Niroomand Mahtab, Ghasemi Seyedeh Najmeh, Karimi-Sari Hamidreza, Kazempour-Ardebili Sara, Amiri Parisa, Khosravi Mohammad Hossein
Division of Endocrinology, Department of Internal Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Students' Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Diabetes Metab Syndr. 2016 Jan-Mar;10(1 Suppl 1):S114-9. doi: 10.1016/j.dsx.2015.10.006. Epub 2015 Nov 12.
Recent studies highlight barriers of diabetes educational programs in Iran and also present some successful experiences carried out for improving the knowledge, attitude, and practice (KAP) of type-2 diabetic patients. Hence, evaluation of patients' KAP seems to be needed. We designed a multicenter study evaluating level of KAP in type-2 diabetic patients in the capital city of Tehran and identifying variables that affect this KAP level.
This multicenter analytical cross-sectional study was approved by Shahid Beheshti University of Medical Sciences Ethics Committee. Questionnaires were designed for evaluation of diabetes-related KAP in patients. After validating the questionnaires by endocrinologists, test-retest method was used for questionnaire reliability by checking in 15 diabetic patients. Two hundred type-2 diabetic patients admitted to 4 hospitals of Tehran filled out the questionnaires. Using SPSS software, the level of KAP and its confounders were evaluated in patients.
Two hundred type-2 diabetic patients with the mean age of 60.17 years were evaluated (106 male and 94 female). The mean diabetes duration was 13.06 years. The levels of patients' good knowledge, attitude, and practice were 61.41%, 50.44% and 52.23%, respectively. Age, treatment methods, DM duration, and existence of diabetic retinopathy had significant correlations with KAP level.
The results of this study showed that recent educational programs in Iran improved KAP level. Patients' KAP increases as their condition worsens/progresses. Hence education should be considered as a priority for newly diagnosed patients and those with lower KAP levels before occurrence of diabetes complications.
近期研究突出了伊朗糖尿病教育项目的障碍，同时也展示了一些为改善2型糖尿病患者的知识、态度和行为（KAP）而开展的成功经验。因此，似乎有必要对患者的KAP进行评估。我们设计了一项多中心研究，以评估德黑兰首都2型糖尿病患者的KAP水平，并确定影响该KAP水平的变量。
这项多中心分析性横断面研究获得了沙希德·贝赫什提医科大学伦理委员会的批准。设计了问卷以评估患者与糖尿病相关的KAP。在内分泌科医生对问卷进行验证后，通过对15名糖尿病患者进行检查，采用重测法来评估问卷的可靠性。德黑兰4家医院收治的200名2型糖尿病患者填写了问卷。使用SPSS软件评估患者的KAP水平及其混杂因素。
对200名平均年龄为60.17岁的2型糖尿病患者进行了评估（男性106名，女性94名）。糖尿病平均病程为13.06年。患者的良好知识、态度和行为水平分别为61.41%、50.44%和52.23%。年龄、治疗方法、糖尿病病程和糖尿病视网膜病变的存在与KAP水平有显著相关性。
本研究结果表明，伊朗近期的教育项目提高了KAP水平。患者的KAP随着病情的恶化/进展而增加。因此，对于新诊断的患者以及在糖尿病并发症发生前KAP水平较低的患者，应将教育视为优先事项。
