Assessment of Glycemic Control and Self-care Practiceamong Adult Patients with Diabetes Mellitus in Tercha General Hospital, Dawro Zone, Southern Nation Nationalities and Peoples Region; Ethiopia.
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Date
2020-06
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Addis Ababa University
Abstract
According to WHO Global report, in low-income countries more than half of deaths attributable to poor glycemiccontrol are premature. Studies compassed, prevalence of poor self-care practice and glycemic control is by nowin tip of iceberg above diabetes by becoming primary offender for fired morbidity and mortality but; are neglected tragedy. Currently diabetes patients are exposed to intolerable cost of dialysis and organ transplantation because of poor glycemic control and self-care practice induced complications; which in turn increased beggar population and prevalence of suicidal attempt. Studies underlined, optimum self-care practice is needed to avert these complications via adjusting glycemic control status. However, only a minute of relevant studies were conducted in Ethiopia to assess this problem.The aim of this study was to assess glycemic control and self-care practice among diabetes patient in Dawro Tercha General Hospital. Cross-sectional study was conducted from March 07April10/2020 in Tercha general hospital among 220 participants selected by systematic sampling technique.
Logistic regression analysis was carried out to identify independent predictors. Status of self-care practice and glycemic control became good for 24.9% and 23% respectively. Age, diabetes complication, medication adherence, glucometer and appointment adherence were nominated in shortlist of independent predictor for glycemic control; whereas education, diabetes complication, diabetes category, distance and appointment adherence became independent predictors for overall self-care practice. Furthermore, presence of significant association between glycemic control and self-care practice was assured. Status of good glycemic
control and self-care practice were shine red lump, since it indicates majorities of the patients were closed to face premature death and permanent disabilities. Association between glycemic control and self-care practice on the other hand uncovered presence of non-pharmacological intervention under question, and further brightened the need of maximum effort to enhance self-care practice to ease roads to good glycemic control and finally to save diabetes patients from the coming fatal consequences.Responsible bodies have to work hard to raise the coverage of hospital or to enhance material capacity of available primary hospitals to enable them to serve diabetes follow up patients, since all patients in the whole zone in this study area served by only one hospital. Health education team has to be formed to provide problem solving-centered education supported by Audio visual aids.
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Keywords
Glycemic control, self-care practice, prevalence, diabetes