Association Between Diabetes Knowledge and Glycaemic Control Among Type II Diabetes Patients at A Government Primary Health Clinic in Negeri Sembilan

Siow, Siew Wei (2021) Association Between Diabetes Knowledge and Glycaemic Control Among Type II Diabetes Patients at A Government Primary Health Clinic in Negeri Sembilan. [Project Paper] (Submitted)

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Abstract

Introduction: The global and local prevalence of Type II Diabetes Mellitus (T2DM) had been increasing over the years. The high prevalence of diabetes was alarming as diabetes was linked to both macro-vascular and microvascular problems, especially when left untreated. Adequate glycaemic control was found closely associated with reduced diabetes-related complications. To achieve good glycaemic control, selfmanagement played an essential role in chronic disease management. In relation to this, knowledge of diabetes had been recognised as an important prerequisite for proper self-management among diabetic patients. Objective: This study was conducted to determine the association between diabetes knowledge and glycaemic control among T2DM patients. Methods: A cross-sectional study design was used. A convenience sample of 221 T2DM patients who follow-up in Klinik Kesihatan Titi, Negeri Sembilan were recruited in this study. A self-administered questionnaire which consisted of two parts including socio-demographic data and Diabetes Knowledge Questionnaire (DKQ-24) was used. Glycaemic control was measured by the latest Haemoglobin A1c (HbA1c) retrieved from the patients’ medical records. Statistical Package for Social Sciences (SPSS) version 22 software was used to analyse the data. Results: The mean age of the participants was 62.86 ± 11.90 years. They had a mean diabetes duration of 7.94 ± 6.20 years. The average HbA1c was 6.70 (IQR, 6.00 - 7.80) whereas the mean knowledge score was 14.55 ± 3.53. Age, ethnicity, income, type of treatment, and duration of diabetes were found significantly associated (p < 0.05) with glycaemic control. Diabetes knowledge was significantly associated (p < 0.05) with age, duration of diabetes, and body mass index. The correlation matrix showed a weak inverse correlation of total knowledge score with HbA1c (r = −0.142; p = 0.036). Conclusion: Diabetes knowledge was significantly correlated with glycaemic control. Having good knowledge enabled patients to have more control over their health, and thus increased the likelihood of achieving target glycaemic control. The findings were useful for healthcare providers in establishing effective diabetes educational programmes based on the learning needs and characteristics of patients. Keywords: knowledge, glycaemic control, type II diabetes mellitus

Item Type:	Project Paper
Faculty:	Faculty of Medicine and Health Science
Depositing User:	Mr Khoirul Asrimi Md Nor
Date Deposited:	21 Aug 2023 07:53
Last Modified:	21 Aug 2023 07:53
URI:	http://psaspb.upm.edu.my/id/eprint/1095

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