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Knowledge, Attitude and Practice of Elderly Outpatients with Type 2 Diabetes Mellitus in National Geriatric Hospital, Vietnam
BACKGROUND: Diabetes-related complications have become increasingly prevalent and complicated to manage, especially among frail older adults with co-morbidities, poor physical function, and impaired cognition. Thus, knowledge, attitude, and practice (KAP) of elderly diabetic patients play an essenti...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7588265/ https://www.ncbi.nlm.nih.gov/pubmed/33116737 http://dx.doi.org/10.2147/DMSO.S267866 |
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author | Nguyen, Anh Trung Pham, Hai Quang Nguyen, Thanh Xuan Nguyen, Thu Thi Hoai Nguyen, Huong Thi Thu Nguyen, Tam Ngoc Dinh, Dung Thi Kim Phan, Hai Thanh Nguyen, Son Hoang Tran, Bach Xuan Latkin, Carl A Ho, Roger C M Ho, Cyrus S H Pham, Thang Vu, Huyen Thi Thanh |
author_facet | Nguyen, Anh Trung Pham, Hai Quang Nguyen, Thanh Xuan Nguyen, Thu Thi Hoai Nguyen, Huong Thi Thu Nguyen, Tam Ngoc Dinh, Dung Thi Kim Phan, Hai Thanh Nguyen, Son Hoang Tran, Bach Xuan Latkin, Carl A Ho, Roger C M Ho, Cyrus S H Pham, Thang Vu, Huyen Thi Thanh |
author_sort | Nguyen, Anh Trung |
collection | PubMed |
description | BACKGROUND: Diabetes-related complications have become increasingly prevalent and complicated to manage, especially among frail older adults with co-morbidities, poor physical function, and impaired cognition. Thus, knowledge, attitude, and practice (KAP) of elderly diabetic patients play an essential role in controlling the disease and its complications. PATIENTS AND METHODS: A cross-sectional study was conducted on 176 diabetic patients at the outpatient clinics, National Geriatric Hospital, Hanoi, Vietnam from August to November 2015. Patients’ knowledge, attitude, and practice regarding diabetes mellitus were assessed using a structured questionnaire. Exploratory factor analysis and multivariate Tobit regression model were used to identify factors associated with knowledge, attitude, practice about diabetes mellitus. RESULTS: Of 176 diabetic patients, patients’ knowledge was divided into two main groups: “Diabetes definition and management” (mean score = 57.7 ± 25.6) and “Targets for diabetic control” (mean score = 66.1 ± 30.4). Patients scored high points of attitudes toward diabetes severity and its complications (mean score = 95.8 ± 13.0); however, knowledge and practice scores were only moderate (mean score = 68.1 ± 16.8). There were only 8.5% of people having daily self-blood glucose monitoring. Advanced age, low educational level, rural area, and duration of diabetes less than 5 years were negative associated with knowledge, attitude, and practice regarding diabetes mellitus. This study also shows that frailty and co-morbidities/diabetic complications could impair patients’ knowledge. CONCLUSION: Older patients with diabetes had high levels of perceived severity attitudes on diabetes mellitus. However, the knowledge and practice levels were still inadequate. Pragmatic diabetic health literacy, counseling and education programs, as well as home-based treatments are viable options to improve health outcomes. |
format | Online Article Text |
id | pubmed-7588265 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-75882652020-10-27 Knowledge, Attitude and Practice of Elderly Outpatients with Type 2 Diabetes Mellitus in National Geriatric Hospital, Vietnam Nguyen, Anh Trung Pham, Hai Quang Nguyen, Thanh Xuan Nguyen, Thu Thi Hoai Nguyen, Huong Thi Thu Nguyen, Tam Ngoc Dinh, Dung Thi Kim Phan, Hai Thanh Nguyen, Son Hoang Tran, Bach Xuan Latkin, Carl A Ho, Roger C M Ho, Cyrus S H Pham, Thang Vu, Huyen Thi Thanh Diabetes Metab Syndr Obes Original Research BACKGROUND: Diabetes-related complications have become increasingly prevalent and complicated to manage, especially among frail older adults with co-morbidities, poor physical function, and impaired cognition. Thus, knowledge, attitude, and practice (KAP) of elderly diabetic patients play an essential role in controlling the disease and its complications. PATIENTS AND METHODS: A cross-sectional study was conducted on 176 diabetic patients at the outpatient clinics, National Geriatric Hospital, Hanoi, Vietnam from August to November 2015. Patients’ knowledge, attitude, and practice regarding diabetes mellitus were assessed using a structured questionnaire. Exploratory factor analysis and multivariate Tobit regression model were used to identify factors associated with knowledge, attitude, practice about diabetes mellitus. RESULTS: Of 176 diabetic patients, patients’ knowledge was divided into two main groups: “Diabetes definition and management” (mean score = 57.7 ± 25.6) and “Targets for diabetic control” (mean score = 66.1 ± 30.4). Patients scored high points of attitudes toward diabetes severity and its complications (mean score = 95.8 ± 13.0); however, knowledge and practice scores were only moderate (mean score = 68.1 ± 16.8). There were only 8.5% of people having daily self-blood glucose monitoring. Advanced age, low educational level, rural area, and duration of diabetes less than 5 years were negative associated with knowledge, attitude, and practice regarding diabetes mellitus. This study also shows that frailty and co-morbidities/diabetic complications could impair patients’ knowledge. CONCLUSION: Older patients with diabetes had high levels of perceived severity attitudes on diabetes mellitus. However, the knowledge and practice levels were still inadequate. Pragmatic diabetic health literacy, counseling and education programs, as well as home-based treatments are viable options to improve health outcomes. Dove 2020-10-22 /pmc/articles/PMC7588265/ /pubmed/33116737 http://dx.doi.org/10.2147/DMSO.S267866 Text en © 2020 Nguyen et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Nguyen, Anh Trung Pham, Hai Quang Nguyen, Thanh Xuan Nguyen, Thu Thi Hoai Nguyen, Huong Thi Thu Nguyen, Tam Ngoc Dinh, Dung Thi Kim Phan, Hai Thanh Nguyen, Son Hoang Tran, Bach Xuan Latkin, Carl A Ho, Roger C M Ho, Cyrus S H Pham, Thang Vu, Huyen Thi Thanh Knowledge, Attitude and Practice of Elderly Outpatients with Type 2 Diabetes Mellitus in National Geriatric Hospital, Vietnam |
title | Knowledge, Attitude and Practice of Elderly Outpatients with Type 2 Diabetes Mellitus in National Geriatric Hospital, Vietnam |
title_full | Knowledge, Attitude and Practice of Elderly Outpatients with Type 2 Diabetes Mellitus in National Geriatric Hospital, Vietnam |
title_fullStr | Knowledge, Attitude and Practice of Elderly Outpatients with Type 2 Diabetes Mellitus in National Geriatric Hospital, Vietnam |
title_full_unstemmed | Knowledge, Attitude and Practice of Elderly Outpatients with Type 2 Diabetes Mellitus in National Geriatric Hospital, Vietnam |
title_short | Knowledge, Attitude and Practice of Elderly Outpatients with Type 2 Diabetes Mellitus in National Geriatric Hospital, Vietnam |
title_sort | knowledge, attitude and practice of elderly outpatients with type 2 diabetes mellitus in national geriatric hospital, vietnam |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7588265/ https://www.ncbi.nlm.nih.gov/pubmed/33116737 http://dx.doi.org/10.2147/DMSO.S267866 |
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