Associated Factors with Knowledge, Attitude and Practices of Type II Diabetic Patients in Ambo University Referral Hospital, Ethiopia
American Journal of Laboratory Medicine
Volume 5, Issue 4, July 2020, Pages: 102-112
Received: Jun. 20, 2020;
Accepted: Jul. 24, 2020;
Published: Aug. 10, 2020
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Agama Daba, Department of Food Science and Nutrition, Wollega University, Shambu, Ethiopia
Tamiru Yazew, Department of Food Science and Nutrition, Wollega University, Shambu, Ethiopia
Diabetes is a chronic illness significantly affecting health of population throughout the world. In Africa, about 19.8 million adults are affected by diabetes. Of these, more than 50% are from Nigeria, South Africa, Ethiopia and Tanzania. Knowledge is the greatest weapon in the fight against diabetes mellitus. Self-management of patients with type two diabetic mellitus (T2DM) largely depends on the knowledge, attitude and practices (KAP) of such people regarding the condition. The main objective of this study was to assess factors associated with KAP of type II diabetes (T2DM) patients attending Ambo University referral hospital, Oromia, Ethiopia. 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 of the participants were collected and assessed using WHO guidelines. Descriptive statistics was used to set the KAP level among the respondents while logistic regression model was applied to test the association of type two diabetic patients’ KAP with various independent variables. 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 diabetic mellitus were identified as factors affecting KAP towards diabetes. Both sex and occupational status were also factors affecting the knowledge level of T2DM patients. Furthermore, knowledge level was affecting both attitude and practice level of participants in the study area. This study found that there was a gap in KAP 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 (BCC) to improve the level of KAP towards diabetic mellitus in the study area.
Associated Factors with Knowledge, Attitude and Practices of Type II Diabetic Patients in Ambo University Referral Hospital, Ethiopia, American Journal of Laboratory Medicine.
Vol. 5, No. 4,
2020, pp. 102-112.
Abdulkadir M, Adem H. 2014. Assessment of Knowledge, Attitude and Practices Regarding Life Style Modification among Type 2 diabetic Mellitus Patients Attending Adama Hospital Medical College, Oromia Region, Ethiopia. Global Journal of Medical Research: B Pharma, Drug Discovery, Toxicology and Medicine.
Achenef A et al. 2015. Knowledge and Attitude About Diabetes Mellitus and Its Associated Factors Among People in Debre Tabor Town, Northwest Ethiopia: Cross Sectional Study. Science Journal of Public Health, pp. 199-209.
ADA. 2010. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care; 33: S62–S69.
Beke et al. 2013. A cross-sectional survey on the lifestyle and health seeking of Basotho patients with diabetes. South African Family Practice, 55 (2), 190-195.
Belayneh A, Teklie H, Tadesse M, Defar A, Getachew T, Amenu K, et al. 2015. Pattern and Trend of Medical Admissions of Patients of Chronic NonCommunicable Diseases in Selected Hospitals in Addis Ababa, Ethiopia. American Scientific Research Journal for Engineering, Technology, and Sciences: pp. 33-48.
CDC. 2012. National diabetes fact sheet: National estimates and general information on diabetes and pre-diabetes in the United States.
Cho N, W. D. 2013. International diabetes federation atlas report: Global burden of diabetes Belgium, Brussels community in northern Nigeria. Nigerian Journal of Medicine, pp. 414-416.
Deepa L, Pallavi M, Madhavi R, Muninarayan C., et al. 2017. Assessment of awareness and practice of foot care and physical activity among people with type 2 diabetes attending a tertiary care teaching hospital. International Journal of Community Medicine and Public Health, 4 (9): 3218-3223.
El-Khawaga G, Abdel-Wahab F. 2015. Knowledge, Attitudes, Practice and Compliance of Diabetic Patients In Dakahlia, Egypt. European Journal of Research in Medical Sciences. 2056-600X.
Fatema K, Hossain S, Natasha K et al. 2017. Knowledge attitude and practice regarding diabetes mellitus among Nondiabetic and diabetic study participants in Bangladesh. BMC Public Health; 17: 364.
Feleke SA, Misganaw CA, Adane HT. 2013. Assessment of the level and associated factors with knowledge and practice of Diabetes Mellitus among Diabetic Patients attending at FelegeHiwot Hospital, Northwest Ethiopia: Clinical Medicine Research: pp. 110-120
Gauntam B. Rathod, Sangita Rathod, et al. 2015. Study of Knowledge, Attitude and Practice of General Population of Waghodia towards Diabetes Mellitus International Journal of Current Research and Review. pp: 63-68
Gillani et al. 2018. Knowledge, Attitudes and Practices Regarding Diabetes in the General Population: A Cross-Sectional Study from Pakistan. International Journal of Environmental Research and Public Health, 15, 1906.
