Self- care practice in type 2 diabetes adults with and without comorbid peripheral neuropathy in Addis Ababa, Ethiopia, 2020.
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Date
2020-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Background: Diabetes self-care practice is essential to prevent and control complications of
diabetes mellitus. There are some studies conducted regarding diabetes self-care in Ethiopia
but there is no one in type 2 diabetes adults who have comorbid peripheral neuropathy.
Objectives: The aim of this study was to assess self-care practice intype2 diabetes adults with
and without comorbid neuropathy in Addis Ababa
Methods: An institution based cross-sectional study was conducted at three governmental
hospitals: Tikur Anbessa Specialized Hospital, St. Paul Hospital, and Zewditu Memorial
Hospital. Sample size was 216 type 2 diabetes adults (108 with peripheral neuropathy 108
without it). Sociodemographic variables, neurologic states, personal and self-care practice
parameters were checked during data collection. Data coding and cleaning was done before the
analysis of the data. Linear regression analysis was used to assess the association between
dependent and independent variables.
Result: A total of 216 study participants were included in the study with the response rate of
99.1% and from this 111(55.4%) were female. In this study, type 2 DM without peripheral
neuropathy had better diet, exercise, foot care, and SMBGL practice with significant mean
difference (p-value < 0.01)).Dietary self-care practice decreases by 0.022 units for every 1
mg/dl increase in FBS while dietary self-care practice increases by 0.228 units for every 1 unit
increase in social support score in type 2 DM patients without peripheral neuropathy.
Housewife (P-vale = 0.013) and others occupational group (P = 0.030) were significantly
associated with exercise self-care practice among type 2 diabetes patients without peripheral
neuropathy. Being male was significantly associated with foot self-care practice among
patients without peripheral neuropathy (P-value = 0.019). Being student by occupation (Pvalue
=
0.016)
and
having
glucometry
at
home
(P-value
=
0.003)
were
significantly
associated
with
SMBGL
practice
among
patients
without
peripheral
neuropathy.
CONCLUSION: Type 2 DM patients without peripheral neuropathy have good diet, exercise,
foot care, and SMBGL practice than with peripheral neuropathy.
Description
Keywords
Type2 diabetes, self-care practice, peripheral neuropathy.