How well have we been educationg our patients? Patients’ perception of control and knowledge, attitude and practice of their diabetes mellitus management
Background: There is discordance between knowledge, attitude and practice (KAP) and true diabetic control in many previous study. The current study attempts to analyze patients’ perception of their diabetic control in association with true diabetic control in terms of glycated hemoglobin (HBA1C)....
| Main Authors: | , , , , , |
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| Format: | Conference or Workshop Item |
| Language: | English English |
| Published: |
2013
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/35157/ http://irep.iium.edu.my/35157/9/How_well_have_we_been_educationg_our_patients.pdf http://irep.iium.edu.my/35157/1/Absract_MEMS_DMKAP.pdf |
| Summary: | Background: There is discordance between knowledge, attitude and practice (KAP) and true diabetic
control in many previous study. The current study attempts to analyze patients’ perception of their diabetic
control in association with true diabetic control in terms of glycated hemoglobin (HBA1C).
Methods: A cross-sectional study was performed involving 120 diabetic patients. Sociodemographic data
and most recent biochemical investigation results were tabulated and they were interviewed using KAP
questionnaire. The association between patient perception, actual control (HbA1C) and KAP scores were
analyzed.
Results: Sixty-two percent believe that their diabetes is well controlled with median HbA1C of 8.0 (6.9 -
9.2) % [64 (52 - 77) mmol/mol], which is significantly lower compared to those who perceive their diabetes
is partially and uncontrolled [10.25 (8.43 - 12.00) and 10.25 (8.48 - 13.50)%] [89 (69 - 108) and 89 (69 -
124) mmol/mol], p-value = 0.026. Patients who perceive controlled diabetes have lower median postprandial
glucose level compared to those with partially and uncontrolled although higher than recommended
target, p-value = 0.010 (Table 1). Overall KAP score and each of their domains were significantly higher in
those with HbA1C 6.5-8.0% (48 - 64 mmol/mol) compared to those outside the recommended target (Table
2). No association was found between perception of diabetic control and KAP scores (Table 3).
Conclusion: Sixty-two percent of patients felt that their diabetes is well controlled despite having median
HbA1c of 8.0%. KAP score on the other hand did not correlate with patients perception of how well their
diabetes mellitus control was. |
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