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

2021 ◽  
Vol 1 (12) ◽  
pp. e0000097
Author(s):  
Rahel Nega Kassa ◽  
Hana Abera Hailemariam ◽  
Mekdes Hailegebreal Habte ◽  
Altayework Mekonnen Gebresillassie
Keyword(s):  
Diabetes Mellitus ◽  
Socioeconomic Status ◽  
Short Duration ◽  
Informal Education ◽  
Associated Factors ◽  
Self Care ◽  
Good Knowledge ◽  
Care Practice ◽  
Arsi Zone ◽  
Southeast Ethiopia

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.

scholarly journals Self-care practice and its predictors among adults with diabetes mellitus on follow up at public hospitals of Arsi zone, southeast Ethiopia

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Rahel Nega Kassa ◽  
Ibrahim Yimer Ibrahim ◽  
Hana Abera Hailemariam ◽  
Mekdes Hailegebriel Habte
Keyword(s):  
Diabetes Mellitus ◽  
Self Care ◽  
Public Hospitals ◽  
Care Practice ◽  
Diabetic Patients ◽  
Care Providers ◽  
Family History Of Diabetes ◽  
Arsi Zone ◽  
Southeast Ethiopia

Abstract Objective Diabetes mellitus is a chronic illness that requires ongoing patient self-management and support to prevent acute complications and to reduce the risk of long- term complications. The objective of the study was to assess diabetic self-care practice and its predictors among adults with diabetes mellitus on follow up at hospitals of Arsi zone, southeast Ethiopia. Results Above half (53.3%) of diabetic patients had good self-care practice. Younger age (AOR: 8.95, 95% CI 1.89,42.48), earning a high income (AOR: 2.495, 95% CI 1.0,5.85), having a family history of diabetes (AOR: 4.5, 95% CI 1.3, 15.5), long duration since the diagnosis of diabetes (AOR: 2.14,95% CI 1.127,4.05), not having diabetic complications (AOR: 3.87, 95% CI 2, 7.48), and having glucometer (AOR: 4.08, 95% CI 1.78 l, 9.33) were significantly associated factors with good diabetic self care practice. Efforts should be made to prevent complications of diabetes mellitus, to support patients who are aged and who have no glucometer at their home to promote good self-care practice. Particularly, health care providers should give special attention to newly diagnosed patients.

scholarly journals Self-Care Practice and Its Predictors Among Adults With Diabetes Mellitus on Follow Up at Public Hospitals of Arsi Zone, Southeast Ethiopia

2020 ◽  
Author(s):  
Rahel Nega Kassa ◽  
Ibrahim Yimer Ibrahim ◽  
Hana Abera Hailemariam ◽  
Mekdes Hailegebriel Habte
Keyword(s):  
Diabetes Mellitus ◽  
Health Care Providers ◽  
Self Care ◽  
Public Hospitals ◽  
Care Practice ◽  
Diabetic Patients ◽  
Care Providers ◽  
Arsi Zone ◽  
Southeast Ethiopia

Abstract Objective: Diabetes mellitus (DM)is a chronic illness that requires ongoing patient self-management and support to prevent acute complications and to reduce the risk of long-term complications. The objective of the study was to assess diabetic self-care practice and its predictors among adults with DM on follow up at hospitals of Arsi zone, southeast Ethiopia. Results: Above half (53.3%) of diabetic patients had good self-care practice. Younger age (AOR: 8.95, 95% CI: 1.89,42.48), earning high income (AOR: 2.495, 95% CI: 1.0,5.85), having family history (AOR: 4.5, 95% CI: 1.3, 15.5), long duration of diagnosis (AOR: 2.14, 95% CI: 1.127, 4.05), not having diabetic complications (AOR: 3.87, 95% CI: 2, 7.48) and having glucometer (AOR: 4.08, 95% CI: 1.78l, 9.33)were significantly associated factors with good diabetic self are practice. Efforts should be made to prevent complications and to support patients who are aged and who have not glucometer at their home to promote good self-care practice. Particularly, health care providers should give special attention for newly diagnosed patients.

scholarly journals Self-Care Practice and Associated Factors Among Individuals with Diabetes Mellitus in Northeast Ethiopia

