Self-care knowledge, attitude and associated factors among outpatients with diabetes mellitus in Arsi Zone, Southeast Ethiopia.

Autor:	Kassa RN; Department of Surgical Nursing, Saint Paul Millennium Medial College, Addis Ababa, Ethiopia., Hailemariam HA; Department of Neonatal Nursing, Saint Paul Millennium Medial College, Addis Ababa, Ethiopia., Habte MH; Department of Pediatrics Nursing, Saint Paul Millennium Medial College, Addis Ababa, Ethiopia., Gebresillassie AM; Department of Surgical Nursing, Saint Paul Millennium Medial College, Addis Ababa, Ethiopia.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2021 Dec 28; Vol. 1 (12), pp. e0000097. Date of Electronic Publication: 2021 Dec 28 (Print Publication: 2021).
DOI:	10.1371/journal.pgph.0000097
Abstrakt:	Introduction: Diabetes mellitus is a chronic illness that requires continuing medical care and ongoing patient self-management, education and support to prevent acute complications and to reduce the risk of long-term complications. Therefore, this study aims to assess the self-care knowledge, attitude and associated factors among outpatients with diabetes mellitus in Arsi Zone, Southeast Ethiopia. Materials and Methods: A cross sectional study was employed in Arsi Zone, Southeast Ethiopia from April to June 2017 among 290 patients with diabetes mellitus. Structured questionnaire was employed through face to face interview. Bivariate and multivariate regression was done and a statistical significance was declared at p value < 0.05. Results: Among 290 respondents, 64.8% and 27.6% of them had good knowledge and good attitude towards self-care in this study respectively. Being married (AOR: 3.41, 95% CI: 1.480-8.095), being employed in occupation (AOR: 5.8, 95% CI: 2.26-14.67) and living in higher socioeconomic status (AOR: 2.0, 95% CI: 1.096-3.322) are the independent factors associated to good knowledge of respondents towards self-care whereas living in lower socioeconomic status(AOR: 0.478, 95% CI: 0.262-0.874), having informal education (AOR: 4.002, 95% CI: 1.941-8.254), not having family history of diabetes mellitus (AOR: 0.422, 95% CI: 0.222-0.803) and having short duration of diagnosis (AOR: 3.209, 95% CI: 1.537-6.779) were significantly associated factors to have poor attitude towards self-care. Conclusion: Majority of the study participants had good knowledge towards diabetes self-care practice while a significant number of the participants had unfavorable attitude towards diabetes self-care. Being married, being employed and living in higher socioeconomic status were the determinant factors of knowledge towards the diabetes self-care practice while having informal education and having short duration of diagnosis were the significant factors associated to the unfavorable attitude towards diabetes self-care practice. Therefore, efforts should be made on enhancing patients' socioeconomic status and equipping with diabetic self-care centered health information particularly for those patients with short duration of diagnosis. Competing Interests: The authors have declared that no competing interest exists. (Copyright: © 2021 Kassa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
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