Knowledge of diabetes, its complications and treatment adherence among diabetic patients

Authors

  • Deepali B. S. Department of Community Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
  • Mangala Subramanian Department of Community Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
  • Soumya G. Department of Community Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
  • Vikyath B. R. Department of Community Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
  • Aarudhra P. Department of Community Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
  • Ankitha M. Department of Community Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
  • Deepashree R. Department of Community Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
  • Nagashree N. Department of Community Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20172836

Keywords:

Diabetes mellitus, Knowledge, Treatment adherence

Abstract

Background: Diabetes Mellitus not only debilitates, but also kills. It may lead to microvascular and macrovascular complications. This study was undertaken a) to assess the knowledge of diabetes and its complications among patients with type 2 diabetes mellitus, b) to assess treatment adherence of the above patients, c) to determine association of knowledge and treatment adherence.

Methods: Across sectional study was conducted on a total of 120 patients coming to Vydehi Institute of Medical Sciences and Research Centre, Bangalore over a period of 2 months. A semi-structured questionnaire consisting of questions on patients’ knowledge of diabetes, its complications and adherence to treatment was administered and each patient was interviewed face-to-face. The data was analyzed using SPSS Version 21.0. Statistical analysis was done based on percentages and proportions.

Results: Out of 120 diabetics, 67 (55.8%) had more than 80% knowledge regarding diabetes mellitus and its complications, 45 (37.5%) patients had 60-79% knowledge and only 8 (6.7%) patients had less than 60% knowledge. The study revealed that 77 patients (64.2%) scored greater than 80% in the treatment adherence, 27 patients (22.5%) scored between 60-79% and 16 (13.3%) scored below 60%. Patients having more knowledge better adhered to the treatment. Therefore 55.8% of the people who had greater than 80% knowledge, better adhered to their treatment.

Conclusions: Patients having more knowledge better adhered to the treatment. This highlights the importance of empowering patients with knowledge regarding the disease to obtain maximum benefit from their treatment.

References

Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications. Part 1: Diagnosis and Classification of Diabetes Mellitus (WHO/NCD/NCS/99.2). Geneva: World Health Organization; 1999. Available at: http://apps.who.int/iris/bitstream/10665/204871/1/9789241565257_eng.pdf. Accessed on 21 November 2016.

Global Report on Diabetes. World Health Organization 2016. Available at: http://apps.who.int/iris/bitstream/10665/204871/1/9789241565257_eng.pdf?ua=1. Accessed on 21 November 2016.

Mathers C, Loncar D. Projections of Global Mortality and Burden of Disease from 2002 to 2030. PLoS Med. 2006;3(11):e442.

Diabetes: facts and figures. International Diabetes Federation 2016. Available at: http://www.idf.org/about-diabetes/facts-figures. Accessed on 9April 2017.

Diabetic Scorecard in India. International Diabetes Federation 2016. Available at: http://www.idf. org/sites/default/files/attachments/India_Scorecard.pdf. Accessed on 9April 2017.

India. International Diabetes Federation 2016. Available at: http://www.idf.org/BRIDGES/map/ india. Accessed on 21 November 2016.

Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes-estimates for the year 2000 and projections for 2030. Diabetes Care 2004;27(3):1047–53.

Boussageon R, Bejan-Angoulvant T, Saadatian-Elahi M, Lafont S, Bergeonneau C, Kassai B, et al. Effect of intensive glucose lowering treatment on all cause mortality, cardiovascular death, and microvascular events in type 2 diabetes: meta-analysis of randomised controlled trials. BMJ. 2011;343:d4169.

Sankar U, Lipska K, Mini G, Sarma P, Thankappan K. The Adherence to Medications in Diabetic Patients in Rural Kerala, India. Asia-Pacific J Public Health. 2013;27(2):513-23.

Heisler M, Pietee JD, Spencer M, Kieffer E, Vijan S. The relationship between knowledge of recent HbA1c values and diabetes care understanding and self-management. Diabetes Care. 2005;28:816-22.

Chavan GM, Waghachavare VB, Gore AD, Chavan VM, Dhobale RV, Dhumale GB. Knowledge about diabetes and relationship between compliance to the management among the diabetic patients from Rural Area of Sangli District, Maharashtra, India. J Family Med Prim Care. 2015;4(3):439-43.

