Purpose:
To assess the knowledge
of diabetes mellitus among diabetes patients and to
identify knowledge deficits and patient specific
characteristics that are associated with this knowledge.
Methods:
This was a descriptive cross sectional observational
clinic study conducted among previously diagnosed
patients with diabetes attending the Consultant
Outpatient Departments (COPD) of the University of Benin
Teaching Hospital (UBTH). The study employed the use of
a 14-item Diabetes Knowledge Test (DKT), developed by
the University of Michigan Diabetes Research and
Training Centre (MDRTC) and a demographic questionnaire
to assess patient’s knowledge and its association with
some patient specific variables.
Results:
The overall mean knowledge score of the subjects was
5.54 ± 2.3 (39.5 % ± 16.7 %) range 7 -79 %. There was
no statistically significant difference in knowledge
scores with respect to family history of the disease,
recent training in DM, age and sex p > 0.05. Respondents
without any formal education scored significantly higher
in the DKT (7.0 ± 2.27) followed by those with post
graduate and University education 6.67 ± 2.41 and 6.65
± 2.41 respectively. Higher score on the DKT was
significantly correlated with duration of disease
awareness (r = 0.217; 95 %CI = 0.02 – 0.39, p < 0.05)
but not associated with improved glucose control as
measured by FBG levels. (r = -0.073; 95 %CI = -0.277 -
0.137, p > 0.05). Only 12 (13.5 %) of the respondents
had FBG levels with the normal range of 5.6 – 6.9 mmole/L.
Conclusion:
Respondents’ knowledge of diabetes mellitus based on the
DKT was very poor. There were knowledge deficits which
relate to misconceptions in the diabetics diet and
knowledge of blood glucose monitoring with glycosylated
haemoglobin test. Longer duration of diabetes,
irrespective of educational status, was associated with
higher knowledge score.
Keywords:
Diabetes, knowledge, Patient’s characteristics.