Association between Knowledge-Attitude-Practices and Control of Blood Glucose, Blood Pressure, and Blood Lipids in Patients with Type 2 Diabetes in Shanghai, China: A Cross-Sectional Study
Knowledge-attitude-practices (KAP) significantly impact the outcome of self-management in patients with diabetes, yet the association between KAP and the combined control of the levels of blood glucose, blood pressure, and blood lipids in these patients remains uncertain. This community-based cross-...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2017/3901392 |
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| author | Hua Yang Jian Gao Limin Ren Shuyu Li Zhangyan Chen Junfang Huang Shanzhu Zhu Zhigang Pan |
| author_facet | Hua Yang Jian Gao Limin Ren Shuyu Li Zhangyan Chen Junfang Huang Shanzhu Zhu Zhigang Pan |
| author_sort | Hua Yang |
| collection | DOAJ |
| description | Knowledge-attitude-practices (KAP) significantly impact the outcome of self-management in patients with diabetes, yet the association between KAP and the combined control of the levels of blood glucose, blood pressure, and blood lipids in these patients remains uncertain. This community-based cross-sectional study was conducted from December 2014 to December 2016 on 3977 patients with type 2 diabetes in Shanghai. KAP were evaluated using the modified Chinese version of the Diabetes, Hypertension and Hyperlipidemia (DHL) Knowledge Instrument, Diabetes Empowerment Scale–Short Form (DES-SF), and Summary of Diabetes Self-Care Activities (SDSCA). Clinical and biochemical measurements were performed at each sampling site. The association between KAP scores and achieving the combined target goal was assessed by multiple logistic regression. Patients having a higher score of knowledge were more likely to achieve the combined target goal. Furthermore, a turning point of knowledge score was found that the possibility of achieving the combined target goal presented a sharp increase when the knowledge score was more than 70. However, the scores of attitude and practices had no significant relations with achieving the combined target goal. Health intervention strategies, especially increasing integrated diabetes knowledge, should be targeted to patients with type 2 diabetes in communities. |
| format | Article |
| id | doaj-art-3eadd71051574be2b346945162db4fc5 |
| institution | OA Journals |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-3eadd71051574be2b346945162db4fc52025-08-20T02:08:23ZengWileyJournal of Diabetes Research2314-67452314-67532017-01-01201710.1155/2017/39013923901392Association between Knowledge-Attitude-Practices and Control of Blood Glucose, Blood Pressure, and Blood Lipids in Patients with Type 2 Diabetes in Shanghai, China: A Cross-Sectional StudyHua Yang0Jian Gao1Limin Ren2Shuyu Li3Zhangyan Chen4Junfang Huang5Shanzhu Zhu6Zhigang Pan7Department of General Practice, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Nutrition, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of General Practice, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of General Practice, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of General Practice, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of General Practice, Shenzhen Longhua District Central Hospital, Shenzhen, Guangdong, ChinaDepartment of General Practice, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of General Practice, Zhongshan Hospital, Fudan University, Shanghai, ChinaKnowledge-attitude-practices (KAP) significantly impact the outcome of self-management in patients with diabetes, yet the association between KAP and the combined control of the levels of blood glucose, blood pressure, and blood lipids in these patients remains uncertain. This community-based cross-sectional study was conducted from December 2014 to December 2016 on 3977 patients with type 2 diabetes in Shanghai. KAP were evaluated using the modified Chinese version of the Diabetes, Hypertension and Hyperlipidemia (DHL) Knowledge Instrument, Diabetes Empowerment Scale–Short Form (DES-SF), and Summary of Diabetes Self-Care Activities (SDSCA). Clinical and biochemical measurements were performed at each sampling site. The association between KAP scores and achieving the combined target goal was assessed by multiple logistic regression. Patients having a higher score of knowledge were more likely to achieve the combined target goal. Furthermore, a turning point of knowledge score was found that the possibility of achieving the combined target goal presented a sharp increase when the knowledge score was more than 70. However, the scores of attitude and practices had no significant relations with achieving the combined target goal. Health intervention strategies, especially increasing integrated diabetes knowledge, should be targeted to patients with type 2 diabetes in communities.http://dx.doi.org/10.1155/2017/3901392 |
| spellingShingle | Hua Yang Jian Gao Limin Ren Shuyu Li Zhangyan Chen Junfang Huang Shanzhu Zhu Zhigang Pan Association between Knowledge-Attitude-Practices and Control of Blood Glucose, Blood Pressure, and Blood Lipids in Patients with Type 2 Diabetes in Shanghai, China: A Cross-Sectional Study Journal of Diabetes Research |
| title | Association between Knowledge-Attitude-Practices and Control of Blood Glucose, Blood Pressure, and Blood Lipids in Patients with Type 2 Diabetes in Shanghai, China: A Cross-Sectional Study |
| title_full | Association between Knowledge-Attitude-Practices and Control of Blood Glucose, Blood Pressure, and Blood Lipids in Patients with Type 2 Diabetes in Shanghai, China: A Cross-Sectional Study |
| title_fullStr | Association between Knowledge-Attitude-Practices and Control of Blood Glucose, Blood Pressure, and Blood Lipids in Patients with Type 2 Diabetes in Shanghai, China: A Cross-Sectional Study |
| title_full_unstemmed | Association between Knowledge-Attitude-Practices and Control of Blood Glucose, Blood Pressure, and Blood Lipids in Patients with Type 2 Diabetes in Shanghai, China: A Cross-Sectional Study |
| title_short | Association between Knowledge-Attitude-Practices and Control of Blood Glucose, Blood Pressure, and Blood Lipids in Patients with Type 2 Diabetes in Shanghai, China: A Cross-Sectional Study |
| title_sort | association between knowledge attitude practices and control of blood glucose blood pressure and blood lipids in patients with type 2 diabetes in shanghai china a cross sectional study |
| url | http://dx.doi.org/10.1155/2017/3901392 |
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