Assessment of patients knowledge and attitude towards diabetes and its relationship with glycemic control: A cross-sectional study in a Nigerian tertiary hospital

RC Anakwue; EE Young; CC Ezenduka; CI Okoli; AN Maduforo; ID Nnakenyi; CI Ndiokwelu; O Onwujekwe

doi:10.4103/1115-2613.278615

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ORIGINAL ARTICLE

Year : 2019 \| Volume : 28 \| Issue : 1 \| Page : 46-55

Assessment of patients knowledge and attitude towards diabetes and its relationship with glycemic control: A cross-sectional study in a Nigerian tertiary hospital RC Anakwue¹, EE Young², CC Ezenduka³, CI Okoli³, AN Maduforo⁴, ID Nnakenyi⁵, CI Ndiokwelu⁶, O Onwujekwe⁷ ¹ Department of Pharmacology & Therapeutics; Department of Medicine, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria ² Department of Medicine, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria ³ Department of Health Administration and Management, Faculty of Health Sciences and Technology, University of Nigeria, Enugu Campus, Nigeria ⁴ Department of Nutrition & Dietetics, University of Nigeria, Nsukka, Nigeria ⁵ Department of Chemical Pathology, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria ⁶ Human Nutrition and Dietetics Unit, Department of Biochemistry, Faculty of Basic Medical Sciences, College of Medicine, University of Calabar, Nigeria ⁷ Department of Pharmacology & Therapeutics, College of Medicine; Department of Health Administration and Management, Faculty of Health Sciences and Technology, University of Nigeria, Enugu Campus, Enugu, Nigeria Correspondence Address: E E Young Department of Medicine College of Medicine and University of Nigeria Teaching Hospital, Enugu University of Nigeria, Enugu Nigeria Source of Support: None, Conflict of Interest: None DOI: 10.4103/1115-2613.278615

BACKGROUND: It is postulated that increased knowledge of patients about diabetes as well as a positive attitude will lead to improved glycaemic control and better outcome. The aim of this study was to determine the knowledge and attitude of diabetic patients in a tertiary hospital in Enugu and the relationship with their glycaemic control. METHODS: A cross-sectional study was done using a structured questionnaire to obtain socio-demographic data and assess knowledge and attitude to diabetes on consecutive patients attending the outpatient clinic in a tertiary hospital. Responses were scored with equal weighting. The fasting blood glucose of the patients was measured and recorded. RESULT: There were 51(60.7%) females and 33 (39.3%) males, with majority (63.1%) in the age range 41 -64 years and 32(38.1%) had only primary education. The mean knowledge score was 6.19 ± 2.08 and 33(39.3%) demonstrated good knowledge. Knowledge did not differ between males and females (p=0.34), but was highest in those with tertiary education (p = 0.02). Positive attitude to the condition was recorded in 63(75%) subjects. There was poor correlation between knowledge and attitude (r = -0.161, p= 0.14). Those with good knowledge scores were 2 times more likely to have good glycaemic control compared with those with poor knowledge; OR = 2.015, p = 0.02. There was no significant difference between the glycemic control of those with good attitude and those with poor attitude (p= 0.08). CONCLUSION: Although overall knowledge was poor, patients had a good attitude to their illness. Knowledge, but not attitude was significantly positively associated with glycemic control.



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