Browsing by Author "Muse, Yomilan Geneti"

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    Adherence to diabetes self –management and associated factors among adolescents with Type 1 diabetes in public hospitals of Addis Ababa, Ethiopia, 2021.
    (Addis Abeba University, 2021-06) Muse, Yomilan Geneti; Sr. Wondwossen, Kalkidan(Assistant Professor); Adimasu, Mekonen(BSC, MSC)
    Background: Type 1 diabetes is one of the quickly growing problems in Ethiopia. Adherence to diabetes self-management of adolescents with type 1 diabetes is crucial for the control of type 1 diabetes to diminish mortality and morbidity. Prove of level of adherence to diabetes selfmanagement and associated factors in adolescents with type 1 diabetes in Ethiopia is unknown. Objectives: To determine adherence to diabetes self-management and associated factors among adolescents with type 1 diabetes in public hospitals of Addis Ababa, Ethiopia, from March 10 to April 25, 2021. Method: Institutional based cross-sectional study was done in four arbitrary chosen public hospitals of Addis Ababa. Systematic random sampling technique was used to select a total of 422 participants. A structured and pretested questionnaire was prepared and interview technique was used for data collection. The data was collected by utilizing Kobo collect version 1.30.1 and exported to excel for checking and cleaning. Later the data was exported to SPSS version 25 for analysis. Descriptive statistics, bivariable and multivariable logistic regression analysis was performed. A variable that has a P-value of <0.2 in bi-variable logistic regression analysis was subjected to multivariable logistic regression analysis to control the confounding factors. The level of significance was pronounced at P-value <0.05. Results: With 98.1% response rate, a total of 414 diabetic adolescents were interviewed. About 218 participants (52.7%) had poor adherence to overall diabetes self-management. The prevalence of poor adherence to insulin administration, dietary management, management of hypoglycemia, blood glucose testing, and regulation of exercise were 56.8%, 68.4%, 42%, 54.8% and 50.5% respectively. Self-efficacy (AOR=8.7, 95% CI: (1.9, 14.1) and P=0.005), social support (AOR=4.6, 95%CI: (1.5,13.5) and P=0.006), age (AOR=0.2, 95%CI: (0.1,0.4) and P=0.001), good knowledge of the disease (AOR=9.046, 95%CI: (3.83,13.5) and P=0.000), moderate knowledge (AOR=6.763, 95%CI: (2.18,12.921) and P=0.001), and time since diagnosis of type 1 diabetes (AOR=0.1, 95%CI:(0.02-0.2) and P=0.005) were significantly associated with adherence to diabetes self-management. Conclusions and Recommendations: More than half of the participants had poor adherence. Planning a comprehensive rule of adherence and expanding the recurrence of follow-up visits in diabetic clinics were profoundly suggested.