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Diabetes: knowledge, psychosocial impact, and attitude of patients

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Abstract

The scourge of diabetes has been increasing worldwide with a tendency to double, from 176 to 370 million people by 2030 according to WHO prediction. In Nigeria, only 20 % of the 3.2 million estimated to have diabetes are aware of it. Among those already diagnosed, about 50 % have poor glycaemic control attributable to poor diabetes self-management despite effective medication. Diabetes self-management in addition to medical therapy, lifestyle modification and education are key to the management of diabetes. This study aims to determine the knowledge, psychosocial impact and attitude of people with diabetes to diabetes with a view to make recommendations for a more encompassing patient-based management of diabetes. A cross-sectional study using a structured questionnaire in the endocrinology clinic of the Federal Medical Centre, Owerri, interviewed 104 consecutive newly diagnosed patients with diabetes who willingly consented to the study. One hundred and four patients with an equal male to female ratio were interviewed. The 41–60-year (78.8 %) age group and traders (66.3 %) constituted the greatest number. Majority (58.7 %) heard of diabetes prior to their diagnosis, but many (41.3 %) did not. This knowledge was significantly associated with occupation (0.022). Many (84.6 %) were willing to disclose diagnosis to family and friends as well as join a support group (61.5 %). But, the major reason for this inclination was wrong. Many never heard of diabetes prior to their diagnosis. In spite of being aware, a diagnosis of diabetes is associated with different emotional responses and attitudes including willingness to disclose their diagnosis and get support. Appropriate treatment based on current medical knowledge, self-management education and development of diabetic support groups is recommended.

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References

  1. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27:1047–53.

    Article  PubMed  Google Scholar 

  2. Oputa RN. National diabetes screening programmes. Diabetes Int. 2009;17(1):9–11.

    Google Scholar 

  3. World Health Organization: Diabetes: total number of people with diabetes [article online].Available online at www.who.int/ncd/dia/databases4.htm

  4. Kristensen JK, Bro F, Sandbaek A, Dahler-Eriksen K, Lassen JF, Lauritzen T. HbAlc in an unselected population of 4438 people with type2 diabetes in a Danish county. Scand J Prim Health Care. 2001;19:241–6.

    Article  CAS  PubMed  Google Scholar 

  5. Cramer JA. A systematic review of adherence with medications for diabetes. Diabetes Care. 2004;27:1218–24.

    Article  PubMed  Google Scholar 

  6. World Health Organization. Adherence to Long-term Therapies. Geneva: World Health Org; 2003.

    Google Scholar 

  7. Mosaku K, Kolawole B, Mume C, Ikem R. Depression, anxiety and quality of life among diabetic patients: a comparative study. J Natl Med Assoc. 2008;100:73–8.

    PubMed  Google Scholar 

  8. Hermans N, Kulzer B, Krichbaum M, Kubiak T, Haak T. How to screen for depression and emotional problems in patients with diabetes: Comparison of screening characteristics of depression questionnaires, measurement of diabetes-specific emotional problems and standard clinical assessment. Diabet Med. 2005;22:293–300.

    Article  Google Scholar 

  9. Holman RR, Paul SK, Bethel MA, Matthews DR, Neil HH. 10 year follow up of intensive glucose control in type 2 diabetes. N Engl J Med. 2008;359:1577–89.

    Article  CAS  PubMed  Google Scholar 

  10. Johnson ST, Bell GJ, MCcargar LJ, Welsh RS, Bell RC. Improved cardiovascular health following a progressive walking and dietary intervention for type 2 diabetes. Diabetes Obes Metab. 2009;11:836–43.

    Article  CAS  PubMed  Google Scholar 

  11. Gutschall MP, Miller CK, Mitchell DC, Lawrence FR. A randomized behavioral trial targeting glycemic index improves dietary, weight and metabolic outcomes in patient with type 2 diabetes. Public Health Nutr. 2009;23:1–9.

    Google Scholar 

  12. Baradran HR, Knill-Jones RP, Wallia S, Rodgers A. A controlled trial of the effectiveness of a diabetes education programme in a multiethnic community in Glasgow. BMC Public Health. 2006;6:134.

    Article  Google Scholar 

  13. Peyrot M, Rubin RR, Funnell MM, Siminerio LM. Access to diabetes self management education; Results of national surveys of patients, educators and physicians. Diabetes Educ. 2009;35(2):246–8. 252–6, 258–63.

