Patient perception, actual control and KAP of their diabetic management: A comparison between patients seen at Primary Care Clinic and Tertiary Hospital

Shahar, Mohammad Arif and Mohd Rafee, Adilah Rafi'ah and Mohamad Hazim, Husna and Saiful Bahri, Aina Sharleena and Mohamad, Rizman and Tuhiran, Mohamad Fadzil (2014) Patient perception, actual control and KAP of their diabetic management: A comparison between patients seen at Primary Care Clinic and Tertiary Hospital. Journal of Endocrinology and Metabolism, 4 (1(Sup)). p. 25. ISSN 2229-9572

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Abstract

Objectives: To compare patients’ perception of their diabetic control, their knowledge, attitude and practice (KAP) of their diabetic management, HbA1C and other metabolic parameters in patients seen at a primary care centre (PCC) and tertiary hospital (TH). Methods: This was a cross sectional study involving age and sex-matched 146 patients from our PCC and 145 patients from our TH. They were interviewed using a standardized KAP questionnaire and perception on their diabetic control was documented. Anthropometric measurements were made and their most recent blood investigations were recorded. Analysis was done using SPSS 19. Results: The median age of respondents from PCC and THwere57.0(51.0,64.7) and 57.0(51.0,62.0) years respectively. Patient seen at the TH had significantly longer duration of diabetes than those seen at PCC [8.0(4.0-14.0) vs. 5.0(3.0-10.0) years]. Patients from TH has significantly more complications; amputation from diabetic foot ulcers (9.7% vs. 0.7%); chronic kidney disease (11.0% vs 0.7%); stroke (9.0% vs. 4.1%); and ischaemic heart disease (17.9% vs. 8.2%).Twenty seven percent of patient in PCC and 29% of patients in TH thought that their diabetes were well controlled. However, only 19.9% of patients in PCC and 13.9% of patients in TH had HbA1c less than 6.5%. The mean HbA1C of patients seen in PCC was significantly lower than those seen at TH (8.4 ± 2.3% vs. 9.3 ± 2.6%; p = 0.001). Patients seen in TH are more hypertensive (median BP= 148/74 mmHg) than patients in PCC (median = 130/70 mmHg), but had lower LDL-cholesterol level [1.7(0.9,2.8)mmol/L vs. 2.2(1.8, 3.1) mmol/L).There was no significant difference of KAP score between patients in PCC and HT. Conclusion: Almost a third of respondents in both groups (27% and 29%) thought that their diabetes is well controlled. However, only 20% of patient in PCC and 14% of patients in TH had HbA1C of less than 6.5%. KAP score did not differ between PCC and TH group.

Item Type:	Article (Journal)
Additional Information:	5471/48109
Uncontrolled Keywords:	diabetic management
Subjects:	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:	Mrs Noor Azlin Asnam
Date Deposited:	17 Mar 2016 15:38
Last Modified:	20 Jun 2018 08:38
URI:	http://irep.iium.edu.my/id/eprint/48109

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