Hypoglycemia Prevention Practice and Associated Factors Among Diabetic Mellitus Patients on Follow-up at Public Hospitals of Central Zone, Tigray, Ethiopia, 2018.

2019 ◽  
Author(s):  
Gebrewahd Bezabh Gebremichael ◽  
Teklewoini Mariye Zemichael
Keyword(s):  
Diabetes Mellitus ◽  
Associated Factors ◽  
Central Zone ◽  
Public Hospitals ◽  
Favorable Attitude ◽  
Good Knowledge ◽  
P Value ◽  
Binary Logistic Regression Model ◽  
Cross Sectional ◽  
At Home

Abstract Background Hypoglycemia is an acute medical situation that occurs when blood sugar falls below the recommended level. Even though, hypoglycemia prevention practice in the management of diabetes mellitus is one cornerstone in controlling the effect of hypoglycemia, hypoglycemia prevention practice among patients with diabetes mellitus is insufficiently studied. Moreover, the existed scarce literature in Ethiopia revealed hypoglycemia prevention practice is inadequate. Thus, this study tried to assess hypoglycemia prevention practices and associated factors among diabetic patients.Methods Hospital-based, cross-sectional study design was employed from April one to March one 2018 in Central Zone of Tigray Regional state of Ethiopia. A total of 272 diabetes mellitus patients were selected by systematic random sampling method from study area. The collected data was checked for its completeness and then entered into Epi data version 3.1 then cleaned and analyzed using SPSS version 23. Binary logistic regression model (AOR, 95% CI and p-value < 0.05) was used to determine the predictors of hypoglycemia prevention practice.Results the mean age of respondents was 52.19 years and about 100 (63.2%) had good hypoglycemia prevention practice. Good knowledge regarding hypoglycemia [AOR = 10.34; 95% CI [5.41, 19.89]], having a glucometer at home [AOR = 3. 02; 95% CI [1.12, 8.12]], favorable attitude towards diabetes mellitus [AOR = 2.36 CI [1.26, 4.39]], and being governmental employee [AOR = 5.19, 95% CI [1.63, 16.58]] were positive predictors of good hypoglycemia prevention practice. However, being divorced [AOR =0.13, 95% CI [0.32, 0.53]] was found negatively associated with good hypoglycemia prevention practice.Conclusion Around two third of the study participants were found to have good hypoglycemia prevention practice. Good knowledge and favorable attitude toward diabetes mellitus, having glucometer at home, being governmental employee and divorced were found to be the predictors of good hypoglycemia prevention practice.

scholarly journals Hypoglycemia Prevention Practice and Associated Factors Among Patients with Diabetes Mellitus Following at Public Hospitals of Central Zone, Tigray, Ethiopia, 2018

2019 ◽  
Author(s):  
Gebrewahd Bezabh Gebremichael ◽  
Teklewoini Mariye Zemichael
Keyword(s):  
Diabetes Mellitus ◽  
Associated Factors ◽  
Central Zone ◽  
Public Hospitals ◽  
P Value ◽  
Diabetic Patients ◽  
Binary Logistic Regression Model ◽  
Cross Sectional ◽  
Patients With Diabetes ◽  
At Home

Abstract Background Hypoglycemia is an acute medical situation that occurs when blood sugar falls below the recommended level. Even though, hypoglycemia prevention practice in the management of diabetes mellitus is one cornerstone in controlling the effect of hypoglycemia, hypoglycemia prevention practice among patients with diabetes mellitus is insufficiently studied. Moreover, the existed scarce literature in Ethiopia revealed hypoglycemia prevention practice is inadequate. Thus, this study tried to assess hypoglycemia prevention practices and associated factors among diabetic patients. Methods Hospital-based, cross-sectional study design was employed from April one to March one 2018 in Central Zone of Tigray Regional state of Ethiopia. A total of 272 diabetes mellitus patients were selected by systematic random sampling method from study area. The collected data was checked for its completeness and then entered into Epi data version 3.1 then cleaned and analyzed using SPSS version 23. Binary logistic regression model (AOR, 95% CI and p-value < 0.05) was used to determine the predictors of hypoglycemia prevention practice. Results the mean age of respondents was 52.19 years and about 100 (63.2%) had good hypoglycemia prevention practice. Knowledge regarding hypoglycemia [AOR = 10.34; 95% CI [5.41, 19.89]], having a glucometer at home [AOR=3. 02; 95% CI [1.12, 8.12]], attitude regarding diabetes mellitus [AOR = 2.36 CI [1.26, 4.39]], being governmental employee [AOR=5. 19, 95% CI [1.63, 16.58]] and being divorced [AOR = 0.13, 95% CI [0.32, 0.53]] were found significantly associated with good hypoglycemia prevention practice. Conclusion Around two third of the study participants were found to have good hypoglycemia prevention practice. Good knowledge and favorable attitude toward diabetes mellitus, having glucometer at home, being governmental employee and divorced were found to be the predictors of good hypoglycemia prevention practice.

