Non-adherence to self-care and associated factors among diabetes adult population in Ethiopian: A systemic review with meta-analysis

Abate, Teshager Weldegiorgis; Dessie, Getenet; Workineh, Yinager; Gedamu, Haileyesus; Birhanu, Minyichil; Ayalew, Emiru; Tirfie, Mulat; Endalamaw, Aklilu

doi:10.1371/journal.pone.0245862

Cited by 6 publications

(9 citation statements)

References 63 publications

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“…Respondents who had a short duration of diabetes treatment were significantly associated with poor self-care practice than with a long duration of treatment. This study is in line with studies conducted in Aresi, and Ethiopia [ 39 , 40 ] respectively. The probable cause might be because of regular interactions with healthcare professionals, who may have learned crucial knowledge to advance self-care practices.…”

Section: Discussionsupporting

confidence: 92%

Self-care practice and its associated factors among diabetic patients attending public hospitals in Gurage zone southwest, Ethiopia

et al. 2022

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Background Diabetes is a chronic disease that requires lifelong medical treatment and lifestyle modifications. Even though patients often neglect their own needs, self-care is an important factor in preventing and delaying complications related to diabetes. There are limited studies about self-care practice, and most of the studies conducted in Ethiopia focused on some parts of the recommended self-care practice. Therefore, this study aimed to assess the self-care practice and associated factors among diabetic patients in Gurage zone, south Ethiopia. Methods An institution-based cross-sectional study was conducted from February 6 to March 29, 2021. A systematic sampling method was employed to select 420 study participants. The data were collected using a pretested interviewer-administered questionnaire. All variables with P < 0.25 in the bi-variable logistic regression analysis were entered into multivariable logistic regression analysis. The statistical significance was declared at a p-value < 0.05. Results A total of 384 diabetes patients participated with a response rate of 91.4%. This study showed that more than half (60.4%) of the study participants had poor self-care practices. Being female (AOR: 2.40; 95% CI:1.31–4.40), rural residence (AOR:7.16;95% CI: 3.31–15.46), duration of diabetes treatment 5–10 years (AOR: 0.03; 95% CI: 0.1–0.11), duration of diabetes treatment ≥ 10 years (AOR:0.8; 95% CI: 0.03–0.21), haven’t social support (AOR: 0.10; 95% CI: 0.05–0.23), haven’t got health education (AOR: 0.17,95%CI 0.09–0.32) were factors significantly associated with self-care practice. Conclusions Despite, the importance of diabetes self-care practice for the management of diabetes and preventing its complications, a high number of diabetes patients had poor self-care practices. Female, rural residence, duration of diabetes mellitus, lack of social support, and not get of health education were significantly associated with poor self-care practice. Therefore, health care providers should give attention to diabetic patients with the aforementioned factors that affect diabetic patients’ self-care practices.

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Section: Discussionsupporting

confidence: 92%

Self-care practice and its associated factors among diabetic patients attending public hospitals in Gurage zone southwest, Ethiopia

et al. 2022

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“… 25 , 27 We applied 15 items of the SDSCA, responses ranging from 0 to 7 days, and responses of items 4 and 10A were reverse coded. 30 Since currently published literature does not assign a cut-off for the SDSCA, a composite score was computed to represent the mean days of general self-care practices. The SDSCA has Cronbach’s alpha of 0.79, indicating an acceptable level of reliability.…”

Section: Methodsmentioning

confidence: 99%

“… 23 Studies indicated that the diabetes patients’ self-care practices were influenced by their age, educational status, diabetes duration and complications, and lack of personal glucometer. 26 – 30 …”

