scholarly journals Diabetes Self-Care Practice, and Associated Factors Among Type 2 Diabetic Patients in Public Hospitals of Tigray Region, Ethiopia

2020 ◽  
Author(s):  
Medina Abdulkadir Wehabrebi ◽  
Goitom Molalign Takele ◽  
Hiyab Teklemichael Kidane ◽  
Kahsu Gebrekirstos Gebrekidan ◽  
Birhan Gebresillassie Gebregiorgis
Keyword(s):  
Type 2 Diabetes ◽  
Self Care ◽  
Public Hospitals ◽  
Care Practice ◽  
Diabetic Patients ◽  
Care Providers ◽  
Factors Associated ◽  
Tigray Region ◽  
Care Practices

Abstract Background: The prevalence of Type 2 diabetes is increasing steadily at an alarming rate and Ethiopia is placed fourth among the top five countries of the Africa region according to the International diabetes federation. Regardless of its burden, the self-care behaviors are still unknown. This study is aimed to determine the level of diabetes self-care practice and factors associated with among Type 2 diabetes mellitus patients in public hospitals of Tigray region.Methods: Institution-based, cross-sectional study was conducted in six selected hospitals of Tigray region from January to February, 2020. Data was collected by trained nurses with a face to face interview method using Summary Diabetes Self-Care Activities (SDSCA). Bivariate and multivariate logistic regression was 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 age of the participant was 46 ± 14.6 years. Less than half (46.7%) of the participants has good diabetes self-care practices. Urban residency (AOR=2.79, 95% CI 1.858-4.205), age group above 64 years (AOR=2.384, 95% CI 1.258-4.518), not having formal education (AOR=2.616, 95% CI 1.337-4.518), having family or social support (AOR=1.878, 95% CI 1.243-2.837), duration DM above 10 years (AOR=2.325, 95% CI 1.224-4.418), having personal glucometer at home (AOR=5.9, 95% CI 2.790-12.764) were determinant factors of good diabetes self-care practice. Conclusion: the diabetes self-care practices in the region was found to be low. Health care providers might have to consider actions to act on the identified factors and improve self-care practices of the patients. Especially, focusing on caring and giving follow up services to younger adults and DM patients coming from a rural areas.

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

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250462
Author(s):  
Goitom Molalign Takele ◽  
Medina Abdulkadir Weharei ◽  
Hiyab T/Michael Kidanu ◽  
Kahsu Gebrekirstos Gebrekidan ◽  
Birhan Gebresillassie Gebregiorgis
Keyword(s):  
Type 2 Diabetes ◽  
Formal Education ◽  
Self Care ◽  
Public Hospitals ◽  
Care Practice ◽  
Factors Associated ◽  
Tigray Region ◽  
Care Practices ◽  
Personal Glucometer

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.

scholarly journals KNOWLEDGE AND SELFCARE PRACTICES AMONG DIABETICS

2017 ◽  
Vol 10 (12) ◽  
pp. 234
Author(s):  
Sheeba S ◽  
Sneha Ak ◽  
Veena Biju
Keyword(s):  
Type 2 Diabetes ◽  
Survey Design ◽  
Medical Science ◽  
Self Care ◽  
Sampling Technique ◽  
Ideal Body Weight ◽  
Care Practice ◽  
Foot Care ◽  
Care Practices

Objective: The objectives of the study were to assess the knowledge and self-care practices among patients with type 2 diabetes mellitus.Methods: Quantitative approach with descriptive survey design and convenience sampling technique was used. The study was conducted among 100 patients with type 2 diabetes mellitus, from the Inpatient and Outpatient Department of Amrita Institute of Medical Science, Kochi. A structured knowledge questionnaire and structured practice assessment questionnaire were used to assess the knowledge and self-care practices of the subjects.Result: Result shows that 77% subjects had good knowledge regarding diabetes and majorityof the subjects had good level of self-care practices. 63% of subjects regularly monitoring blood glucose level, 72% following proper diet, 88% of subjects taking regular medication, 84% of subjects follow proper eye care, 79% of subjects follow proper foot care, 57% of subjects maintaining ideal body weight, and only 46% of subjects doing regular exercise. There was a positive relationship (r=0.09) between level of knowledge and self-care practice of the subjects and no significant association between knowledge level and selected sociodemographic variables.Conclusion: It is important that the patient should have adequate knowledge regarding diabetes and they should follow proper self-care practices to prevent further complications.