scholarly journals Hypoglycemia Prevention Practice and Associated Factors among Diabetic Patients on Follow-Up at Public Hospitals of Central Zone, Tigray, Ethiopia, 2018

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Gebrewahd Bezabh Gebremichael ◽  
Teklewoini Mariye Zemicheal
Keyword(s):  
Diabetes Mellitus ◽  
Associated Factors ◽  
Central Zone ◽  
Study Data ◽  
Public Hospitals ◽  
Healthcare Personnel ◽  
Diabetic Patients ◽  
Binary Logistic Regression Model ◽  
Cross Sectional ◽  
Communication Program

Background. Hypoglycemia is an acute medical situation that occurs when blood glucose level falls below 70 mg/dl. Although prevention of hypoglycemia is one cornerstone in the management of diabetes mellitus, its prevention practice among patients with diabetes mellitus is insufficiently studied. Moreover, the existed scarce literature in Ethiopia revealed hypoglycemia prevention practice is inadequate. Thus, this study tried to assess hypoglycemia prevention practices and associated factors among diabetic patients. Methods. Hospital-based cross-sectional study design was employed from March 1 to April 1, 2018, in the central zone of Tigray regional state of Ethiopia. A total of 272 diabetes mellitus patients selected by a systematic random sampling method were included in the study. Data were entered into Epi-data version 3.1 and exported to SPSS version 23 for further analysis. The binary logistic regression model (AOR, 95% CI, and p value < 0.05) was used to determine the predictors of hypoglycemia prevention practice. Results. The mean age of respondents was 43.62 years, and about 100 (63.2%) participants had good hypoglycemia prevention practice. Good knowledge on hypoglycemia (AOR = 10.34; 95% CI [5.41, 19.89]), having a glucometer at home (AOR = 3.02; 95% CI [1.12, 8.12]), favorable attitude towards diabetes mellitus (AOR = 2.36 CI [1.26, 4.39]), and being governmental employee (AOR = 5.19, 95% CI [1.63, 16.58]) were positive predictors of good hypoglycemia prevention practice. However, being divorced (AOR = 0.13, 95% CI [0.32, 0.53]) was found negatively associated with good hypoglycemia prevention practice. Conclusion. Only two-thirds of the study participants were found to have good hypoglycemia prevention practices. Healthcare personnel and Ethiopian diabetic association should promote patients’ attitude towards DM and knowledge on hypoglycemia by strengthening information, education, and communication program. Stakeholders should also try to provide glucometers to diabetic patients.

scholarly journals Attitude towards diabetes mellitus among adult communities in Gondar city, Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251777
Author(s):  
Abiy Maru Alemayehu ◽  
Malede Mequanent Sisay
Keyword(s):  
Diabetes Mellitus ◽  
Odds Ratio ◽  
Associated Factors ◽  
Adjusted Odds Ratio ◽  
Educational Status ◽  
Favorable Attitude ◽  
Good Knowledge ◽  
Limited Information ◽  
Cross Sectional ◽  
Higher Educational

Background Diabetes mellitus is a metabolic disorder characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Diabetes and its complications can be reduced by enhancing the attitude of the community. However, there is limited information regarding attitude towards diabetes in northwest Ethiopia. Therefore, this study determined the attitude and associated factors of diabetes mellitus among adult non-diabetic participants in Gondar city. Methods A community-based cross-sectional study was conducted in Gondar city. Systematic random sampling was employed to select 626 non-diabetic participants. The data were collected using a pre-tested structured questionnaire. Descriptive statistics, processing, and analysis were done using STATA version 14. Both bivariable and multivariable binary logistic regressions were used to identify the associated factors. An adjusted odds ratio with a 95% confidence interval was used to calculate a level of significance. Results Of 626 participants, 572 (91.37%) study subjects heard about diabetes mellitus. Three hundred and fifteen participants (55.07%) (95% CI: 50.9% - 59.1%) had a favorable attitude towards diabetes mellitus. Having good knowledge about diabetes (adjusted odds ratio = 2.69, 95% CI: 1.88, 3.87), and higher educational status (adjusted odds ratio = 1.69, 95% CI: 1.04, 2.78) were positively associated with a favorable attitude towards diabetes mellitus. Female gender (adjusted odds ratio = 0.68, 95% CI: 0.47, 0.98), on the other hand, had poor attitude towards diabetes mellitus. Conclusion In this study, a favorable attitude towards diabetes was low among adult non-diabetic participants. Good knowledge, higher educational status, and being male were the factors associated with a favorable attitude towards diabetes.

