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

Abstract

Background: Diabetes self-care behaviour adherence is considered to be the cornerstone in diabetes care. Hence, the success of long-term maintenance therapy for diabetes depends largely on the patients' adherence with self-care behaviour. and data were collected by using interviewer administered questionnaires. The data were entered into EPI-DATA version 3.1, and analysed by Statistical Package for Social Science (SPSS) version 20.0. Descriptive statistics were used for most variables; a bivariate analysis was employed to determine the presence of association between adherence to self-care behaviour with other variables at P-value less than 0.05. Multi-variable logistic regression was performed to identify independent predictors of glycaemic control and self-care behaviour adherence. Results:One hundred ninty four type 2 diabetics were participated in this study and 99 (51.0%) were Females. Mean age of participants was 50.3(±13.2) years, and 41.2% had good self-care behaviour adherence. Above one half (57.2%) had diabetes duration less than five years, with mean duration of diabetes 5.02 ± 3.8 years. Conclusion:In our study area adherence to self-care behaviour of the study subjects were low. So strategies that can improve these discrepancies like provision of diabetes self-care education and counselling especially on importance of self-monitoring of blood glucose, physical activity and problem solving should be considered by responsible bodies.

Knowledge and self‐care behaviors among patients with heart failure in Jordan

“…Another possible explanation for low self‐care may be insufficient financial resources. Income is a key personal and social factor that has a significant positive influence on SCBs (Shahrbabaki et al, ; Sorato, Tesfahun, & Lamessa, ). Limited resources may have led to low self‐care (Tawalbeh et al, ).…”

Diabetes Self-management and Its Related Factors among Type 2 Diabetes Patients in Primary Health Care Settings of Kerman, Southeast Iran

“…An explanation for suboptimal DSM can be that DSM behaviors include challenging, embedded, and deep changes in patients' lives, so the majority of diabetes cases were not able to develop and especially maintain these healthy behaviors lifelong [24]. Furthermore, it has been evidenced that different social, cultural, financial, personal, and medical factors can have a considerable effect on diabetes self-management behaviors [7,10,15,16]. So, because of the multifactorial reasoning of DSM and complexity of the relationship between DSM and various factors, having good DSM behaviors and improving them are challenging issues for healthcare providers and patients.…”

“…Various social, cultural, personal, environmental factors can affect different selfcare behaviors in different manners [17,18]. The difference in the level of compliance with DSM behaviors can be explained considering the change in these factors from one country to another [15,16].…”

“…Several studies in China, Ethiopia, and Indonesia have revealed low compliance with DSM behaviors among diabetes patients [8,15,16]. Also, a study in Iran showed that a mean diabetes self-care score of 4.08±0.65 (out of 10), reflecting its suboptimal condition [5].…”

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“…Sharing data through Internet is simple, shoddy and quick. Young people have admittance to billions of sites containing data as content, pictures and recordings [1][2][3][4][5][6][7][8][9][10].…”