Abstract

Several studies have shown the importance of therapeutic education in the management of diabetes. Its implementation requires a prior assessment of the level of patients’ knowledge. The objective of this study was to assess the level of diabetics’ knowledge about their disease. Methods: This was a cross-sectional study conducted between 2013 and 2015; consenting diabetics, followed for at least one year in medicine department of Souro Sanou Hospital, have been surveyed. The data were collected using a 51-item questionnaire, adapted from “Audit of Diabetes Knowledge” and administered by an interviewer. The level of knowledge was satisfactory/good if at least 80% of the set items or a topic were known. Results: A total of 268 diabetics were surveyed. Their mean age was 54.3 ± 1.4 years and the sex ratio 0.8. The majority (80.9%) lived in urban areas and half (50.4%) were uneducated. Type 2 diabetics accounted for 93.3% of the population; the average seniority was 6.0 ± 0.7 years. The level of knowledge was generally insufficient, with an average total score of 25.4 ± 1.0/51. The topics which were not well mastered related to diet (0.8%), glycated haemoglobin (4.5%), and signs of hypoglycemia (7.8%). The main relatively well-known topics related to the effect of physical exercise on glycemia = 37.7%, the effect of food on glycemia = 36.9% and glycemia target = 32.8%. Conclusion: This study revealed a lack of knowledge from diabetic patients who are followed in the medicine department of the Teaching Hospital Souro SANON (CHUSS). The implementation of a therapeutic education program for diabetics is necessary and urgent.

Highlights

  • The growing prevalence of diabetes raises the problem of its prevention and its adequate management

  • Several studies have shown the importance of therapeutic education in the management of diabetes

  • Type 2 diabetics accounted for 93.3% of the population; the average seniority was 6.0 ± 0.7 years

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Summary

Introduction

The growing prevalence of diabetes raises the problem of its prevention and its adequate management. Several studies have demonstrated a poor disease knowledge among people with diabetes in developed countries. In the Teaching Hospital of the city, the care of diabetics was done in a pavilion intended for general intern and ambulatory medicine (outpatient) by an endocrinologist and three intern doctors, helped by a polyvalent medical and paramedical staff. An evaluation of these patients in 2011-2 showed that only 37% had a satisfactory knowledge level on general questions about diabetes and that this knowledge level was decisive in their adhesion to the follow-up and implementation of annual paraclinical prescriptions [7]. This study was conducted with the aim of having a thorough educational diagnosis with a view to developing an action plan to improve the supply of therapeutic education

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