The relationship between diabetes knowledge and compliance among Chinese with non‐insulin dependent diabetes mellitus in Hong Kong

Journal of Advanced Nursing - Tập 30 Số 2 - Trang 431-438 - 1999
Chan1, Alex Molassiotis2
1Ward Manager, Department of Medicine, Tuen Mun Hospital, Hong Kong,
2Assistant Professor, Department of Nursing, Chinese University of Hong Kong, Hong Kong

Tóm tắt

The relationship between diabetes knowledge and compliance among Chinese with non‐insulin dependent diabetes mellitus in Hong Kong This study examines the relationship between diabetes knowledge and compliance among Chinese with non‐insulin dependent diabetes mellitus (NIDDM) in Hong Kong. A cross‐sectional design was used to collect data through structured self‐report interviews based on validated scales assessing diabetes knowledge, compliance behaviours and demographic data. The Diabetes Knowledge Scale was used to sample knowledge in the major areas of basic physiology of diabetes and general principles of diabetes care. Compliance level was assessed by using the Compliance Behaviour Questionnaire, inspection of patients’ feet and the value of HbA1c. A convenience sample of 52 Chinese with NIDDM receiving out‐patient diabetes care participated in the study on a voluntary basis. Descriptive and correlational statistical analyses were used to analyse the data. The findings indicated that there was no association between diabetes knowledge and compliance. There was a gap between what the patients were taught and what they were actually doing. Most of the patients gained higher marks on factual knowledge on diabetes but lost marks on the application of knowledge to their real life situations. Strategies are suggested to close the ‘knowledge–action gap’ and increase patients’ motivation and ability to comply with the health regimen.

Từ khóa


Tài liệu tham khảo

BeeneyL.J DunnS.M. WelchG.(1994)Measurement of diabetes knowledge — the development of the DKN scales. InHandbook of Psychology and Diabetes: A Guide to Psychological Measurement in Diabetes Research and Practice (Bradley C. ed.) Harwood Academic Chur Switzerland pp. 159–189.

10.1177/014572179502100506

10.1097/00006199-198807000-00010

10.1002/nur.4770150603

10.1097/00006199-199411000-00008

10.2337/diacare.3.5.594

Chan K.C, 1994, The diabetic clinic in general practice — an evaluative study of its effectiveness, Hong Kong Practitioner, 16, 165

Chan J.C.N, 1996, Diabetes mellitus — epidemiology and pathogenesis, Hong Kong Practitioner, 18, 270

10.1016/0168-8227(93)90099-Q

10.2337/diacare.7.1.36

10.1111/j.1464-5491.1986.tb00784.x

FalvoD.R.(1994)Effective Patient Education: A Guide to Increased Compliance2nd edn. Gaithersburg Aspen Maryland.

10.1111/j.1464-5491.1986.tb00777.x

10.1177/014572179502100106

Hinnen D., 1993, Issues in diabetes education, Nursing Clinics of North America, 28, 113, 10.1016/S0029-6465(22)02840-7

10.2337/diacare.11.9.719

10.1111/j.1365-2648.1994.tb01054.x

10.1016/0168-8227(95)01032-9

KanE.C.Y LooK.M WongY.M CockramC.S. WongF.K.Y.(1994) Relationship between health locus of control and compliance among Chinese with non‐insulin dependent diabetes mellitus in Hong Kong. Unpublished research paper Diabetes Centre Prince of Wales Hospital Hong Kong.

Kravitz R.L, 1993, Recall of recommendations and adherence to advice among patients with chronic medical conditions, Archives of Internal Medicine, 153, 1869, 10.1001/archinte.1993.00410160029002

Lam T.P, 1995, The prevalence of type II diabetes mellitus and its cardiovascular risk factors in a general practice, Hong Kong Practitioner, 17, 6

10.2337/diacare.3.2.214

10.1177/014572179001600309

10.1056/NEJM199306103282306

10.1177/014572179502100108

PolitD.F.&HunglerB.P.(1995)Nursing Research:Principles and Methods5th edn. Lippincott Philadelphia.

RobertsC.A.&BurkeS.O.(1989)Nursing Research:A Quantitative and Qualitative Approach. Jones and Bartlett Boston.

10.2337/diacare.20.4.568

10.2337/diacare.5.3.337

10.1111/j.1365-2648.1991.tb01765.x

Wilson W, 1986, Psychosocial predictors of self‐care behaviors and glycemic control in non‐insulin‐dependent diabetes mellitus, Diabetes Care, 9, 614, 10.2337/diacare.9.6.614