Effect of Using Mobile Phone Communication on Morbidity and Health Seeking Behavior of Type 2 Diabetes Mellitus Patients at Kitui County Referral Hospital, Kenya

Theuri Alice Wairimu, Makokha O Anselimo, K. Florence
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引用次数: 2

Abstract

There is an increasing prevalence of Type 2 Diabetes Mellitus (T2DM) in Kenya. This is despite the implementations of various interventions to prevent and manage the condition. Despite increasing use of mobile phone communication in Kenya, this technology has not been utilized in management of T2DM, though it has been applied in other countries. The objective of this study was to determine the effect of using mobile phone communication on the morbidity and health seeking behavior of T2DM patients. The study was conducted among 138 patients attending the diabetes clinic at Kitui County Referral Hospital. A pretested questionnaire was used to collect data on socio economic characteristics, morbidity status and health seeking behavior at the baseline and after mobile phone based intervention. There was a greater decline in morbidity in the experimental group (35.8% to 22.4%) compared to the control group (31% to 29.6%). The difference between groups was significant (OR=0.48; 95% CI= 0.27-0.85), p<0.05). The proportion of respondents with controlled blood pressure (BP) increased in experimental group (44.8% to 49.3%) compared to a reduction in the control group (53.5% to 47.9%). The effect of the intervention was significant (p<0.05). Self-monitoring of blood glucose (SMBG) increased from 32.8% to 41.8% in experimental group while it reduced from 39.4% to 31% in control group. The effect of the intervention was statistically significant (p<0.05). This study concludes that use of mobile phone communication led to significant decrease in morbidity prevalence and an increase in the proportion of T2DM patients that carried out self-monitoring of blood glucose in T2DM patients while it did not have a significant effect on glycemic control, diabetes clinic attendance and monitoring of feet health.
手机使用对肯尼亚基图伊县转诊医院2型糖尿病患者发病率及就诊行为的影响
在肯尼亚,2型糖尿病(T2DM)的患病率正在上升。尽管实施了各种干预措施来预防和管理这种情况。尽管肯尼亚越来越多地使用移动电话通信,但这项技术尚未用于T2DM的管理,尽管它已在其他国家得到应用。本研究的目的是确定使用手机通讯对2型糖尿病患者发病率和就诊行为的影响。这项研究是在基图伊县转诊医院糖尿病门诊就诊的138名患者中进行的。采用预测问卷收集社会经济特征、发病率状况和就诊行为在基线和基于移动电话的干预后的数据。与对照组(31%至29.6%)相比,实验组(35.8%至22.4%)的发病率下降幅度更大。组间差异有统计学意义(OR=0.48;95% CI= 0.27-0.85), p<0.05)。与对照组(53.5%至47.9%)相比,实验组血压(BP)得到控制的受访者比例有所增加(44.8%至49.3%)。干预效果显著(p<0.05)。试验组自我监测血糖(SMBG)由32.8%上升至41.8%,对照组由39.4%下降至31%。干预效果有统计学意义(p<0.05)。本研究的结论是,手机通讯的使用使T2DM患者的发病率显著降低,进行自我血糖监测的T2DM患者比例显著增加,而对血糖控制、糖尿病门诊就诊和足部健康监测没有显著影响。
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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