Self-Care Practices Among Adult Type 2 Diabetes Patients With and Without Peripheral Neuropathy: A Cross-Sectional Study at Tertiary Healthcare Settings in Ethiopia
| Autor: | Mezgebu Gode, Fekadu Aga, Aklil Hailu |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Blood Glucose Pediatrics medicine.medical_specialty Tertiary Healthcare business.industry Cross-sectional study Type 2 diabetes medicine.disease Affect (psychology) Comorbidity Self Care Cross-Sectional Studies Peripheral neuropathy Diabetes Mellitus Type 2 Diabetic Neuropathies Diabetes mellitus Global health Humans Medicine Ethiopia Adult type business General Nursing |
| Zdroj: | Canadian Journal of Nursing Research. 54:345-356 |
| ISSN: | 1705-7051 0844-5621 |
| DOI: | 10.1177/08445621211020653 |
| Popis: | Background Type 2 diabetes mellitus (T2D) has become a global health challenge. Diabetic peripheral neuropathy (DPN) is one of the common comorbidities of T2D that may affect the ability to perform diabetes self-care. Purpose To compare self-care practices between adult T2D patients with and without comorbid DPN and identify factors predicting self-care practices. Methods In this cross-sectional study, conducted at tertiary hospitals in Ethiopia, a total of 216 (108 with DNP and 108 without DNP) participants completed an interviewer-administered questionnaire including measures of diabetes self-care practices, self-evaluated peripheral neuropathy, self-efficacy, diabetes knowledge, and social support. Results Adult T2D patients with comorbid DPN had lower dietary (P< 0.001), exercise (P< 0.001), blood glucose testing (P = 0.001), and foot (P = 0.007) self-care practice than those without DPN. Social support is a significant predictor of dietary self-care in both groups while predicting foot self-care and blood glucose testing in those with comorbid DPN. Moreover, occupation, education, and having a glucometer are significant predictors of diabetes self-care practice in both groups. Conclusion This study found that adult T2D patients with comorbid DPN have poorer diabetes self-care practice than those without comorbid DPN. Interventions should focus on addressing social support and access to a glucometer in order to improve diabetes self-care practices in adult T2D patients with comorbid DPN. |
| Databáze: | OpenAIRE |
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