scholarly journals Factors Associated with Self-Care Behavior of Elderly Patients with Type 2 Diabetes in Thailand

2021 ◽  
Vol 14 (1) ◽  
pp. 494-498
Author(s):  
Prapada Watcharanat ◽  
Kitsarawut Khuancheree ◽  
Brian Lee
Keyword(s):  
Social Support ◽  
Type 2 Diabetes ◽  
Elderly Patients ◽  
Statistical Significance ◽  
Self Care ◽  
Diabetic Patients ◽  
Factors Associated ◽  
Average Value ◽  
Care Behavior

Introduction: Diabetes belongs to the chronic disease group with an average high prevalence rate of 463 million worldwide. This research aims to investigate factors associated with self-care behavior among elderly patients with type 2 diabetes. Methods: The sample included 441 patients diagnosed with diabetes admitted to the Tambon Health Promoting Hospital in Nakhon Nayok Province. The sample size used in this study was calculated according to the sampling group of Yamane with a 95% confidence level. Data were analyzed by descriptive statistics, correlation coefficients, and multiple regression analysis at the statistical significance level of 0.05. Results: The results showed that the average value of knowledge was 9.17 (SD=2.38), and the average values of attitude and social support behavior towards diabetes were 2.72 (SD=0.64) and 1.83 (SD=0.27), respectively. The results indicated that knowledge, attitude, and social support towards diabetes showed an average of a medium level. Moreover, the average value of self-care behavior towards diabetes was 30.52 (SD= 7.19). The results indicated that the knowledge about diabetes, attitude towards diabetes, and social support towards diabetes positively affected self-care behavior towards diabetes with the statistical significance of 0.05. Conclusion: Health promotion programs for patients with diabetes should be organized to promote knowledge and awareness on proper health behavior. In order to take care of themselves, diabetic patients must first get awareness regarding diabetes and then build skills for self-care. The results obtained in the study can help diabetic patients stay healthier, reduce the manifestation of both acute and chronic complications, and improve the quality of life of the elderly with diabetes.

scholarly journals Predictors of Adherence Toward Specific Domains of Diabetic Self-Care Among Type-2 Diabetes Patients

2020 ◽  
Vol 13 ◽  
pp. 117955142098190
Author(s):  
Girma Degefa ◽  
Kindie Wubshet ◽  
Sisay Tesfaye ◽  
Agete Tadewos Hirigo
Keyword(s):  
Type 2 Diabetes ◽  
Physical Exercise ◽  
Diabetic Foot ◽  
Self Care ◽  
Healthy Diet ◽  
Care Practice ◽  
Foot Care ◽  
Male Sex ◽  
Care Practices

Background: Adequate knowledge, awareness, and adherence to diabetic self-care practices are vital tools to protect patients from risks of disease complications, developing comorbidity and mortality. Therefore, this study aimed to assess specific domains of diabetic self-care practice and associated factors among patients with type-2diabetes in Hawassa University Comprehensive Specialized Hospital, Sidama regional state. Materials and methods: A hospital-based cross-sectional study design was conducted on 217 patients with type 2 diabetes from January 01 to April 30, 2020. A structured questionnaire and the Summary of Diabetes Self-Care Activities (SDSCA) tool were used to collect relevant data through interviewer administration. Statistical analysis was done using SPSS version 23. Results: A total of 207 patients with type-2 diabetes were participated in the study with a 95% response rate. Overall 47.8% (95%CI: 41.2-55) of patients adhered to diabetic self-care practice. Concerning the specific domain of self-care practice, 54.6%, 39.1%, 28%, and 65.2% of patients adhered to a healthy diet, physical exercise, self-monitoring blood glucose (SMBG), and diabetic foot care practices, respectively. Besides, all patients received at least 80% of the prescribed doses and frequency of anti-diabetic agents and 60.4% had good glycemic control. Receipt of advice from treating physicians and having no familial history of diabetes were significantly associated with adherence toward eating a healthy diet, diabetic foot care, and SMBG. While male sex was associated with adherence toward healthy diet management. Moreover, having glucometer, age, male sex, diabetes duration ⩾ 5 years, and anti-diabetic treatment modality were associated with adherence toward SMBG. Conclusion: This study indicates 52.2%, 72%, and 60.1% of diabetes patients did not adhere to diabetic self-care, SMBG, and physical exercise, respectively. Improving awareness and regular diabetic education is imperative to scale up patients’ adherence toward diabetic self-care practice.

