Evaluation of the awareness regarding Type 2 Diabetes, its management and adverse effects of the treatment among the patients with Type 2 Diabetes
Abstract
Introduction: Diabetes Mellitus (DM) management requires not only
continuous medical care but also risk reduction strategies to prevent
complications. Improving patients’ knowledge and awareness about DM and
diabetes-related complications (DRC) is crucial for the management of DM.
Increased awareness about DM and DRC, which leads to an eagerness to follow-up
diet plans, and lifestyle modifications would help us to establish
patient-specific goals. In this study, we would like to determine the awareness
levels of diabetic patients about DM, DM management and DRC.
Methods: Total of 300 adult patients (179 female, 121 male) with type 2 Diabetes
Mellitus (T2DM) were included in this study. The data was collected through a
survey based on face-to-face interviews. Total Survey score (TSP) for each
participant was calculated by taking 1 point for each correct answer and TSP
interval was evaluated between 0-24 points..
Results: The score of women was higher than that of men (14.72±3.14
vs. 13.07±3.30, p <0.001). Patients who did not work were more aware
(14.53±3.22 vs. 13.64±3.31, p = 0.019). No significant difference in terms of
awareness was observed between low educated and high-educated participants.
Patients who had insulin in their treatment combination, anti-hypertensive, and
lipid-lowering drug user had significantly higher TSP scores. A significant
correlation was observed in BMI, HC, DBP, and age of Diabetes with awareness.
Conclusions: The mean awareness score of the patients who participated in our study was
14 points. Since the maximum score that can be obtained at the highest
awareness level is 24, the awareness level of our patients can be evaluated as
58%. Considering the morbidity, mortality and economic costs associated with
diabetes, it can be said that more attention should be paid to patient
education in order to achieve higher treatment success.
Keywords
References
- 1. International Diabetes Federation. IDF Diabetes Atlas. 8 ed. Belgium: International Diabetes Federation; 2017.
- 2. Chinenye S, Young E. Management of diabetes mellitus in developing countries. The relevance of post prandial hyperglycemia. Pak J Med Sci. 2011;27:677-81.
- 3. Mahmood K, Akhtar S, Haider I, Abbassi B, Jalib A, Salekeen S. Dietary misconceptions in Pakistani diabetic patients. Pak J Med Sci. 2011;27:128-32.
- 4. Grossman S. Management of type 2 diabetes mellitus in the elderly: role of the pharmacist in a multidisciplinary health care team. J Multidiscip Healthc. 2011;4:149-54. http://dx.doi.org/10.2147/JMDH.S21111.
- 5. Gunay T, Ulusel B, Velipasaoglu S, Unal B, Ucku R, Ozgener N. Factors affecting adult knowledge of diabetes in Narlidere Health District, Turkey. Acta Diabetol. 2006;43(4):142-7. http://dx.doi.org/10.1007/s00592-006-0230-6.
- 6. He X, Wharrad HJ. Diabetes knowledge and glycemic control among Chinese people with type 2 diabetes. Int Nurs Rev. 2007;54(3):280-7. http://dx.doi.org/10.1111/j.1466-7657.2007.00570.x.
- 7. Al-Adsani AM, Moussa MA, Al-Jasem LI, Abdella NA, Al-Hamad NM. The level and determinants of diabetes knowledge in Kuwaiti adults with type 2 diabetes. Diabetes Metab. 2009;35(2):121-8. http://dx.doi.org/10.1016/j.diabet.2008.09.005
- 8. Arslantas D, Unsal A, Metintas S, Koc F. Knowledge of diabetic patients about diabetes at the primary stage in Eskisehir, Turkey. Pak J Med Sci 2008;24(2):263-8.
- 9. Liu X, Li Y, Li L, Zhang L, Ren Y, Zhou H, et al. Prevalence, awareness, treatment, control of type 2 diabetes mellitus and risk factors in Chinese rural population: the RuralDiab study. Sci Rep. 2016;6:31426. http://dx.doi.org/10.1038/srep31426
- 10. Mosnier-Pudar H, Hochberg G, Eschwege E, Virally ML, Halimi S, Guillausseau PJ, et al. How do patients with type 2 diabetes perceive their disease? Insights from the French DIABASIS survey. Diabetes Metab. 2009;35(3):220-7. http://dx.doi.org/10.1016/j.diabet.2009.02.001
- 11. Rehman Zu, Irshad M, Khan I, Khan FA, Baig A, Gaohar QY. A Survey of Awareness Regarding Diabetes and its Management Among Patients with Diabetes in Peshawar, Pakistan. J Postgrad Med 2014;28(4):372-7. http://www.jpmi.org.pk/index.php/jpmi/article/view/1628
- 12. Caliskan D, Ozdemir O, Ocaktan E, Idil A. Evaluation of awareness of diabetes mellitus and associated factors in four health center areas. Patient Educ Couns. 2006;62(1):142-7. http://dx.doi.org/10.1016/j.pec.2005.06.018.
