Self-Care Practice and Associated Factors Among People Living with Type 2 Diabetes in Addis Ababa, Ethiopia: A Facility-Based Cross-Sectional Study

Wolderufael, Meklit; Dereje, Nebiyu

doi:10.2147/dmso.s287352

Cited by 10 publications

(22 citation statements)

References 18 publications

(35 reference statements)

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Section: Discussionsupporting

confidence: 88%

“…This finding was in line with the study conducted in central Tigray hospital 62.7% [ 27 ], and west Ethiopia at 57.3% [ 28 ]. However, this finding was higher than a study conducted at Debre Tabor University 36.9% [ 29 ], in Addis Ababa Ethiopia 52% [ 30 ], Jimma medical center 45.8% [ 31 ], in Tigray 53.3% [ 19 ]. The possible reasons could be the difference in socio-cultural variation, lifestyle, and inadequate access to glucose monitoring machines, test strips, and levels of education in the patients were differences in self-care practice.…”

Section: Discussionmentioning

confidence: 63%

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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: 88%

Section: Discussionmentioning

confidence: 63%

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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“…The study revealed an overall level of poor self-care practice of 54%. The nding is consistent with studies conducted in Addis Ababa (52%) [22], Gondar (51.86%) [30], and Tigray (53.3%) 3 but, it is higher than the study done in UAE (15.3%) [7], Iran (26.2%) [31], and other studies in Ethiopia; Dilla (23.2%) [20], West Oromiya (36.4%) [21], Diredawa (44.1%) [24] and Nekemte (45%) [16]. On the other hand, it is lower than the studies' ndings in Bahirdar (71.6%) [32] and Mekelle (62.7%) [19].…”

Section: Factors Associated With Self-care Practicessupporting

confidence: 92%

“…Furthermore, the proportion of poor self-care practice (P) was considered to be 52% which was obtained from a similar study conducted in Addis Ababa, Ethiopia [22]. Accordingly, the sample size was calculated as demonstrated below;…”

Section: Sample Size Determinationmentioning

confidence: 99%

Poor Self-Care Practices and Associated Factors among Type 2 Adult Diabetic Patients on Follow-Up Care at Public Health Facilities of Adama Town, Oromia, Ethiopia

Deybasso

Bekele

Habtewold

2022

Preprint

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Background Self-care practice plays a significant role in the reduction of life-threatening conditions. The study assessed the magnitude of poor self-care practices and associated factors among type 2 adult diabetic patients in Adama town in Ethiopia. Methods Institution-based cross-sectional study was conducted among 404 patients. Self-care practice was assessed by the summary of diabetes self-care activities questionnaires. Binary logistic regression was used to identify factors associated with poor self-care practices. Adjusted odds ratio with a 95% confidence interval was used to assess the strength of associations. The statistical significance was declared for a p-value < 0.05. Results The magnitude of poor self-care practices was 54% [95%CI: 49.1, 58.6]. Being divorced (AOR = 3.5; 95% CI: 1.0, 12.2), lower level of knowledge (AOR = 1.70; 95% CI: 1.0, 2.8), being on insulin (AOR = 6.3; 95% CI: 1.9, 20.6), taking oral medication (AOR = 8.6; 95% CI: 3.0, 24.5), unaware of fasting blood sugar (AOR = 2.9; 95% CI: 1.6, 5.2), not a member of diabetic association (AOR = 3.6; 95%CI: 1.7, 7.5), lack frequent social support (AOR = 2.9; 95% CI: 1.7, 4.9), and poor perceived benefit of self-care practices (AOR = 1.84; 95% CI: 1.0, 3.2) were associated with poor self-care practices. Conclusion The magnitude of poor self-care practices was higher than the national finding. Marital status, knowledge of diabetes and the level of fasting blood sugar, social support, types of medications, perceived benefit of self-care practices, and membership in the diabetic associations were independent determinants of poor self-care practices.

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“…It is accompanied by providing adequate knowledge regarding diabetes self-care practices. If the barriers exist, diabetes educators should be aware of each subscale of self-care practices and offer their patients choice and support to overcome them (Wolderufael & Dereje, 2021). It can be helpful to achieve better diabetes control.…”

Section: Discussionmentioning

confidence: 99%

The Role of Knowledge, Self-Efficacy, and Social Support in Self-Care Behaviors among Diabetic Patients: A Meta-Analysis

Sari

Nawangwulan

2021

J HEALTH PROMOT BEHAV

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Background: Diabetes mellitus is recognized as one of the emerging public health problems globally, in which the number of cases and prevalence have been steadily increasing over the past few decades. To reduce the burden posed to health systems and afflicted individuals, patients need to adopt self-care practices. At the same time, some studies found knowledge, self-efficacy, and support were essential. Hence, this meta-analysis aimed to assess these predictors of self-care behaviors among diabetic patients. Subjects and Method: This meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. We conducted a systematic search in electronic databases for observational studies about knowledge, self-efficacy, and family or social support for diabetic self-care behaviors published between 2012 and 2022. The Joanna Briggs Institute's Critical Appraisal tool was used. For statistical analysis such as I-squared and Begg and Egger's tests, the Review Manager (RevMan) 5.3 software was employed. Tables and forest plots were presented with 95% confidence intervals (CI). Statistical significance was declared at a p-value < 0.05. Results: Twelve studies with 5,482 participants were included. Good self-care behaviors were significantly associated with adequate diabetic knowledge (AOR= 2.22; 95% CI= 1.24 to 3.98; p= 0.007) and having family or social support (AOR= 2.5; 95% CI= 1.98 to 3.16; p<0.001), whereas poor self-efficacy was a significant predictor of poor self-care behaviors (AOR= 2.46; 95% CI= 1.66 to 3.65; p<0.001). Conclusion: Diabetic knowledge, self-efficacy, and family or social support are essential correlates and predictors of self-care behaviors. Researchers, healthcare professionals, third-sector organizations, and policymakers can use these findings to re-evaluate.

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Self-Care Practice and Associated Factors Among People Living with Type 2 Diabetes in Addis Ababa, Ethiopia: A Facility-Based Cross-Sectional Study

Cited by 10 publications

References 18 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

Poor Self-Care Practices and Associated Factors among Type 2 Adult Diabetic Patients on Follow-Up Care at Public Health Facilities of Adama Town, Oromia, Ethiopia

The Role of Knowledge, Self-Efficacy, and Social Support in Self-Care Behaviors among Diabetic Patients: A Meta-Analysis

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