Kheir Nadir, Greer William, Yousif Adil, Al Geed Hajer, Al Okkah Randa
College of Pharmacy, Qatar University Sidra Medical and Research Center, Doha, Qatar.
Int J Pharm Pract. 2011 Jun;19(3):185-91. doi: 10.1111/j.2042-7174.2011.00118.x. Epub 2011 Apr 12.
Patient compliance with their medications and their ability for self-management in type 2 diabetes mellitus (T2DM) is a growing cause of concern to healthcare providers. Knowledge about diabetes, attitude towards the condition and time management with respect to the condition (practice), collectively known as KAP, are known to affect compliance and play an important part in diabetes management. We aimed to describe the knowledge, attitude, practice and psychological status of adult Qatari patients with T2DM, and to explore the interaction between these and other patient-related factors which could impact on the ability of the patients to manage their diabetes and to achieve desirable health outcomes.
A questionnaire (the Diabetes Habits and Beliefs Questionnaire, DHBQ) was used to investigate the level and relationship between knowledge, attitude, general practice and psychological status of patients with T2DM. The data was collected in face-to-face interviews with patients visiting the diabetic clinic at a tertiary hospital in Qatar during the period January 2008 to March 2009.
There were significant differences in attitude and knowledge between educational levels. Knowledge and attitude were highly correlated and the psychological status of the patient was positively associated with both knowledge and attitude. There was generally poor practice of regularly inspecting feet to detect signs of neuropathy, taking medication in relation to meals, modifying doses when necessary and setting goals for therapy.
The data provided can assist pharmacists and other healthcare practitioners in tailoring educational programmes aimed at improving diabetes control.
2型糖尿病（T2DM）患者对药物治疗的依从性及其自我管理能力日益引起医疗服务提供者的关注。糖尿病相关知识、对该病的态度以及针对该病的时间管理（实践），统称为知识、态度和实践（KAP），已知会影响依从性，并在糖尿病管理中发挥重要作用。我们旨在描述卡塔尔成年T2DM患者的知识、态度、实践和心理状态，并探讨这些因素与其他患者相关因素之间的相互作用，这些因素可能会影响患者管理糖尿病并实现理想健康结果的能力。
采用一份问卷（糖尿病习惯与信念问卷，DHBQ）来调查T2DM患者的知识、态度、一般实践和心理状态的水平及相互关系。数据收集于2008年1月至2009年3月期间在卡塔尔一家三级医院糖尿病门诊就诊的患者的面对面访谈中。
不同教育水平的患者在态度和知识方面存在显著差异。知识和态度高度相关，患者的心理状态与知识和态度均呈正相关。在定期检查足部以发现神经病变迹象、根据进餐情况服药、必要时调整剂量以及设定治疗目标等方面，总体实践情况较差。
所提供的数据可帮助药剂师和其他医疗从业者制定旨在改善糖尿病控制的教育计划。