scholarly journals Adherence with COVID-19 Preventive Measures and Associated Factors Among Residents of Shashemane, Central Ethiopia

2021 ◽  
Author(s):  
Adane Tesfaye ◽  
Banchiwosen Asefa ◽  
Girum Gebremeskel ◽  
Asefa Washo ◽  
Temesgen Muche
Keyword(s):  
Associated Factors ◽  
Preventive Measures ◽  
Statistical Significance ◽  
Educational Status ◽  
Favorable Attitude ◽  
Good Knowledge ◽  
P Value ◽  
Good Adherence ◽  
Cross Sectional ◽  
Preventive Practices

Abstract Introduction:Covid 19 pandemic can seriously affect African nations because of the weak health care system, crowding, poor hygiene in the cities, and the random mobility of people. Hospital-based interventions are not a good choice for resource-scarce countries which have shortages of hospital beds, ventilators, and oxygen; rather practicing preventive measures at a community level is the best strategy. There is a shortage of evidence about current public adherence with COVID-19 preventive strategies in Ethiopia, therefore this study helps to target health education messages to groups of populations with poor compliance to specific prevention measures, which also contribute to decreasing the magnitude and duration of the pandemic.Methods:A Community based cross-sectional study was done on 405 participants selected by systematic random sampling in Shashemane. Data was collected using A pretested structured tool comprising socio-demographic characteristics, knowledge, attitude, and adherence with COVID-19 prevention practice. Participants who practiced ≥ 75% of the COVID-19 preventive practices were labeled as having “good adherence”. Bivariate and multivariable logistic regression was used to determine the associated variables. Odds ratios along with 95%CI were estimated to identify associated factors and a level of statistical significance was decided at p -value less than 0.05.Result:The practice of COVID-19 preventive measures was 19.5%, (95% CI: 15–24.5%). Having a favorable attitude (AOR = 5, 95% CI: 3.3–8.41), having good knowledge of the disease (AOR = 3, 95% CI: 2.74– 9.3) and educational status (Diploma and above) (AOR = 5.5, 95% CI: 2– 9.39) were significantly associated factors with the practice of COVID-19 preventive measures.Conclusion:The Adherence to COVID-19 preventive practices was very low, educational status above Diploma, good knowledge, and Favorable attitude were the factors positively and independently associated with good adherence to Covid-19 prevention practices. Behavioral change communication and Strict government law and implementing it are highly required.

scholarly journals Condom use and associated factors among HIV-positive patients accessing care at a private tertiary health institution in the southwest, Nigeria

2020 ◽  
Vol 3 (1) ◽  
pp. 49-58
Author(s):  
Ngozi Adefala ◽  
Kolawole Sodeinde ◽  
Abiodun Osinaike ◽  
Fikayo Bamidele ◽  
Adebola Omotosho
Keyword(s):  
Condom Use ◽  
Associated Factors ◽  
Study Data ◽  
Sexual Pleasure ◽  
University Teaching ◽  
Good Knowledge ◽  
Categorical Variables ◽  
P Value ◽  
People Living With Hiv ◽  
Cross Sectional

Objective: This study aimed to assess the knowledge, attitude and practice towards condom utilization and other associated factors among people living with HIV/AIDS enrolled in the Virology clinic in Babcock University Teaching Hospital (BUTH) Ilishan, Ogun state, Nigeria. Methods: This cross-sectional study was conducted among 285 ART users selected using a systematic random sampling method. The minimum sample size was estimated using the formula z2pq/d2 and a 24% prevalence extracted from a previous similar study. Data were elicited using a structured interviewer-administered questionnaire, analyzed using SPSS version 20, and presented as tables. The Chi-square test was used to assess associations between categorical variables. The level of significance was set at the 95% confidence interval with a p-value of 0.05. Results: From the total respondents, 180(63.2%) were females, 93.7% had good knowledge, 141(49.5%) believed ARV prevents transmission of HIV and 144 (50.5%) strongly agreed that condom reduces sexual pleasure. Majority 254 (89.1%) were currently using condoms, 131 (46.0%) used a condom consistently, while 108 (37.9%) frequently use a condom during sexual intercourse. The Use of condoms had statistically significant associations with occupation (p<0.001), married at pre-diagnosis of HIV (p<0.001), married at post-diagnosis of HIV (p<0.001) and education (p= 0.015). Conclusion: The majority of the respondents had good knowledge and were using condoms. Discussions on safe sex and improved positive attitudes towards condom-use should, however, be encouraged further.