- 13. Azimi-Nezhad M, Ghayour-Mobarhan M, Parizadeh MR, Safarian M, Esmaeili H, Parizadeh SM, et al. Prevalence of type 2 diabetes mellitus in Iran and its relationship with gender, urbanisation, education, marital status and occupation. Singapore Med J. 2008;49(7):571-6. https://www.ncbi.nlm.nih.gov/pubmed/18695867.
- 14. McDonald M, Hertz RP, Unger AN, Lustik MB. Prevalence, awareness, and management of hypertension, dyslipidemia, and diabetes among United States adults aged 65 and older. J Gerontol A Biol Sci Med Sci. 2009;64(2):256-63. http://dx.doi.org/10.1093/gerona/gln016.
- 15. Kacerovsky-Bielesz G, Lienhardt S, Hagenhofer M, Kacerovsky M, Forster E, Roth R, et al. Sex-related psychological effects on metabolic control in type 2 diabetes mellitus. Diabetologia. 2009;52(5):781-8. http://dx.doi.org/10.1007/s00125-009-1318-7.
Tip 2 Diyabet hastalarının hastalıkları, tedavisi ve tedavi yan etkileri hususundaki farkındalıklarının değerlendirilmesi
Abstract
Giriş: Diyabetes Mellitus (DM) tedavisi sadece sürekli tıbbi bakımı değil
aynı zamanda komplikasyonlardan korunmak için risk azaltma stratejilerini de
içerir. Hastaların DM ve diyabetle ilgili komplikasyonlar (DIK) hakkındaki
bilgi ve farkındalıklarını artırmak, DM yönetimi için çok önemlidir. DM ve DIK
ile ilgili farkındalık, hastaların diyet planlarına ve yaşam tarzı
değişikliklerine uyumda daha istekli davranmalarını sağlayarak bizlerin hastaya
özel hedefler belirlememize yardımcı olacaktır. Bu çalışmada diyabet
hastalarının DM, DM yönetimi ve DIK hakkındaki farkındalık seviyelerini
belirlemek istiyoruz..
Yöntem:
Çalışmaya tip 2 Diyabetes Mellituslu (T2DM) toplam 300 yetişkin hasta (179
kadın, 121 erkek) dahil edildi. Veriler yüz yüze görüşmelere dayanan bir anket
aracılığıyla toplanmıştır. Her bir katılımcı için toplam anket puanı (TAP), her
bir doğru cevap 1 puan alınarak hesaplandı ve TAP aralığı 0-24 arasında
değerlendirildi
Bulgular: Kadınların puanı erkeklerin puanından yüksekti (14.72±3.14
vs. 13.07±3.30, p <0,001). Çalışmayan hastaların farkındalıkları daha
yüksekti (14.53±3.22 vs. 13.64±3.31, p = 0,019). Düşük eğitimli ve yüksek
eğitimli katılımcılar arasında farkındalık açısından anlamlı bir fark
gözlenmedi. Tedavi kombinasyonlarında insülin, anti-hipertansif ve lipid
düşürücü ilaç kullanan hastalarda TAP skorları anlamlı derecede yüksek bulundu.
Vücut kitle indeksi, kalça çevresi, diyastolik kan basıncı ve diyabet yaşı ile
farkındalık arasında anlamlı bir korelasyon olduğu gözlendi.
Sonuç: Çalışmamıza katılan
hastaların ortalama farkındalık puanı 14 puan olarak gözlendi. En yüksek
farkındalık düzeyinde alınabilecek maksimum puan 24 olduğundan hastalarımızın
farkındalık düzeyi %58 olarak değerlendirilebilir. Diyabete bağlı morbidite,
mortalite ve ekonomik maliyetleri göz önüne alarak, daha yüksek tedavi
başarısını elde etmek için hasta eğitimine daha fazla önem verilmesi gerektiği
söylenebilir.