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 Practices and Associated Factors among Adult Diabetic Patients in Public Hospitals of Dire Dawa Administration, Eastern Ethiopia

2019 ◽  
Author(s):  
Asmare Getie ◽  
Biftu Geda ◽  
Tadesse Alemayhu ◽  
Agenehu Bante ◽  
Zeleke Aschalew ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Associated Factors ◽  
Self Care ◽  
Public Hospitals ◽  
Care Practice ◽  
Diabetic Patients ◽  
Self Monitoring ◽  
Dietary Practice ◽  
Dire Dawa ◽  
Care Practices

Abstract Background Diabetes is a huge growing problem, and causes high and escalating costs to the society. To prevent serious morbidity and mortality, diabetes treatment requires commitment to demanding self-care behaviors in multiple domains. Even though the majority of diabetic treatment in lines with good self-care practice, the number of research’s conducted on self-care practice is not adequate and some domains, like foot care practice were not addressed. The aim of this study was to assess self- care practices and its associated factors among adult diabetic patients in Dire Dawa public hospitals of Eastern, Ethiopia.METHODS Cross-sectional study was conducted among 513 diabetic patients. Study participants were selected through systematic random sampling. Data was collected from Feb, 01 to March 01, 2018. Patients were interviewed using a structured questionnaire. Data were entered into Epi-data version 3.3.1 and exported to SPSS version 22.0 for analysis. Bivariate and multivariable logistic regression with crude and adjusted odds ratios along with the 95% confidence interval was computed and interpreted accordingly. A P-value of <0.05 was considered to declare a result as statistically significant.RESULT The result of the study showed that 55.9%,(95% CI: 51.4, 60.3) of participants had good self-care practices. There were statistical association between good diabetes knowledge (AOR= 2.14, 95% CI:1.37, 3.35), family support system (AOR= 2.69, 95% CI:1.56, 4.62), treatment satisfaction (AOR= 2.07, 95% CI:1.18, 3.62), diabetes education (AOR= 2.21, 95% CI: 1.35, 3.63), high economic status (AOR= 1.89, 95% CI: 1.01, 3.48), having glucometer,(AOR=2.69, 95% CI:1.57, 4.63),higher educational status (AOR= 2.68, 95% CI: 1.31, 5.49), and duration of disease greater than 10 years AOR=2.70, 95% CI: 1.17, 6.26) with good self-care practice.Conclusion In this study a substantial number of the patients had poor self-care practices especially dietary practice and self-monitoring of blood glucose which have critical roles in controlling diabetes. Provision of diabetes self-care education and counseling especially on importance of self-monitoring of blood glucose, and dietary practice should be considered by responsible bodies.

scholarly journals Factors associated with therapeutic non-compliance among type 2 diabetes mellitus patients in Chidambaram, Tamilnadu, India

2017 ◽  
Vol 4 (3) ◽  
pp. 787 ◽  
Author(s):  
Manobharathi M. ◽  
Kalyani P. ◽  
John William Felix A. ◽  
Arulmani A.
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Care Providers ◽  
Compliance Rate ◽  
Health Centre ◽  
Diabetic Patients ◽  
Care Providers ◽  
Factors Associated

