Self-care practice and associated factors among patients with diabetes on follow-up at Yirgalem General Hospital, Sidama, Ethiopia: a cross-sectional study

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. The study aimed to assess the level of diabetes self-care practice and its associated factors among patients with diabet...

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Published in:	BMC endocrine disorders Vol. 24; no. 1; pp. 111 - 8
Main Authors:	Kobamo, Mehreteab Million, Bekele, Fanuel Belayneh, Simachew, Yilkal, Abebe, Mahlet Tesfaye, Abore, Kibruyisfaw Weldeab
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 11-07-2024 BioMed Central BMC
Subjects:	Adolescent Adult Aged Analysis Blood Glucose Self-Monitoring - statistics & numerical data Cross-Sectional Studies Data collection Dextrose Diabetes Diabetes Mellitus Diabetes Mellitus - epidemiology Diabetes Mellitus - therapy Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - therapy Diabetes therapy Diabetic foot Diabetics Diet Disease management Education Ethiopia Ethiopia - epidemiology Female Follow-Up Studies Glucose Glucose monitoring Hospitals Hospitals, General Humans Hypoglycemic agents Male Metabolism Middle Aged Patient compliance Patients Regression analysis Sample size Self Care Self-care, Health Self-management Sociodemographics Software Statistical analysis Surveys and Questionnaires Type 2 diabetes Young Adult Ethiopia Self-management Diabetes Diabetes Mellitus Self-care Ethiopia
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Summary:	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. 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. 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. 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. 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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1472-6823 1472-6823
DOI:	10.1186/s12902-024-01647-9