Archive \ Volume.13 2022 Issue 3

Assessment of Diabetes Self-Care Knowledge and Satisfaction with Care among Type 2 Diabetes Patients-A Case Study

Ufuoma David Adje , Kate Diabeta Ekonye , Cyrinus Azuka Oparah
Abstract

Many persons with diabetes are not achieving treatment goals due to inadequate knowledge and poor self-management skills. Assessment of diabetes patients’ knowledge and self-care skills could help design strategies to improve treatment outcomes. The study was aimed at assessing the dietary and self- care knowledge of patients with type 2 diabetes and determining the level of satisfaction with the care offered. 130 patients with type 2 diabetes were consecutively recruited from the out-patient and medical wards. Knowledge of self-care and patient satisfaction were assessed using a 42-item validated pretested questionnaire and an 8- -item patient satisfaction questionnaire respectively. Data analysis was done with the aid of Spss V 16 and Graph pad InStat V2.05. Factor analysis was performed to determine appropriate components of patient satisfaction. The level of significance was set at p<0.05. More than one quarter, 47(36.2%) were on insulin. More than half 82(63.1%) were non–compliant with dietary recommendations. Knowledge of self-care was low (Mean total score 33.3%) Only 48 (36.9%) could correctly recognize symptoms of hypoglycemia. Only 51(39.2%) were capable of taking the right action in situations where they were too unwell to eat. The majority, 126(96.9%) were unaware that foot examination was an important component of diabetic care. Patient satisfaction with care was high (mean 3.81, range 1 -5) although there may be a need for improvement in the therapy management dimension.



How to cite:
Vancouver
Adje UD, Ekonye KD, Oparah CA. Assessment of Diabetes Self-Care Knowledge and Satisfaction with Care among Type 2 Diabetes Patients-A Case Study. Arch. Pharm. Pract. 2022;13(3):23-8. https://doi.org/10.51847/dglXvhAy7G
APA
Adje, U. D., Ekonye, K. D., & Oparah, C. A. (2022). Assessment of Diabetes Self-Care Knowledge and Satisfaction with Care among Type 2 Diabetes Patients-A Case Study. Archives Of Pharmacy Practice, 13(3),23-28. https://doi.org/10.51847/dglXvhAy7G

Download Citation
References

1.        WHO (World Health Organization) Fact sheet –Diabetes. Available from: https://www.who.int/news-room/fact-sheets/detail/diabetes. Accessed 20/3/22

2.        Wang L, Peng W, Zhao Z, Zhang M, Shi Z, Song Z et al. Prevalence and Treatment of Diabetes in China, 2013-2018. JAMA. 2021;326(24):2498-506. doi:10.1001/jama.2021.22208

3.        Lin X, Xu Y, Pan X, Xu J, Ding Y, Sun X, et al. Global, regional, and national burden and trend of diabetes in 195 countries and territories: an analysis from 1990 to 2025. Sci Rep. 2020;10(1):1-1. doi:10.1038/s41598-020-71908-9

4.        Sun H, Saeedi P, Karuranga S, Pinkepank M, Ogurtsova K, Duncan BB, et al. IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Res Clin Pract. 2022;183:109119. doi:10.1016/j.diabres.2021.109119

5.        Seiglie JA, Marcus ME, Ebert C, Prodromidis N, Geldsetzer P, Theilmann M, et al. Diabetes prevalence and its relationship with education, wealth, and BMI in 29 low-and middle-income countries. Diabetes Care. 2020;43(4):767-75.

6.        THE WORLD BANK Diabetes prevalence (% of population ages 20-79). Available from: https://data.worldbank.org/indicator/SH.STA.DIAB.ZS?locations=NG. Accessed 15/6/22

7.        Akinkugbe OO (Ed). Non-communicable diseases in Nigeria: a national survey (final report) on hypertension, coronary heart disease, diabetes mellitus, G6PD deficiency, and anaemia. National Expert Committee on Non-Communicable Disease. Federal Ministry of Health and Social Services, Lagos, 1997.

8.        Cookey SN, Gomba V, Wariboko CM. Prevalence of Diabetes in Rural Communities in South South and South East Nigeria A Retrospective, Cross-Sectional Community Based Survey. IOSR J Dent Med Sci. 2022;21(2):26-32.

9.        Avramidis I, Apsemidou A, Lalia AZ, Petridis N, Tourtouras E, Kalopitas G, et al. Lessons from a Diabetes Clinic: Achieving Glycemic Goals and Clinical Use of Antidiabetic Agents in Patients With Type 2 Diabetes. Clin Diabetes. 2020;38(3):248-55.

10.      Widyahening IS, Khunti K, Vos RC, Chew BH. Achieving Effective Management and Treatment of Diabetes Mellitus in Future Primary Care. Front Endocrinol. 2022;13:854244. doi:10.3389/fendo.2022.854244

11.      Alemayehu AM, Dagne H, Dagnew B. Knowledge and associated factors towards diabetes mellitus among adult non-diabetic community members of Gondar city, Ethiopia 2019. PloS one. 2020;15(3):e0230880. doi:10.1371/journal.pone.0230880

12.      Yamane T. Statistics, An Introductory Analysis 2nd Ed., New York: Harper and Row. 1967.

13.      Richford KM, Richford AP, Magil C. Do rural South African patients know how to manage their disease? Diabetes Int. 2001;(3):86-90.