Guariguata L, Whiting DR, Hambleton I, Beagley J et al. 2013. Global estimates of diabetes prevalence for 2013 and projections for 2035: IDF Diabetes Atlas: Diabetes Research and Clinical Practice; pp. 137-149
Kassahun CW, Mekonen AG. 2017. Knowledge, attitude, practices and their associated factors towards diabetes mellitus among non diabetes community members of Bale Zone administrative towns, South East Ethiopia. A cross-sectional study. Peer-reviewed open access scientific journal published by the Public Library of Science. pp 1-18.
Mabaso RG, O. O. 2014. Risk factors for visual impairment and blindness amongst black adult diabetics receiving treatment at Government healthcare facilities in Mopani District, Limpopo province, South Africa. African Journal of Primary Health & Family Medicine; 6 (1).
Maretha le Roux, Corinna W, Marianne R, Jacques R. 2018. Diabetes-related knowledge, attitude and practices (KAP) of adult patients with type 2 diabetes mellitus in the Free State province, South Africa. South African Journal of Clinical Nutrition. pp: 83-90.
Megersa Y, et al. 2013. Prevalence of undiagnosed DM and its risk factors in selected institutions of at Bishoftu town. journal of diabetes, s12: 068.
Minhat HS, Hamedon TR. 2014. Understanding towards Diabetes Mellitus among Rural Adult Community in Malaysia. World Journal of Medical Sciences 11 (2): 217-221.
Mohammadi S, Norimah A., Ruzita AT et al. 2015. Knowledge, Attitude and Practices on Diabetes Among Type 2 Diabetic Patients in Iran: A Cross-Sectional Study. Science Journal of Public Health. pp. 520-524.
Niguse H, Belay G, Fisseha G, Desale T, Gebremedhn G. 2019. Self-care related knowledge, attitude, practice and associated factors among patients with diabetes in Ayder Comprehensive Specialized Hospital, North Ethiopia. BMC Research Notes. 2019 Jan 18; 12 (1): 34.
Niroomand M, S. N. 2015. Diabetes knowledge, attitude and practice study among Iranian in-patients with type-2 diabetes: A cross-sectional study. Diabetes & Metabolic Syndrome: Clinical Research.
Primanda Y, Kritpracha C, et al. 2011. Dietary Behaviors among Patients with Type 2 Diabetes Mellitus in Yogyakarta, Indonesia. Nurse Media Journal of Nursing. pp. 211-23.
Rahaman KH, Majdzadeh R, Naieni KH and Raza O. 2017. Knowledge, Attitude and Practices (KAP) Regarding Chronic Complications of Diabetes among Patients with Type 2 Diabetes in Dhaka. International Journal of Endocrinology and Metabolism.
Raymond G. Mabaso, O. A. 2016. Knowledge and practices related to diabetes mellitus among adults with diabetes in the Mopani District, Limpopo Province, South Africa. Original Research AOSIS
Saleh F, Mumu SJ, Ara F, Begum HA, Ali L. 2012. Knowledge and self-care practices regarding diabetes among newly diagnosed type 2 diabetics in Bangladesh: a cross-sectional study. BioMed Central.
Salem A, Alshammari M, et al. 2018. Knowledge, Attitude, and Practice Regarding Diabetes Mellitus among General Public and Diabetic Patients in Riyadh, Saudi Arabia. Asian Journal of Pharmaceutics. Jan-Mar 2018 (Suppl). 12 (1) | S1.
Shrestha N, Yadav SB, Joshi AM, Patel BDP, Shrestha J, Bharkher DL. 2015. Diabetes Knowledge and Associated Factors among Diabetes Patients in Central Nepal. International Journal of Collaborative Research on Internal Medicine & Public Health.
Tadele Amente, T. B. 2014. Self Care Practice and its Predictors Among Adults with Diabetes Mellitus on Follow Up At Nekemte Hospital Diabetic Clinic, West Ethiopia. World Journal of Medicine and Medical Science, PP: 1-16.
Worku D. 2010. Patterns of Diabetic Complications at Jimma University Specialized Hospital, Southwest Ethiopia. Ethiopian Journal of Health Sciences. March 2010, pp. 33-40.