Section: Introductionmentioning

confidence: 99%

Self-care practices and correlates among patients with type 2 diabetes in Eastern Ethiopia: A hospital-based cross-sectional study

et al. 2022

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Objective: This study investigated the level and correlates of self-care practices among patients with type 2 diabetes on follow-up in two public hospitals in Harar, Eastern Ethiopia. Methods: We conducted a hospital-based cross-sectional study on adult patients with type 2 diabetes, surveying diabetes self-care practices using a 15-item Summary of Diabetes Self-Care Activities. Responses ranged from 0 to 7 days, and a composite score was computed representing the mean days of diabetes self-care practices. A generalized Poisson regression model with robust variance was used. The association between the diabetes self-care practices and correlates was examined using the incidence rate ratio with a 95% confidence level. The statistical significance was set at a p value of ⩽0.05. Results: This study included 879 patients with type 2 diabetes. The overall mean (standard deviation) diabetes self-care practices were 3.7 ± 1.1 days out of the recommended 7 days, indicating low self-care practices. After controlling for other variables, tertiary educational level (incidence rate ratio = 1.06; 95% confidence interval: 1.01, 1.12), adequate diabetes knowledge (incidence rate ratio = 1.04; 95% confidence interval: 1.00, 1.08), moderate (incidence rate ratio = 1.07; 95% confidence interval: 1.02, 1.11) and high perceived self-efficacy (incidence rate ratio = 1.14; 95% confidence interval: 1.09, 1.13) (incidence rate ratio = 1.07; 95% confidence interval: 1.02, 1.11), high to marginal food security (incidence rate ratio = 1.13; 95% confidence interval: 1.03, 1.24), and receiving dietary advice (incidence rate ratio = 1.11; 95% confidence interval: 0.06, 1.15) were positively correlated with diabetes self-care practices. A history of hospitalization, on the other hand, was found to be inversely correlated with diabetes self-care practices (incidence rate ratio = 0.94; 95% confidence interval: 0.88, 0.99). Conclusion: The study indicated that adherence of patients with type 2 diabetes to the recommended self-care practices was considerably low. Therefore, tailored diabetes self-management education to enhance self-efficacy and diabetes self-care practices must be in place. This can be achieved through the system or individual-based integrated intervention efforts.

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“…The International Diabetes Federation, Diabetes Atlas, shows that there are 425 million people with DM, reflecting a prevalence rate of 8.6% in adults. DM conditions vary from country to country around the world (Abate et al, 2021) [1]. Meanwhile in Indonesia based on Riskesdas, 2018, the prevalence of DM from 6.9% in 2013 increased to 8.5% in 2018.…”

Section: Introductionmentioning

confidence: 99%

HbA1c as Early Warning Complications of Kidney Failure in Type 2 Diabetes Mellitus

Momot¹,

Agustarika²,

Mustamu³

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: Chronic kidney disease is closely related to diabetes. Basic information about the treatment and physical condition of diabetic patients should be analyzed to provide further evidence of prevention. Based on the high prevalence of diabetes mellitus (DM) among patients with renal failure, there is a great need to learn more about its prevention and management including laboratory diagnostic tests because HbA1c levels are directly proportional to blood glucose levels. AIM: The purpose of this study was to determine the effect of HbA1c levels on creatinine levels in patients with Type 2 DM. METHODS: This type of research is a quantitative study with a cross-sectional approach. The sample in this study was 38 DM patients who had their diagnosis confirmed using consecutive sampling techniques. According to the healthcare centre’s data, the respondent’s blood sample was taken at the respondent’s house, and the HbA1c and creatinine levels were tested in the laboratory. Data analysis using the Chi-square test. RESULTS: The results of this study indicate that there is no relationship between HbA1c levels and the incidence of kidney failure with p = 0.588, OR 0.658. CONCLUSION: This research showed that there was no relationship between HbA1c levels with the incidence of kidney failure.

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Non-adherence to self-care and associated factors among diabetes adult population in Ethiopian: A systemic review with meta-analysis

Cited by 6 publications

References 63 publications

Self-care practice and its associated factors among diabetic patients attending public hospitals in Gurage zone southwest, Ethiopia

Self-care practice and its associated factors among diabetic patients attending public hospitals in Gurage zone southwest, Ethiopia

Self-care practices and correlates among patients with type 2 diabetes in Eastern Ethiopia: A hospital-based cross-sectional study

HbA1c as Early Warning Complications of Kidney Failure in Type 2 Diabetes Mellitus

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