2020 ◽  
Vol Volume 13 ◽  
pp. 1817-1826
Author(s):  
Sine Zewde Gebre ◽  
Betregiorgis Zegeye ◽  
Mitku Mammo Taderegew
Keyword(s):  
Diabetes Mellitus ◽  
Associated Factors ◽  
Self Care ◽  
Care Practice ◽  
Northeast Ethiopia

scholarly journals Self-Care Practice and Associated Factors among Hypertensive Patients in Ethiopia: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Adam Wondmieneh ◽  
Getnet Gedefaw ◽  
Addisu Getie ◽  
Asmamaw Demis
Keyword(s):  
Systematic Review ◽  
Associated Factors ◽  
Formal Education ◽  
Meta Analysis ◽  
National Level ◽  
Self Care ◽  
Good Knowledge ◽  
Noncommunicable Diseases ◽  
Care Practice ◽  
Hypertensive Patients

Background. Hypertension is one of the leading causes of morbidity and mortality in developing countries including Ethiopia. Self-care practice has been provided as one of the most important preventive mechanisms of hypertension and is considered as a basic treatment for hypertension. There is no national-level study that assesses hypertensive self-care practice in Ethiopia. Therefore, this study aimed to assess the pooled level of hypertensive self-care practices and associated factors in Ethiopia. Methods. This study was carried out using published and unpublished articles accessed from databases: PubMed/MEDLINE, HENARI, Google Scholar, Web of Science, Scopus, African Journals, and university repositories. Data were extracted using a standard data extraction format. Data analysis was carried out using STATA version 11. Heterogeneity across the included studies was assessed using Cochrane’s Q statistics and I2 test with its corresponding p values. Publication bias was determined using Egger’s test and presented with a funnel plot. The pooled level of hypertensive self-care practice was estimated using a random-effects meta-analysis model. Results. This systematic review included 17 cross-sectional studies with 5,248 study participants. The overall pooled level of self-care practice among hypertensive patients in Ethiopia was 41.55% (95% CI 33.06, 50.05). Participant formal education (AOR = 2.82; 95% CI 2.18, 3.64) and good knowledge of hypertension (AOR = 4.04; 95% CI 2.19, 7.44) were significantly associated with self-care practice among hypertensive patients in Ethiopia. Conclusion. In this study, more than half of hypertensive patients had poor hypertensive self-care practice in Ethiopia. Participant’s formal education and good knowledge of hypertension were significantly associated with self-care practice among people living with hypertension in Ethiopia. Therefore, based on the evidence of this study, we recommended that programmers and policymakers should enhance the awareness of hypertensive patients on self-care practice domains and strengthen local programs working on noncommunicable diseases.

scholarly journals Diabetics’ self-care practice and its determinants among Adult diabetic patients in Ethiopia: A systematic review and meta-analysis.Diabetics’ self-care practice and its determinants among Adult diabetic patients in Ethiopia: A systematic review and meta-analysis

2019 ◽  
Author(s):  
Fikadu Ambaw Yehualashet ◽  
Wuber Worku Takele ◽  
Eleni Tesfaye Tegegne ◽  
Amare Demsie Ayele
Keyword(s):  
Diabetes Mellitus ◽  
Social Support ◽  
Systematic Review ◽  
Meta Analysis ◽  
National Level ◽  
Self Care ◽  
Care Practice ◽  
Diabetic Patients ◽  
Qualitative Synthesis ◽  
Complications Of Diabetes

