Affiliation:
1. KNCV Tuberculosis Foundation
2. School of Public Health, College of Medicine and Health Sciences, Hawassa University
3. Yirgalem General Hospital
4. Yirgalem Hospital Medical College
Abstract
Abstract
Background: Self-care practice is an integral and efficient part of the comprehensive management of diabetes that could be influenced by various sociodemographic, clinical, and lifestyle factors.
Objective: The study aimed to assess diabetes self-care practice and its determinants among adults with diabetes on follow-up at Yirgalem general hospital, Yirgalem, Sidama, Ethiopia.
Methodology: An Institution based cross-sectional study was conducted from February 15 to May 10, 2022 at Yirgalem general hospital on 297 randomly selected adults with diabetes on chronic care follow-up. Face-to-face interview using a pre-tested structured questionnaire and chart review was utilized to collect data. Descriptive analysis was done to determine the magnitude of self-care practice. Bivariate and multivariate Binary logistics regression was performed to determine predictors of self-care practice at α=0.05, using an adjusted odds ratio and 95% confidence interval. Association with p-value <0.05 was considered statistically significant.
Result: The overall self-care practice among diabetic patients was 59.4%. Based on the domains of care, 15(5%) had good self-glucose monitoring care, 228(76.5%) had good exercise self-care, 268(89.9%) had good dietary self-care, 228(76.5%) had good foot self-care, and 260(87.2%) had good diabetic medication adherence. Residence area (AOR=2.992, 95% CI; (1.251, 7.153)) and ownership of glucometer (AOR=2.273, 95% CI; (1.083, 4.772)) were statistically significant predictors of good self-care practice among diabetic patients.
Conclusion: The overall good practice of diabetic self-care in this study was low. Marital status, place of residence, and ownership of a functional glucometer were statistically significant predictors of good diabetic self-care. Targeted intervention addressing those patients coming from a rural area to increase the awareness and practice of self-care as well as promotion of ownership of glucometer and counseling on the importance of self-glucose monitoring is recommended.
Publisher
Research Square Platform LLC
Reference25 articles.
1. WHO, Diabetes. Geneva WHO. ; 2021 [Available from: https://www.who.int/health-topics/diabetes#tab=tab_1.
2. federation Id. IDF diabetes atlas. Brussels. Belgium.; 2021.
3. WHO. https://www.who.int/publications/m/item/diabetes-eth-country-profile-ethiopia-2016 Geneva:World Health Organization; [
4. Assessment of diabetic patient perception on diabetic disease and self-care practice in Dilla University Referral Hospital, South Ethiopia;Addisu Y;J Metabolic Synd,2014
5. Factors influencing diabetes self-management in adults: an umbrella review of systematic reviews;Alexandre K;JBI Evid Synth,2021