| dc.description.abstract | Diabetes is chronic metabolic disorder characterized by states of hyperglycemia with
disturbances of carbohydrates, fat and protein metabolism. Diabetes affects millions
of people globally every day and the prevalence of the disease is on the rise due to
unhealthy diet and lifestyle. The ailment is associated with significant disability,
premature deaths, and enormous medical costs. The disorder usually results to chronic
complications including cardiovascular diseases, diabetic nephropathy, diabetic
neuropathy, foot ulcers and diabetic eye diseases that are all preventable through
secondary preventive measures. Once an individual has been diagnosed with T2DM,
secondary preventive approaches are essential in preventing the occurrence of chronic
complications. However, lack of awareness of these measures has been cited as the
common reasons for the development of complications. The study aimed to assess the
practice and factors influencing secondary prevention among patients with Type 2
Diabetes Mellitus (T2DM) at Consolata Hospital Nkubu and Meru Level Five
Hospital. A descriptive correlational study design was adopted to collect data from
357purposively sampled participants with T2DM using questionnaires and Focus
Group Discussion Guide. Quantitative data was analyzed using SPSS version 25 at
95% confidence interval and a significance level p 0.05.Frequency tables, bar graphs
and pie charts were used for descriptive statistics while Chi squares and logistic
regression were used for inferential analysis. Most respondents attended Meru
Teaching and Referral Hospital. Majority of the respondents were aged between 40-
60 years. Most respondents 31.6% had secondary level of education and majority 67%
was employed. Concerning secondary prevention, majority did foot examination on
every visit 70.6% and BP monitoring 69.5%while 56.5% did annual eye screening.
Most respondents were married and did not engage in harmful social habits such as
smoking and alcohol use. The following factors were significantly predicting practice
of secondary preventive measures among diabetes patients at a p value ≤0.05;
knowledge on complications for diabetes, distance to the facility, availability of drugs,
good staff reception, receiving health education and counseling, good care-giver
communication, availability of DM services, availability of supplies for screening DM
complications, and client satisfaction all significantly influenced DM secondary
prevention. Affordability of services, health insurance cover of the patients, monthly
cost of DM management and traditional beliefs in managing DM all significantly
influenced DM secondary prevention. The level of secondary prevention was poor
which was influenced by a number of factors that needs be addressed to reduce the
global burden posed by the disease. | en_US |