Abstract Background Appropriate diabetic self-care is indispensable to prevent and limit diabetic associated short and long term complications including death. Despite the well-recorded devastating complications of diabetes mellitus, a pooled percentage of diabetic patients applying self-care and its determinants at the national level have remained unknown. Therefore, this comprehensive systematic review and meta-analysis is aimed at determining the pooled national percentage of diabetic self-care practice and its determinants among adult diabetic patients in Ethiopian. Methods: Different electronic databases including PubMed/Medline and search engines such as Google scholar were used to retrieve published studies. The Joanna Briggs Institute quality appraisal checklists were used to appraise the quality of studies. Data were extracted using excel spreadsheets and analyses were done by STATA 14. Heterogeneity among studies was diagnosed using the I2 test. The DerSimonian and Laird random-effects model was employed for substantial heterogeneity (I2>50%). The pooled estimate of diabetic self-care and odds ratio was reported based on the 95% CI. Results: A total of 3861 studies were identified, of which only 19 studies have reached the final qualitative synthesis and quantitative analysis. Well over half of the Ethiopian diabetic patients have good self-care 54.04% (47.07-61.01, I2 =97.3, P<0.001). Subgroup analysis showed that the highest pooled estimate was in Southern Nations Nationalities and Peoples 81.96(71.85-92.04), I2=89.1, P<0.002) while the lowest was from the Hareri region 44.53(32.16-56.89) I2=94%%, P<0.001). Being knowledgeable about diabetes mellitus 2.69 (1.62, 4.46; I2 =99%, P<0.001), having good social support 2.25(1.49-3.39; I2=99%, P=0.00), owning private glucometer 3.04(1.64, 5.65; I2=97.4, P<0.001), and being urban residents 3.26(2.24, 4.74; I2=96.3%, P<0.001) have promoted diabetic victims to apply self-care practice. Conclusions: Despite the life-threatening complications of diabetes mellitus, the percentage of patients applying self-care has remained low in Ethiopia, depicting the high proportion of diabetic patients are prone to develop long and short term complications of diabetes mellitus. Therefore, improving the client’s awareness about the disease and counseling clients about the significance of social support are believed to be possible strategies to improve self-care practice and policymakers are strongly recommended to combat complications to attain sustainable development goal 3.4 aims to reduce premature death.

scholarly journals Prevalence and Associated Factors of Diabetic Foot at Risk among Type 2 Diabetes Mellitus Patients Attending Primary Health Clinics in Kuantan

2020 ◽  
Vol 19 (3) ◽  
Author(s):  
NH Azmi ◽  
A Abdul Hadi ◽  
MA Md Aris ◽  
HE Nasreen ◽  
A Che-Ahmad
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
At Risk ◽  
Type 2 Diabetes Mellitus ◽  
Diabetic Foot ◽  
Associated Factors ◽  
Care Practice ◽  
Health Clinics ◽  
Primary Health

Introduction: The diabetic foot at risk is the diabetic foot which is at risk of ulceration, hence the importance of identifying the foot at this stage. This study aims to assess the prevalence of diabetic foot at risk and its associated factors among type 2 diabetes mellitus patients’ attending primary health clinics in Kuantan. Methods and methods : This was a cross-sectional study conducted at four primary health clinics in Kuantan involving 450 study participants who were selected by using universal sampling method. Foot examination was carried out and foot at risk was classified based on the Kings’ Classification. Multiple logistic regressions were performed to identify the predictors for diabetic foot at risk. Results: The prevalence of diabetic foot at risk was 31.3%. Multivariate logistic regression analysis identified age (OR 1.04, 95% CI: 1.01-1.06), smoker (OR 4.11, 95% CI: 1.96-8.63) and duration of diabetes more than 10 years (OR1.77, 95% CI: 1.05-2.98) as risk factors for diabetic foot at risk. Respondents with higher diabetic foot practice score (OR 0.87, 95% CI: 0.77-0.98) have lesser risk of developing diabetic foot at risk. Conclusion: Patients who are older, smoker and/or have chronic diabetes are predicted to be at higher risk to develop the diabetic foot at risk. This study also showed that patients with better foot care practice has lesser risk. Therefore, these are the groups of patients that need to be targeted for early detection and intervention to prevent serious complications.

scholarly journals Self-care Practice and Associated Factors Among Hypertensive Follow Up Patients at East Gojam Zone Public Hospitals, North West Ethiopia, 2021

2021 ◽  
Author(s):  
Haymanot Mitiku Zeleke ◽  
Birtuka Assefa ◽  
Teshager Sergo ◽  
Nakachew Mekonnen
Keyword(s):  
Social Support ◽  
Associated Factors ◽  
Self Care ◽  
Public Hospitals ◽  
Care Practice ◽  
Co Morbidity ◽  
Poor Social Support ◽  
Care Practices ◽  
Unfavorable Attitude

