Knowledge and Attitude on Insulin Self-Administration among Type 1 Diabetic Patients at Metu Karl Referral Hospital, Ethiopia
Background. Diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. It is a public health problem as the disease is epidemic in both developed and developing counties. Knowledge and attitude of patie...
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| Language: | English |
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Wiley
2019-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2019/7801367 |
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| author | Tewodros Yosef |
| author_facet | Tewodros Yosef |
| author_sort | Tewodros Yosef |
| collection | DOAJ |
| description | Background. Diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. It is a public health problem as the disease is epidemic in both developed and developing counties. Knowledge and attitude of patients regarding insulin self-administration could lead to better management of diabetes and eventually a good quality of life. Despite this, the evidence that showed the knowledge and attitude on insulin self-administration is a substantial deficiency in Ethiopia. Objective. To assess the level of knowledge, attitude, and associated factors on insulin self-administration among type 1 diabetic patients at Metu Karl Referral Hospital, Ethiopia, in 2019. Methods. An institutional-based cross-sectional study was conducted among systematically selected 245 type 1 diabetic patients at Metu Karl Referral Hospital, Ethiopia, in January 2019. The data were collected through a face-to-face interview. The collected data were entered using EpiData version 4.2.0.0, cleaned, and analyzed using SPSS version 20. A binary logistic regression model was used. Independent variables with a P value of less than 0.05 in the multivariable logistic regression model were considered significant. Results. Out of 242 type 1 diabetic patients interviewed, 93 (38.4%, 95% CI (32.3%-44.5%)) had good knowledge and 50 (20.7%, 95% CI (15.6%-25.8%)) had favorable attitude on insulin self-administration. The study also found that being unmarried (AOR=3.59, 95% CI (1.15-11.3), P=0.028), increased educational level (AOR=3.02, 95% CI (1.36-6.74), P=0.007), and more years of treatment (AOR=3.70, 95% CI (1.16-11.8), P=0.027) were factors associated with good knowledge on insulin self-administration, whereas being a member of DM association (AOR=3.57, 95% CI (1.66-7.69), P=0.001) was the only factor associated with favorable attitude on insulin self-administration. Conclusion. The knowledge and attitude on insulin self-administration among type 1 diabetic patients were substantially low. Diabetes and insulin self-administration education should be imparted by health professionals at each follow-up visit. Besides, strengthening of information, education, and communication (IEC) on the issue of diabetes and insulin self-administration using mass media (television/radio) plays paramount importance. |
| format | Article |
| id | doaj-art-5b6e3443303042e88cb455618557b113 |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-5b6e3443303042e88cb455618557b1132025-02-03T01:33:29ZengWileyJournal of Diabetes Research2314-67452314-67532019-01-01201910.1155/2019/78013677801367Knowledge and Attitude on Insulin Self-Administration among Type 1 Diabetic Patients at Metu Karl Referral Hospital, EthiopiaTewodros Yosef0Department of Public Health, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan Teferi, EthiopiaBackground. Diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. It is a public health problem as the disease is epidemic in both developed and developing counties. Knowledge and attitude of patients regarding insulin self-administration could lead to better management of diabetes and eventually a good quality of life. Despite this, the evidence that showed the knowledge and attitude on insulin self-administration is a substantial deficiency in Ethiopia. Objective. To assess the level of knowledge, attitude, and associated factors on insulin self-administration among type 1 diabetic patients at Metu Karl Referral Hospital, Ethiopia, in 2019. Methods. An institutional-based cross-sectional study was conducted among systematically selected 245 type 1 diabetic patients at Metu Karl Referral Hospital, Ethiopia, in January 2019. The data were collected through a face-to-face interview. The collected data were entered using EpiData version 4.2.0.0, cleaned, and analyzed using SPSS version 20. A binary logistic regression model was used. Independent variables with a P value of less than 0.05 in the multivariable logistic regression model were considered significant. Results. Out of 242 type 1 diabetic patients interviewed, 93 (38.4%, 95% CI (32.3%-44.5%)) had good knowledge and 50 (20.7%, 95% CI (15.6%-25.8%)) had favorable attitude on insulin self-administration. The study also found that being unmarried (AOR=3.59, 95% CI (1.15-11.3), P=0.028), increased educational level (AOR=3.02, 95% CI (1.36-6.74), P=0.007), and more years of treatment (AOR=3.70, 95% CI (1.16-11.8), P=0.027) were factors associated with good knowledge on insulin self-administration, whereas being a member of DM association (AOR=3.57, 95% CI (1.66-7.69), P=0.001) was the only factor associated with favorable attitude on insulin self-administration. Conclusion. The knowledge and attitude on insulin self-administration among type 1 diabetic patients were substantially low. Diabetes and insulin self-administration education should be imparted by health professionals at each follow-up visit. Besides, strengthening of information, education, and communication (IEC) on the issue of diabetes and insulin self-administration using mass media (television/radio) plays paramount importance.http://dx.doi.org/10.1155/2019/7801367 |
| spellingShingle | Tewodros Yosef Knowledge and Attitude on Insulin Self-Administration among Type 1 Diabetic Patients at Metu Karl Referral Hospital, Ethiopia Journal of Diabetes Research |
| title | Knowledge and Attitude on Insulin Self-Administration among Type 1 Diabetic Patients at Metu Karl Referral Hospital, Ethiopia |
| title_full | Knowledge and Attitude on Insulin Self-Administration among Type 1 Diabetic Patients at Metu Karl Referral Hospital, Ethiopia |
| title_fullStr | Knowledge and Attitude on Insulin Self-Administration among Type 1 Diabetic Patients at Metu Karl Referral Hospital, Ethiopia |
| title_full_unstemmed | Knowledge and Attitude on Insulin Self-Administration among Type 1 Diabetic Patients at Metu Karl Referral Hospital, Ethiopia |
| title_short | Knowledge and Attitude on Insulin Self-Administration among Type 1 Diabetic Patients at Metu Karl Referral Hospital, Ethiopia |
| title_sort | knowledge and attitude on insulin self administration among type 1 diabetic patients at metu karl referral hospital ethiopia |
| url | http://dx.doi.org/10.1155/2019/7801367 |
| work_keys_str_mv | AT tewodrosyosef knowledgeandattitudeoninsulinselfadministrationamongtype1diabeticpatientsatmetukarlreferralhospitalethiopia |