DIABETES MANAGEMENT AMONG DIABETIC PATIENTS ATTENDING LONGISA LEVEL FOUR HOSPITAL, KENYA
Keywords:
Diabetes Management Practices, Diabetic Patients, Longisa Level Four HospitalAbstract
Purpose: Diabetes is the commonest endocrine-metabolic disorder characterized by chronic hyperglycaemia giving rise to the risk of microvascular and macrovascular damage, with associated reduced life expectancy and diminished quality of life. The main objective of study was to establish diabetes management practices among diabetic patients attending Longisa level four hospitals.
Materials and methods: The study adopted a cross sectional study design. It utilized quantitative data collection methods where 87diabetic patients attending the health facility will be randomly selected into the study after giving their informed consents. The data was analysed using descriptive statistics while graphs, tables and figures were utilized to present the results. Regression analysis was employed to determine associations and trends between the dependent and independent variables. The proposal for this study was presented to Kenyatta National Hospital/University of Nairobi ethical Review Committee for ethical approval. Participants were requested to give their consent prior to their participation in the study and assured of confidentiality of their responses throughout the study duration.
Results: The study found out that Diabetes management continue to be a huge public health concern as issues of accessing diabetes services and equipment hinder uptake of the same by patients. A bleak future in diabetic management will be a reality based on the knowledge gained from information imparted to diabetic patients from health facilities they visit and behavioural practices. Costs associated with some important essentials such as a blood sugar machine especially with patients with no stable source of income poses a big challenge to diabetic management. Continuous health education and promotion should be offered and strengthened at the grassroot levels as a key strategy of empowering diabetic patients with friendly, practical and health ways of living.
Unique contribution to theory, practice and policy: The study recommends that to be able to reduce and subsequently address the issue of accessibility of services and safe time, the Ministry of Health in partnership with friendly stakeholders should devolve essential services and equipment to the lowest level to enable diabetic patients to fully utilize them. In this effort, the lives of diabetic patients will be saved and improved greatly.
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References
Brown, W. (2008). Microvascular complications of diabetes mellitus: renal protection accompanies cardiovascular protection. American Journal of Cardiology.
Chinenye, S. and Young, E. (2013). State of Diabetes Care in Nigeria: A Review. Nigerian Health Journal [online], 11 (4), 101-106.
Christensen, D., Friss, H., Mwaniki, D., Kilonzo, B., Tetens, I., Boit, M., Omondi, B., Kaduka, L., and Borch-Johnsen, K. (2009). Prevalence of glucose intolerance and associated risk factors in rural and urban populations of different ethnic groups in Kenya. Diabetes Research and Clinical Practice, 3 (83), 303 - 310.
Connolly, V., Unwin, N., Sherriff, P., Bilous, R. and Kelly, W. (2000). Diabetes prevalence and socioeconomic status: a population based study showing increased prevalence of type II diabetes in the deprived areas. Journal of Epidemiology and Community Health, (54), 173 - 177.
Ejegi, Anthony, Andrew John Ross, and Keshena Naidoo (2018). "Knowledge of Symptoms and Self-Management of Hypoglycaemia amongst Patients Attending a Diabetic Clinic at a Regional Hospital in KwaZulu-Natal." African Journal of Primary Health Care & Family Medicine 8.1 (2016): 906. PMC. Web. 26 June.
Ezeamama, A., Viali, S., Tuitele, J. and McGarvey, S. (2006). The influence of socioeconomic factors on cardiovascular disease risk factors in the context of economic development in the Samoan archipelago. National Medical Journal of India, 10 (63), 2533 - 2545.
Hall, V., Thomsen, R., Henriksen, O. and Lohse, N. (2011). Diabetes in Sub Saharan Africa 1999-2011: epidemiology and public health implications. A systematic review. BMC Public Health, (11), 564.
IDF (2006). Diabetes atlas. 3rd ed. Brussels: International Diabetes Federation.
Ismail, A., Beeching, G., Gill, G. and Bellis, M.(1999). Capture-recapture-adjusted prevalence rates of type 2 diabetes are related to social deprivation. Quarterly Journal of Medicine, (92), 707-710.
Jaworski M., Panczyk M., Cedro M. and Kucharska A. (2018). Adherence to dietary recommendations in diabetes mellitus: disease acceptance as a potential mediator. Patient preference and adherence;12:163-174. doi:10.2147/PPA.S147233.
