Advertisement

Factors influencing diabetes self-care practice among type 2 diabetes patients attending diabetic care follow up at an Ethiopian General Hospital, 2018

  • Sofonyas Abebaw TirunehEmail author
  • Asnakew Achaw Ayele
  • Yohannes Kelifa Emiru
  • Henok Getachew Tegegn
  • Belete Achamyelew Ayele
  • Melaku Tadege Engidaw
  • Alemayehu Digssie Gebremariam
Research Article
  • 35 Downloads

Abstract

Introduction

Diabetes mellitus is a global public health emergency in the twenty-first century. Diabetes patients who had to adhere to good self-care recommendation can prevent the complication associated with diabetes mellitus. Self-care management of diabetes mellitus in Sub-Saharan Africa was poor including Ethiopia. The aim of this study was to assess factors influencing diabetes self-care practice among type 2 diabetes patients at Debre Tabor General Hospital, Northwest Ethiopia diabetes clinic follow up unit.

Methods

An institutional based cross-sectional survey was conducted on systematically sampled 405 type 2 diabetes patients at Debre Tabor General Hospital diabetes clinic from June 02/2018 to June 30/2018. Bivariate and multivariable logistic regression was fitted to identify independent predictors of diabetes self-care practice. A p value of less than 0.05 was used to declare statistical significance.

Results

A total of 385 type 2 diabetes patients participated with a response rate of 95%, of which 243 (63.1%) study participants had good self-care practice. The mean ± SD age of the respondents and the duration of diagnosed for diabetes mellitus was 52.28 ± 12.45 and 5.09 ± 3.80 years respectively. Type 2 diabetes patients who had a glucometer at home (AOR = 7.82 CI (3.24, 18.87)), getting a diabetes education (AOR = 2.65 CI (1.44, 4.89)), and having social support (AOR = 2.72 CI (1.66, 4.47)) were statistically associated with good self-care practice.

Conclusion

Despite, the importance of diabetes self-care practice for the management of diabetes and preventing its complications, a significant number of type 2 diabetes patients had poor diabetes self-care practice. So, to enhance this poor practice of diabetes self-care, provision of diabetes self-care education and counseling on self-monitoring blood glucose should be promote by health care providers during their follow up.

Keywords

Diabetes mellitus Diabetes patients Self-care practice Debre Tabor General Hospital 

Notes

Acknowledgments

We, authors, express their deep gratitude to all the study participants, data collectors and staff of Debre Tabor General Hospital for their cooperation.

Funding statement

We didn’t receive any fund for this study.

Authors’ contributions

All stated authors SA, AA, YK, HG, BA, MT, AD, are involved in the study from the inception to design, acquisition of data, analysis and interpretation and drafting of the manuscript. All authors read and approved the final manuscript.

Compliance with ethical standards

Consent for publication

Not applicable.

Competing interests

We, authors, declare that we had no competing interests.

