Awareness Assessment of Treatment Target Goals for Persons Living with Type 2 Diabetes Mellitus Accessing Care in a Tertiary Health Facility, Southeast Nigeria (original) (raw)
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Journal of Advances in Medicine and Medical Research
Background: Diabetes Mellitus has emerged as one of the most challenging public health problems in the 21st century, it is a serious public health problem that threatens the quality of life of patients which can lead to acute and chronic complications. This study, therefore, assessed knowledge and level of diabetes management compliance among clinic attendees at Jericho specialist hospital, Ibadan, Nigeria Methods: A descriptive cross-sectional study that employed a two-stage sampling technique was designed to fill this gap. The records revealed that the ratio of males to females was 1:3, the respondents were stratified by gender, so the proportion of females and males selected was based on the aforementioned ratios. Systematic random sampling was then used in selecting respondents who chose to participate in the study using the list of males and females in the hospital register who was at the clinic on the day of the interview as sampling frames. A pre-tested semi-structured quest...
International Journal of Diabetes and Clinical Research, 2021
Diabetes is one of the major causes of morbidity and premature mortality globally with over 371 million people worldwide and more than 80% of morbidity and mortality due to diabetes occurred in the low-and middle-income countries (LMICs) including Nigeria, which has the highest burden of diabetes in Africa. The high number of medical admissions and deaths (15% and 22%) due to diabetes complications in Nigeria reflect the poor quality of care. Therefore, this review aims to discuss the prevalence, contributing factors and management strategies (Self-Management Education) of type 2 diabetes (T2D) in Nigeria. The review was an informal, targeted literature review that utilised secondary data from global health, PubMed data bases, websites of international organisation and government ministries and books from the libraries and personal collections. The factors contributing to the prevalence of diabetes complications in Nigeria were identified and discoursed in this review. Effective and feasible strategies of Diabetes self-management education (DSME) identified to promote implementation in Nigeria include; community-based DSME, family-based DSME and health facility-based DSME. All the DSME strategies are required in Nigeria for effective diabetes care. This review successfully documented the prevalence, patient related factors contributing and management strategies (Self-Management Education) of T2D complications/outcomes in Nigeria and thus, combination of the above strategies is recommended for effectively addressing the needs of diabetes patients in Nigeria.
Journal of Diabetes Mellitus
Background/Purpose: Poor glycemic control in Nigeria necessitates assessment and standardization of diabetes care. This study aimed to assess realworld management of people with type 2 diabetes mellitus (T2DM) and type 1 diabetes mellitus (T1DM) in Nigeria. Methods: This cross-sectional phase of the seventh wave of International Diabetes Management Practices Study, conducted between 22 nd August and 30 th September 2016, included adults with T1DM or T2DM during a two-week recruitment period. Results: Of 304 people with T2DM, 187 received oral glucose lowering drugs (OGLDs) only; 88 received OGLDs + insulin; 27 received insulin only. Metformin + sulfonylureas (128/187; 68.45%) and premix only (76/115; 66.09%) were the most used OGLD and insulin regimens respectively. Of 77 people with TIDM, all received insulin; six (7.79%) received OGLDs. Insulin initiation was noted around five years after diabetes diagnosis in T2DM (diabetes duration: 8.69 + 7.16 years; duration of insulin treatment: 3.17 ± 4.49 years).
2020
Introduction: Type 2 Diabetes Mellitus (T2DM) is often a preventable type of Diabetes Mellitus (DM). However, if developed, can be managed effectively, even at a low-or-no cost. A critical evaluation of the literature on T2DM management in Nigeria reveals sparse evidence-base surrounding external and internal context-specific factors influencing T2DM management in public hospitals across Nigeria. Identification of these factors is crucial to health policy, research, and patient management. This review provides holistic evidence about the influencing factors in public hospitals across Nigeria. Methods: We synthesised quantitative studies on T2DM management, published between 2006 and 2016 in Nigerian public hospitals. Searches of PsycINFO, EMBASE, and Google Scholar databases were undertaken, alongside the African Journals Online (AJOL) and the Cochrane Library resources. The websites of the World Health Organisation African Region (WHO, AFR) and International Diabetes Federation Afr...
BMC Public Health
Background Type 2 diabetes (T2D) is becoming an epidemic with significant disability and premature death in Sub-Saharan Africa, including Benin. However, little is known about the level of knowledge, attitude, and practice (KAP) necessary for diabetic patients to enhance therapeutic outcomes and prevent diabetes complications. The study aimed to assess patients’ KAP levels and identify the factors associated in Cotonou, southern Benin. Methods A cross-sectional study was conducted from July to August 2019 among 300 diabetic patients from four health centers. Data was collected using validated questionnaires. KAP levels were determined by calculating the scores, and multivariate logistic regression was used to explore factors influencing KAP scores. Results About 53, 52, and 47% of all patients had good knowledge, attitude, and practice towards diabetes. In logistic regression, factors such as being female, married, educated, government/non-government employee, and longer duration of...
