Diabetes Self-Management Education and Practices among Type 2 Diabetic Patients
DOI:
https://doi.org/10.51985/JBUMDC2019140Abstract
Objective: To compare the knowledge and practices of diabetes self- care management among type 2 diabetic patients in
two hospitals of Karachi.
Study Design and Setting: A cross sectional study was carried out at two Tertiary Care Hospital of Karachi from March
2018 to August 2018.
Methodology: A total of 120 subjects of type 2 diabetes were included in the study. Data was collected through structured
questionnaire. Knowledge regarding diabetes includes normal blood sugar level, symptoms of low and high blood sugar
and management of these symptoms. Structured questionnaire was used to collect information of sociodemographic
characteristics, knowledge and attitude of diabetes and self-care management practices. Data was analyzed by SPSS version
21. P value less than 0.05 considered as significant
Results: Majority of the participants were females (55%) and males were (45%).The duration of diabetes in majority of
participants, (43.3%) was less than 5 years. From total 53.3% of our study participants were aware about the knowledge
of diabetic complications. Approximately ,59.6% participants thought visit to eye specialist is important and about 44.16%
thought that monthly visit to hospital for general health is important for diabetic patients. When asked about early signs
of development of complications 48.3% participants thought that development of foot ulcers ,83% thought diabetes was
strongly associated with obesity. Total, 76.6% participants thought that plan of meal is important. Total, 30.83% participants
were in agreement with this thought that diabetes was strongly associated with obesity.
Conclusion: The knowledge of self-care practices in diabetic patients was average in this study.
References
Powers, M., Bardsley, J., Cypress, M., Duker, P., Funnell,
M., Hess Fischl, A., Maryniuk, M., Siminerio, L. and Vivian,
E. (2015). Diabetes Self-Management Education and Support
in Type 2 Diabetes: A Joint Position Statement of the American
Diabetes Association, the American Association of Diabetes
Educators, and the Academy of Nutrition and Dietetics. Journal
of the Academy of Nutrition and Dietetics, 115(8), pp.1323-
Task Force to Revise the National Standards: National
standards for diabetes self-management education programs.
Diabetes Educ 21:189–193
Cho, N., Shaw, J., Karuranga, S., Huang, Y., da Rocha
Fernandes, J., Ohlrogge, A. and Malanda, B. (2018). IDF
Diabetes Atlas: Global estimates of diabetes prevalence for
and projections for 2045. Diabetes Research and Clinical
Practice, 138, pp.271-281.
Ali I, Hussain A. Diabetes mellitus in Pakistan: A major public
health concern. Archives of Pharmacy Practice. 2016;7(1):30.
Jiang X, Fan X, Wu R, Geng F, Hu C. The effect of care
intervention for obese patients with type II diabetes. Medicine.
;96(42):e7524
Chew B,Shariff-GhazaliS,LeeP,CheongA,MasturaI,HaniffJ,et
al .Type 2 Diabetes Mellitus Patient Profiles,Diseses Control
and Complications at Four Public Health Facilities-A Crosssectional
Study based on the Adult Diabetes Control and
Management (ADCM) Registry 2009.Medical Journal of
Malaysia.2013;68(5):397-404.
He X,LiJ,WangB,YaoQ,LiL,Song R et al.Diabetes selfmanagement
education reduces risk of all-cause mortality in
type 2 diabetes patients:a systematic review and meta
analysis.Endocrine.2016;55(3):712-731.
Chrvala C, Sherr D, Lipman R. Diabetes self-management
education for adults with type 2 diabetes mellitus: A systematic
review of the effect on glycemic control. Patient Education
and Counseling. 2016;99(6):926-943.
Sherifali D, Bai J, Kenny M, Warren R, Ali M. Diabetes selfmanagement
programmes in older adults: a systematic review
and meta-analysis. Diabetic Medicine. 2015;32(11):1404-
Haas,M.Maryniuk,J.Beck,C.E.Cox,P.Duker,L.Edwards,
Fisher,L.Hanson,D.Kent,L.Kolb,S.Mclaughlin,E.Orzeck,J.
D.Piette,A.S.Rhinehart,R.Rothman,S.Sklaroff,D.Tomky,G.
Youssef,National standards for self-management education
and support.Diabetyes.Care.37(Suppl 1),S144-S153(2014)
Mardanian Dehkordi L, Abdoli S. Diabetes Self-Management
Education; Experience of People with Diabetes. Journal of
Caring Sciences. 2017;6(2):111-118.
Santorelli M, Ekanayake R, Wilkerson-Leconte L. Participation
in a Diabetes Self-Management Class Among Adults With
Diabetes, New Jersey 2013–2015. Preventing Chronic Disease.
;14Ahmed M, Seriwala H, Danish S, Khan A, Hussain M, Husain
M et al. Knowledge, Attitude, and Self Care Practices Amongsts
Patients WithType 2 Diabetes in Pakistan. Global Journal of
Health Science. 2015;8(7):1
Chakraborty P, Chowdhury S. Errors of insulin therapy: Reallife
experiences from developing world. Journal of Family
Medicine and Primary Care. 2017;6(4):724.
Babu G, Murthy G, Ana Y, Patel P, R D, Neelon S et al.
Association of obesity with hypertension and type 2 diabetes
mellitus in India: A meta-analysis of observational studies.
World Journal of Diabetes. 2018;9(1):40-52.
Colberg S, Sigal R, Yardley J, Riddell M, Dunstan D, Dempsey
P et al. Physical Activity/Exercise and Diabetes: A Position
Statement of the American Diabetes Association. Diabetes
Care. 2016;39(11):2065-2079.
Mariam T, Alemayehu A, Tesfaye E, Mequannt W, Temesgen
K, Yetwale F et al. Prevalence of Diabetic Foot Ulcer and
Associated Factors among Adult Diabetic Patients Who Attend
the Diabetic Follow-Up Clinic at the University of Gondar
Referral Hospital, North West Ethiopia, 2016: Institutional-
Based Cross-Sectional Study. Journal of Diabetes Research.
;2017:1-8.
Ahmed K, Jebunessa F, Hossain S, Chowdhury H. Ocular
knowledge and practice among type 2 diabetic patients in a
tertiary care hospital in Bangladesh. BMC Ophthalmology.
;17(1)
Obirikorang Y, Obirikorang C, Anto E, Acheampong E, Batu
E, Stella A et al. Knowledge of complications of diabetes
mellitus among patients visiting the diabetes clinic at Sampa
Government Hospital, Ghana: a descriptive study. BMC Public
Health. 2016;16(1)
Saleh F, Mumu S, AraF, Begum H, Ali L. Knowledge and
self-care practices regarding diabetes among newly diagnosed
type 2 diabetes I Bangladesh: a cross section study.BMC
Public Health.2012;12(1).
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Copyright (c) 2020 Muhammad Sajid Abbas Jaffri; Saja Riyaz, Sara Riyaz, Mah Rida
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