Self-Care Practice and its Associated Factors Among Diabetic Patients at Selected Public Hospitals of East-Shoa Zone, Oromia, Ethiopia 2022
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Date
2023
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Addis Ababa University
Abstract
Background Self-care behaviors have been found to be positively correlated with good glycemic control, reduction of complication and improvement quality of life. Even if diabetic self-care have significant impact on progress of diabete, there is gap in implementing self-care in many parts Ethiopia including East Showa zone.
ObjectivesThis study aimed to assess Self-care practice and associated factors among diabetic patients at selected public hospitals East-Showa zone, Oromia, Ethiopia 2022.
Methods Institutional based cross-sectional study was employed to conduct the study and from the total of five hospitals found in East Shoa Zone four (4) were selected using simple random sampling technique and sample was proportionally allocated in each study area and finally, the study participant were recruited using systematic random sampling technique. Data was coded,
cleaned, entered to epi data version 4.6.0.6 and was exported to SPSS version 26 for analysis.Variables with a p-value <0.25 on binary logistic regression was subjected to multivariable logistic regression analysis. P-value less than 0.05 was considered as significantly associated. Model fitness was tested using Hosmer-Lemeshow goodness-of-fit and the results was presented in table and odd ratios.
Result This study had 100% response rate with mean age of 48.42±15.24 where 63.6% (218) of the respondents were males. About 37.6% of patients practice good diabetic self-care and factors like income, occupational status, treatment intensity, having family history of Diabetes, owning glucometer and social support showed strong association. Self-care was significantly associated with with no income with [AOR=4.99, 95% CI (1.68-14.81), P-value=0.004], treatment with insulin [AOR=0.28, 95% CI (0.13-0.60), P-value=0.001], owning glucometer [AOR=7.33, 95%CI (3.69-14.59), P-value=0.000], having family history of Diabetes [AOR=0.37, 95% CI (0.21-
0.67), P-vlue=0.001] and having strongsocial support [AOR=6.09, 95% CI (2.79-13.27), P-value=0.000].
Conculusion Large number study participant had poor diabetic self-care; improving andmonitoring awareness of diabetic patient will improve further.
Recommendation to east shoa zone health professionals, to east shoa zonal health bureau, to researchers
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Keywords
Self-Care Practice, Diabetics Mellitus, Public Hospitals