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Article: Attitudes and perceptions towards hypoglycaemia in patients with diabetes mellitus: A multinational cross-sectional study

TitleAttitudes and perceptions towards hypoglycaemia in patients with diabetes mellitus: A multinational cross-sectional study
Authors
KeywordsDiabetes mellitus
Patients
Questionnaires
Insulin
Educational attainment
Issue Date2019
PublisherPublic Library of Science. The Journal's web site is located at http://www.plosone.org/home.action
Citation
PLoS One, 2019, v. 14 n. 10, p. article no. e0222275 How to Cite?
AbstractBackground: Preventing hypoglycaemia is an essential component of diabetes self-management that is affected by patients’ attitudes and perceptions. This study aimed to explore the hypoglycaemia problem-solving ability of patients who have diabetes mellitus and factors that determine their attitudes and perceptions towards their previous events. Methodology: A cross-sectional study was conducted between October 2017 and May 2018 in three Arab countries (Jordan, Saudi Arabia and Kuwait) in patients with diabetes mellitus, who were prescribed antidiabetic therapy and had experienced hypoglycaemic events in the past six months. The Hypoglycaemia Problem-Solving Scale was used in this study. This scale contains two subscales, problem orientation (six questions) and problem-solving skills (eighteen questions), using a five-point Likert scale (range 0–4). Multiple linear regression analysis was used to identify predictors of hypoglycaemia problem-solving abilities. Results: A total of 895 patients participated in this study from the three countries (300 in Jordan, 302 in Saudi Arabia, and 293 in Kuwait). The average age of the patients was 53.5 years (standard deviation = 13.7) and 52.4% (n = 469) were males. Patients had moderate overall problem-solving ability with a median score of 63.00 (interquartile range = 13.00). Patients’ problem-solving skills score (68.1%) was better than their problem-orientation skills score (58.3%). The highest sub-scale scores were for detection control, setting problem-solving goals, and evaluating strategies, 75.0%. The lowest sub-scale score was for problem-solving perception and immediate management, 50.0%. Older age, being educated, being married, having T2DM, prescribed insulin therapy, and not having been admitted to hospital for hypoglycaemia were important predictors of patients’ problem-solving ability (p < 0.05). Conclusions: Healthcare professionals are advised to provide more education to patients on how to self-manage hypoglycaemic events. Specifically, they should focus on the overall problem-solving perception of hypoglycaemia and its immediate management.
Persistent Identifierhttp://hdl.handle.net/10722/284943
ISSN
2019 Impact Factor: 2.74
2015 SCImago Journal Rankings: 1.395
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorNaser, AY-
dc.contributor.authorWong, ICK-
dc.contributor.authorWhittlesea, C-
dc.contributor.authorAlwafi, H-
dc.contributor.authorAbuirmeileh, A-
dc.contributor.authorAlsairafi, ZK-
dc.contributor.authorTurkistani, FM-
dc.contributor.authorBokhari, NS-
dc.contributor.authorBeykloo, MY-
dc.contributor.authorAl-Taweel, D-
dc.contributor.authorAlmane, MB-
dc.contributor.authorWei, L-
dc.date.accessioned2020-08-07T09:04:40Z-
dc.date.available2020-08-07T09:04:40Z-
dc.date.issued2019-
dc.identifier.citationPLoS One, 2019, v. 14 n. 10, p. article no. e0222275-
dc.identifier.issn1932-6203-
dc.identifier.urihttp://hdl.handle.net/10722/284943-
dc.description.abstractBackground: Preventing hypoglycaemia is an essential component of diabetes self-management that is affected by patients’ attitudes and perceptions. This study aimed to explore the hypoglycaemia problem-solving ability of patients who have diabetes mellitus and factors that determine their attitudes and perceptions towards their previous events. Methodology: A cross-sectional study was conducted between October 2017 and May 2018 in three Arab countries (Jordan, Saudi Arabia and Kuwait) in patients with diabetes mellitus, who were prescribed antidiabetic therapy and had experienced hypoglycaemic events in the past six months. The Hypoglycaemia Problem-Solving Scale was used in this study. This scale contains two subscales, problem orientation (six questions) and problem-solving skills (eighteen questions), using a five-point Likert scale (range 0–4). Multiple linear regression analysis was used to identify predictors of hypoglycaemia problem-solving abilities. Results: A total of 895 patients participated in this study from the three countries (300 in Jordan, 302 in Saudi Arabia, and 293 in Kuwait). The average age of the patients was 53.5 years (standard deviation = 13.7) and 52.4% (n = 469) were males. Patients had moderate overall problem-solving ability with a median score of 63.00 (interquartile range = 13.00). Patients’ problem-solving skills score (68.1%) was better than their problem-orientation skills score (58.3%). The highest sub-scale scores were for detection control, setting problem-solving goals, and evaluating strategies, 75.0%. The lowest sub-scale score was for problem-solving perception and immediate management, 50.0%. Older age, being educated, being married, having T2DM, prescribed insulin therapy, and not having been admitted to hospital for hypoglycaemia were important predictors of patients’ problem-solving ability (p < 0.05). Conclusions: Healthcare professionals are advised to provide more education to patients on how to self-manage hypoglycaemic events. Specifically, they should focus on the overall problem-solving perception of hypoglycaemia and its immediate management.-
dc.languageeng-
dc.publisherPublic Library of Science. The Journal's web site is located at http://www.plosone.org/home.action-
dc.relation.ispartofPLoS One-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectDiabetes mellitus-
dc.subjectPatients-
dc.subjectQuestionnaires-
dc.subjectInsulin-
dc.subjectEducational attainment-
dc.titleAttitudes and perceptions towards hypoglycaemia in patients with diabetes mellitus: A multinational cross-sectional study-
dc.typeArticle-
dc.identifier.emailWong, ICK: wongick@hku.hk-
dc.identifier.authorityWong, ICK=rp01480-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1371/journal.pone.0222275-
dc.identifier.pmid31647820-
dc.identifier.pmcidPMC6812873-
dc.identifier.scopuseid_2-s2.0-85074091786-
dc.identifier.hkuros311799-
dc.identifier.volume14-
dc.identifier.issue10-
dc.identifier.spagearticle no. e0222275-
dc.identifier.epagearticle no. e0222275-
dc.publisher.placeUnited States-

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