Shah Viral N, Kamdar P K, Shah Nishit
Department of Medicine, Govt. Medical College, Bhavnagar, Gujarat, India.
Int J Diabetes Dev Ctries. 2009 Jul;29(3):118-22. doi: 10.4103/0973-3930.54288.
As India will ranks first in diabetes now and will continue to do so in 2025, we must prevent the disease by various measures. Before setting the programmes, we should have ample data on the population's knowledge, attitude and practice (KAP) of diabetes. There are some epidemiological studies from southern India, Mumbai and north India, but there is no KAP study from Gujarat. The study was conducted between the period of June 2007 to November 2007 at three centers of Saurashtra region. Out of 300 patients who were given questionnaire, 238 patients were included for the analysis, rest were excluded due to various reasons. 52% were male. Mean age of patients was 55.82+/-10.2 years (95% CI 54.5-57.1) with mean weight of 64.52+/-10.96 Kg (95% CI 62.8-66.2). Mean duration of diabetes was 8.2+/-6.8 years (95% CI 7.2-9.1). 46% of patients knew the pathophysiology of diabetes. Nearly 50% knew the complications of diabetes. Dietary modifications were relied more than exercises among the interviewed subjects. Most of the lacunae in knowledge prevailed in drug therapy of diabetes. Insulin was not favored by most of patients. An encouraging finding in our study was that most believed in self-care and ready to change. Consultation time given by their treating doctors was less than 5 minutes in nearly 50%. Foot care and education to prevent complications were least suggested by doctors.
由于印度目前糖尿病患者数量居世界首位，且到2025年仍将保持这一地位，我们必须采取各种措施预防这种疾病。在制定相关项目之前，我们应该掌握大量关于民众对糖尿病的知识、态度和行为（KAP）的数据。印度南部、孟买和北部有一些流行病学研究，但古吉拉特邦尚无KAP研究。本研究于2007年6月至2007年11月期间在索拉什特拉地区的三个中心进行。在300名接受问卷调查的患者中，238名患者被纳入分析，其余因各种原因被排除。男性患者占52%。患者的平均年龄为55.82±10.2岁（95%可信区间54.5 - 57.1），平均体重为64.52±10.96千克（95%可信区间62.8 - 66.2）。糖尿病平均病程为8.2±6.8年（95%可信区间7.2 - 9.1）。46%的患者了解糖尿病的病理生理学。近50%的患者知道糖尿病的并发症。在接受访谈的患者中，饮食调整比运动更受重视。糖尿病药物治疗方面的知识漏洞最多。大多数患者不喜欢胰岛素。我们研究中一个令人鼓舞的发现是，大多数患者相信自我护理并愿意做出改变。近50%的患者从治疗医生那里得到的咨询时间少于5分钟。医生最少建议进行足部护理和预防并发症的教育。
