Type 2 diabetes management: Patient knowledge and health care team perceptions, South Africa

Background: South African research indicates that the highest death rates between 2004 and 2005 were from diabetes mellitus. There is minimal research information on interactions between what patients know about their disease and what health professionals perceive thatpatients should know to control...

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Main Authors: Nombeko Mshunqane, Aimee V. Stewart, Allan D. Rothberg
Format: Article
Language:English
Published: AOSIS 2012-10-01
Series:African Journal of Primary Health Care & Family Medicine
Subjects:
Online Access:http://www.phcfm.org/index.php/phcfm/article/viewFile/392/472
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author Nombeko Mshunqane
Aimee V. Stewart
Allan D. Rothberg
author_facet Nombeko Mshunqane
Aimee V. Stewart
Allan D. Rothberg
author_sort Nombeko Mshunqane
collection DOAJ
description Background: South African research indicates that the highest death rates between 2004 and 2005 were from diabetes mellitus. There is minimal research information on interactions between what patients know about their disease and what health professionals perceive thatpatients should know to control their disease well.Objectives: This study determined the knowledge that patients with type 2 diabetes have about the management of their disease, as well as the perceptions of the health care team about the services given to patients.Method: Qualitative data were collected using two focus groups and in-depth interviews. Patient focus group (n = 10) explored patients’ knowledge about management of type 2 diabetes. Patients were recruited from Dr George Mukhari Hospital outpatients’ diabetes clinic. Professional focus group (n = 8) explored the health care team’s experiences, barriers and facilitators in managing the disease. Professional focus group participants were recruited because of their expertise in chronic disease management, working in the community (public health) or working directly with patients with type 2 diabetes. Five health care professionals were interviewed using the same guide of questions as for the focus group.Results: Participants identified type 2 diabetes as a chronic disease that needs behaviour change for good control. Five major themes were identified: patients’ knowledge; education programmes; behaviour change; support; and a patient-centred approach.Conclusion: Management of type 2 diabetes may be enhanced by reinforcing patients’ knowledge, encouraging behaviour change whilst taking into consideration patients’ backgrounds. The health care team needs to utilise a patient-centred approach.
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spelling doaj.art-2b7eb88d736b45bf894b0e540d615b3d2022-12-21T19:53:29ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362012-10-014117Type 2 diabetes management: Patient knowledge and health care team perceptions, South AfricaNombeko MshunqaneAimee V. StewartAllan D. RothbergBackground: South African research indicates that the highest death rates between 2004 and 2005 were from diabetes mellitus. There is minimal research information on interactions between what patients know about their disease and what health professionals perceive thatpatients should know to control their disease well.Objectives: This study determined the knowledge that patients with type 2 diabetes have about the management of their disease, as well as the perceptions of the health care team about the services given to patients.Method: Qualitative data were collected using two focus groups and in-depth interviews. Patient focus group (n = 10) explored patients’ knowledge about management of type 2 diabetes. Patients were recruited from Dr George Mukhari Hospital outpatients’ diabetes clinic. Professional focus group (n = 8) explored the health care team’s experiences, barriers and facilitators in managing the disease. Professional focus group participants were recruited because of their expertise in chronic disease management, working in the community (public health) or working directly with patients with type 2 diabetes. Five health care professionals were interviewed using the same guide of questions as for the focus group.Results: Participants identified type 2 diabetes as a chronic disease that needs behaviour change for good control. Five major themes were identified: patients’ knowledge; education programmes; behaviour change; support; and a patient-centred approach.Conclusion: Management of type 2 diabetes may be enhanced by reinforcing patients’ knowledge, encouraging behaviour change whilst taking into consideration patients’ backgrounds. The health care team needs to utilise a patient-centred approach.http://www.phcfm.org/index.php/phcfm/article/viewFile/392/472chronic disease managementenvironmental factorslifestyle modificationpatient-centred approachtype 2 diabetes
spellingShingle Nombeko Mshunqane
Aimee V. Stewart
Allan D. Rothberg
Type 2 diabetes management: Patient knowledge and health care team perceptions, South Africa
African Journal of Primary Health Care & Family Medicine
chronic disease management
environmental factors
lifestyle modification
patient-centred approach
type 2 diabetes
title Type 2 diabetes management: Patient knowledge and health care team perceptions, South Africa
title_full Type 2 diabetes management: Patient knowledge and health care team perceptions, South Africa
title_fullStr Type 2 diabetes management: Patient knowledge and health care team perceptions, South Africa
title_full_unstemmed Type 2 diabetes management: Patient knowledge and health care team perceptions, South Africa
title_short Type 2 diabetes management: Patient knowledge and health care team perceptions, South Africa
title_sort type 2 diabetes management patient knowledge and health care team perceptions south africa
topic chronic disease management
environmental factors
lifestyle modification
patient-centred approach
type 2 diabetes
url http://www.phcfm.org/index.php/phcfm/article/viewFile/392/472
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