Jeon, C. and Murray, M. (2008). Diabetes mellitus increases the risk of active tuberculosis: a systematic review of 13 observational studies. PLOS Medicine, 7 (5), 152.
Kilele, A. (2006). Adult literacy in Kenya, Presentation on the results of the Kenya National Adult and Literacy Survey (KNALS [online]. Adult literacy in Kenya.
KNBS (2009). Kenya population and housing census. Nairobi: Kenya National Bureau of Statistics.
Kornum, J., Thomsen, R., Riis, A., Lervang, H., Schønheyder, H. and Sørensen, H.(2008). Diabetes, glycemic control, and risk of hospitalization with pneumonia: a population-based case-control study. Diabetes Care, 31 (8), 1541-1545.
Levitt, N. (2008). Diabetes in Africa: epidemiology, management and health care challenges. Heart, (94), 1376-1382.
Mathenge, W., Foster, A., and Kuper, H.(2010). Urbanization, ethnicity and cardiovascular risk in a population in transit in Nakuru, Kenya: a population based survey. BMC Public Health, (10), 569 - 581.
Mbanya, N., Ayesha, A., Sobngwi, E., Assah, F., and Enoru, S. (2010). Diabetes in sub-Saharan Africa. Lancet Journal of Infectious Disease, (375), 2254-2266.
Misra, A., Pandy, R., Devi, J., Shama, R., and Vikram, N. (2001). High prevalence of diabetes, obesity and dyslipidaemia in an urban slum population in Northern India. International Journal of obesity, (25), 1722 - 1729.
Musee C. N., Omondi D. O. and Odiwuor W. (2016) Dietary Adherence Pattern in the Context of Type 2 Diabetic Management within Clinical Setting, Kenya, International Journal of Diabetes Research, Vol. 5 No. 2, pp. 26-34. doi: 10.5923/j.diabetes.20160502.02.
Robbins, J., Vaccarino, V., Zhang, H., and Kasl, S. (2000). Excess type 2 diabetes in African-American women and men aged 40-74 and socioeconomic status: evidence from the third national health and nutrition examination survey. Journal of Epidemiology and Community Health, 11 (54), 839-845.
Saydah, S., Eberhardt, M., and Brancati, F. (2002). Age and the burden of death attributable to diabetes in the United States. American Journal of Epidemiology, 714-8.
Shaw, J., Sicree, R., and Zimmet, P. (2010). Global estimates for the prevalence of diabetes for 2010 and 2030. Diabetes Research and Clinical Practice, (87), 4-14.
Shriraam, Vanishree et al., (2018) "Knowledge of Hypoglycemia and Its Associated Factors among Type 2 Diabetes Mellitus Patients in a Tertiary Care Hospital in South India." Indian Journal of Endocrinology and Metabolism 19.3 (2015): 378-382. PMC. Web. 26 June.
Sobhana, R., Rao, P., Lavanya, A., Williams, R., Vijay, V., and Ramchandran, A.(2000). Expenditure on health care incurred by diabetic subjects in a developing country-a study from southern India. Diabetes Research and Clinical Practice, (48), 37 - 42.
UN-HABITAT (2006). Nairobi urban sector profile. Nairobi: UN-HABITAT.
UNFPA (2007). UNFPA state of world population 2007: unleashing the potential of urban growth, New York
Victoria, H., Reimar, W., Ole, H. and Nicoli, L.(2011). Diabetes in Sub Saharan Africa 1999-2011: Epidemiology and public health implications. a systematic review. BMC Public Health.
WHO (2000). World Health Report 2000: health systems: improving performance. Geneva.
WHO(2004). The Global Burden of Disease: 2004 Update. Geneva.
WHO (2005). Chronic diseases: a vital investment. Geneva.
WHO (2010). WHO Global Tuberculosis Control Report 2010. Geneva.
Wild, S., Richard, S., Gojka, A., Aders, G., and Hilary, K. (2004). Global prevalence of diabetes. Estimates for the year 2000 and projections for 2030. Diabetes Care, (27), 1047 - 1053.
Yusuf, S., Reddy, S., Ounpuu, S., and Anand, S. (2001). Global burden of cardiovascular diseases. Part I: general considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation, (104), 2746 - 2753.
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