Yusuf Mohamud Mohamed Farah, Omar Jeele Mohamed Osman
Mogadishu Somali Turkish Training and Research Hospital, Mogadishu, Somalia.
Ann Med Surg (Lond). 2022 Jun 9;79:103883. doi: 10.1016/j.amsu.2022.103883. eCollection 2022 Jul.
Diabetic was the eighth leading cause of death among both sexes and the fifth leading cause of death in women in 2012{WHO, 2016}. The main objective of this study is to identify the knowledge, attitude, and practice regarding lifestyle modification among type 2 DM with CVD at Mogadıshu Somali Turkish Training and research hospital in Mogadishu, Somalia.
This study was hospital-based cross-sectional study conducted from type 2 Diabetic Mellitus patients with cardiovascular disease attended to Mogadishu Somali Turkish Training and Research Hospital for medical check-ups and regular medical treatments between September 2020 to August 2,0221.
A total of 384 patients were enrolled in the study. Out of 384 participants 221(57.6%) were females, while 163(42.4%) were males. The majority of the repondents, 261 (68%) fell within the age group of 60 years and above. Most of the participants (29.4%, n = 113) had no formal education. Interestingly, more than half 228(59.4%) of participants were employed, while near one-third of the respondents (34.1%, n = 131) belonged to the low-income group (2,000,000SH).Concerning knowledge of the patients towards LSM of diabetic; the majority of the participants 68% ( 261) had poor knowledge regarding knowledge questions, while 32% (n = 123) had good knowledge. Regarding to the level of attitude, 71.9% of respondents had a negative attitude toward the lifestyle modification of diabetics and the remaining 28.1% (n = 108) had negative attitude. More than two-thirds of participants 61.2% (n = 235) had a poor practice, while 38.8%(n = 149) respondents had a good practice regarding lifestyle modification.Finally A significant relationship was evaluated between Knowledge and Attitude () and between Knowledge and Practices (P = 0.000**) suggesting that most participants had good knowledge associated with good attitude and practices correspondingly.
The result of this study revealed, majority of type2 DM patients with CVD had poor knowledge, negative attitude and poor practices towards LSM. So, we recommend to all stake holders (Ministry of health, Health institution, health professionals, and national and international NGO) to improve KAP of the patients towards LSM.
糖尿病是2012年男女共同的第八大死因，是女性的第五大死因（世界卫生组织，2016年）。本研究的主要目的是确定索马里摩加迪沙索马里土耳其培训与研究医院中患有心血管疾病的2型糖尿病患者对生活方式改变的知识、态度和实践情况。
本研究是一项基于医院的横断面研究，研究对象为2020年9月至2021年8月2日期间到摩加迪沙索马里土耳其培训与研究医院进行体检和常规治疗的2型糖尿病合并心血管疾病患者。
共有384名患者参与了本研究。在384名参与者中，221名（57.6%）为女性，163名（42.4%）为男性。大多数受访者（261名，68%）年龄在60岁及以上。大多数参与者（29.4%，n = 113）没有接受过正规教育。有趣的是，超过一半（228名，59.4%）的参与者有工作，而近三分之一的受访者（34.1%，n = 131）属于低收入群体（200万索马里先令）。关于患者对糖尿病生活方式改变的知识；大多数参与者（68%，261名）对知识问题的了解较差，而32%（n = 123）了解良好。关于态度水平，71.9%的受访者对糖尿病患者的生活方式改变持消极态度，其余28.1%（n = 108）持积极态度。超过三分之二的参与者（61.2%，n = 235）实践情况较差，而38.8%（n = 149）的受访者在生活方式改变方面实践良好。最后，评估了知识与态度之间（）以及知识与实践之间的显著关系（P = 0.000**），表明大多数参与者的良好知识相应地与良好态度和实践相关。
本研究结果显示，大多数患有心血管疾病的2型糖尿病患者对生活方式改变的知识了解不足、态度消极且实践较差。因此，我们建议所有利益相关者（卫生部、卫生机构、卫生专业人员以及国家和国际非政府组织）改善患者对生活方式改变的知识、态度和实践情况。
