DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20160643

A study of knowledge, practices and treatment seeking behaviour among diabetic patients

Gokuldas V. Sawant, Prashant R. Kokiwar

Abstract


Background: Adherence is a complex process and patients’ decisions about how to manage their medications are likely based on economic, physical, psychological, and social considerations. Identifying factors associated with adherence would be of value for family physicians in focusing strategies to enhance patient adherence to antihypertensive medications. The objectives of the study were to knowledge, practices and treatment seeking behavior of patients with diabetes.

Methods:Present study is a hospital based cross sectional study using interview technique carried out in the Medicine department of Malla Reddy hospital among 64 diabetic patients. Data was collected in predesigned, semi structured questionnaire. Information on socio-demographic profile, knowledge about diabetes, practices about diabetes, treatment seeking behaviour related to diabetes and quality of life was collected and recorded.

Results: Overall knowledge of patients as assessed by these seven questions was very good. The overall treatment seeking behavior was found to be very good among these patients. It is observed from above table that majority of patients were following practices like wearing shoes regularly and dietary advice. Only 50% of patients had got their eyes checked in the last one year. However, practices such as checking blood sugar levels, blood pressure levels and consulting the physician regularly were not followed, as they should be.

Conclusions:Knowledge of most diabetic patients was good. However, they were not regular with their check-ups. The overall treatment seeking behaviour was in line with modern medicine as well as diet. Diabetic patients were not extensively affected by the disease regarding quality of life. Most patients were able to carry out daily tasks. Still, there is a need of health education as many patients do not have adequate knowledge.


Keywords


Knowledge, Practices, Treatment seeking behaviour

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References


Park K. Diabetes. In: Park K, editor. Park’s Textbook of Preventive and Social Medicine, 22nd ed. Jabalpur, Banarasidas Bhanot. 2013:362-66.

Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87(1):4-14.

Nandini Natrajan, Wayne P, Kristine VA, Bverley L, Fred B. Adherence to antihypertensive medications among family practice patients with diabetes mellitus and hypertension. Can Fam Physician. 2013;59:e93-100.

Michell G, Mary J, 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.

Viswanathan V, Shobhana R, Snehalatha C, Seena R, Ramchandran A. Need for education on footcare in diabetic patients in India. India J Assoc Physicians India. 1999;47:1083-5.

Kaur K, Singh MM, Kumar WI. Knowledge and self care practices of diabetics in a resettlement colony of Chandigarh. India 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.

Bruce DG, Davis WA, Cull CA, Davis TM. Diabetes education and knowledge in patients with type 2 diabetes from the community: the Fremantle Diabetes Study. J Diabetes Comp. 2003;17:82-9.

Singh AK, Mani K, Krishnan A, Aggrawal P, Gupta SK. Prevalence, awareness, treatment and control of diabetes among elderly persons in an urban slum of Delhi. Indian J Community Med. 2012;37:236-9.

Porapakkaham Y, Pattaraarchachai J, Aekplakorn W. Prevalence, awareness, treatment and control of hypertension and diabetes mellitus among the elderly: the 2004 National Health Examination Survey III, Thailand. Singapore Med J. 2008;49(11):868-73.

Srinivas G, Suresh E, Jagadeesan M, Amalraj E, Datta M. Treatment seeking behavior and compliance of diabetic patients in a rural area of South India. Ann N Y Acad Sci. 2002;958:420-4.

Hasan SS, Ahmed SI, Bukhari NI, Loon WC. Use of complementary and alternative medicine among patients with chronic diseases at outpatient clinics. Complement Ther Clin Pract. 2009;15(3):152-7.

Richard WG, Nicole GD, Daniel ES, Meighs JB. Polypharmacy and medication adherence in patients with type 2 diabetes. Diabetes Care. 2003;26:1408-12.

Katarina H, Atwine F. Health care seeking behavior among persons with diabetes in Uganda: an interview study. BMC Int Health Hum Rights. 2011;11:11.