Yirsaw, Kidist (2016) Knowledge Attitude and Practice of Blood Glucose Monitoring among Diabetic’s Patients Attending at Tikur Anbesa Specialized Teaching and Referral Hospital. Masters thesis, Addis Ababa University.
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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.Conclusion: In our study we found Good knowledge, positive attitude but poor practices towards blood glucose monitoring among diabetic patients and majority of the participants showed poor glycemic control with their HbA1-c test results. Improving the KAP of patients toward blood glucose monitoring is required by stake holders found around this area. Special attention should be given to the practices of the patients and further research should also be done on this topic.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 05 Oct 2018 13:40 |
| Last Modified: | 05 Oct 2018 13:40 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6771 |
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