Knowledge, attitude, and practices regarding eye complications and care- a cross-sectional study in Indian diabetic persons
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20252126Keywords:
Knowledge, Attitude, Practices, Eye complicationsAbstract
Background: With an ever-increasing number of diabetic patients, eye complications particularly diabetic retinopathy has become one of the leading causes of blindness globally. The authors present levels of knowledge, attitude, and practices (KAP) among type-2 diabetes mellitus patients regarding eye complications and their care in Jammu city of UT of Jammu and Kashmir, India.
Methods: This cross-sectional study was conducted in the months of September and October 2024 among T2DM patients attending eye OPD in a tertiary care teaching hospital in Jammu city. A pre-tested and validated questionnaire was used to collect the data on socio-demographic profile, knowledge, attitude, and practices about diabetic eye complications.
Results: Of the 270 participants, 52% were males. The majority of the participants had good levels of knowledge with a higher proportion of female respondents knowing that eye treatment is more effective if blood sugar and lipid profile is in the normal range (p<0.05). Attitudes were found to be better among female respondents with more than 2/3rd of them asserting that annual eye check was indicated despite vision being good (p<0.05). Practices among the participants were found to be not up to the desired levels.
Conclusions: Results have revealed good levels of knowledge and attitude among participants while practice levels were less than desired and need to be improved.
Metrics
References
World Health Organization. Diabetes in India. Available from: https://www.who.int/india/health-topics/diabetes. Accessed on 2 December 2024.
Ola MS, Nawaz MI, Siddiquei MM, Al-Amro S, Abu El-Asrar AM. Recent advances in understanding the biochemical and molecular mechanism of diabetic retinopathy. J Diabetes Complicat. 2012;26:56-64. DOI: https://doi.org/10.1016/j.jdiacomp.2011.11.004
Teo ZL, Tham YC, Yu M, Chee ML, Rim TH, Cheung N, et al. Global prevalence of diabetic retinopathy and projection of burden through 2045: systematic review and meta-analysis. Ophthalmology. 2021;128(11):1580-91. DOI: https://doi.org/10.1016/j.ophtha.2021.04.027
Nentwich MM, Ulbig MW. Diabetic retinopathy- ocular complications of diabetes mellitus. World J Diabetes. 2015;6:489-99. DOI: https://doi.org/10.4239/wjd.v6.i3.489
Saudi Arabia. International Diabetes Federation 2023. Journal article on the Internet: Saudi Arabia. International Diabetes Federation. 2023. https://idf.org/our-network/regions-and-members/ middle-east-and-north-africa/members/saudi-arabia/. Accessed on 2 December 2024.
Alhowaish AK. Economic costs of diabetes in Saudi Arabia. J Fam Community Med. 2013;20:1-7. DOI: https://doi.org/10.4103/2230-8229.108174
Vujosevic S, Aldington SJ, Silva P, Hernández C, Scanlon P, Peto T, et al. Screening for diabetic retinopathy: new perspectives and challenges. Lancet Diabetes Endocrinol. 2020;8(4):337-47. DOI: https://doi.org/10.1016/S2213-8587(19)30411-5
American Diabetes Association. 11. Microvascular complications and foot care: standards of medical care in diabetes- 2020. Diabetes care. 2020;43(Supplement_1):S135-51. DOI: https://doi.org/10.2337/dc20-S011
