期刊
DIABETES METABOLIC SYNDROME AND OBESITY-TARGETS AND THERAPY
卷 12, 期 -, 页码 1409-1417出版社
DOVE MEDICAL PRESS LTD
DOI: 10.2147/DMSO.S209711
关键词
knowledge; glycated hemoglobin; self-management; glycemic control; HbA1c
资金
- Monash University
- University of Malaya [PG136-2016A, PG135-2016A]
- Monash Global Asia in the Twenty-First Century (GA21) [GA-HW-19-L01, GA-HW-19-501]
- Biotek Abadi Sdn Bhd [GBA-81811A]
Objective: This study explored the relationship of disease knowledge with glycemic control and self-care practices in adult Pakistani people diabetes (PWD). Methods: People diagnosed with type 2 diabetes (n=218) were selected from three health care centers, located in different cities of Pakistan. Disease knowledge and self-care practices were assessed by Urdu versions of Diabetes Knowledge Questionnaire (DKQ) and Diabetes Self-Management Questionnaire (DSMQ), using a cross-sectional design. Chi-square and correlation analysis were applied to explore the relationship of disease knowledge with glycemic control and self-care practices. Linear regression was used to explore the predictors for disease knowledge. Results: Majority of the sample was >45-60 years old (48.8%), suffering from type 2 diabetes mellitus for <5 years (49.5%) and had poor glycemic control (HbA1C >= 7%; n=181 participants). Disease knowledge was significantly associated (p<0.05) with patient's gender, level of education, family history of diabetes, nature of euglycemic therapy, and glycemic control. Correlation matrix showed strongly inverse correlations of DKQ with glycated hemoglobin levels (r=-0.62; p<0.001) and strongly positive with DSMQ sum scale (r=0.63; p<0.001). PWD having university-level education (beta=0.22; 95% Confidence Interval (CI) 0.189, 0.872; p<0.01), doing job (beta=0.22; 95% CI 0.009, 0.908]; p=0.046), and use of oral hypoglycemic agents in combination with insulin (beta=-0.16; 95% CI [-1.224, -0.071]; p=0.028) were the significant predictors for disease knowledge. Conclusion: Disease knowledge significantly correlated with glycated hemoglobin levels and self-care activities of PWD. These findings will help in designing patient-tailored diabetes educational interventions for yielding a higher probability of achieving target glycemic control.
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