References

  1. 1.
    IDF diabetes atlas: Seventh edition. International Diabetes Federation. 2015;144. http://www.diabetesatlas.org
  2. 2.
    International Diabetes Federation (IDF). Eighth edition 2017. IDF Diabetes Atlas, 8th edition. 2017;1–150 Google Scholar
  3. 3.
    Peer N, Kengne AP, Motala AA, Mbanya JC. Diabetes in the Africa region: an update. Diabetes Res Clin Pract. 2014;103(2):197–205.CrossRefGoogle Scholar
  4. 4.
    Assah F, Mbanya JC. Diabetes in sub-saharan Africa. Diabetes Mellit Dev Ctries Underserved Commun. 2016;375(9733):33–48.Google Scholar
  5. 5.
    Association AD. Standards of medical care in diabetes - 2013. Diabetes Care. 2013;36(SUPPL.1).Google Scholar
  6. 6.
    Stephani V, Opoku D, Beran D. Self-management of diabetes in sub-Saharan Africa: a systematic review. BMC Public Health. 2018;18:1148.CrossRefGoogle Scholar
  7. 7.
    Ayub M, Ayub S, Masood F, Afzal A, Shafique M, Ullain N. Diabetes & metabolism evaluation of predisposing and Comorbodities associated with diabetes. Diabetes Metab. 2015;6(8):10–2.Google Scholar
  8. 8.
    Mariam TG, Alemayehu A, Tesfaye E, Mequannt W, Temesgen K, Yetwale F, et al. Prevalence of diabetic foot ulcer and associated factors among adult diabetic patients who attend the diabetic follow-up clinic at the University of Gondar referral hospital, north West Ethiopia, 2016: institutional-based cross-sectional study. J Diabetes Res. 2017;2017(11):4219–29.Google Scholar
  9. 9.
    Kassahun T, Gesesew H, Mwanri L, Eshetie T. Diabetes related knowledge, self-care behaviours and adherence to medications among diabetic patients in Southwest Ethiopia: a cross-sectional survey. BMC Endocr Disord. 2016;16(1):28.CrossRefGoogle Scholar
  10. 10.
    Asegid A. Assessment of self care practice among adult diabetic patients in Nigist Elleni Mohamed memorial hospital Hossana. J Med Heal Res. 2017;2(1):26–35.Google Scholar
  11. 11.
    Mamo M, Demissie M. Self care practice and its associated factors among diabetic patients in Addis Ababa public hospitals , cross sectional study. J Diabetes Cholest Metab. 2016;1(Dcm):1–5.Google Scholar
  12. 12.
    Soediono B. American Association of Diabetes Educators (AADE) position statement. J Chem Inf Model. 1989;53(December):160.Google Scholar
  13. 13.
    Hill-Briggs F, Gemmell L. Problem solving in diabetes self-management and control. Diabetes Educ. 2007;33(6):1032–50.CrossRefGoogle Scholar
  14. 14.
    Fisher EB, Thorpe CT, McEvoy DeVellis B, DeVellis RF. Healthy coping, negative emotions, and diabetes management. Diabetes Educ. 2007;33(6):1080–103.CrossRefGoogle Scholar
  15. 15.
    Chen L, Magliano DJ, Zimmet PZ. The worldwide epidemiology of type 2 diabetes mellitus—present and future perspectives. Nat Rev Endocrinol. 2011;8(4):228–36.CrossRefGoogle Scholar
  16. 16.
    Istek N, Karakurt P. Effect of activities of daily living on self-Care Agency in Individuals with type 2 diabetes. J Diabetes Mellit. 2016;06(04):247–62.CrossRefGoogle Scholar
  17. 17.
    Weeks CE. Factors influencing self care behaviors of African Americans adults with type 2 diabetes. 2011;1–40.Google Scholar
  18. 18.
    Mogre V, Abanga ZO, Tzelepis F, Johnson NA, Paul C. Adherence to and factors associated with self-care behaviours in type 2 diabetes patients in Ghana. BMC Endocr Disord. 2017;17(1):1–8.CrossRefGoogle Scholar
  19. 19.
    Toljamo M, Hentinen M. Adherence to self-care and glycaemic control among people with insulin-dependent diabetes mellitus. J Adv Nurs. 2001;34(6):780–6.CrossRefGoogle Scholar
  20. 20.
    Pocius S, Miley K, Rockwood J. Accuracy and timeliness of RN vs. MD radiological interpretation of PICC tips. JAVA - J Assoc Vasc Access. 2009;14(3):143–6.CrossRefGoogle Scholar
  21. 21.
    American Diabetes Association (ADA). Standard of medical care in diabetes - 2017. Diabetes Care. 2017;40(sup 1):s4–s128.Google Scholar
  22. 22.
    Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure. Diabetes Care J. 2000;23(7):943–50.CrossRefGoogle Scholar
  23. 23.
    Fitzgerald JT, Funnell MM, Anderson RM, Nwankwo R, Stansfield RB, Piatt GA. Validation of the revised brief diabetes knowledge test (DKT2). Diabetes Educ. 2016;42(2):178–87.CrossRefGoogle Scholar
