Community Based Interactive Approach for Type 2 Diabetic Patients at Addaraja Health Center, Wad Medani, Sudan
إيمان محمد علي البدوي, عماد الدين محمد تاج الدين, ميرغني عبدالرحمن يوسف
كلية الصيدلة-جامعة الجزيرة · السودان
Diabetes is a chronic disease affecting millions of people, characterized by hyperglycemia and may lead to various short and long terms complications. The aim of this study was to assess the knowledge, attitude and practice (KAP) of Type 2 diabetic patients towards diabetes mellitus at Abu Aglaa Diabetic Department, Wad Medani City, Sudan. This was a cross sectional study, composed of two phases, phase one in which special designed form was used to obtain data directly from the diabetic patients (n=500) regarding their KAP about diabetes. Phase two was an interventional phase in which 132 diabetic patients were selected. They were divided into four groups (A, B, C and D) each of 33 patients. The first three groups received lectures, brochures and lectures and brochures respectively while group D was a control group. The knowledge, attitude and practice of Type 2 diabetic patients pre intervention were found to be poor and inadequate (36.4%; p ≤ 0.008) and their blood glucose level was uncontrolled (181-210 mg\dl). Hypertension was the predominant disease among Type 2 diabetic patients. There were 384 (76.8%) of Type 2 diabetic patients admitted to emergency department after suffering from diabetes complications. After intervention in phase two a significant improvement was found in the tested groups of diabetic patients in terms of their KAP (88.1%; p≤ 0.001) and also there was an improvement in their glycemic control (121-150mg\dl; p ≤ 0.00), compared to the control group. It could be concluded that there was a positive impact of counseling and education of Type 2 diabetic patients reflected as an improvement of their KAP and glycemic control. It was found that lectures and brochures together were the most effective method for the counseling and education of Type 2 diabetic patients.