Knowledge Attitude And Practice Of Blood Glucose Monitoring Among Diabetics Patients Attending At Tikur Anbesa Specialized Teaching And Referral Hospital

Back ground: Diabetes mellitus (DM) is a syndrome characterized by chronic hyperglycemia,rndue to absolute or relative deficiency or diminished effectiveness of circulating insulin. Diabetesrnis becoming a serious public health problem and it requires continuous medical care, patients'rnself-management to reduce the risk of long-term complications. The most important objective ofrnmonitoring is the assessment of overall glycemic control and initiation of appropriate steps in arntimely manner to achieve optimum control.rnObjective: To assess the knowledge attitude and practice of diabetic patients in blood glucosernlevel monitoring at Tikur Anbesa Specialized Teaching and Referral hospital (TASTRH).rnMethodology: Facility based cross- sectional study was conducted from June 2015 to Octoberrn2015 at the outpatient diabetic clinic, TASTRH. Medical records of the patients werernretrospectively reviewed. A total of 422 diabetic patients were selected using convenientrnsampling techniques. Structured questionnaires including checklist have been used to collectrndata. On-the-spot assessment of HbA1-c was performed for 95 study participants by usingrnsystematic sampling techniques to confirm diabetic patient’s practice. Statistical soft-ware SPSSrnversion 20 had been used for data entry and analysis.rnResults: Among study subjects the levels of knowledge were good in 61.8 % and poor in 38.2 %rnof diabetic patients. The levels of attitude were also described accordingly as positive for 80.6%rnand negative for 19.4 % of diabetic patients. The levels of practice of study subjects were foundrnto be good in 47.6 % and poor in 52.4% of diabetic patients. Knowledge and practices had arnsignificant association with educational level and duration of therapy but attitude had arnsignificant association with age. Among 95 study subjects 15.8% of the participants had goodrnglycemic control of HbA1-c value < 6.5% and 84.2% of participants had poor glycemic controlrnof HbA1-c value ≥6.5%. There was no significant association between HbA1-c value withrnknowledge and attitude scores but association was found between HbA1-c value and practicernscore, similarly no significant association was found between HbA1-c with body mass index andrnhypertension but significant association was found between HbA1-c and complications of studyrnparticipants.

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