Management of Type 2 Diabetes and Chronic Kidney Disease in Fiji in 2018: Knowledge, Attitude, and Practice of Patients.

Q3 Medicine

Review of Diabetic Studies Pub Date : 2019-01-01 Epub Date: 2019-05-19 DOI:10.1900/RDS.2019.15.26

Mohammed Alvis Zibran, Masoud Mohammadnezhad

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Abstract

Objective: The aim was to identify the level of knowledge, attitude, and practice (KAP) in patients with type 2 diabetes (T2D) and chronic kidney disease (CKD) at Sigatoka Subdivisional Hospital (SSH) in 2018 since no studies have been done on this issue so far in Fiji.

Methods: A quantitative, cross-sectional study including 225 patients was carried out July 1, 2018, through August 31, 2018, using a validated self-structured questionnaire. Fijians, aged 30 years or above, with confirmed T2D and CKD who were attending the Special Outpatient Department (SOPD) at SSH, were included in the study using a purposive sampling method to identify eligible participants. Data was gathered by a questionnaire that covered questions related to each aspect of KAP.

Results: The relation of native Fijians (i-Taukei) to Fijians of Indian descent (FID) was approximately 1:1. The majority of participants had high levels of knowledge, attitude, and practice (61.8%, 63.6%, and 88.4%, respectively). However, a few areas of low knowledge were evident, such as the relation between high blood pressure and renal status in people with diabetes and the need for renal transplant in end-stage kidney disease (ESKD) abroad. Low attitude was apparent for the impact and management of diabetic kidney disease (DKD). Low practice was evident regarding clinic attendance, self-monitoring, and opting for non-medical treatment.

Conclusions: The majority of T2D patients with CKD had a high level of knowledge, but weaknesses were observed in the self-management of CKD and clinic attendance. This information should be considered by clinicians and policy-makers to improve management and treatment of CKD in T2D.

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2018 年斐济 2 型糖尿病和慢性肾脏病的管理：患者的知识、态度和实践。

目的由于迄今为止斐济尚未对这一问题进行过研究，因此该研究旨在确定 2018 年锡加托卡分区医院（SSH）2 型糖尿病（T2D）和慢性肾脏病（CKD）患者的知识、态度和实践（KAP）水平：2018年7月1日至2018年8月31日，使用经过验证的自我结构式问卷，开展了一项包括225名患者在内的定量横断面研究。研究采用目的性抽样方法确定符合条件的斐济人，这些斐济人年龄在 30 岁或以上，确诊患有 T2D 和 CKD，并在 SSH 的特殊门诊部（SOPD）就诊。研究采用问卷调查的方式收集数据，问卷涵盖了与KAP各方面相关的问题：斐济本地人（i-Taukei）与印度裔斐济人（FID）的比例约为 1:1。大多数参与者的知识、态度和实践水平较高（分别为 61.8%、63.6% 和 88.4%）。但也有少数人的知识水平较低，如糖尿病患者的高血压与肾脏状况之间的关系，以及国外终末期肾病（ESKD）患者进行肾移植的必要性。在糖尿病肾病（DKD）的影响和管理方面，态度明显不足。在门诊就诊、自我监测和选择非药物治疗方面的实践明显不足：大多数患有慢性肾脏病的 T2D 患者具有较高的知识水平，但在慢性肾脏病的自我管理和就诊率方面存在不足。临床医生和政策制定者应考虑这些信息，以改善对 T2D 患者慢性肾脏病的管理和治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Review of Diabetic Studies Medicine-Internal Medicine

CiteScore

1.80

自引率

0.00%

发文量

期刊介绍： The Review of Diabetic Studies (RDS) is the society"s peer-reviewed journal published quarterly. The purpose of The RDS is to support and encourage research in biomedical diabetes-related science including areas such as endocrinology, immunology, epidemiology, genetics, cell-based research, developmental research, bioengineering and disease management.