Adherence to Diabetes Self-Management Practices among Type Ii Diabetic Patients in Ethiopia; A Cross Sectional Study

Abstract

Background: Diabetes is a group of metabolic disorders that affect the body's ability to process and use sugar (glucose) for energy. Type II diabetes mellitus resulting from the combination of resistance to insulin action and inadequate insulin secretion. The success of long-term maintenance therapy for diabetes depends largely on the patients' adherence with self managements practices. Objective: The aim of this study was to assess adherence to diabetes self management practices and its associated factors among type II diabetic patients in Ethiopia. Method: institutional based cross sectional study was employed and 320 study subjects were selected using systematic random sampling technique. And the data was collected using interviewer administered structured questionnaire; data was analyzed and cleaned using SPSS version 16. Scoring method was employed to classify patients' self-care management practices level. Conclusion: findings of this study showed that Almost half of the respondents were adhered to physical activity regimen, diabetes foot care and over all diabetes self managements practices. Marital status, level of education, monthly income, presence or absence of diabetes complication, age were the factors affecting to those diabetes self managements practices

Levels and Predictors of Adherence to Self-care Behaviour among Adult Type 2 Diabetics at Arba Minch General Hospital, Southern Ethiopia

“…The finding of this study was similar to study done in Harari 39.3% of the study participants had good self-care practices [48]. However findings from study done in JUSH; 45% of the participants had Good self-care practice [40] and Nekemte Referral Hospital showed that; 45% of study participants had good self-care practices [9]. This variation could be due to difference in glycaemic target range used, instruments used to access self-care behaviour adherence since previous studies have used old AADEs criteria while we used new AADEs criteria.…”

“…This is in contrast to study conducted in Dilla University referral hospital showed that; individuals who had positive perception towards diabetes were 2.7 times more likely to perform recommended self-care than negative perception [25]. Similarly a study conducted in JUSH; Patients with high perceived severity of the disease was more likely to adhere to self-care practice [40]. This variation could be explained by difference in socio-economic characteristics, hospital setting and instruments used.…”

“…Study conducted on 256 Mexican American patients showed that good self-care associated with lower HbA1c levels [36][37][38], Study conducted in India showed that good practice associated with good glycaemic control [39] and similarly in Study conducted in Jimma university specialized hospital [40]. In study conducted in Tikur Anbessa Specialized Hospital revealed that 55.6% respondents were adhered to diabetes Self-Management practices [41,42].…”

“…Sample size determination: The prevalence of glycaemic control and 17% prevalence was taken according to study conducted in Jimma University specialized Hospital [40] and Z value of 1.96 at 95% confidence interval was used and 10% was added for non-response rate.…”

“…Number of days patient practiced specific behavior Self care behaviors mean score Total number of days under questions designed for that behavior = [9,48] and study done in JUSH, age is associated with self-care practices [40], study conducted in Thailand, age was an independent predictor of self-care practices [60] being young aged in Type 2 DM was associated with ability to shifting of view or mentality and motivation to engage in healthy lifestyles [91]. This could be attributed to lack of motivation and lack of social support in elderly individuals compared to young adults.…”