Khandekar R, Al Harby S, Al Harthy H, Al Lawatti J. Knowledge, attitude and practice regarding eye complications and care among Omani persons with diabetes- a cross sectional study. Oman J Ophthalmol. 2010;3(2):60-5. DOI: https://doi.org/10.4103/0974-620X.64228
Funatsu H, Hori S, Shimizu E, Nakamura S. Questionnaire survey on periodic ocular examination in Japanese diabetic patients. Am J Ophthalmol. 2003;136(5):955-7. DOI: https://doi.org/10.1016/S0002-9394(03)00542-7
Schmid KL, Schmid LM, Optom CP. Knowledge of the ocular effects of diabetes among the general population of Australia and the members of Diabetes Australia. Clin Exp Optomet. 2003;86(2):91-103. DOI: https://doi.org/10.1111/j.1444-0938.2003.tb03067.x
Alqahtani TF, Alqarehi R, Mulla OM, Alruwais AT, Alsaadi SS, Algarni H, et al. Knowledge, attitude, and practice regarding diabetic retinopathy screening and eye management among diabetics in Saudi Arabia. Cureus. 2023;15(9) DOI: https://doi.org/10.7759/cureus.46190
Vonor K, Kodjo K, Godwin KD, Tété Y, Ayéna KD, Banla M, et al. Knowledge, attitudes and practices of diabetic patients on ocular complications of diabetes in Lomé (Togo). Open J Endocr Metab Dis. 2022;12(9):197-210. DOI: https://doi.org/10.4236/ojemd.2022.129015
Makhdoum HM, Maohrous FA, Alshareef EK, Ghunaim RS, Abukhodair AO, Alburkani MA. Knowledge, attitude, and practices regarding diabetic eye disease among general population in Medina City, Saudi Arabia. Open J Ophthalmol. 2023;14(1):18-43. DOI: https://doi.org/10.4236/ojoph.2024.141003
El-Bab MF, Shawky N, Al-Sisi A, Akhtar M. Retinopathy and risk factors in diabetic patients from Al-Madinah Al-Munawarah in the Kingdom of Saudi Arabia. Clin Ophthalmol. 2012:269-76. DOI: https://doi.org/10.2147/OPTH.S27363
Al Rashed WA, Bin Abdulrahman AK, Zarban AA, Almasri MS, Mirza AS, Khandekar R. Public awareness regarding common eye diseases among Saudi adults in Riyadh City: a quantitative study. J Ophthalmol. 2017;2017(1):9080791. DOI: https://doi.org/10.1155/2017/9080791
Namperumalsamy P, Kim R, Kaliaperumal K, Sekar A, Karthika A, Nirmalan PK. A pilot study on awareness of diabetic retinopathy among non-medical persons in South India. The challenge for eye care programmes in the region. Indian J Ophthalmol. 2004;52(3):247-51.
Pardhan S, Mahomed I. Knowledge, self-help and socioeconomic factors in South Asian and Caucasian diabetic patients. Eye. 2004;18(5):509-13. DOI: https://doi.org/10.1038/sj.eye.6700680
Najmi H, Otaif W, Najmi M, Basehi M, Tobaigy M, Alsalim W, et al. Knowledge, attitude, and practice around diabetic eye disease among diabetic patients in Jazan Region, Saudi Arabia. Middle East Afr J Ophthalmol. 2021;28(2):123-8. DOI: https://doi.org/10.4103/0974-9233.326671
Srinivasan NK, John D, Rebekah G, Kujur ES, Paul P, John SS. Diabetes and diabetic retinopathy: knowledge, attitude, practice (KAP) among diabetic patients in a tertiary eye care centre. J Clin Diagn Res. 2017;11(7):NC01. DOI: https://doi.org/10.7860/JCDR/2017/27027.10174
Kreft D, McGuinness MB, Doblhammer G, Finger RP. Diabetic retinopathy screening in incident diabetes mellitus type 2 in Germany between 2004 and 2013- a prospective cohort study based on health claims data. PloS One. 2018;13(4):195426. DOI: https://doi.org/10.1371/journal.pone.0195426
Pardhan S, Raman R, Biswas A, Jaisankar D, Ahluwalia S, Sapkota R. Knowledge, attitude, and practice of diabetes in patients with and without sight-threatening diabetic retinopathy from two secondary eye care centres in India. BMC Public Health. 2024;24(1):55. DOI: https://doi.org/10.1186/s12889-023-17371-3