Association of Diabetes Knowledge, Attitude and Practice (KAP) and Diabetic Nephropathy among Iranian Patients: A Cross Sectional Study


Mohammad Hossein Khosravi1*; Hamidreza Karimi-Sari1; Mahtab Niroomand2; Seyedeh Najmeh Ghasemi 2 1. Students’ Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran. 2. Division of Endocrinology, Department of internal medicine, Shahid-Beheshti University of medical Sciences, Tehran, Iran.


Mohammad Hossein Khosravi,

Aim: To evaluate diabetes-related knowledge, attitude and practice (KAP) among Iranian diabetic patients and its association with diabetic nephropathy Methods: This multicenter analytical cross-sectional study was approved by Shahid-Beheshti University of Medical Sciences Ethics Committee. Questionnaires were designed for evaluation of diabetes-related KAP in patients. After validating the questionnaires by endocrinologists, test-retest method was used for questionnaire reliability by checking in 15 diabetic patients. Two hundred DM patients, with or without diabetic nephropathy, filled out the questionnaires. Previously known cases of diabetic nephropathy, presence of macroalbuminuria, or "severely increased albuminuria" in the new nomenclature were considered as nephropathy. Using SPSS software, the level of KAP and its confounders were evaluated in patients. Results: Two hundred diabetic patients with the mean age of 60.17 years were evaluated (106 male and 94 female). The mean diabetes duration was 13.06 years. The levels of patients’ good knowledge, attitude, and practice were 61.41%, 50.44% and 52.23%, respectively. Practice was better in patients with diabetic nephropathy (P=0.0002). Age, treatment methods and DM duration had significant correlations with KAP level. Conclusions: The results of this study showed that patients with longer standing diabetes, those developing diabetic retinopathy and those receiving insulin had a better KAP score. This may suggest that patients’ KAP increases as their condition worsens/progresses. Thus, Education should be considered as a priority in patients with lower KAP levels so as to prevent diabetic nephropathy.