Publication: The effectiveness of chronic kidney disease education towards knowledge, attitude, practice and HBA1C amongst uncontrolled type 2 diabetic patients in Hospital Universiti Sains Malaysia
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Date
2022
Authors
Fahimi, Alia Fahizha
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Abstract
Introduction: The prevalence of chronic kidney disease (CKD) is increasing progressively among diabetes patients in Malaysia. Thus, CKD education is important in order to prevent or slow the progression of CKD. Objective: This study was done to assess the level of knowledge, attitude, reported practice (KAP) and HbA1c level among uncontrolled diabetics before and after the CKD educational. Methodology: This is a randomized controlled trial in outpatient clinic from February till May 2021. 68 participants were in the intervention and control group respectively. KAP on CKD was assessed using self-administered validated questionnaires at first visit and again at two-, and twelve-weeks post intervention. HbA1c was taken at baseline and 12 weeks. The difference in mean score at 2 weeks and 12 weeks post intervention was calculated to determine the effectiveness of CKD education. Results: Mean and standard deviation of KAP for intervention group before the CKD educational were 27.3 ± 4.63, 23.89 ± 3.52, and 9.73 ± 2.18 at baseline and had increased to 28.04 ±2.75, 24.14 ± 3.10 and 10.34 ± 1.70 after 2 weeks and 28.54 ± 3.67, 25.07 ± 3.24 and 10.30 ± 1.89 after 12 weeks of the intervention. The mean difference of each KAP score was 1.18 (95% CI 0.07,2.28, p<0.05), 0.10 (95% CI: -0.817,1.025, p=0.82) and 0.76 (95% CI: 0.227,1.289, p<0.001) respectively. The group*time interaction of repeated measures analysis of variance with Bonferroni correction showed the increase mean difference in knowledge and practice score showed significant changes. However, there was no significant difference mean in attitude score and HbA1c level between intervention and control group. Many participants did not return to clinic for repeat HbA1c due to Covid-19 Conclusion: Chronic kidney education is effective in improving the knowledge and practice of CKD prevention among patients with uncontrolled diabetes
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