Patient perception, actual control and KAP of their diabetic management: A comparison between patients seen at Primary Care Clinic and Tertiary Hospital
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 s...
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Malaysian Endocrine & Metabolic Society
2014
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| Online Access: | http://irep.iium.edu.my/48109/ http://irep.iium.edu.my/48109/ http://irep.iium.edu.my/48109/7/PP-021.pdf |
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iium-481092018-06-20T00:38:12Z http://irep.iium.edu.my/48109/ 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 Mohd Rafee, Adilah Rafi'ah Mohamad Hazim, Husna Saiful Bahri, Aina Sharleena Mohamad, Rizman Tuhiran, Mohamad Fadzil RC Internal medicine 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. Malaysian Endocrine & Metabolic Society 2014-05 Article PeerReviewed application/pdf en http://irep.iium.edu.my/48109/7/PP-021.pdf 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 http://www.jmems.org/index.php/jmems/issue/view/5 |
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Digital Repository |
| institution_category |
Local University |
| institution |
International Islamic University Malaysia |
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IIUM Repository |
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Online Access |
| language |
English |
| topic |
RC Internal medicine |
| spellingShingle |
RC Internal medicine Shahar, Mohammad Arif Mohd Rafee, Adilah Rafi'ah Mohamad Hazim, Husna Saiful Bahri, Aina Sharleena Mohamad, Rizman Tuhiran, Mohamad Fadzil Patient perception, actual control and KAP of their diabetic management: A comparison between patients seen at Primary Care Clinic and Tertiary Hospital |
| description |
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. |
| format |
Article |
| author |
Shahar, Mohammad Arif Mohd Rafee, Adilah Rafi'ah Mohamad Hazim, Husna Saiful Bahri, Aina Sharleena Mohamad, Rizman Tuhiran, Mohamad Fadzil |
| author_facet |
Shahar, Mohammad Arif Mohd Rafee, Adilah Rafi'ah Mohamad Hazim, Husna Saiful Bahri, Aina Sharleena Mohamad, Rizman Tuhiran, Mohamad Fadzil |
| author_sort |
Shahar, Mohammad Arif |
| title |
Patient perception, actual control and KAP of their diabetic management: A comparison between patients seen at Primary Care Clinic and Tertiary Hospital |
| title_short |
Patient perception, actual control and KAP of their diabetic management: A comparison between patients seen at Primary Care Clinic and Tertiary Hospital |
| title_full |
Patient perception, actual control and KAP of their diabetic management: A comparison between patients seen at Primary Care Clinic and Tertiary Hospital |
| title_fullStr |
Patient perception, actual control and KAP of their diabetic management: A comparison between patients seen at Primary Care Clinic and Tertiary Hospital |
| title_full_unstemmed |
Patient perception, actual control and KAP of their diabetic management: A comparison between patients seen at Primary Care Clinic and Tertiary Hospital |
| title_sort |
patient perception, actual control and kap of their diabetic management: a comparison between patients seen at primary care clinic and tertiary hospital |
| publisher |
Malaysian Endocrine & Metabolic Society |
| publishDate |
2014 |
| url |
http://irep.iium.edu.my/48109/ http://irep.iium.edu.my/48109/ http://irep.iium.edu.my/48109/7/PP-021.pdf |
| first_indexed |
2023-09-18T21:08:19Z |
| last_indexed |
2023-09-18T21:08:19Z |
| _version_ |
1777411083433148416 |