    Article  PubMed  Google Scholar 

  14. Moodley LM, Rambiritch V. An assessment of the level of knowledge about diabetes mellitus among diabetic patients in a primary healthcare setting. SA Fam Pract. 2007;49(10):16.

    Google Scholar 

  15. Okolie VU, Ehiemere OI, Iheanacho NP, Kalu-Igwe IN. Knowledge of diabetes management and control by diabetic patients at Federal Medical Center Umuahia Abia State, Nigeria. Int J Med Med Sci. 2009;1(9):353–8.

    Google Scholar 

  16. Shera AS, Jawad F, Basit A. Diabetes related knowledge, attitude and practices of family physicians in Pakistan. J Pak Med Assoc. 2002;52:465–70.

    CAS  PubMed  Google Scholar 

  17. American diabetes association. Standards of Medical care in Diabetes. Diabetes Care. 2009;32(1):S13–61.

    Article  PubMed Central  Google Scholar 

  18. Rapaport WS, Taylor Cohen R, Riddle MC, Diabetes Through the Life Span: Psychological Ramifications for Patients and Professionals Diabetes SpectrumVolume 13 Number 4, 2000, Page 201

  19. IDF Diabetes atlas. 2011. 5th Edition pg 23, 45–48.

  20. World Health Organisation. Prevention of Diabetes Mellitus. Report of a WHO study Group. 844th ed. Geneva: World Health Organisation; 1994.

    Google Scholar 

  21. Nwaokoro JC, Okokon BE, Nwaokoro AA, Emerole CO, Ibe SNO, Onwuliri VA, et al. Problems associated with treatment compliance among Type 2 Diabetes patients at a Tertiary Health Institution in Nigeria. Afr J Diabetes Med. 2014;1(2):24–6.

    Google Scholar 

  22. Gul N. Knowledge Attitudes and Practices of Type 2 Diabetic Patients. J Ayub Med Coll Abbottabad 2010;22(3)

  23. Anderson RJ, Freedland KE, Clouse RE, Lustman PJ. The prevalence of comorbid depressionin adults with diabetes: a meta-analysis. Diabetes Care. 2001;24:1069–78.

    Article  CAS  PubMed  Google Scholar 

  24. 24. Soren E. Skovlund, Peyrot M. The Diabetes Attitudes, Wishes, and Needs (DAWN) Program:A New Approach to Improving Outcomes of Diabetes Care. Diabetes Spectrum 2005.Volume 18:3.

  25. Gary TL, Gonkinger JM, Gualler E, Peyrot M, Bromcarti E. Metaanalysis of randomized educational and behavioural interventions in Type 2 Diabetes. Diabetes Edu. 2003;29:488–501.

    Article  Google Scholar 

  26. Renders CM, Ejikvan JT, Volk JJ, et al. Intervention to improve the management of diabetes in primary care, outpatient and community settings: a systematic review. Diabetes Care. 2001;24:1821–33.

    Article  CAS  PubMed  Google Scholar 

  27. American Diabetes Association. Standards of Medical Care in Diabetes—2013. Diabetes Care. 2013;36(1):S11–66.

    Article  PubMed Central  Google Scholar 

  28. Martin AL. Changes and consistencies in diabetes education over 5 years: results of the 2010 National Diabetes education Practice Survey. Diabetes Educ. 2012;38:35–46.

    Article  PubMed  Google Scholar 

  29. Boren SA, Fitzner KA, Pamhalker PS, Specker JE. Costs and benefits associated with diabetes education: a review of the literature. Diabetes Educ. 2009;35:72–96.

    Article  PubMed  Google Scholar 

  30. Norris SL, Nichols PJ, Caspersen CJ, Glasgow RE, Engelgau MM, Jack L, et al. The effectiveness of disease and case management for people with diabetes: a systematic review. Am J Prev Med. 2002;22:15–38.

    Article  PubMed  Google Scholar 

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Correspondence to Eberechukwu Ogbeanu Achigbu.

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Achigbu, E.O., Oputa, R.N., Achigbu, K.I. et al. Diabetes: knowledge, psychosocial impact, and attitude of patients. Int J Diabetes Dev Ctries 35 (Suppl 2), 253–257 (2015). https://doi.org/10.1007/s13410-015-0368-2

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  • DOI: https://doi.org/10.1007/s13410-015-0368-2

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