Deepa M, Bhansali A, Anjana RM, Pradeepa R, Joshi SR, Joshi PP, et al. Knowledge and awareness of diabetes in urban and rural India: The Indian Council of Medical Research India Diabetes Study (Phase I): Indian Council of Medical Research India Diabetes 4. Indian J Endocrinol Metabol. 2014;18(3):379-85.

Amruta SM, Vijaya AP, Jayshree SD, Hardik RP. Correlation of disease knowledge with adherence to drug therapy, blood sugar levels and complications associated with disease among type 2 diabetic patients. J Diabetes Metab. 2014;5:1-5.

Divya S, Nadig P. Factors contributing to non-adherence to medication among type 2 diabetes mellitus in patients attending tertiary care hospital in South India. AJPCR. 2015;8(2):274-6.

Thungathurthi S, Thungathurthi S, Kumar VG. Self care knowledge on diabetes among diabetic patients in Warangal region. International Journal of Life Sci PharmA Res. 2012;2(2):16-21.

Wee HL, Ho HK, Li SC. Public awareness of diabetes mellitus in Singapore. Singap Med J. 2002;43(3):128–34.

Nisar N, Khan IA, Qadri MH, Sher SA. Knowledge and Risk assessment of diabetes mellitus at primary care level: A Preventive approach required combating the disease in a developing country. Pak J Med Sci. 2008;24(5):667-72.

Muninarayana C, Balachandra G, Hiremath SG, Iyengar K, Anil NS. Prevalence and awareness regarding diabetes mellitus in rural Tamaka, Kolar. Int J Diabetes Dev Ctries. 2010;30:18–21.

Mangaiarkarasi, Nithya, Meharali, Ramaswamy. A Study to Assess the Knowledge, Attitude and Practice about Diabetes among Diabetic Patients in Pondicherry. Res J Pharma Biological Chem Sci. 2012;3:1185-96.

Dinesh PV, Kulkarni AG, Gangadhar NK. Knowledge and self-care practices regarding diabetes among patients with Type 2 diabetes in Rural Sullia, Karnataka: A community-based, cross-sectional study. J Family Med Primary Care. 2016;5(4):847–52.

Mohan D, Raj D, Shanthirani CS, Datta M, Unwin NC, Kapur A, et al. Awareness and knowledge of diabetes in Chennai – The Chennai Urban Rural Epidemiology Study (CURES-9). J Assoc Physicians India. 2005;53:283–7.

Kaur K, Singh MM, Kumar, Walia I. Knowledge and self care practices of diabetics in a resettlement colony of Chandigarh. Indian J Med Sci. 1998;52: 341–7.

Tham KY, Ong JJ, Tan DK, How KY. How much do diabetic patients know about diabetes mellitus and its complications? Ann Acad Med Singapore. 2004;33:503-9.

Gulabani M, John M, Isaac R. Knowledge of Diabetes, its Treatment and Complications amongst Diabetic Patients in a Tertiary Care Hospital. Indian J Community Med. 2008;33(3):204-6.

Qamar M, Lau WH, Ahmed A, Ahmed F, Khan J, Mahmud A. Knowledge of diabetes mellitus, risk factors and complications among the general public in Kuala Lumpur. World J Pharma Res. 2015;4(12):154-70.

Mohammadi S, Karim NA, Talib AR, Amani R. Knowledge, attitude and practices on diabetes among type 2 diabetic patients in Iran: a cross-sectional study. Sci Journal of Public Health. 2015;3(4):520–4.

Mookambika RV, Nelson SBBT, Ashok VG. A study on diabetic care among diabetic patients in a tertiary care health centre. Int J Contemporary Med Res. 2016;3(10):3091-2.

Kakumani KV, Waingankar P. Assessment of Compliance to Treatment of Diabetes and Hypertension amongst Previously Diagnosed Patients from Rural Community of Raigad District of Maharashtra. J Associations Physicians India. 2016;64:36-40.

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Published

2017-06-23

How to Cite

B. S., D., Subramanian, M., G., S., B. R., V., P., A., M., A., R., D., & N., N. (2017). Knowledge of diabetes, its complications and treatment adherence among diabetic patients. International Journal Of Community Medicine And Public Health, 4(7), 2428–2434. https://doi.org/10.18203/2394-6040.ijcmph20172836

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Original Research Articles