Nigerian Journal of Clinical Practice, 2016
Introduction: Diabetes affects 347 million people worldwide; more than 80% of the affected live in low-or middle-income countries. Patients' beliefs about their medical conditions are important in helping physician focus on beliefs that needed to be changed or reinforced. The overall aim of this study was to improve the standard of care of patients with diabetes. Methods: The study designed was a cross-sectional survey; adults with diabetes attending diabetic clinic of LASUTH took part in the survey. Participants were asked to fill a structured questionnaire which was used to assess clinical patterns, beliefs, and practice about diabetes. Results: One hundred and fifty patients with diabetes took part in the study. This study showed that more females presented with diabetes compared with males, type 2 diabetes is commonerthan type 1 and there is a highassociation of the disease with hypertension or being overweight. More than half of the participants do not know the cause of diabetes, 13% believed that disease is curable, and 30% admitted to use alternative medications in addition to the anti-diabetic medications prescribed by the physicians. Conclusion: Knowing patients' beliefs and knowledge about diabetes is important to impart overall care for them. Health education about a disease should be planned to address beliefs and knowledge of patients about their medical condition to address misinformation and misconceptions about their disease conditions.
Objectives The aim of this study was to determine the health status of type 2 diabetes patients in a Nigerian ter-tiary hospital, and examine the sociodemographic and clinical variables that predicted the health status of type 2 diabetes patients in terms of utility valuations and EuroQol Visual Analogue Scale (EQ-VAS) score. Methods This was a cross-sectional study of 147 diabetes patients attending the University of Nigeria Teaching Hospital, Enugu State, Nigeria. The EQ-5D-5L instrument, version 2.1, was used to evaluate patients' self-reported health status, and patients who gave informed consent completed the questionnaire while waiting to see a doctor. Descriptive and multiple linear regression analyses were performed using SPSS version 20. Results Overall, 147 patients participated in this study, with a mean age (± standard deviation) of 56.7 years (± 10.33). Over half of the respondents were females (55.1%) and more than half were older than 60 years of age. The mean EQ-VAS and utility valuations of respondents were 72.59 ± 10.51 and 0.72 ± 0.13, respectively. The age of respondents independently and significantly predicted EQ-VAS by-2.659 per year, while the age of respondents, level of education , duration of diabetes, and presence of other illnesses independently and significantly predicted utility valuations by-0.020 per year, ?0.029 per level of education,-0.008 per year, and-0.044 per illness, respectively. Less than 39% of patients experienced no problems for each of the dimensions , except self-care (68%). Conclusion The results of this study revealed a relatively low health status among type 2 diabetic patients in Nigeria. Old age, duration of diabetes and the presence of other illnesses were major contributors to the negative impact on health status, while a higher level of education contributed positively to health status. Adequate family support, as well as regular and effective patient counseling and education, may be worthwhile.
2014
Background: The management of diabetes with medicine(s) and diet is very paramount in patient's care to reduce risk of mortality and morbidity. Objectives: to evaluate management of diabetes mellitus in the secondary healthcare facility and their clinical outcome over a period of 12 calendar months. Methods: The study adopted retrospective study design which involved extraction of data from case files of diabetes patients using a designed data form. Open-ended, Affirmation, Reflective listening and Summaries (OARS) method was used to obtain information missing in the case notes of the patients. Fifty two diabetes patients that met the study criteria were enrolled in the study. Data analysis was by descriptive and inferential statistics. Results: Metformin plus sulphonylureas were the most common oral hypoglycemic agent combination (86.5%) prescribed. Lipid lowering medicines was prescribed for 32.70%. Prescription of the medicines in brand names was common. None of the patient r...
Nigerian Journal of Medicine, 2019
Background: It is postulated that increased knowledge of patients about diabetes as well as a positive attitude will lead to improved glycaemic control and better outcome. The aim of this study was to determine the knowledge and attitude of diabetic patients in a tertiary hospital in Enugu and the relationship with their glycaemic control.Methods: A cross-sectional study was done using a structured questionnaire to obtain socio-demographic data and assess knowledge and attitude to diabetes on consecutive patients attending the outpatient clinic in a tertiary hospital. Responses were scored with equal weighting. The fasting blood glucose of the patients was measured and recorded.Result: There were 51(60.7%) females and 33 (39.3%) males, with majority (63.1%) in the age range 41 -64 years and 32(38.1%) had only primary education. The mean knowledge score was 6.19 ± 2.08 and 33(39.3%) demonstrated good knowledge. Knowledge did not differ between males and females (p=0.34), but was high...
Annals of African Medicine, 2021
Type 2 diabetes mellitus (T2DM) is a global health problem with high morbidity and mortality in patients who are mostly still economically active. The growing incidence and health implications for those affected make T2DM a major public health issue. Objectives: To compile a demographic, anthropometric and knowledge, attitude and practices (KAP) profile of adult patients with T2DM in the public health sector of the Free State province, South Africa. Design: A descriptive observational study was conducted. Setting: A total of 255 participants attending public health facilities in the Free State were interviewed. Outcome Measures: Questionnaires were completed in an interview to determine demographics and KAP. Anthropometric measurements were obtained by standard techniques. Results: The majority of the participants (n = 222; 87.1%) were black women from urban areas, who were overweight and obese. The median age at diagnosis was 48 years (range 15-80 years), and 25 participants (9.8%) lacked formal schooling. In 212 participants (83.1%), a waist circumference above cutoff points was observed. Only half of the participants knew the normal range for blood glucose. Approximately 80% felt that they would be a different person if they did not have diabetes. Although 96.1% of participants were knowledgeable about the benefits of physical exercise, only 31.0% reported exercising on a daily basis. A statistically significant association was found between knowledge and attitudes, indicating that better knowledge about diabetes could be associated with a more positive attitude towards diabetes. Conclusion: Poor knowledge, a negative attitude and poor practices related to diabetes were observed in a very high percentage of participants, which may contribute to morbidity and mortality. The fact that knowledge was associated with attitude indicates that interventions aimed at improving knowledge could benefit patients in more than one way. Interventions to equip patients to successfully manage their condition are urgently required.