scholarly journals Knowledge Of Glaucoma And Associated Factors Among Adults In Gish Abay Town, Northwest Ethiopia, Jun 2018

2019 ◽  
Author(s):  
Zewdu Yenegeta Bizuneh ◽  
Ayanaw Tsega ◽  
Yezinash Addis ◽  
Fisseha Admassu
Keyword(s):  
Associated Factors ◽  
Public Health Problem ◽  
Educational Status ◽  
Northwest Ethiopia ◽  
Good Knowledge ◽  
P Value ◽  
Global Public Health ◽  
Binary Logistic Regression Model ◽  
Younger Age ◽  
Eye Examination

Abstract Introduction: Glaucoma is a global public health problem and it is the leading cause of irreversible blindness worldwide and the fifth cause of blindness in Ethiopia. Even though public knowledge of glaucoma is a key for early case identification and prevention of blindness, it is unknown in the study area, making provision of interventions difficult. Objective: To assess knowledge of glaucoma and associated factors among adults in Gish Abay town, Northwest Ethiopia, 2018 Methods: A Community based cross - sectional study design with systematic random sampling technique was used to select 630 adults. The study was conducted from April 25-May 05, 2018. Data was entered into Epi Info version 7 and was analysed by Statistical Package for Social Sciences version 23. Binary logistic regression model and adjusted odds ratio with 95% confidence level was used to identify the significant factors associated with knowledge of glaucoma. P–value ≤ 0.05 was considered statistically significant. Results: About 594 adults were participated with a response rate of 94%. Nearly 52% of the participants were females with median age of 28 years. The proportion of good knowledge was demonstrated in 68.9% [95% CI; 61, 75.9]. Educational status: secondary education [AOR; 4.01: 1.15, 13.94], college and above [AOR; 4.49: 1.31, 15.32], history of eye examination [AOR; 2.86: 1.05, 7.79] and younger age (18-22) [6.39: 1.82, 22.41] were positively associated with good knowledge of glaucoma. Conclusion and recommendation: The proportion of good knowledge of glaucoma was high. Better educational status, younger age, eye examination at least once in life and higher income level were associated with better knowledge of glaucoma. Recognizing the severity of glaucoma, enhancing knowledge is paramount at the community.

scholarly journals Assessment of Knowledge and Attitude towards Palliative Care and Associated Factors among Nurses Working in North Wollo Hospitals

2021 ◽  
Vol 31 (2) ◽  
Author(s):  
Addisu Getie ◽  
Adam Wondmieneh ◽  
Ayelign Mengesha ◽  
Awet Fitwi ◽  
Getnet Gedefaw ◽  
...  
Keyword(s):  
Palliative Care ◽  
Nursing Education ◽  
Chronically Ill ◽  
Favorable Attitude ◽  
Good Knowledge ◽  
P Value ◽  
Binary Logistic Regression Model ◽  
Knowledge And Attitude ◽  
Chronically Ill Patients ◽  
North Wollo

BACKGROUND: Palliative care improves the quality of life of patients facing a life-threatening illness. Nurses should improve their caregiving capacity. In Ethiopia, palliative care is underestimated. The availability of data regarding the knowledge and attitude of nurses towards palliative care is critically important. Thus, this study aimed to assess the level of knowledge and attitude of nurses towards palliative care.METHODS: Institution-based, cross-sectional study was conducted in North Wollo hospitals. A simple random sampling technique was used. The data was collected using structured selfadministered questionnaires from February to March 2019. The analysis was done using a binary logistic regression model. P-value < 0.05 was considered as statistically significant.RESULTS: The result revealed that 59.7% of the respondents had good knowledge and 44.2% had a favorable attitude towards palliative care. Level of education, experience in caring for chronically ill patients, and experience in caring for dying family members within the last 6 months had a significant association with the knowledge of nurses. Monthly income, experience in caring for chronically ill patients, formal palliative care education, and knowledge were found statistically significant with the attitude of nurses towards palliative care.CONCLUSION: More than half of the nurses had good knowledge, but less than half of the respondents had a favorable attitude towards palliative care. Attention should be given towards palliative care by the health policy and needs to be incorporated into the national curriculum of nursing education.

scholarly journals The magnitude of neonatal near miss and associated factors among live births in public hospitals of Jimma Zone, Southwest Ethiopia, 2020: A facility-based cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251609
Author(s):  
Merertu Wondimu ◽  
Fikadu Balcha ◽  
Girma Bacha ◽  
Aklilu Habte
Keyword(s):  
Associated Factors ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Near Miss ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Jimma Zone ◽  
Neonatal Near Miss

