Knowledge, Attitude and Practice Among Type II Diabetic Patients in Ambo University Referral Hospital, Oromia, Ethiopia

Agama Daba, Tamiru Yazew
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Abstract

Background: Diabetes is a chronic illness significantly affecting health of population throughout the world. In Africa, about 19.8 million adults are affected by diabetes and of these, more than 50% are from Nigeria, South Africa, Ethiopia and Tanzania. Knowledge is the greatest weapon in the fight against diabetes mellitus (DM). Self-management of patients with type two DM largely depends on the knowledge, attitude and practices of such people regarding the condition. Objective : The main objective of this study was to assess knowledge, attitude and practices of type II diabetes (T2DM) patients attending Ambo University referral hospital, Oromia, Ethiopia. Method : An institutional based cross sectional study was conducted among randomly selected 248 T2DM patients aged ≥30 years old from Ambo University Referral Hospital. Data regarding KAP of diabetic patients were collected using interview techniques. In addition, anthropometric data (body mass index and waist hip ratio) of the participants were collected and assessed. The tool for data collection contains socio demographic characteristics and medical factors. Descriptive statistics was used to set the KAP level among the respondents while logistic regression model was applied to test the association of KAP with various independent variables. Results: The mean of age among the respondents was 44(±7.2) years. Of 248 respondents, 105 (42.3%) were from rural. Among the total 248 respondents, about 111(44.8%), 117(47.2%) and 121(48.8%) were differentiated as not knowledgeable, having poor attitude and poor practice towards diabetes mellitus, respectively. Age, place of residence, level of education, average monthly income, history of diabetes and duration of living with DM were identified as factors affecting KAP towards diabetes. Both sex and occupational status were also factors affecting the knowledge level of T2DM patients, but not attitude and practice. Furthermore, knowledge level was affecting booth attitude and practice level of participants in the study area. Conclusion and Recommendation: This study found that there was a gap in knowledge, attitude and practice towards diabetes among T2DM patients in the study area. Therefore, a structured nutrition and health education should be given for T2DM patients through community based behavioral change communication to assist and improve the level of KAP towards DM in the study area. Keywords: Type 2 diabetes mellitus, Knowledge, Attitude, Practice, Adults DOI: 10.7176/JMPB/66-01 Publication date: June 30th 2020
埃塞俄比亚奥罗米亚安博大学转诊医院II型糖尿病患者的知识、态度和行为
背景:糖尿病是一种严重影响全球人口健康的慢性疾病。在非洲,约有1980万成年人患有糖尿病,其中50%以上来自尼日利亚、南非、埃塞俄比亚和坦桑尼亚。知识是对抗糖尿病最有力的武器。2型糖尿病患者的自我管理在很大程度上取决于这些人对病情的认识、态度和实践。目的:本研究的主要目的是评估在埃塞俄比亚奥罗米亚Ambo大学转诊医院就诊的2型糖尿病(T2DM)患者的知识、态度和行为。方法:在安博大学转诊医院随机选取248例年龄≥30岁的T2DM患者进行横断面研究。采用访谈法收集糖尿病患者的KAP数据。此外,收集和评估参与者的人体测量数据(身体质量指数和腰臀比)。数据收集工具包含社会人口特征和医学因素。采用描述性统计设置被调查者的KAP水平,采用logistic回归模型检验KAP与各自变量的相关性。结果:调查对象平均年龄44(±7.2)岁。248名受访者中,农村105人(42.3%)。在248名受访者中,分别有约111人(44.8%)、117人(47.2%)和121人(48.8%)被划分为对糖尿病不了解、态度差和行为差。年龄、居住地、受教育程度、平均月收入、糖尿病史和糖尿病患者生活时间是影响糖尿病KAP的因素。性别和职业状况也是影响T2DM患者知识水平的因素,但态度和行为不受影响。此外,知识水平对研究区域参与者的展台态度和实践水平有影响。结论与建议:本研究发现研究区T2DM患者对糖尿病的认识、态度和行为存在差距。因此,应通过以社区为基础的行为改变交流,对T2DM患者进行结构化的营养健康教育,以帮助和提高研究地区对DM的KAP水平。关键词:2型糖尿病,知识,态度,实践,成人DOI: 10.7176/JMPB/66-01出版日期:2020年6月30日
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