Background: Diabetes self-care practice is essential to control illness. One's ability to manage diabetic self-care is influenced by a variety of circumstances. The Health Belief Model is critical for comprehending and designing context-specific strategies for this purpose. Therefore, this study aimed to assess self-care practice of patients with diabetes mellitus using the health belief model. Methods: An institutional-based cross-sectional study design was conducted from March to May, 2021 at Adama Hospital Medical College and Asella Teaching and Referral Hospitals. A total of 420 diabetic patients were consecutively included in the study. The collected data were analyzed using SPSS 20. Binary and multiple logistic regression models were fitted to identify the factors associated with self-care practices. Adjusted odds ratio with a 95% confidence interval and p-value of 0.05 or less was used to indicate statistical significance. Results: Among the respondents nearly half, 48.1% (43.6, 53.1), were reported practicing good diabetes self-care. Respondents above high school (AOR=2.19, 95% CI= 1.09, 4.36), retired respondents (AOR=0.24, 95% CI=0.11, 0.50), those with no history of forgetting to take their medication (AOR=1.61, 95% CI=1.04, 2.66), those with good knowledge (AOR=1.81, 95% CI= 1.09, 3.01), respondents with moderate perceived susceptibility (AOR=0.42, 95% CI= 0.18, 0.98), high perceived severity (AOR= 0.33, 95% CI=0.19, 0.57), and a higher perceived barrier (AOR= 0.44, 95% CI= 0.24, 0.81) showed a significant association with diabetes self-care practices. Conclusions: Almost half of the participants practiced good self-care. Educational status, occupation, those with a history of forgetting to take their treatment, having good knowledge, perceived susceptibility, perceived severity, and barrier were significantly associated. Therefore, healthcare professionals and hospital administrators need to increase patients' perceived susceptibility and the serious complication of diabetes. Also, perceived barriers to self-care should be evaluated, and patients should actively be involved in tailoring required modifications to their routines.
BACKGROUND: Illness representation is an implicit belief system about an illness constructed by an individual to give meaning to their illness. An individual’s belief about his/her illness, treatment, and own control are known to influence an individual’s ability to cope with the illness and sustain the health-related quality of life. However, how Ethiopians perceive hypertension has not been studied well. This study aimed to assess illness representation and associated factors among hypertensive patients in Central Ethiopia.METHOD: A facility-based cross-sectional study was conducted in four public hospitals in Central Ethiopia. A total of 989 patients participated in the study. The revised Illness Representation Questionnaire was used to collect relevant data. Data were analyzed using the Generalized Estimating Equation with an ordinal logistic regression model and exchangeable working correlation matrix. A P-Value of less than 0.05 was indicated statistical significance.RESULTS: Overall, 64.3% (95% CI: 61.3, 67.4) of the respondents reported low to moderate Illness representation about their hypertension. Respondents who were housewife [AOR: 1.48, 95% CI= 1.05, 2.08], in older age category 50-64 years [AOR: 1.92, 95% CI= 1.19, 3.09] and ≥ 65 years [AOR: 2.38, 95% CI= 1.43, 3.96], and had no family support [AOR: 1.98, 95% CI= 1.44, 2.73] showed a significant association with Illness Representation.CONCLUSION: This study revealed that about two-thirds of hypertensive patients in Central Ethiopia perceived hypertension as a low to moderately threatening illness. Such low illness representation undermines initiation of treatment and effective control of blood pressure. Health care providers need to strengthen strategies that increase their patient’s illness representation.
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