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Research article
Self- Care Practices and Associated Factors among Adult Diabetic Patients in Public Hospitals of Dire Dawa Administration, Eastern Ethiopia
Asmare Getie
Arba Minch University
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Public Health.
Background: Diabetes is a huge growing problem, and causes high and escalating costs to the society. Self- care practice for adults with diabetes is not well addressed in sub-Saharan Africa including Ethiopia. To prevent serious morbidity and mortality, diabetes treatment requires commitment to demanding self-care practice. The aim of this study was to assess self- care practices and its associated factors among adults with diabetes in Dire Dawa public hospitals of Eastern, Ethiopia.
METHODS: Cross-sectional study was conducted among 513 adults with diabetes. The study participants were selected through systematic random sampling. Data was collected from February 1st to March 1st, 2018. Patients were interviewed using a structured questionnaire. Data were entered into Epi-data version 3.3.1 and exported to SPSS version 22.0 for analysis. Bivariable and multivariable logistic regression with crude and adjusted odds ratios along with the 95% confidence interval was computed and interpreted accordingly. Good self-care was defined based on mean calculation; a result above the mean value had a good self-care practice, and a P-value of <0.05 was considered to declare a result as statistically significant.
RESULT: The result of the study showed that 55.9 %, (95% CI: 51.4, 60.3) of participants had good self-care practices. Good self-care practice was associated with having family support, treatment satisfaction, diabetes education, having glucometer, higher educational status, duration of the disease, high economic status and having good knowledge. There were statistical association between good diabetes knowledge (AOR= 2.14 , 95% CI :1.37, 3.35), family support system (AOR= 2.69, 95% CI:1.56, 4.62), treatment satisfaction (AOR= 2.07, 95% CI:1.18, 3.62), diabetes education (AOR= 2.21, 95% CI: 1.35, 3.63), high economic status (AOR= 1.89, 95% CI: 1.01, 3.48), having glucometer,(AOR=2.69, 95% CI:1.57, 4.63),higher educational status (AOR= 2.68 , 95% CI: 1.31, 5.49), and duration of disease greater than 10 years AOR=2.70, 95% CI: 1.17, 6.26) with good self-care practice.
Conclusion: In this study a substantial number of the patients had poor self-care practices especially dietary practice and self-monitoring of blood glucose which have critical roles in controlling diabetes. Provision of diabetes self-care education and counseling especially on importance of self-monitoring of blood glucose, and dietary practice should be considered by responsible bodies.
Keywords
Diabetes Mellitus, Self-Care Practice, Dire Dawa
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CURRENT STATUS: Published
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Posted 01 Jun, 2020
Published
On 12 Aug, 2020
No community comments so far
Editorial decision: Major revision
On 29 May, 2020
Review #1 received
Received 28 May, 2020
Reviewers invited
Invitations sent on 22 May, 2020
Reviewer #1 agreed
On 22 May, 2020
Editor assigned
On 21 May, 2020
Submission checks complete
On 20 May, 2020
Editor invited
On 20 May, 2020
No comments provided
Editorial decision: Major revision
On 23 Apr, 2020
Review #2 received
Received 22 Apr, 2020
Reviewer #2 agreed
On 13 Apr, 2020
Review #1 received
Received 26 Mar, 2020
Editor assigned
On 24 Mar, 2020
Reviewers invited
Invitations sent on 24 Mar, 2020
Reviewer #1 agreed
On 24 Mar, 2020
Submission checks complete
On 23 Mar, 2020
Editor invited
On 23 Mar, 2020
No comments provided
Editorial decision: Major revision
On 25 Feb, 2020
Review #2 received
Received 18 Feb, 2020
Reviewer #2 agreed
On 13 Feb, 2020
Review #1 received
Received 04 Dec, 2019
Reviewers invited
Invitations sent on 30 Sep, 2019
Reviewer #1 agreed
On 30 Sep, 2019
Editor assigned
On 06 Sep, 2019
Submission checks complete
On 23 Aug, 2019
Editor invited
On 23 Aug, 2019
First submitted
On 15 Aug, 2019
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Subject Areas