Background: Diabetes mellitus is one of the most common non-communicable diseases causing many serious complications worldwide. Therapeutic non-compliance leads to treatment failure thus making diabetes a serious problem to both the individuals and the health care providers. There are many factors which influence patient’s compliance. The aim of this study is to assess the frequency of therapeutic compliance and factors associated with therapeutic non-compliance.Methods: A descriptive cross-sectional study was conducted among type 2 diabetes mellitus patients attending the urban health centre, Chidambaram.  Compliance and factors associated with non-compliance were assessed using Morisky Medication adherence questionnaire.Results: 108 diabetic patients were enrolled. The overall compliance rate was found to be 39.8%. A statistically significant association was found between non-compliance and associated chronic diseases (p=0.007), financial problems to buy the medicines (p=0.001), reporting side effects with the prescribed medicines (p=0.049), missed at least one dose in last one week(p=0.01).Conclusions: Majority of the patients were non-compliant. This emphasizes the need of strengthening health system and improving patients knowledge through teaching programs.

scholarly journals Association of Demographic Variables with the Awareness of Type 2 Diabetes Mellitus Patients (T2DM) among the Northwest Population in Saudi Arabia

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Wael Ahmed Al Arawi ◽  
Udai Salamh Al Shaman ◽  
Waleed Ahmad Mohsin Albalawi ◽  
Palanisamy Amirthalingam Siddhachettiar ◽  
Sherif M. H. El-kannishy ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Patient Education ◽  
Self Care ◽  
Demographic Variables ◽  
Diabetic Patients ◽  
Inclusion Criteria ◽  
Care Practices

The chronic hyperglycemia in diabetes is associated with long-term damage, dysfunction, and failure of different organs. Lack of patient education and knowledge about these complications can worsen the quality of a patient’s life. Hence, more efforts are needed to improve patient’s education especially in rural areas. Aim. Our objective is to explore the association between demographic variables and the knowledge of self-care practices in type 2 diabetes mellitus. Methods. We used observational cross-sectional descriptive study using a validated self-administered questionnaire in both Arabic and English languages as well. A descriptive correlation design analyzed the questionnaire completed by a convenience sample meeting the inclusion criteria. Results. A total of 100 patients met the inclusion criteria for the analysis out of 3251 patients who completed the questionnaire. The study population has low moderate knowledge in diabetes, moderate knowledge in self-care practices, and good knowledge about complications of nephropathy and cardiovascular disease. No significant association between demographic variables. However, better knowledge observed in male (p=0.028) and self-care practices with female (p=0.020). Further, educational status is significantly influencing the knowledge of diabetic patients. Conclusion. The study emphasizing irrespective of demographic variable and the importance of patient education to achieve well glycemic control.

scholarly journals Self-care practices among known type 2 diabetic patients in Haldwani, India: a community based cross-sectional study

2019 ◽  
Vol 6 (4) ◽  
pp. 1740 ◽  
Author(s):  
Neha Goyal ◽  
Sudhir Kumar Gupta
Keyword(s):  
Self Care ◽  
Cross Sectional Study ◽  
Blood Glucose Monitoring ◽  
Care Practice ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Care Practices

Background: The prevalence of diabetes worldwide is expected to rise to 9.9% by 2045 and with this rising prevalence raises the need for good self-care practices by patients themselves, which play a key role in effective management and prevention of complications.Methods: Present community-based cross-sectional study was conducted among 168 type 2 diabetes mellitus patients by interviewing them using a structured questionnaire assessing their self-care practices using summary of diabetes self-care activities (SDSCA) scale. Different domains were diet, exercise, blood glucose monitoring, medication compliance, foot care and smoking and responses were graded according to number of days in previous week a particular self-care activity of a domain was followed. Data analysis was done with help of SPSS version 21.Results: Mean age of diabetic patients in this study subjects was 54.37±13.24 years. 43.45% respondents have poor self-care practice scores. Bivariate analysis showed that self-care practices were significantly poorer among the diabetic patients less than 60 years of age, residing in rural area, either illiterate or studied till primary/intermediate, had diabetes for less than a year and were taking treatment from public health facilities. Poor self-care practices were insignificantly related with gender, marital status, occupation, monthly family income, type of family, food habits, hypertension as comorbidity, family history, BMI and mode of diagnosis. Multivariate analysis indicates that age, education and duration of diabetes are significant predictors for self-care practices.Conclusions: Self-care practices among diabetic patients were poor among 43.45% patients and there is a need for improving them across all assessed domains. 

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