Diabetes self-care practice and associated factors among type 2 diabetic patients in public hospitals of Tigray regional state, Ethiopia: A multicenter study

Autor: Birhan Gebresillassie Gebregiorgis, Goitom Molalign Takele, Hiyab T, Michael Kidanu, Medina Abdulkadir Weharei, Kahsu Gebrekidan
Rok vydání: 2020
Předmět:
Male
Health Knowledge
Attitudes
Practice
Physiology
Family support
Type 2 diabetes
Logistic regression
Body Mass Index
Geographical Locations
Endocrinology
Medical Conditions
Mathematical and Statistical Techniques
Occupational Therapy
Surveys and Questionnaires
Health care
Medicine and Health Sciences
Medicine
Multidisciplinary
Statistics
Middle Aged
Blood Sugar
Body Fluids
Type 2 Diabetes
Blood
Physiological Parameters
Physical Sciences
Regression Analysis
Female
Anatomy
Research Article
medicine.medical_specialty
Patients
Endocrine Disorders
Science
Research and Analysis Methods
Statistical significance
Diabetes mellitus
Diabetes Mellitus
Humans
Statistical Methods
business.industry
Blood Glucose Self-Monitoring
Body Weight
Type 2 Diabetes Mellitus
Biology and Life Sciences
medicine.disease
Self Care
Health Care
Cross-Sectional Studies
Diabetes Mellitus
Type 2
Age Groups
Family medicine
Metabolic Disorders
People and Places
Africa
Population Groupings
Ethiopia
business
Body mass index
Mathematics
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 4, p e0250462 (2021)
ISSN: 1932-6203
Popis: Background The prevalence of type 2 diabetes is increasing steadily at an alarming rate. Ethiopia is placed fourth among the top five countries of the African region members of the international diabetes federation. This study aimed to determine the level of diabetes self-care practice and associated factors among patients with type 2 diabetes mellitus attending public hospitals of the Tigray region. Methods An institution-based, cross-sectional study was conducted in six selected hospitals of Tigray region from January to February 2020. Study participants were recruited using a systematic random sampling method. Diabetes self-care practice was assessed using Summary Diabetes Self-Care Activities (SDSCA) assessment tool. The data were collected by trained nurses via face-to-face interview. Binary and multivariable logistic regression analyses were used to identify factors associated with self-care practices. Statistical significance was declared at p-value < 0.05. Results A total of 570 patients with type 2 diabetes were included in this study. The mean (SD) age of the participant was 46 (±14.6) years. Less than half (46.7%) of the participants had good diabetes self-care practices. Surprisingly, only 68 (11.9%) of the participants had access to a personal glucometer. Urban residency (AOR = 1.9, 95% CI = 1.20–2.94), age group 48–63 years (AOR = 2.1, 95% CI = 1.19–3.98), not having a formal education (AOR = 2.6, 95% CI = 1.32–5.25), having family support (AOR = 1.9, 95% CI = 1.24–2.85), and having a personal glucometer at home (AOR = 6.1, 95% CI = 2.83–13.0) were the factors associated with good diabetes self-care practices. Conclusion The diabetes self-care practice in the region was found to be poor. Where factors like, being an urban resident, age group between 49–63 years, not having a formal education, and having a personal glucometer at home were associated with good self-care practices. Health care providers might have to consider actions to act on the identified factors and improve the level of self-care practices of the patients.
Databáze: OpenAIRE
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