Title: Assess the Knowledge Regarding Self-Care Management among Newly Diagnosed Type 2 Diabetic Clients Attended Out Patient Department at Parshuram Hospital, Ghanekhunt-Lote, Ratnagiri Dist. Maharashtra State
Authors: Ms. Pradnya Gaikar, Mr. Milind Kale, Mr. Shivaprasad Halemani
Background of the study: Diabetes mellitus is a major public health concern worldwide. There will be an alarming increase in the population with type 2 diabetes in developed and developing countries over the next two decades. The global prevalence of DM was estimated to increase from 4% in 1995 to 5.4% by the year 2025. In 2011, 366 million people (8.3%) worldwide were affected by DM. Numbers are expected to rise to 552 million (9.9 %) for DM by 2030.
Objectives of the study:
- To assess the level of knowledge regarding self-care among diabetic patients.
- To find out the association between level of knowledge regarding self-care management among diabetic patients and selected variables.
The hypothesis will be tested at 0.05 level of significance.
H1: There will be significant association between the levels of knowledge scores of diabetic patients on self-care management with the selected demographic variables.
Methodology: A quantitative approach was used. Descriptive research design was used for the study. The study variables were knowledge of self-care management among newly diagnosed type 2 diabetic client was independent variable and Socio-demographic variables such as family history, education, source of information, past illness, previous hospitalization. The study was conducted in a Maharashtra Education Society, Parshuram Hospital and Research Centre Ghanekhunt Lote. It is a 100 beded hospital. On an average 100-120 diabetic patients are attended to the hospital per month. The sample for this study is Diabetic clients. The sample size for the current study consists of 30 patients with Diabetes mellitus. Purposive sampling technique will be used to the select the sample. The tool consists of a self- administered questionnaire. It is divided into two parts. Part I consist of 5 items regarding demographic variables and Part II structured knowledge questionnaires to assess the knowledge regarding self-care management among newly diagnosed type 2 diabetes mellitus. The data was analyzed in terms of objectives of the study using descriptive statistic and inferential statistics.
Findings of the study
Demographic Variables: The most of the client 20(66.67%) had Family History and 10(33.33%) have no family history of Diabetes mellitus. Based on education, most of Diabetic clients 11(36.67%) were higher secondary, 08 (26.67%) were Graduates, 06 (20%) were Secondary, and 05(16.66%) were Primary education. In relation to source of information, 11(36.66%) of respondents got information from T.V. and books, 05(16.66%) from other sources, and 03(10%) from newspaper. With regard to the past illness 24(80%) of respondents has no past illness, and 06(20%) having past illness. In relation to 21(70%) were not previously hospitalized, and 09(30%) were previously hospitalized.
The knowledge level of the clients, 14 (46.67%) client had Good knowledge, 16(53.33%) client had Average knowledge. And none of the client had poor knowledge. The knowledge score of diabetic clients was maximum score was 15,ranged from 07-15, mean was 10.83, SD was 2.43, Median 10, and the mean percentage of knowledge was 72.2%. There was significant association between Family History 4.13, df =1, P>0.05 and previous hospitalization 5.71, df=1, P>0.05 with the knowledge of self-care management. Hence there was significant association between Family history, previous hospitalization with knowledge of self-care management of newly diagnosed diabetic clients.
Conclusion: The study concludes that the daibetic clients have average knowledge regarding the self care management of diabetes. Hence there is need for educational activities for the diabetic patients regarding self care.