Patient-reported knowledge, perception and practice, regarding diabetic self-management skills and behaviours, in Mokopane Provincial Hospital
| dc.contributor.author | Etukudo, Inyang Odiong | |
| dc.date.accessioned | 2015-01-21T12:52:32Z | |
| dc.date.available | 2015-01-21T12:52:32Z | |
| dc.date.issued | 2013-11 | |
| dc.description | SUBMITTED IN PARTIAL FULFILMENT OF THE REQUIREMENT FOR THE AWARD OF THE DEGREE OF MASTER OF FAMILY MEDICINE, FACULTY OF HEALTH SCIENCES, UNIVERSITY OF THE WITWATERSRAND. | en_ZA |
| dc.description.abstract | BACKGROUND: Diabetes Mellitus is a chronic metabolic disease that is a global problem. The increasing incidence and prevalence globally is of great concern. This condition is a long-term challenge, which requires behavioural change and adherence to management to maintain glycaemic control. Good knowledge of diabetes influences adequate self-care practices, glycaemic control, and overall diabetes management. Incorrect self-care practices impair the achievement of the desired treatment targets. AIMS AND OBJECTIVES: This study aimed to determine patient-reported knowledge, perceptions and practice regarding diabetes self-management skills and behaviour through assessing knowledge, reported practice, and perceptions of diabetic self-management among adult patients with diabetes attending the diabetic clinic at Mokopane provincial hospital, and determining the strength of associations between knowledge, reported practice, perception of self-care and glycaemic control. DESIGN AND METHODS: This was a descriptive cross sectional study using a questionnaire on knowledge, perception and self-management practices. Participants were recruited consecutively until the sample size of 76 was reached. Data was analysed using the statistical software SPSS version 17.0. RESULTS: There were more females (71%) and most of the participants (39%) were above 60 years of age. The majority of participants (87%) had a HbA1c of >7%, with a mean HbA1c of 10.2%. Diabetic knowledge was poor. A majority of the participants answered less than 50% of the knowledge questions correctly. More than half of the respondents could not answer the diabetes knowledge questions correctly. The proportion of participants, who responded positively to 3 of the 4 questions to assess knowledge and perception of self-care, was in the range of 70-90%. 86% of participants indicated that they had adjusted their diet since being diagnosed with diabetes. 48% of participants reported that they always adhered well to medication. Most of the participants (81%) indicated that they do not smoke. Responses to other questions to assess practice of self-care showed that only 29% of the participants always practiced the self-care activities stated. There was no statistically significant association between knowledge of diabetes, practice, perception of self-care and glycae. CONCLUSION: General knowledge of diabetes and practice of self-care were inadequate, but perception about diabetes self-care was good. Although many participants had altered their diet, their diabetic control was poor. Poor general knowledge of diabetes, not practicing self-care and poor diabetic control were found in the majority of participants although there was no statistically significant association among these measures.mic control (HbA1c). | |
| dc.identifier.uri | http://hdl.handle.net/10539/16673 | |
| dc.language.iso | en | en_ZA |
| dc.subject.mesh | Diabetes Mellitus | |
| dc.title | Patient-reported knowledge, perception and practice, regarding diabetic self-management skills and behaviours, in Mokopane Provincial Hospital | en_ZA |
| dc.type | Thesis | en_ZA |