Self-care practice and associated factors among Diabetes Mellitus patients on follow up in Benishangul Gumuz Regional State Public Hospitals, Western Ethiopia: a cross-sectional study

Abstract

ObjectiveThe aim of this study was to assess the self-care practice among patients with diabetes and their associated factors in Benishangul Gumuz Public Hospitals, Western Ethiopia, 2018.ResultOut of the total 399 selected patients, 383 were participated in the study with a response rate of 96%. From 383 respondents, 45.7% had poor diabetes self-care practice. Unable to read and write (AOR = 3.63, 95% CI 1.33–9.89, p = 0.011), never had a diabetic health education (AOR = 4.09, 95% CI 1.89, 8.84, p = 0.000), not having glucometer (AOR = 2.66, 95% CI 1.30, 5.46 p = 0.007), poor diabetic knowledge (AOR = 5.01, 95% CI 2.44, 10.28, p = 0.000), poor self-efficacy (AOR = 3.00, 95% CI 1.76, 5.11, p = 0.000) and not having social support (AOR = 1.84, 95% CI 1.08, 3.13, p = 0.023) were significantly associated with poor self-care practice of diabetes patients. These findings request for the need of integrated interventional management approach, which will improve the health and quality of life of the diabetes patients.

Diabetics’ self-care practice and its determinants among Adult diabetic patients in Ethiopia: A systematic review and meta-analysis.

“…Southern Nations Nationalities and Peoples (SNNPs) (10,32), Tigray (33,34), and Addis Abeba (8,35) each contributed two articles to the review. While the remaining study was from Benishangul Gumuz region (36). Significant variation was observed with the sample size of the included studies; the highest sample size was 660 from a study conducted in Addis Abeba (8) and the least was 191 from a study done in SNNPs (32).…”

“…The effect of social support on diabetic self-care practice has been explored among six studies (7,8,11,25,29,36). Of these, five of the studies revealed that good social support promotes self-care practice.…”

“…Further to the aforementioned factors, the relationship between having glucometer at home and diabetic's self-care practice has been explored, and six studies (6,7,25,29,34,36) were involved in to the analysis; all the included studies were significantly associated with self-care practice. in other words, DM patients who have glucometer at home were three times more likely to practice diabetics self-care compared to patients who didn't have access to glucometer at home 3.04(1.64, 5.65; I 2 =97.4, P<=0.001)( Figure 7).…”

“…Four primary studies (29,(34)(35)(36) were screened and included to examine the relationship between comorbidities and diabetics self-care practice. A significant association was observed among five studies (7,25,29,34,36), However, a study showed a protective association (6). As a result, the pooled effect size of the presence of co-morbidity showed an absence of significant association with diabetics self-care practice 1.24(0.8, 1.91); I 2 =97.8, p<=0.001) (Figure 8).…”

“…Furthermore, the relationship between diabetic's self-care practice and residence of DM patients was reviewed by five articles. All studies (25,28,29,33,36) demonstrate that being an urban residence promoted diabetic self-care practice. The effect size of the residence revealed that living in an urban area has a threefold chance of practicing diabetics self-care than DM patients residing in the rural area 3.26(2.24, 4.74), I 2 =96.3%, P<0.001) (Figure9).…”