Assessment of Knowledge, Attitude, and Practice Regarding Diabetic Retinopathy in an Urban Population in Northeast China

Knowledge, attitude and practice toward liraglutide and semaglutide among endocrinology medical staff

Semaglutide and liraglutide are commonly used to address metabolic disorders, but differ in usage, clinical efficacy and safety profiles. Endocrinology medical staff are crucial in ensuring the appropriate administration, but their knowledge, attitude, and practice (KAP) towards these medications have been underexplored. The study aimed to investigate their KAP toward liraglutide and semaglutide. A cross-sectional study was performed from September to December 2023 at the First People's Hospital of Jiujiang. Endocrinology medical staff completed a self-administered questionnaire for KAP assessment regarding liraglutide and semaglutide. A total of 265 participants were enrolled (mean age: 36.31 ± 8.17 years old), including 134 (50.57%) males. The average scores were as follows: knowledge 11.77 ± 3.37 (range: 0-16), attitude 39.30 ± 4.61 (range: 10-50), and practice 27.70 ± 5.52 (range: 7-35). The structural equation model (SEM) showed that knowledge significantly influenced attitude (β = 0.976, P < 0.001) and practice (β = 1.289, P < 0.001). Additionally, attitude had a significant effect on practice (β = 0.627, P < 0.001). This study revealed deficiencies in the KAP scores among endocrinology medical staff, emphasizing the necessity for targeted strategies to improve professional proficiency with liraglutide and semaglutide.

Self-management knowledge, attitudes, and behaviors among patients with type 2 diabetes mellitus in a community of western China: A cross-sectional study

AIMS

We aimed to investigate the status quo of self-management knowledge, attitudes, and behaviors (KAB) among patients with type 2 diabetes mellitus (T2DM) in community health service centers.

METHODS

We conducted a cross-sectional study of 755 patients from 16 primary community using a questionnaire. Multiple logistic regression was used to explore the independent factors influencing patients' T2DM self-management KAB.

RESULTS

We evaluated 755 patients with T2DM (mean age 64.65 ± 10.53 years). Most patients in this study had lower education levels, and a non-medical professional background. Only the average score for attitude reached a good level; average scores for patients' self-management behavior were at a poor level. Normal blood pressure, not smoking, and a longer course of disease were factors positively influencing good self-management behavior in patients with diabetes.

CONCLUSION

Patients had positive attitudes toward self-management. Therefore, primary medical institutions should consider implementing tailored educational interventions to enhance diabetes awareness and self-management behaviors among diverse patient populations.

Knowledge, attitude, and practice toward postoperative self-management among kidney transplant recipients

BACKGROUND

Patient involvement is crucial to the success of kidney transplants. This study aimed to investigate the knowledge, attitude, and practice (KAP) toward postoperative self-management among kidney transplant recipients.

METHODS

A web-based cross-sectional study was conducted in Ruijin Hospital (Shanghai, China) between March 24, 2023, and April 15, 2023 in kidney transplant recipients. A questionnaire was designed to collect data about the characteristics of the participants and their KAP toward postoperative self-management. KAP scores were calculated based on participants' responses, using predefined scoring criteria tailored to evaluate each dimension of KAP effectively.

RESULTS

A total of 483 valid questionnaires were collected, including 189 (39.13%) participants aged between 46 and 60 years. The mean score of knowledge, attitude and practice were 23.44 ± 4.87 (possible range: 0-28), 43.59 ± 2.65 (possible range: 10-50), 52.52 ± 4.64 (possible range: 0-58), respectively. The multivariate analysis showed knowledge scores (OR = 1.15, 95% CI = 1.10-1.20, p < 0.001), attitude scores (OR = 1.22, 95% CI = 1.12-1.32, p < 0.001) and undergone transplantation within 1 year (OR = 3.92, 95% CI = 1.60-9.63, p = 0.003) were independently associated with good practice. Knowledge scores (OR = 1.06, 95% CI = 1.02-1.10, p = 0.003), attitude scores (OR = 1.16, 95% CI = 1.08-1.25, p < 0.001), aged 16-35 years (OR = 0.38, 95% CI = 0.18-0.78, p = 0.009), underwent a single kidney transplant surgery (OR = 3.97, 95% CI = 1.28-12.38, p = 0.017) were independently associated with medication adherence.

CONCLUSIONS

Kidney transplant recipients had good knowledge, positive attitude and good practice toward postoperative self-management. Implementing personalized education, psychological support, and close monitoring strategies is recommended to optimize postoperative self-management in kidney transplant recipients.

Disease perception and experience in people with diabetic retinopathy: A qualitative study

AIM

The aim of this study was to investigate the lived experience of people with diabetic retinopathy and to understand the impact of the disease on them including the practical problems faced in the day-to-day life.

DESIGN

Descriptive qualitative research.

METHODS

A convenience sample of 11 patients with diabetic retinopathy who were hospitalized in a tertiary hospitals in Shandong province of China were enrolled. Data were collected using semi-structured in-depth interviews. The six-stage thematic analysis of Braun and Clarke was used for data analysis.

RESULTS

Three themes and 12 sub-themes were extracted, namely: countdown to darkness (lack of disease knowledge, bystander's perspective, distrust of grassroots hospitals); Endless abyss (action restrictions, social isolation, stigma, lost of meaning in life, catastrophizing explanations, a heavy burden); Light chaser (craving for light, turning points in behaviour, self-adjustment).

Experience of patients with diabetic retinopathy: A qualitative study

AIMS

To understand the status quo and needs of self-management of patients with diabetic retinopathy (DR) and to provide a reference for formulating management programs that meet the needs of these patients.

DESIGN

A qualitative interview study.

METHODS

Semi-structured, in-depth interviews were conducted between November and December 2021. A purposive sample of 15 patients with DR who were hospitalized in the Retinal Department of Eye Hospital was recruited. Colaizzi's analysis was used to organize and analyse the interview data. This study followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.

RESULTS

The experience of patients with DR can be summarized into four themes: (1) lack of DR knowledge, (2) low quality of life, (3) poor self-management behaviour and (4) seek for support from many aspects.

CONCLUSION

Patients with DR lack disease knowledge and have poor self-management abilities and adherence. Medical staff should provide personalized care according to the patient's self-management status and needs, promote the establishment of self-management behaviours and prevent and delay disease progression.

IMPACT

This study helps assist medical staff in the early management of patients with DR and provides a reference for the construction of prevention programs for patients.