Keywords
References
- 1. International Diabetes Federation. IDF Diabetes Atlas. 8 ed. Belgium: International Diabetes Federation; 2017.
- 2. Chinenye S, Young E. Management of diabetes mellitus in developing countries. The relevance of post prandial hyperglycemia. Pak J Med Sci. 2011;27:677-81.
- 3. Mahmood K, Akhtar S, Haider I, Abbassi B, Jalib A, Salekeen S. Dietary misconceptions in Pakistani diabetic patients. Pak J Med Sci. 2011;27:128-32.
- 4. Grossman S. Management of type 2 diabetes mellitus in the elderly: role of the pharmacist in a multidisciplinary health care team. J Multidiscip Healthc. 2011;4:149-54. http://dx.doi.org/10.2147/JMDH.S21111.
- 5. Gunay T, Ulusel B, Velipasaoglu S, Unal B, Ucku R, Ozgener N. Factors affecting adult knowledge of diabetes in Narlidere Health District, Turkey. Acta Diabetol. 2006;43(4):142-7. http://dx.doi.org/10.1007/s00592-006-0230-6.
- 6. He X, Wharrad HJ. Diabetes knowledge and glycemic control among Chinese people with type 2 diabetes. Int Nurs Rev. 2007;54(3):280-7. http://dx.doi.org/10.1111/j.1466-7657.2007.00570.x.
- 7. Al-Adsani AM, Moussa MA, Al-Jasem LI, Abdella NA, Al-Hamad NM. The level and determinants of diabetes knowledge in Kuwaiti adults with type 2 diabetes. Diabetes Metab. 2009;35(2):121-8. http://dx.doi.org/10.1016/j.diabet.2008.09.005
- 8. Arslantas D, Unsal A, Metintas S, Koc F. Knowledge of diabetic patients about diabetes at the primary stage in Eskisehir, Turkey. Pak J Med Sci 2008;24(2):263-8.
- 9. Liu X, Li Y, Li L, Zhang L, Ren Y, Zhou H, et al. Prevalence, awareness, treatment, control of type 2 diabetes mellitus and risk factors in Chinese rural population: the RuralDiab study. Sci Rep. 2016;6:31426. http://dx.doi.org/10.1038/srep31426
- 10. Mosnier-Pudar H, Hochberg G, Eschwege E, Virally ML, Halimi S, Guillausseau PJ, et al. How do patients with type 2 diabetes perceive their disease? Insights from the French DIABASIS survey. Diabetes Metab. 2009;35(3):220-7. http://dx.doi.org/10.1016/j.diabet.2009.02.001
- 11. Rehman Zu, Irshad M, Khan I, Khan FA, Baig A, Gaohar QY. A Survey of Awareness Regarding Diabetes and its Management Among Patients with Diabetes in Peshawar, Pakistan. J Postgrad Med 2014;28(4):372-7. http://www.jpmi.org.pk/index.php/jpmi/article/view/1628
- 12. Caliskan D, Ozdemir O, Ocaktan E, Idil A. Evaluation of awareness of diabetes mellitus and associated factors in four health center areas. Patient Educ Couns. 2006;62(1):142-7. http://dx.doi.org/10.1016/j.pec.2005.06.018.
- 13. Azimi-Nezhad M, Ghayour-Mobarhan M, Parizadeh MR, Safarian M, Esmaeili H, Parizadeh SM, et al. Prevalence of type 2 diabetes mellitus in Iran and its relationship with gender, urbanisation, education, marital status and occupation. Singapore Med J. 2008;49(7):571-6. https://www.ncbi.nlm.nih.gov/pubmed/18695867.
- 14. McDonald M, Hertz RP, Unger AN, Lustik MB. Prevalence, awareness, and management of hypertension, dyslipidemia, and diabetes among United States adults aged 65 and older. J Gerontol A Biol Sci Med Sci. 2009;64(2):256-63. http://dx.doi.org/10.1093/gerona/gln016.
- 15. Kacerovsky-Bielesz G, Lienhardt S, Hagenhofer M, Kacerovsky M, Forster E, Roth R, et al. Sex-related psychological effects on metabolic control in type 2 diabetes mellitus. Diabetologia. 2009;52(5):781-8. http://dx.doi.org/10.1007/s00125-009-1318-7.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Original Research |
| Authors | |
| Publication Date | December 31, 2019 |
| Submission Date | July 28, 2019 |
| Acceptance Date | September 12, 2019 |
| Published in Issue | Year 2019Volume: 4 Issue: 3 |