic control reduces the rate of complications and evidence suggests that patients, who are knowledgeable about DM self-care, have better long term glycemic control. Objectives: To assess the level of awareness, Attitude And Practice toward diabetes in Riyadh city to identify barriers. Methods: A cross sectional analytical questionnaire based study among the general population in Riyadh city. This study (2016) was carried out among a sample of 461 subjects. The mean age of citizens was 28,82. To assess citizens? demographic factors and beliefs about diabetes consenting citizens completed an anonymous online questionnaire. The data was entered and analyzed using SPSS version 20. Results: The sample is consisted of 65,8% women and 34,2% men. Among the respondents 7,7% reported suffering from diabetes and 13,6% confirmed having a history of diabetes illness in their family. The results of the study showed that 153 (34,8%) subjects had weak knowledge related to the disease, 260 (59,1%) subjects had average level of knowledge while only 27 (6,1%) subjects had good knowledge regarding diabetes. There was a statistical significant association between gender, educational level and the level of awareness about diabetes. Conclusion: diabetes is a chronic disease that is potentially controllable but that cannot be cured. Education still be important overall the treatment of the patients.
International Journal of Endocrinology
Background and objectives. Lack of knowledge and awareness about the disease is generally associated with wicked health outcomes. Diabetes is a chronic endocrine disease, affecting people of both genders and across all age groups, and is currently considered a major public health challenge globally. This study aims to assess the public’s knowledge, awareness, and associated demographic factors among general community. Methods. A cross-sectional study was carried out for over 4 months from May to August 2020 using a self-administered, anonymous online questionnaire. All adults of both genders were invited to participate in the study. Individuals who are able to read and understand the English language were included in the study. Data were descriptively analyzed using a statistical package for social science version 26 (SPSS). Results. A total of 427 subjects responded to the questionnaires. More than half of them were male 253 (59.3%), while 174 (40.7%) were female, approximately 49%...
Knowledge, Attitude and Practices of Diabetic Patients in the United Arab Emirates
PLoS ONE, 2013
Introduction: Diabetes self-management education is a cornerstone of diabetes care. However, many diabetics in the United Arab Emirates (UAE) lack sufficient knowledge about their disease due to illiteracy. Thus, before considering any possible intervention it was imperative to assess present knowledge, attitudes, and practices of patients towards the management of diabetes. Methods: A random sample of 575 DM patients was selected from diabetes outpatient's clinics of Tawam and Al-Ain hospitals in Al-Ain city (UAE) during 2006-2007, and their knowledge attitude and practice assessed using a questionnaire modified from the Michigan Diabetes Research Training Center instrument. Results: Thirty-one percent of patients had poor knowledge of diabetes. Seventy-two had negative attitudes towards having the disease and 57% had HbA 1c levels reflecting poor glycemic control. Only seventeen percent reported having adequate blood sugar control, while 10% admitted non-compliance with their medications. Knowledge, practice and attitude scores were all statistically significantly positively, but rather weakly, associated, but none of these scores was significantly correlated with HbA 1c. Conclusions: The study showed low levels of diabetes awareness but positive attitudes towards the importance of DM care and satisfactory diabetes practices in the UAE. Programs to increase patients' awareness about DM are essential for all diabetics in the UAE in order to improve their understanding, compliance and management and, thereby, their ability to cope with the disease.