Knowledge Attitude and Practice of Blood Glucose Monitoring among Diabetic’s Patients Attending at Tikur Anbesa Specialized Teaching and Referral Hospital
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Date
2016-06
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Addis Ababa University
Abstract
Back ground: Diabetes mellitus (DM) is a syndrome characterized by chronic hyperglycemia,
due to absolute or relative deficiency or diminished effectiveness of circulating insulin. Diabetes
is becoming a serious public health problem and it requires continuous medical care, patients'
self-management to reduce the risk of long-term complications. The most important objective of
monitoring is the assessment of overall glycemic control and initiation of appropriate steps in a
timely manner to achieve optimum control.
Objective: To assess the knowledge attitude and practice of diabetic patients in blood glucose
level monitoring at Tikur Anbesa Specialized Teaching and Referral hospital (TASTRH).
Methodology: Facility based cross- sectional study was conducted from June 2015 to October
2015 at the outpatient diabetic clinic, TASTRH. Medical records of the patients were
retrospectively reviewed. A total of 422 diabetic patients were selected using convenient
sampling techniques. Structured questionnaires including checklist have been used to collect
data. On-the-spot assessment of HbA1-c was performed for 95 study participants by using
systematic sampling techniques to confirm diabetic patient’s practice. Statistical soft-ware SPSS
version 20 had been used for data entry and analysis.
Results: Among study subjects the levels of knowledge were good in 61.8 % and poor in 38.2 %
of diabetic patients. The levels of attitude were also described accordingly as positive for 80.6%
and negative for 19.4 % of diabetic patients. The levels of practice of study subjects were found
to be good in 47.6 % and poor in 52.4% of diabetic patients. Knowledge and practices had a
significant association with educational level and duration of therapy but attitude had a
significant association with age. Among 95 study subjects 15.8% of the participants had good
glycemic control of HbA1-c value < 6.5% and 84.2% of participants had poor glycemic control
of HbA1-c value ≥6.5%. There was no significant association between HbA1-c value with
knowledge and attitude scores but association was found between HbA1-c value and practice
score, similarly no significant association was found between HbA1-c with body mass index and
hypertension but significant association was found between HbA1-c and complications of study
participants.
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Keywords
Blood Glucose, Diabetic’s Patients