PDF(Pubmed)
Abstract：
BACKGROUND: Self-care practice is an integral and efficient part of comprehensive diabetes management, which could be influenced by various socio-demographic, clinical, and lifestyle factors.
OBJECTIVE: The study aimed to assess the level of diabetes self-care practice and its associated factors among patients with diabetes on follow-up at Yirgalem General Hospital, Yirgalem, Sidama, Ethiopia.
METHODS: An Institution-based cross-sectional study was conducted from February 15 to May 10, 2022, involving 298 patients with diabetes on follow-up at Yirgalem General Hospital. A pre-tested interviewer-administered questionnaire was utilized to collect data from patients. A descriptive analysis was conducted to determine the level of good self-care practice. Bivariate and multivariable binary logistics regression were performed to determine factors associated with good diabetic self-care practice. Associations with a p-value < 0.05 were considered statistically significant.
RESULTS: The overall good diabetic self-care practice among patients was 59.4%. Regarding the specific domains of care, 15 (5%) participants had good self-glucose monitoring care, 228 (76.5%) had good exercise self-care, 268 (89.9%) had good dietary self-care, 228 (76.5%) had good foot self-care, and 260 (87.2%) had good diabetic medication adherence. Single marital status (AOR = 5.7, 95% CI: (1.418, 22.915), urban residence (AOR = 2.992, 95% CI: (1.251, 7.153)), and having a glucometer (AOR = 2.273, 95% CI: (1.083, 4.772)) were factors that were significantly associated with good diabetic self-care practice.
CONCLUSIONS: Good diabetic self-care practices among participants was low. Marital status, place of residence, and having a glucometer were statistically significant predictors of good diabetic self-care practices. Targeted intervention addressing those patients from rural areas to increase awareness and practice of self-care, as well as the promotion of having a glucometer at home for self-glucose monitoring is recommended.
OBJECTIVE: The study aimed to assess the level of diabetes self-care practice and its associated factors among patients with diabetes on follow-up at Yirgalem General Hospital, Yirgalem, Sidama, Ethiopia.
METHODS: An Institution-based cross-sectional study was conducted from February 15 to May 10, 2022, involving 298 patients with diabetes on follow-up at Yirgalem General Hospital. A pre-tested interviewer-administered questionnaire was utilized to collect data from patients. A descriptive analysis was conducted to determine the level of good self-care practice. Bivariate and multivariable binary logistics regression were performed to determine factors associated with good diabetic self-care practice. Associations with a p-value < 0.05 were considered statistically significant.
RESULTS: The overall good diabetic self-care practice among patients was 59.4%. Regarding the specific domains of care, 15 (5%) participants had good self-glucose monitoring care, 228 (76.5%) had good exercise self-care, 268 (89.9%) had good dietary self-care, 228 (76.5%) had good foot self-care, and 260 (87.2%) had good diabetic medication adherence. Single marital status (AOR = 5.7, 95% CI: (1.418, 22.915), urban residence (AOR = 2.992, 95% CI: (1.251, 7.153)), and having a glucometer (AOR = 2.273, 95% CI: (1.083, 4.772)) were factors that were significantly associated with good diabetic self-care practice.
CONCLUSIONS: Good diabetic self-care practices among participants was low. Marital status, place of residence, and having a glucometer were statistically significant predictors of good diabetic self-care practices. Targeted intervention addressing those patients from rural areas to increase awareness and practice of self-care, as well as the promotion of having a glucometer at home for self-glucose monitoring is recommended.
摘要：
背景：自我护理实践是全面糖尿病管理的组成部分，这可能会受到各种社会人口的影响，临床,和生活方式因素。
目的：本研究旨在评估在Yirgalem总医院随访的糖尿病患者的糖尿病自我护理实践水平及其相关因素，Yirgalem,西达玛,埃塞俄比亚。
方法：2022年2月15日至5月10日进行了一项基于机构的横断面研究，涉及298名在Yirgalem总医院进行随访的糖尿病患者。使用预先测试的面试官问卷来收集患者的数据。进行了描述性分析，以确定良好的自我护理实践水平。进行了双变量和多变量二元物流回归，以确定与良好的糖尿病自我护理实践相关的因素。p值<0.05的关联被认为是统计学上显著的。
结果：患者糖尿病自我护理总体良好率为59.4%。关于护理的特定领域，15（5%）参与者有良好的自我血糖监测护理，228（76.5%）有良好的运动自我保健，268人(89.9%)有良好的饮食自我保健，228（76.5％）有良好的足部自我保健，260（87.2％）的糖尿病药物依从性良好。单身婚姻状况（AOR=5.7，95%CI：（1.418，22.915），城市住宅(AOR=2.992，95%CI：(1.251，7.153))，和有血糖仪(AOR=2.273,95%CI:(1.083,4.772))是与良好的糖尿病自我护理实践显著相关的因素。
结论：参与者中良好的糖尿病自我护理实践较低。婚姻状况,居住地,和血糖计是良好的糖尿病自我护理实践的统计学显著预测因素。针对来自农村地区的患者进行有针对性的干预，以提高对自我保健的认识和实践，同时建议在家中使用血糖仪进行自我血糖监测。
目的：本研究旨在评估在Yirgalem总医院随访的糖尿病患者的糖尿病自我护理实践水平及其相关因素，Yirgalem,西达玛,埃塞俄比亚。
方法：2022年2月15日至5月10日进行了一项基于机构的横断面研究，涉及298名在Yirgalem总医院进行随访的糖尿病患者。使用预先测试的面试官问卷来收集患者的数据。进行了描述性分析，以确定良好的自我护理实践水平。进行了双变量和多变量二元物流回归，以确定与良好的糖尿病自我护理实践相关的因素。p值<0.05的关联被认为是统计学上显著的。
结果：患者糖尿病自我护理总体良好率为59.4%。关于护理的特定领域，15（5%）参与者有良好的自我血糖监测护理，228（76.5%）有良好的运动自我保健，268人(89.9%)有良好的饮食自我保健，228（76.5％）有良好的足部自我保健，260（87.2％）的糖尿病药物依从性良好。单身婚姻状况（AOR=5.7，95%CI：（1.418，22.915），城市住宅(AOR=2.992，95%CI：(1.251，7.153))，和有血糖仪(AOR=2.273,95%CI:(1.083,4.772))是与良好的糖尿病自我护理实践显著相关的因素。
结论：参与者中良好的糖尿病自我护理实践较低。婚姻状况,居住地,和血糖计是良好的糖尿病自我护理实践的统计学显著预测因素。针对来自农村地区的患者进行有针对性的干预，以提高对自我保健的认识和实践，同时建议在家中使用血糖仪进行自我血糖监测。