Endocrinology & Metabolism
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This preprint is under consideration at BMC Public Health. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Self- Care Practices and Associated Factors among Adult Diabetic Patients in Public Hospitals of Dire Dawa Administration, Eastern Ethiopia
Asmare Getie
Arba Minch University
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 3
Posted 01 Jun, 2020
Published
On 12 Aug, 2020
No community comments so far
Editorial decision: Major revision
On 29 May, 2020
Review #1 received
Received 28 May, 2020
Reviewers invited
Invitations sent on 22 May, 2020
Reviewer #1 agreed
On 22 May, 2020
Editor assigned
On 21 May, 2020
Submission checks complete
On 20 May, 2020
Editor invited
On 20 May, 2020
No comments provided
Editorial decision: Major revision
On 23 Apr, 2020
Review #2 received
Received 22 Apr, 2020
Reviewer #2 agreed
On 13 Apr, 2020
Review #1 received
Received 26 Mar, 2020
Editor assigned
On 24 Mar, 2020
Reviewers invited
Invitations sent on 24 Mar, 2020
Reviewer #1 agreed
On 24 Mar, 2020
Submission checks complete
On 23 Mar, 2020
Editor invited
On 23 Mar, 2020
No comments provided
Editorial decision: Major revision
On 25 Feb, 2020
Review #2 received
Received 18 Feb, 2020
Reviewer #2 agreed
On 13 Feb, 2020
Review #1 received
Received 04 Dec, 2019
Reviewers invited
Invitations sent on 30 Sep, 2019
Reviewer #1 agreed
On 30 Sep, 2019
Editor assigned
On 06 Sep, 2019
Submission checks complete
On 23 Aug, 2019
Editor invited
On 23 Aug, 2019
First submitted
On 15 Aug, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Endocrinology & Metabolism
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Public Health.
Background: Diabetes is a huge growing problem, and causes high and escalating costs to the society. Self- care practice for adults with diabetes is not well addressed in sub-Saharan Africa including Ethiopia. To prevent serious morbidity and mortality, diabetes treatment requires commitment to demanding self-care practice. The aim of this study was to assess self- care practices and its associated factors among adults with diabetes in Dire Dawa public hospitals of Eastern, Ethiopia.
METHODS: Cross-sectional study was conducted among 513 adults with diabetes. The study participants were selected through systematic random sampling. Data was collected from February 1st to March 1st, 2018. Patients were interviewed using a structured questionnaire. Data were entered into Epi-data version 3.3.1 and exported to SPSS version 22.0 for analysis. Bivariable and multivariable logistic regression with crude and adjusted odds ratios along with the 95% confidence interval was computed and interpreted accordingly. Good self-care was defined based on mean calculation; a result above the mean value had a good self-care practice, and a P-value of <0.05 was considered to declare a result as statistically significant.
RESULT: The result of the study showed that 55.9 %, (95% CI: 51.4, 60.3) of participants had good self-care practices. Good self-care practice was associated with having family support, treatment satisfaction, diabetes education, having glucometer, higher educational status, duration of the disease, high economic status and having good knowledge. There were statistical association between good diabetes knowledge (AOR= 2.14 , 95% CI :1.37, 3.35), family support system (AOR= 2.69, 95% CI:1.56, 4.62), treatment satisfaction (AOR= 2.07, 95% CI:1.18, 3.62), diabetes education (AOR= 2.21, 95% CI: 1.35, 3.63), high economic status (AOR= 1.89, 95% CI: 1.01, 3.48), having glucometer,(AOR=2.69, 95% CI:1.57, 4.63),higher educational status (AOR= 2.68 , 95% CI: 1.31, 5.49), and duration of disease greater than 10 years AOR=2.70, 95% CI: 1.17, 6.26) with good self-care practice.
Conclusion: In this study a substantial number of the patients had poor self-care practices especially dietary practice and self-monitoring of blood glucose which have critical roles in controlling diabetes. Provision of diabetes self-care education and counseling especially on importance of self-monitoring of blood glucose, and dietary practice should be considered by responsible bodies.
Figure 1