|dc.identifier.citation||Cheruiyot Gilbert (2013). Knowledge, Attitudes And Practices On Diabetic Retinopathy Among Patients Attending The Diabetes Clinic At Kenyatta National Hospital. A dissertation submitted in part fulfillment for the Degree of Master of Medicine in Ophthalmology University of Nairobi.||en
|dc.description.abstract||Background: There is a paucity of data in the literature on knowledge, attitude and practices of
diabetic patients with regards to diabetic retinopathy. Diabetes mellitus affects more than 170
million persons worldwide.1 Diabetic retinopathy accounts for 4.8% of the 37 million cases of
blindness occurring worldwide.4
Currently, diabetic retinopathy is estimated to contribute about
3% of blindness in Kenya.5 In a study to assess the Awareness of diabetic retinopathy amongst
diabetic patients at the Murtala Mohammed Hospital, Kano, Nigeria, the retinopathy awareness
rate amongst the patients was quite high (84.3%).32 The study aimed at evaluating the awareness
of diabetic retinopathy among the diabetic patients visiting diabetic clinic of KNH.
Objectives: To establish the levels of knowledge, attitude and practice on diabetic retinopathy
amongst the diabetic patients visiting diabetic clinic of KNH in Kenya.
Design: Cross-sectional Hospital-Based study.
Study Setting: Kenyatta National Hospital Out-Patient Diabetic Clinic
Participants: Patients diagnosed with diabetes mellitus by the physicians at the diabetic clinic.
Methodology: Questionnaires were use to assess knowledge, attitude and practice of these
patients and the data collected was coded, entered and managed in a pre-designed Microsoft
Access database. Data analysis was carried out using SPSS version 17.0. Results were presented
in tables and graphs.
Results: Two hundred and three (203) patients were interviewed. Females constituted 55.7% and
the mean age was 54.8 years (±13.7 years). One hundred and ninety three (95%) of the 203
diabetic patients responded that diabetes affect the eye. Only 46 (22.7%) patients answered
correctly what diabetic retinopathy was. Fifty seven percent of the 46 patients had been
examined by an eye specialist. The ability of a patient to define correctly what DR was
associated with age, level of education (P=0.001), marital status (p=0.049) and estimated
Conclusion: Majority of patients (64%) did not know what DR was. Most of the diabetic
patients (69%) were only aware of poor blood control as a risk factor for DR. Seventy two
percent of diabetic patients interviewed strongly agreed that blood sugar control is important in
preventing DR. The proportion of diabetic patients interviewed that had been seen by eye
specialist is low (57.6%). The age, marital status, level of education and economic status are the
factors that were found to be significantly associated with knowledge on diabetic retinopathy.||en
|dc.publisher||University of Nairobi||en
|dc.title||Knowledge, Attitudes And Practices On Diabetic Retinopathy Among Patients Attending The Diabetes Clinic At Kenyatta National Hospital.||en
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya||
|local.publisher||School of Medicine||en