Abstract
GLYCEMIC CONTROL AND ITS RELATIONSHIP WITH KNOWLEDGE, ATTITUDE AND PRACTICE OF SELF-CARE AMONG DIABETICS IN UNIVERSITY OF PORT HARCOURT TEACHING HOSPITAL, RIVERS STATE

*Omowhara Believe and Ibidabo Alabere

ABSTRACT

Background: The prevalence of diabetes mellitus (DM) is in recent times increasing at a frightening rate particularly in developing countries. Poor awareness and practices among diabetic patients are some of the important variables prompting the progression of the disease and its complications, which are mainly avoidable through education and involvement of the patient. This study aimed to determine the glycemic control and its relationship with knowledge, attitude and practice of self-care among diabetic patients in University of Port Harcourt Teaching Hospital. Methods: This was a cross-sectional study. Convenience sampling method was used to recruit 359 diabetic patients from the endocrinology clinic in UPTH between October and December 2017. A semi-structured interviewer- administered questionnaire was used to obtain data from the selected diabetic patients. Blood samples were collected for fasting blood glucose determination and estimation of glycemic control. Results: The mean age of 359 patients enrolled was 55.42 ± 11.90 years. A majority (54.6%) of the respondents had uncontrolled glycemic levels while 45.4% were within controlled glycemic levels. Females showed better attitude scores compared to males. Knowledge scores correlated strongly with age (p=0.001), higher educational background (p=0.000), monthly income (p=0.017) and employment status (p=0.001). It was as well observed that those with family history of diabetes (p=0.001) and those that have a diabetic meal plan (p=0.000) had good knowledge of diabetes self-care compared to those who do not. Conclusion: The glycemic control was unsatisfactory among diabetic patients in UPTH. Patients who have knowledge about DM self-care, tend to have better long term glycemic control Thus patient education on self-management skills should be intensified.

Keywords: Knowledge, Attitude, Practice, Self-Care, Diabetes Mellitus, Glycemic Control.


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