TY - JOUR
T1 - Knowledge, attitude and practice of elderly outpatients with type 2 diabetes mellitus in National Geriatric Hospital, Vietnam
AU - Nguyen, Anh Trung
AU - Pham, Hai Quang
AU - Nguyen, Thanh Xuan
AU - Nguyen, Thu Thi Hoai
AU - Nguyen, Huong Thi Thu
AU - Nguyen, Tam Ngoc
AU - Dinh, Dung Thi Kim
AU - Phan, Hai Thanh
AU - Nguyen, Son Hoang
AU - Tran, Bach Xuan
AU - Latkin, Carl A.
AU - Ho, Roger Cm
AU - Ho, Cyrus Sh
AU - Pham, Thang
AU - Vu, Huyen Thi Thanh
N1 - Publisher Copyright:
© 2020 Nguyen et al.
PY - 2020
Y1 - 2020
N2 - 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.
AB - 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.
KW - Attitude
KW - Diabetes
KW - Elderly
KW - Knowledge
KW - Practice
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U2 - 10.2147/DMSO.S267866
DO - 10.2147/DMSO.S267866
M3 - Article
C2 - 33116737
AN - SCOPUS:85094579420
SN - 1178-7007
VL - 13
SP - 3909
EP - 3917
JO - Diabetes, Metabolic Syndrome and Obesity
JF - Diabetes, Metabolic Syndrome and Obesity
ER -