Diabetes, Metabolic Syndrome and Obesity (Sep 2020)
Predictors of Diabetes Self-Care Practice Among Patients with Type 2 Diabetes in Public Hospitals in Northeastern Ethiopia: A Facility-Based Cross-Sectional Study
Abstract
Tesfaye Molla Gulentie,1 Ebrahim Mohammed Yesuf,2 Taklo Simeneh Yazie,3 Belayneh Kefale4 1Department of Drug Distribution, Pharmaceutical Fund and Supply Agency, Samara, Ethiopia; 2Department of Public Health, Samara University, Samara, Ethiopia; 3Pharmacology Unit and Research Team, Department of Pharmacy, College of Health Sciences, Debre Tabor University, Amhara, Ethiopia; 4Clinical Pharmacy Unit and Research Team, Department of Pharmacy, College of Health Sciences, Debre Tabor University, Amhara, EthiopiaCorrespondence: Belayneh KefaleClinical Pharmacy Unit and Research Team, Department of Pharmacy, College of Health Sciences, Debre Tabor University, PO Box 272, Debre Tabor, Amhara, EthiopiaTel +251 913805289/90Email [email protected]: Even though life-threatening complications in type 2 diabetes mellitus (T2DM) minimize through self-care practice, extensive studies in northeast Ethiopia have been scarce about self-care practice and predictors. This study aimed to assess diabetes self-care predictors among patients with T2DM patients at Dubti and Assaita hospitals in northeastern Ethiopia.Methods: A facility-based cross-sectional study was conducted among 403 patients with T2DM who followed-up in northeastern Ethiopia’s Dubti and Assaita hospitals. Data were analyzed using SPSS version-22.0 after the data were entered, sorted and cleaned. Multiple stepwise backward logistic regression analysis was done for a P value of < 0.25 to identify the independent predictors of self-care practice.Results: In the present study, males comprised 62% of the sex category. Overall, 63.8% of the study participants had adequate self-care practice, while 36.2% had inadequate self-care practice. Being younger age (AOR 2.27, 95% CI 1.27– 4.07, P= 0.005), monthly income status with low (AOR 3.08, 95% CI 1.08– 8.78, P= 0.04), average (AOR 2.43, 95% CI 1.15– 5.09, P= 0.02) and high (AOR 2.68, 95% CI 1.03– 6.99, P= 0.04), treated with oral hypoglycemic agents (OHA) (AOR 0.22, 95% CI 0.05– 0.95, P = 0.04) and insulin (AOR 0.18, 95% CI 0.04– 0.75, P= 0.01), having social support (AOR 3.09, 95% CI 1.76– 5.4, P ≤ 0.01) and diabetic education from health professionals (AOR 5.53, 95% CI 1.92– 15.93, P= 0.001) and media (AOR 2.63, 95% CI 1.47– 4.7, P = 0.001) were the independent predictors of self-care practice.Conclusion: In this study, the practice of self-care found to be sub-optimal among patients with T2DM. Independent predictors of self-care practice were age, monthly income, treatment regimen, social support, and diabetic education. Therefore, a suitable approach should be built to improve self-care practice with diabetes.Keywords: type 2 diabetes mellitus, diabetes complication, diet, diet therapy