14.      Parkton PH, Wagner EH, Smith DG, Sytraley HL. Effect of part-time practice on patient outcomes. J Intern Med. 2003;18(9):717-24.

15.      SPSS for Windows, Rel. 16.0.1. Chicago: SPSS Inc. 2008.

16.      Graph Pad InStat TM, software V2.05a 9342, San Diego, USA. Available from: http/www.graphpad.com.

17.      Kyrou I, Tsigos C, Mavrogianni C, Cardon G, Van Stappen V, Latomme J, et al. Sociodemographic and lifestyle-related risk factors for identifying vulnerable groups for type 2 diabetes: a narrative review with emphasis on data from Europe. BMC Endocr Disord. 2020;20(1):1-3. doi:10.1186/s12902-019-0463-3

18.      Hsu CC, Lee CH, Wahlqvist ML, Huang HL, Chang HY, Chen L, et al. Poverty increases type 2 diabetes incidence and inequality of care despite universal health coverage. Diabetes Care. 2012;35(11):2286-92. doi:10.2337/dc11-2052

19.      Hill-Briggs F, Adler NE, Berkowitz SA, Chin MH, Gary-Webb TL, Navas-Acien A, et al. Social Determinants of Health and Diabetes: A Scientific Review. Diabetes Care. 2020;44(1):258-79.  doi:10.2337/dci20-0053

20.      Okoye OC, Ohenhen OA. Assessment of diabetes self-management amongst Nigerians using the diabetes self-management questionnaire: a cross-sectional study. Pan Afr Med J. 2021;40:178. doi:10.11604/pamj.2021.40.178.28584

21.      Ibrahim AO, Agboola SM, Elegbede OT, Ismail WO, Agbesanwa TA, Omolayo TA. Glycemic control and its association with sociodemographics, comorbid conditions, and medication adherence among patients with type 2 diabetes in southwestern Nigeria. J Int Med Res. 2021;49(10):03000605211044040. doi:10.1177/03000605211044040

22.      Attoye TE, Adebobola PA, Inem V. An Assessment of Glycaemic Control and Modes of Health Financing among Type 2 Diabetic Patients Attending a Teaching Hospital in South-western Nigeria. West Afr J Med. 2020;37(3):237-47.

23.      David EA, Aderemi-Williams RI, Soremekun RO, Nasiru IY, Auta A. Glycemic control and its determinants among patients with type 2 diabetes in a specialist hospital in Northeast, Nigeria. SAJ Pharm Pharmacol. 2019;6(1):105.

24.      Enikuomehin AC, Olamoyegun MA, Ojo OA, Ajani GD, Akinlade TA, Ala OA. The pattern of Self-care practices among type 2 diabetes patients in Southwest, Nigeria. Niger J Clin Pract. 2021;24(7):978-85. doi:10.4103/njcp.njcp52720

25.      Pousinho S, Morgado M, Plácido AI, Roque F, Falcão A, Alves G. Clinical pharmacists´ interventions in the management of type 2 diabetes mellitus: a systematic review. Pharm Pract. 2020;18(3):2000. doi:10.18549/PharmPract.2020.3.2000

26.      Jamshed SQ, Siddiqui MJ, Rana B, Bhagavathula AS. Evaluation of the Involvement of Pharmacists in Diabetes Self-Care: A Review from the Economic Perspective. Front Public Health. 2018;6:244. doi:10.3389/fpubh.2018.00244

27.      Abubakar M, Atif M. Impact of Pharmacist-Led Interventions on Diabetes Management at a Community Pharmacy in Pakistan: A Randomized Controlled Trial. Inquiry. 2021;58:00469580211036283. doi:10.1177/00469580211036283

28.      Shi FH, Shen L, Yue J, Ma J, Gu ZC, Li H, et al. Intervention by clinical pharmacists can improve blood glucose fluctuation in patients with diabetes and acute myocardial infarction: A propensity score-matched analysis. Pharmacol Res Perspect. 2021;9(2):e00725. doi:10.1002/prp2.725

29.      Moodley LM, Rambiritch V. An assessment of the level of knowledge about diabetes mellitus among diabetic patients in a primary healthcare setting. South Afr Fam Pract. 2007;49(10):16-16d.

30.      Odili VU, Isiboge PD, Eregie A. Patients’ Knowledge of Diabetes Mellitus in a Nigerian City. Trop J Pharm Res. 2011;10(5):637-42.

31.      Okoh BA, Jaja T. Knowledge and awareness of diabetes among adolescents in Port Harcourt, Nigeria. Afr J Diabetes Med. 2014;22(2):18-20.

Glasgow RE, Anderson RM. In diabetes care, moving from compliance to adherence is not enough. Something entirely different is needed. Diabetes Care. 1999;22(12):2090-2. doi:10.2337/diacare.22.12.2090