  24. 24.
    Mariye T, Tasew H, Teklay G, Gerensea H, Daba W. Magnitude of diabetes self-care practice and associated factors among type two adult diabetic patients following at public hospitals in central zone, Tigray region, Ethiopia, 2017. BMC Res Notes 2018;11(1):1–6, 380.Google Scholar
  25. 25.
    Yigazu DM, Desse TA. Glycemic control and associated factors among type 2 diabetic patients at Shanan gibe hospital, Southwest Ethiopia. BMC Res Notes. 2017;10(1):1–6.CrossRefGoogle Scholar
  26. 26.
    Tabish SA. Is diabetes becoming the biggest epidemic of the twenty-first century? Int J Health Sci (Qassim). 2007;1(2):V–VIII.Google Scholar
  27. 27.
    Pastakia SD, Pekny CR, Manyara SM, Fischer L. Diabetes in sub-Saharan Africa - from policy to practice to progress: targeting the existing gaps for future care for diabetes. Diabetes Metab Syndr Obes: Targets Ther. 2017;10:247–63.Google Scholar
  28. 28.
    Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. J Diabetes Metab Disord. 2013;12(1):1.CrossRefGoogle Scholar
  29. 29.
    England TN, Prevention D, Group DPPR. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. Engl J. 2002;346(6):393–403.CrossRefGoogle Scholar
  30. 30.
    Raithatha SJ, Shankar SU, Dinesh K. Self-care practices among diabetic patients in Anand District of Gujarat. ISRN Fam Med. 2014;2014(December 2009):1–6.Google Scholar
  31. 31.
    Basu S, Garg S, Sharma N, Singh MM, Garg S. Adherence to self-care practices, glycemic status and influencing factors in diabetes patients in a tertiary care hospital in Delhi. World J Diabetes. 2018;9(5):72–9.CrossRefGoogle Scholar
  32. 32.
    Basu S, Khobragade M, Kumar A, Raut DK. Medical adherence and its predictors in diabetes mellitus patients attending government hospitals in the Indian capital, Delhi, 2013: a cross sectional study. Int J Diabetes Dev Ctries. 2015;35:95–101.CrossRefGoogle Scholar
  33. 33.
    Amente T, Teferea B, Endalew H, Berhanu N. Self-care practice and its predictors among adults with diabetes mellitus on follow up at Nekemte hospital diabetes clinic, West Ethiopia. World J Med Med Sci. 2014;2(3):1–16.Google Scholar
  34. 34.
    Abate TW, Tareke M, Tirfie M. Self-care practices and associated factors among diabetes patients attending the outpatient department in Bahir Dar, Northwest Ethiopia. BMC Res Notes. 2018;11(1):800.CrossRefGoogle Scholar
  35. 35.
    Nejaddadgar N, Solhi M, Jegarghosheh S, Abolfathi M, Ashtarian H. Self-care and related factors in patients with type 2 diabetes. Asian J Biomed Pharm Sci. 2017;7(61):6–10.Google Scholar
  36. 36.
    Endalew Hailu AE. Assessment of diabetic patient perception on diabetic disease and self-care practice in Dilla University Referral Hospital, South Ethiopia. J Metab Syndr. 2014;03(04):4–11.Google Scholar
  37. 37.
    Shrivastava SB, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. J Diabetes Metab Disord. 2013;12(14):1–5.Google Scholar
  38. 38.
    Iregbu S, Iregbu FU. A review of self-management of diabetes in Africa. African J Diabetes Med [Internet] 2016;24(2):5–8. Available from: http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=120428063&site=ehost-live.
  39. 39.
    Sonsona JB. Factors influencing diabetes self-Management of Filipino Americans with type 2 diabetes mellitus : a holistic approach. Walden dissertations and doctoral studies collection. 2014.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sofonyas Abebaw Tiruneh
    • 1
    Email author
  • Asnakew Achaw Ayele
    • 2
  • Yohannes Kelifa Emiru
    • 3
  • Henok Getachew Tegegn
    • 2
  • Belete Achamyelew Ayele
    • 4
  • Melaku Tadege Engidaw
    • 1
  • Alemayehu Digssie Gebremariam
    • 1
  1. 1.Department of Public Health, College of Health SciencesDebre Tabor UniversityDebre TaborEthiopia
  2. 2.Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health ScienceUniversity of GondarGondarEthiopia
  3. 3.School of Pharmacy, College of Medicine and Health ScienceUniversity of GondarGondarEthiopia
  4. 4.Department of Epidemiology and Biostatics, Institute of Public health College of Medicine and Health ScienceUniversity of GondarGondarEthiopia

Personalised recommendations