Rahaman Kh Shafiur, Majdzadeh Reza, Holakouie Naieni Kourosh, Raza Owais
Khwaja Badrudduja Modern Hospital, Gazipur, Bangladesh.
Professor, Department of Epidemiology and Biostatistics, School of Public Health and Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, IR Iran.
Int J Endocrinol Metab. 2017 Jul 30;15(3):e12555. doi: 10.5812/ijem.12555. eCollection 2017 Jul.
To reduce morbidity and mortality, awareness regarding diabetes and its complications is necessary. This study aimed at assessing the level of knowledge, attitude, and practices (KAP) regarding complications of diabetes mellitus among patients with type 2 diabetes in Dhaka, Bangladesh.
A cross-sectional study was carried out recruiting patients with diabetes from the outpatient department of BIRDEM hospital in Dhaka. Overall, 425 patients with diabetes were enrolled in this study. A pretested questionnaire was filled by the interviewer with face to face interview. Levels of KAP were determined by calculating the scores. Multivarable linear regression was used to determine significant predictors for knowledge, attitude, and practices.
On average, the level of knowledge, attitude, and practices were 9.2 (out of 14), 7.9 (out of 13), and 16.9 (out of 27), respectively. Age and gender were significant predictors of knowledge and attitude. Females had better level of knowledge and attitude compared to males (βs = 0.55 and 1.24, respectively). Patients with graduate degrees and above compared to illiterates reported significantly greater knowledge and practice (βs = 1.27 and 1.44, respectively), after adjustments for covariates. Educational program was the most important significant predictor of KAP. Higher duration of diabetes (β = 0.07) and positive marital status (β = 1.21) had influenced better practice.
Lack of knowledge, poor attitude, and inadequate practice were found in this surveyed communinty. Level of education and educational program on diabetes were the most significant contributing factors. The current study suggests the need of structured educational programs on diabetes and its complications on a regular basis to assist patients in living a productive life.
为降低发病率和死亡率，有必要提高对糖尿病及其并发症的认识。本研究旨在评估孟加拉国达卡2型糖尿病患者对糖尿病并发症的知识、态度和实践水平（KAP）。
在达卡的BIRDEM医院门诊部开展一项横断面研究，招募糖尿病患者。本研究共纳入425例糖尿病患者。由访谈者通过面对面访谈填写一份经过预测试的问卷。通过计算得分来确定KAP水平。采用多变量线性回归来确定知识、态度和实践的显著预测因素。
平均而言，知识、态度和实践水平分别为9.2分（满分14分）、7.9分（满分:13分）和16.9分（满分27分）。年龄和性别是知识和态度的显著预测因素。女性的知识和态度水平高于男性（β值分别为0.55和1.24）。在对协变量进行调整后，与文盲相比，拥有研究生及以上学历的患者报告的知识和实践水平显著更高（β值分别为1.27和1.44）。教育项目是KAP最重要的显著预测因素。糖尿病病程较长（β = 0.07）和婚姻状况良好（β = 1.21）对更好的实践有影响。
在这个被调查的社区中发现存在知识缺乏、态度不佳和实践不足的情况。教育水平和糖尿病教育项目是最显著的影响因素。当前研究表明需要定期开展关于糖尿病及其并发症的结构化教育项目，以帮助患者过上有意义的生活。
