Outcomes of Diabetes Care Intervention on Knowledge and Practice of Self-care in Some Rural and Urban Healthcare Facilities, Edo State

Abstract

Background: Diabetes Mellitus (DM) is on the increase in Nigeria; consequently, there is a need to promote self-care practices among all patients. The study aimed to evaluate outcomes of diabetes care intervention on knowledge and practice of self-care among diabetes patients in rural and urban healthcare facilities in Edo State.Materials and Methods: In a descriptive cross-sectional, data on knowledge and practice of self care among Diabetes patients were collected using self-developed and Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. Analysis was both descriptive and inferential. Paired t-test was performed to compare the results from diabetes patients from General Hospital (GH), Abudu and Specialist Hospital (SH), Benin, and results were considered significant with P3) than those in general hospital, Abudu. Diabetes patients from general hospital, Abudu (rural) comply more with a mean practice of diabetes self-care in general exercise (5.58±1.42) and specific exercises (5.44±0.98). Diabetes patients from specialist hospital, Benin test their blood sugars themselves and the number of times recommended. After 6 months of educational intervention on diabetes care, knowledge and practice of diabetes self care improved significantly (p<0.05) across the various domains, but with better performance in specialist hospital, Benin.Conclusion: The study justifies a low quality of diabetes care delivery in both rural and urban health care facilities and significantly improved with educational interventions.

Keywords: Diabetes; Prevalence; Self-care; Knowledge; Practice