Ngari DM, Munzi Mbisi A, Machwara SN and Njogu TW
1Chuka University, Kenya 2Kenyatta University, Kenya 3University of New South Wales, AustraliaFulltext PDF
Background: Diabetes Mellitus (DM) is a chronic metabolic disorder of multiple etiology that results from a deficit in insulin production, insulin action or both. As a chronic metabolic disorder affecting millions of persons worldwide the ailment takes a huge toll of human resources as mismanagement leads to the development of acute and chronic complications. Long term chronic complications of DM include the development of eye retinopathy, foot ulcers and neuropathy, heart diseases and nephropathy. Patients can prevent the development of these complications by adopting secondary prevention measures. These include regular screening for cardiovascular diseases, having cholesterol level check-ups, eye screening for retinopathy annually, doing foot examination in every visit as well as checking urine for albumin. With an increase of patients suffering from chronic DM complications, these practices are often not adopted by a number of patients coupled by a number of impending clinical factors. Materials and Methods: The study sought to assess the health facility factors influencing secondary prevention practices among Type 2 Diabetes Mellitus patients at Consolata Hospital Nkubu and Meru Teaching and Referral (Level Five) Hospital in Meru County, Kenya. Data was collected from 357 participants who were sampled purposively in both hospitals. A descriptive correlational study design was adopted with questionnaires and Focus Group Discussion Guide used as the data collection methods. Quantitative data was analyzed using SPSS version 25 at 95% confidence interval. Results: The distance to the facility (p=0.011), waiting time (p=0.062), availability of drugs (p= <0.001), good staff reception (p=0.001), receiving health education and counseling (p= <0.001), good care-giver communication (p=0.038), availability of DM services, (p=0.001) availability of supplies for screening DM complications (p= <0.001), and client satisfaction (p= <0.001) all significantly influenced T2DM secondary prevention at a p value ≤ 0.05. Conclusion: In reducing the burden posed by the chronic diabetes complications these factors need to be addressed to promote T2DM secondary prevention practice.
Ngari DM, Munzi Mbisi A, Machwara SN, Njogu TW. Health Facility Factors Influencing Secondary Prevention Practices among Type 2 Diabetes Mellitus Patients in Meru County, Kenya: A Hospital Descriptive Correlational Study. Ann Clin Diabetes Endocrinol. 2020; 3(1): 1016.