Abstract Background: Self-care practice is crucial for the prevention and management of Hypertension. Poorly controlled hypertension leads to cardiovascular complication as well as organ damage. Despite the availability of several effective pharmacologic and non-pharmacologic therapies, hypertension control remains suboptimal. Self-care practices allow hypertensive patients to have improved quality of life by avoiding complication and decrease health care expenditure. Objective: we assessed self-care practice and its associated factors among Hypertensive Follow up patients at East Gojjam Zone public hospitals, Northwest Ethiopia, 2020.Methods: Institution based cross sectional study was conducted by both quantitative and qualitative methods from October 1-30, 2020. Epi data version 3.1 and SPSS version 25.0 were used for data entry and for analysis respectively. Descriptive statistics and binary logistic regression analysis was employed. Adjusted odds ratios were used to ascertain effect sizes for any association between the dependent and associated variables while significance level at p value of 0.05 was determined using 95% confidence intervals. Result: Out of 480 patients included in the study 51% have Poor self-care practices. About 44.6%, 92.5%, 82.8%, 62.5% of respondents were poor adherent to antihypertensive medications, low diet quality, poor practiced to physical activity, poor practice to weight management respectively. Some of the respondents 3.3%, 9.8% were smokers and were alcohol drinkers respectively. Educational status who cannot read and write (AOR=3.153, 95% CI: 1.674-5.939), no co morbidity (AOR = 0.418, 95% CI: 0.263-0.663), uncontrolled blood pressure status (AOR = 2.141, 95% CI: 1.271- 3.609), poor social support status (AOR = 2.587, 95% CI: 1.544-4.334) and unfavorable attitude (AOR= 3.193, 95% CI: 1.951-5.225) showed significant statistical association with poor self-care practice.Conclusion: The level of hypertension self-care practices found to be low. Therefore, education towards hypertension self-care practices should be strengthened for patients living with hypertension. Special attention should be given to patients with low educational level that cannot read and write, patients with co morbidity, uncontrolled state of hypertension, poor social support and those with unfavorable attitude towards hypertension management modalities.

scholarly journals Self-Care Practice and Associated Factors among Hypertensive Patients in Debre Tabor Referral Hospital, Northwest Ethiopia, 2020

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Shegaw Gelaw ◽  
Melaku Kindie Yenit ◽  
Solomon Gedlu Nigatu
Keyword(s):  
Social Support ◽  
Associated Factors ◽  
Self Care ◽  
Northwest Ethiopia ◽  
Referral Hospital ◽  
Basic Knowledge ◽  
Care Practice ◽  
Hypertensive Patients ◽  
Stress Control ◽  
Debre Tabor

Background. Hypertension prevalence is continuously rising and is projected to be 1.56 billion cases by the year 2025. Despite the great progress made in the treatment of hypertension, many patients still do not achieve optimal results and experience devastating complications due to uncontrolled high blood pressure. Objective. The aim of this study is to assess self-care practice and associated factors among hypertensive patients. Methods. An institution-based cross-sectional study was conducted at Debre Tabor Referral Hospital, Northwest Ethiopia, from October to November 2020. A single population proportion formula and systematic random sampling technique was used to recruit 392 study participants. The data were entered to Epi-Info software version 7.1 and then exported to SPSS version 23 for analysis. A descriptive statistic was expressed as percentage, frequency, and mean. Finally, multivariable logistic regression was used to identify factors associated with dependent variable using a p value of <0.05. Results. A total 392 eligible hypertensive patients participated in the study. The self-care practice among hypertension patients was found to be 54.1%. Urban residency (AOR = 2.17; 95% CI, 1.2–3.9), social support (AOR = 2.12; 95% CI, 1.13–3.39), good knowledge (AOR = 1.83; 95% CI, 1.15–2.91), age between 40 and 64 (AOR = 3.15; 95% CI, 1.19–8.3), age ≥65 (AOR = 3.81; 95% CI, 1.35–10.7), and stress control (AOR = 1.6; 95% CI, 1.06–2.67) were predictors of hypertension self-care practice. Conclusion and Recommendation. The study revealed that almost one out of two hypertension patients had good hypertension self-care practice. Good social support, age greater than 40 years, urban residency, good basic knowledge, and having stress control were positively associated with hypertensive self-care practice.

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