Background Neonates with severe complications at birth or during the neonatal period who nearly died but survived constitute neonatal near miss (NNM) cases. Identifying NNM cases and correcting contributing factors are of the utmost importance to get relevant controls for neonatal deaths. However, limited studies are assessing the prevalence of NNM and associated factors with NNM cases in Ethiopia. So, this study is aimed at assessing the magnitude of neonatal near miss and associated factors among live births in public hospitals of Jimma zone, southwest Ethiopia, 2020. Methods A facility-based cross-sectional study was conducted among 260 neonates from April 1–30 / 2020. Face to face interviewer-administered structured questionnaire was used to collect data from the mothers and a standard checklist was used for their neonates. The data was encoded and entered into Epi-Data version 4.2 and exported to SPSS version 23 for analysis. Independent variables with marginal associations (p-value <0.25) in the bivariable analysis were eligible for multivariable logistic regression analysis to detect an association with outcome variables. Finally, adjusted odds ratios (AOR) with 95% CI were used to estimate the strength of associations, and statistical significance was declared at a p-value < 0.05. Result The magnitude of NNM was 26.7% with [95%CI: 21.6–32.5]. Hypertension during pregnancy [AOR: 3.4; 95%CI: 1.32–8.88], mode of delivery [AOR: 3.32; 95%CI: 1.48–7.45], Obstructed labor [AOR: 2.95; 95%CI: 1.32–6.45] and non-vertex fetal presentation during delivery [AOR: 4.61; 95%CI: 2.16–9.84] were identified as significantly predictors of NNM. Conclusion and recommendation Over a quarter of the neonates were with NNM cases, which is relatively higher than the report of studies done in other countries. Hypertension during pregnancy, cesarean delivery, prolonged labor, and non-vertex fetal presentation were all found to increase the likelihood of NNM. Therefore, concerted efforts are needed from local health planners and health care providers to improve maternal health care services especially in early identification of the complications and taking appropriate management.

scholarly journals Knowledge, attitude, and associated factors towards older people care among nurses working at public hospitals in West Shoa zone, Oromia region, Ethiopia

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Firomsa Fita ◽  
Habtamu Sewunet Mekonnen ◽  
Helen Lamesgin Endalew ◽  
Abere Woretaw Azagew
Keyword(s):  
Older People ◽  
Associated Factors ◽  
Family Satisfaction ◽  
Public Hospitals ◽  
Favorable Attitude ◽  
Good Knowledge ◽  
Analysis Model ◽  
Adult Care ◽  
Knowledge And Attitude ◽  
Nurses Knowledge

Abstract Background Nurses’ knowledge and attitude regarding the care of older people can have an impact on patient outcomes such as reduced length of hospital stays, reduced readmission rates, and increased patient and family satisfaction. However, evidence is scarce in Ethiopia, particularly in the study area. Therefore, the study aimed to assess the knowledge, attitude, and associated factors towards the care of older people among nurses working at public hospitals in West Shoa Zone, Ethiopia. Methods Institutional based cross-sectional study was conducted from April1–30, 2021 among 423 nurses who were working in adult care units. Data were collected through a self-administered questionnaire. The sample was selected using simple random sampling. The logistic regression analysis model was fitted and the Adjusted Odds Ratio at 95% confidence interval was used. P-values less than or equal to 0.05 were considered statistically significant. Results A total of 411 nurses participated in the study with a 97.16% response rate. The mean age of the participants was 29.11 (SD ± 3.84) years. The study showed that 37.2% (95% CI: 33, 42%) of the participants had good knowledge and 45.7% (95% CI: 40.9, 50.6%) had a favorable attitude toward the care of older people. The significantly associated factors positively affected both the knowledge and the attitude of nurses. Age greater than 30 years (AOR:2.37, 95% CI: 1.18, 4.75), experience greater than 5 years (3.00: 1.21, 7.41), being BSc degree holder and above (3.57: 1.40, 9.09), lived with older people (2.14: 1.34, 3.42), and nurses working in adult intensive care unit (3.03: 1.03, 8.91) were significantly associated with knowledge. Likewise, being female (2.04: 1.33, 3.12), being BSc degree holder and above (2.77: 1.35, 5.65), lived with older people (1.59: 1.03, 2.44), and care for older people (1.63: 1.06, 2.53) were significantly associated with attitude. Conclusion In this study, less than half of the nurses had good knowledge and a favorable attitude towards the care of older people. Continuous professional development regarding the care of older people is important to enhance nurses’ knowledge and attitude.

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