How well have we been educationg our patients? Patients’ perception of control and knowledge, attitude and practice of their diabetes mellitus management

Shahar, Mohammad Arif and Anwardeen, Azmad Kareem and Jalunis, Mohamad Mustakim and Mohammad Isa, Muhammad Syafiq and Omar, Ahmad Marzuki and Kamaruddin, Nor Azmi (2013) How well have we been educationg our patients? Patients’ perception of control and knowledge, attitude and practice of their diabetes mellitus management. In: Malaysian Endocrine and Metabolic Society Annual Congress 2013, 23 - 26 May 2013, Pullman Putrajaya Lakeside, Putrajaya. (Unpublished)

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Abstract

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.

Item Type:	Conference or Workshop Item (Full Paper)
Additional Information:	5471/35157
Subjects:	R Medicine > R Medicine (General) R Medicine > RC Internal medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Internal Medicine
Depositing User:	Dr Mohammad Arif Shahar
Date Deposited:	07 Feb 2014 11:20
Last Modified:	07 Feb 2014 11:20
URI:	http://irep.iium.edu.my/id/eprint/35157

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