Evaluation of Knowledge Level and Approaches of Physicians Working in Primary Health Care Institutions in Denizli Province on Diabetic Neuropathy
Evaluation of Knowledge Level and Approaches of Physicians Working in Primary Health Care Institutions in Denizli Province on Diabetic Neuropathy
Objectives: Diabetic neuropathy is a complication seen in diabetic patients and involves motor, sensory or autonomic nerve fibers due to minor vessel damage. This study was planned to determine the knowledge and awareness levels of physicians working in family health centers about diabetic neuropathy and their approach to diabetic neuropathy. Materials and Methods: Our study is a cross-sectional descriptive study conducted in 111 family health centers. Two hundred seventy-nine physicians were included in the study, and 219 physicians (78.49%) agreed to participate in the study. The researchers created the questionnaire form by conducting a literature review. The data were obtained by survey method under supervision. Results: Of the 219 people participating in the study, 70.78% (n = 155) were male and 6.85% (n = 15) were family medicine specialists. 94.06% of the participants (n=206) gave the optimal glycemic control response as the most effective method to prevent diabetic neuropathy and delay its progression. 74.42% of the participants (n = 163) stated that they did not use any diabetic neuropathy diagnosis and screening tests in their daily practice. 31% (n = 68) of the participants stated that their level of knowledge of diabetic neuropathy was either poor or very poor. 89.49% (n = 196) of the participants stated that they needed training on diabetic neuropathy. Those who rely on their knowledge and clinical experience in diagnosing, monitoring, and treating diabetic neuropathy were 44.29% of the participants (n = 97). Conclusion: As a result, although the rate of those who correctly knew the primary and secondary prevention of diabetic neuropathy was found to be high among the physicians participating in our study, it was determined that the diabetic neuropathy knowledge level of the participating physicians was insufficient. Simple tests and methods for physicians working in primary care should be included in the daily polyclinic routine.
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- 1. National Diabetes Consensus Group. TÜRKDİAB Diabetes Diagnosis and Treatment Guideline 2019 [Internet]. https://turkdiab.org/admin/PICS/files/Diyabet_Tani_ve_Tedavi_Rehberi_2019.pdf. (Accessed: 23.03.2021).
- 2. Sendi RA, Mahrus AM, Saeed RM, Mohammed MA, Al-Dubai SAR. Diabetic peripheral neuropathy among Saudi diabetic patients: A multicenter cross-sectional study at primary health care setting. J Fam Med Prim care. 2020;9(1):197-201 (doi:10.4103/jfmpc.jfmpc_927_19).
- 3. Erbas T, Ertas M, Yucel A, Keskinaslan A, Senocak M, TURNEP Study Group. Prevalence of Peripheral Neuropathy and Painful Peripheral Neuropathy in Turkish Diabetic Patients. J Clin Neurophysiol. 2011;28(1):51–5 (doi:10.1097/WNP.0b013e3182051334).
- 4. Aring AM, Jones DE, Falko JM. Evaluation and prevention of diabetic neuropathy. Am Fam Physician. 2005;71(11):2123–30.
- 5. American Diabetes Association. 9. Microvascular complications and foot care. Sec. 9. In Standards of Medical Care in Diabetes. Diabetes Care. 2015;38(Supplement 1):S58–66 (doi:10.2337/dc15-S012)
- 6. TEMD Diabetes Mellitus Study and Education Group. TEMD Clinical Practice Guideline for Diagnosis, Treatment and Follow-up of Diabetes Mellitus and Its Complications 2020 [Internet]. https://file.temd.org.tr/Uploads/publications/guides/documents/20200625154506- 2020tbl_kilavuz86bf012d90.pdf (Accessed: 23.03.2021).
- 7. Yılmaz T, Keskinkılıç B, İmamecioğlu R, et al. Diabetes Profile in Turkey. Current Situation Assessment in Diabetes Care, Monitoring and Treatment. Workshop Report 2009 [Internet]. http://www.nefroloji.org.tr/folders/file/Turkiyede_Diyabet_Profili.pdf (Accessed: 23.03.2021).
- 8. Harris SB, Stewart M, Brown JB, et al. Type 2 diabetes in family practice. Room for improvement. Can Fam physician. 2003 Jun;49:778–85.
- 9. Mabrouk N, Abdou M, Nour-Eldin H, Solyman El-Foly A, Omar S, Sliem H. Knowledge, attitude, and practice of family physicians regarding diabetic neuropathy in family practice centers: Suez Canal University. Int J Med Public Heal. 2013;3(4):230–4 (doi:10.4103/2230-8598.123424)
- 10. Peimani M, Tabatabaei-Malazy O, Heshmat R, Moghaddam SA, Sanjari M, Pajouhi M. Knowledge, attitude and practice of physicians in the field of diabetes and its complications; a pilot study. Iran J Diabetes Lipid Disord. 2010;9:1-7.
- 11. Shera AS, Jawad F, Basit A. Diabetes related knowledge, attitude and practices of family physicians in Pakistan. J Pak Med Assoc. 2002 Oct;52(10):465–70.
- 12. Khan AR, Al Abdul Lateef ZN, Khamseen MB, Al Aithan MA, Khan SA, Al Ibrahim I. Knowledge, attitude and practice of ministry of health primary health care physicians in the management of type 2 diabetes mellitus: a cross-sectional study in the Al Hasa District of Saudi Arabia, 2010. Niger J Clin Pract. 2011;14(1):52–9 (doi:10.4103/1119-3077.79241).