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ORIGINAL RESEARCH article

Front. Public Health
Sec. Public Health Education and Promotion
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1426259
This article is part of the Research Topic Diabetes Self-Management: Potential Risks and Resilience Factors View all articles

Knowledge, attitudes, and practices among patients with diabetes mellitus and hyperuricemia towards disease self-management

Provisionally accepted
Dan Wang Dan Wang 1Zhixin Liu Zhixin Liu 2Yu Liu Yu Liu 1Lingfei Zhao Lingfei Zhao 1Lijuan Xu Lijuan Xu 1Shanshan He Shanshan He 1Binhong Duan Binhong Duan 1,3*
  • 1 Heilongjiang Provincial Hospital, Harbin, Heilongjiang Province, China
  • 2 Mudanjiang Medical University, Mudanjiang, China
  • 3 Other, Harbin, China

The final, formatted version of the article will be published soon.

    Background: This study aimed to assess the knowledge, attitudes and practices (KAP) among patients with diabetes mellitus and hyperuricemia towards disease self-management. Methods: This web-based cross-sectional study was conducted between June 2023 and January 2024 at Heilongjiang Provincial Hospital. A self-designed questionnaire was developed to collect demographic information of patients with diabetes mellitus and hyperuricemia, and assess their knowledge, attitudes and practices toward disease self-management. Results: A total of 482 participants were enrolled in this study, among them, 364 (75.52%) were male, 235 (48.76%) were aged between 40 and 59 years, 226 (46.89%) had a body mass index (BMI) ranging from 24 to 28 kg/m2, 337 (69.92%) had received a diagnosis of diabetes for a duration of 2 years or more, while 245 (50.83%) had been diagnosed with hyperuricemia for a similar duration. Their median (range) knowledge, attitude and practice scores were 10.00 (9.00, 11.00) (possible range: 0-12), 38.00 (36.00, 40.00) (possible range: 9-45), and 30.00 (26.00, 34.75) (possible range: 10-50), respectively. The path analysis demonstrated that knowledge had direct effects on attitude (β = 0.508, P < 0.001), and attitude had direct effects on practice (β = 0.448, P < 0.001). Additionally, there was an indirect effect of knowledge on practice mediated through attitude, with a path coefficient of 0.228 (P < 0.001). Conclusion: This study demonstrates that patients with diabetes mellitus and hyperuricemia exhibit relatively proficient responses to certain items within the KAP dimensions. However, it also exposes a certain degree of inadequacy in the KAP level toward disease management. Interventions should focus on improving patients' understanding of their conditions while fostering positive attitudes, ultimately translating into better self-management practices.

    Keywords: knowledge, attitudes, Practices, Diabetes Mellitus, Hyperuricemia, Disease Management, Cross-sectional study

    Received: 01 May 2024; Accepted: 10 Sep 2024.

    Copyright: © 2024 Wang, Liu, Liu, Zhao, Xu, He and Duan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Binhong Duan, Other, Harbin, China

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