Factors Influencing Diabetes Management Outcome among Patients Attending Government Health Facilities in South East, Nigeria

Nwankwo, Chinyere H.; Nandy, Bikash R.; Nwankwo, B O

doi:10.3923/ijtmed.2010.28.36

Cited by 28 publications

(32 citation statements)

References 12 publications

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“…63,64 This admixture of treatment options and types leads to confusion, poor orthodox medication adherence, and increased morbidity and mortality. 62,63 The high dependence on complementary/alternative medicine is corroborated by a study in Lagos (which is the most enlightened and cosmopolitan Nigeria city) demonstrating that 46% of patients with diabetes use complementary or alternative medicine. 42 …”

Section: T H E N I G E R I a N H E A L T H C A R E S Y S T E Mmentioning

confidence: 51%

“…62,63 Insurance coverage of medications and tests were seen in less than a tenth of the patients. The majority (62%) of Nigerians earn less than US$1000 per annum.…”

Section: T H E N I G E R I a N H E A L T H C A R E S Y S T E Mmentioning

confidence: 99%

“…In this way, several HIV/AIDS treatment centers now serve as centers for treating diabetes, hypertension, and other conditions in their "free time" or simultaneously with great cost saving. 62 Also, more government agencies are involved in promoting health through lifestyle changes, while other agencies engage in screening programs for vulnerable groups, encouraging early detection and improving health awareness. 67 Improving health indices in Nigeria, such as maternal and child health, poverty, literacy, health education, health care funding, and insurance coverage can lead to earlier diabetes detection and reduced disease prevalence and burden.…”

Section: T H E W a Y F O R W A R Dmentioning

confidence: 99%

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Diabetes Care in Nigeria

Fasanmade

Dagogo‐Jack

2016

Annals of Global Health

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The way forward is to improve maternal and child care, promote screening of at-risk populations, and develop strategies for primary prevention and early intervention to optimize glycemic control. Greater commitment to health care by the government and nongovernmental organizations and greater awareness by Nigerians should facilitate the desired improvements in disease prevention and glycemic control in those who are already affected.

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Section: T H E N I G E R I a N H E A L T H C A R E S Y S T E Mmentioning

confidence: 51%

“…62,63 Insurance coverage of medications and tests were seen in less than a tenth of the patients. The majority (62%) of Nigerians earn less than US$1000 per annum.…”

Section: T H E N I G E R I a N H E A L T H C A R E S Y S T E Mmentioning

confidence: 99%

Section: T H E W a Y F O R W A R Dmentioning

confidence: 99%

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Diabetes Care in Nigeria

Fasanmade

Dagogo‐Jack

2016

Annals of Global Health

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“…A possible reason for this knowledge deficiency is that some diabetes patients believe that diabetes can be cured after some time on anti-diabetic drugs, or with the use of herbs, particularly the bitter ones 22. A high rate of complementary / alternative medicine use has been reported among people with diabetes 23,24,25,26…”

Section: Discussionmentioning

confidence: 99%

Knowledge of self-care among type 2 diabetes patients in two states of Nigeria

Jackson

Adibe

Okonta

et al. 2014

Pharmacy Practice (Internet)

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ObjectiveTo assess the knowledge of self-care practices, as well as factors responsible for such knowledge among type 2 diabetes patients in two states of Nigeria.MethodsDescriptive, cross sectional survey research design was employed. The study was conducted on type 2 diabetes out-patients attending Endocrinology Clinic at the University of Uyo Teaching Hospital (UUTH) and University of Calabar Teaching Hospital (UCTH) between June 2012 and February 2013. The Diabetes Self-care Knowledge (DSCK-30) was used in evaluating knowledge of self-care practices. Socio-demographic information and respondents’ opinion on the possible barrier(s) to knowledge of self-care were also obtained. Data were analysed using Microsoft Excel and SPSS version 14.0. Statistical significance for all analyses was defined as a p value less than 0.05.ResultsA total of 303 out of 380 questionnaires distributed were completed and returned (response rate =79.7%). The majority of the study sample (79.5%) had 70% or more overall knowledge level about self-care. Self-care knowledge was associated with level of education (p<0.001), monthly income (p<0.001) and duration of diabetes (p=0.008). Negative attitude to disease condition was the only factor associated with knowledge (chi-square value at one degree of freedom =6.215; p=0.013).ConclusionDiabetes self-care knowledge was generally high among the population studied. Educational status, monthly income, duration of diabetes and negative attitude to disease condition predicted knowledge level.

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“…In Nigeria, the clinical practice guidelines for the management of DM provide well-defined goals for the management of glycemia and other risk factors in DM 55. Despite this, the management and achievement of these goals remains a significant challenge 56–58. DM care providers are virtually unavailable in the communities, and DM is managed mostly in the context of tertiary care settings.…”

Section: The Necessity For Holistic Carementioning

confidence: 99%

Holistic approach to prevention and management of type 2 diabetes mellitus in a family setting

Ofori¹,

Unachukwu²

2014

DMSO

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Diabetes mellitus (DM) is a chronic, progressive metabolic disorder with several complications that affect virtually all the systems in the human body. Type 2 DM (T2DM) is a major risk factor for cardiovascular disease (CVD). The management of T2DM is multifactorial, taking into account other major modifiable risk factors, like obesity, physical inactivity, smoking, blood pressure, and dyslipidemia. A multidisciplinary team is essential to maximize the care of individuals with DM. DM self-management education and patient-centered care are the cornerstones of management in addition to effective lifestyle strategies and pharmacotherapy with individualization of glycemic goals. Robust evidence supports the effectiveness of this approach when implemented. Individuals with DM and their family members usually share a common lifestyle that, not only predisposes the non-DM members to developing DM but also, increases their collective risk for CVD. In treating DM, involvement of the entire family, not only improves the care of the DM individual but also, helps to prevent the risk of developing DM in the family members.

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Factors Influencing Diabetes Management Outcome among Patients Attending Government Health Facilities in South East, Nigeria

Cited by 28 publications

References 12 publications

Diabetes Care in Nigeria

Diabetes Care in Nigeria

Knowledge of self-care among type 2 diabetes patients in two states of Nigeria

Holistic approach to prevention and management of type 2 diabetes mellitus in a family setting

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