Self-care practices regarding diabetes among diabetic patients in West Ethiopia

Dedefo, Mohammed Gebre; Ejeta, Balisa Mosisa; Wakjira, Getu Bayisa; Fekadu, Ginenus; Labata, Busha Gamachu

doi:10.1186/s13104-019-4258-4

Cited by 51 publications

(87 citation statements)

References 25 publications

(29 reference statements)

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“…A total of nineteen studies yielding a total study population of 6595 was eligible and included for both qualitative and quantitative analyses. Amhara, Oromia, and Hareri regions contributed 26.3%(24-28), 21% (6,11,29,30), and 157% (2,7,31) to the total of included studies, respectively. Three regions:…”

Section: Characteristics Of Included Primary Studiesmentioning

confidence: 99%

“…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.…”

Section: Determinants Of Diabetics' Self-care Practicementioning

confidence: 99%

“…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).…”

Section: Determinants Of Diabetics' Self-care Practicementioning

confidence: 99%

“…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).…”

Section: Determinants Of Diabetics' Self-care Practicementioning

confidence: 99%

“…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).…”

Section: Determinants Of Diabetics' Self-care Practicementioning

confidence: 99%

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

Yehualashet¹,

Takele²,

Tegegne³

et al. 2019

Preprint

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Background: Appropriate diabetic self-care is indispensable to prevent and limit diabetic associated short and long term complications including death. Therefore, this comprehensive systematic review and meta-analysis were aimed at exploring and determining the pooled national percentage of diabetic self-care and its determinants among adult diabetic patients in Ethiopian.Methods: Different electronic databases including PubMed/Medline and search engines such as Google scholar were used to retrieve published studies. The Joanna Briggs Institute (JBI) quality appraisal checklists were used to appraise the quality of studies. Data were extracted using excel spreadsheets and analyses were done by STATA 14. Heterogeneity among studies was diagnosed using the I2. The DerSimonian and Laird random-effects model was employed for substantial heterogeneity (I2>50%).Sensitivity and subgroup analyses were carried out. The funnel plot and Egger's regression test was used to identify publication bias. Moreover, the nonparametric trim and fill analysis was done for findings with significant Egger's test (p<0.05) and asymmetric distribution of studies in the funnel plot. The pooled estimate of diabetic self-care and odds ratio was reported based on the 95% CI.Results: Well over half of the Ethiopian diabetic patients have good self-care 54.04% (47.07-61.01, I2 =97.3, P<0.001). Subgroup analysis showed that the highest and the lowest pooled estimate of selfcare was detected in Southern Nations Nationalities and Peoples and Hareri region with 81.96% and 44.53% respectively. Being knowledgeable about diabetes mellitus 2.69%, having good social support 2.25%, owning private glucometer 3.04%, and being urban residents 3.26% have promoted diabetic victims to apply self-care practice.Conclusions: Despite the life-threatening complications of diabetes mellitus, the percentage of patients applying self-care has remained low in Ethiopia, depicting the high proportion of diabetic patients are prone to develop long and short term life-threatening consequences of diabetes mellitus. Therefore, improving the client's awareness about the disease and counseling clients about the significance of social support are believed to be possible strategies to improve self-care practice and policymakers are strongly recommended to combat diabetic associated complications to attain sustainable development goal 3.4 aims to reduce premature death.

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