Assistant Professor (I/c Vice Principal) (Medical – Surgical Nursing), Sumandeep Vidyapeeth Deemed University, Piparia, Waghodia, Vadodara, Gujarat- 391760
Online published on 11 October, 2012.
Diabetes mellitus is a major non communicable disease affecting about 180 million people in the world in 2003, and expected to reach 330 million in 2025. The recent reports from the world health organization rates India as the country with the largest number of diabetes (40 millions) in the world. The reason for high prevalence of diabetes in India could be attributed to a combination of genetic factors and environmental factors due to urbanization and industrialization.
“A Study to assess the knowledge and attitude of Diabetic patient regarding Diabetic diet, Exercise and Foot care in selected hospitals of Pune city.”
The conceptual framework selected for present study was based on the Wellness-illness continuum, which explains the effect of knowledge and attitude on the health of a diabetic patient regarding diabetic diet, exercise and foot care.
The design adopted for this study was simple descriptive survey design; total 251 samples were selected.
A polished self-structured questionnaire was the tool, developed by investigator to explicit information from diabetic patients. The data were collected through a structured interview & self reporting technique. The value of reliability coefficient (0.89) was suggested that the tool is highly reliable. The pilot study was done and feasibility of the study was established.
Based on the objectives and the assumptions the collected data was analyzed by using descriptive and inferential statistics.
• To assess the knowledge of the diabetic patient regarding diabetic diet, exercises and foot care. • To assess the attitude of the diabetic patient regarding diabetic diet, exercises and foot care. • To correlate the knowledge score and attitude of Diabetic patient regarding diabetic diet, exercise and foot care. • To correlate the knowledge score with selected demographic variables. • To correlate the attitude with selected demographic variables.
Demographic description of samples by frequency and percentage shows that 73% of patients were above 50 years of age. Self-employed were 43.42%. On the basis of residential place 72.11% patients were from urban community. According to Abdominal Girth Overall 76% patients were obese. 44% patients had 0 to 4 year duration of diabetes. 13.54% patients had the history of sign and symptoms of foot problem with amputation.
Distribution of knowledge scores regarding diabetic diet, exercise and foot care shows that 43.42% patient had poor knowledge regarding diabetic diet, exercise and foot care. However 58.56% had average knowledge regarding Diabetic diet; 47.41% had average knowledge regarding Exercise and 62.54% had poor knowledge regarding foot care.
Attitude scores regarding diabetic diet, exercise and foot care shows that 74.9% had positive attitude. However the mean value of attitude score showed these patients had average attitude towards the Diabetic diet, exercise and foot care. In which 67.33% had positive attitude towards the diet, 62.15% patient had positive attitude towards the exercise and 55.77% had positive attitude towards foot care.
Knowledge and attitude were highly correlated (r = 0.600366).
Correlation between knowledge score and selected demographic variables shows that there was significant association between Knowledge score and Age, Sex, Occupation, Residence, Body mass index, Duration of diabetes, Family history of diabetes.
There was significant association between attitude and Residential place, Body mass index, Duration of diabetes, Type of diabetes.
Attitude, Diabetic Patient, Diabetic diet, Exercise, Diabetic foot care
