Kavinguha, Lucy Kageha (2017) Diabetes Self-Management Knowledge and Foot Complications among Type 2 Diabetes Patients at Jaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu County, Kenya. Masters thesis, Masinde Muliro University of Science and Technology.
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PDF (Diabetes Self-Management Knowledge and Foot Complications among Type 2 Diabetes Patients at Jaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu County, Kenya.)
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Abstract
The global burden of Diabetes is increasing. It is estimated by the year 2035 over 592 million people in the world will suffer from Diabetes. In Kenya, the prevalence of Diabetes is 4.56% while about 14% have impaired glucose metabolism. Since Diabetes is a complex disease affecting all areas of a person’s life, management by the patient remains central to the control and reduction of short term and long term complications. Diabetes self-management is a process in which the knowledge, skills and abilities required for a patient to adequately manage his or her conditions are facilitated. Poor management of diabetes has been linked to long term diabetic complications. The aim of this study was to examine the association between diabetes self-management knowledge and diabetic foot complications amongst patients with type 2 diabetes at Jaramogi Oginga Odinga Teaching and Referral Hospital. The target population was patients with type II diabetes and a sample of 100 participants was randomly selected. Data was collected using a researcher administered questionnaire. A multiple logistic regression model was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) between diabetes self-management knowledge and foot complications of type 2 diabetes, adjusting for potential confounders. A total of 81 questionnaires were clean and complete for data analysis. Descriptive statistics was used to report respondents’ characteristics. Mean age of respondents was 43years. Majority of the respondents were males (64%), were married (77%) and had secondary level education and above (64%).Knowledge level was assessed using the diabetes knowledge test. Respondents who were knowledgeable were 60.5%. Respondents who had experienced a diabetic foot related complication were 22.2% and 72.2% amongst them were not knowledgeable on diabetes self-management. Knowledge of diabetes self-management was associated with age (OR: 0.4; 95% CI 0.14- 0.91), sex (OR: 0.4; 95% CI 0.14-0.92), marital status (OR: 4.9; 95% CI 1.62-14.9), education (OR: 9.8; 95% CI 3.42-28) and years with diabetes (OR: 3.2; 95% CI 1.26- 8.18). Development of diabetic foot complication was influenced by patients’ knowledge level of diabetes self-management (OR: 0.07; 95% CI 0.02-0.26) and availability of diabetic educators (OR: 0.17; 95% CI 0.05-0.53). This study has shown that type 2 diabetic patients at JOOTRH were knowledgeable about diabetes self-management and that knowledge of diabetes self-care is dependent on the knowledge of diabetes, however efforts are needed to realize 100% of the patients being knowledgeable; this can be achieved by giving diabetes management health education every day before patients see clinicians. The study recommends more intensive foot care education with subsequent follow up either through telephone call or home visit as most patients who developed foot complications reported examining their feet only at the clinic. The study also recommends that the government of Kenya through Ministry of Health should ensure adequate capacity building and training of diabetes specialists. This will increase knowledge of patients and subsequently reduce number of foot complications.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RT Nursing |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 30 Nov 2018 11:19 |
| Last Modified: | 30 Nov 2018 11:19 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/5623 |
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