Assessment of Knowledge of Self-Care and Associated Factors Among Type 2 Diabetic Patients on Follow Up Visits in Government Hospitals Of Addis Ababa, Ethiopia
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Date
2016-05
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Addis Ababa University
Abstract
Introduction: Diabetes mellitus is not a single disease entity but rather a group of metabolic
disorders sharing the common underlying feature of hyperglycemia. Diabetes is a major growing
health problem in the world. Poor awareness among diabetic patients about the disease and self-care
activities is one of the important variables influencing the progression of diabetes and its
complications, which is largely preventable.
Objective: The aim of this study was to assess self-care knowledge and associated factors among
type 2 diabetes on follow up visits in government hospitals of Addis Ababa, Ethiopia.
Method: Institution based descriptive cross sectional study was employed from March 15 to April
15, 2016 using pre-tested, validated, structured interviewer-administered questionnaire. A total of 422
type 2 diabetic patients whose age was 18 year and above were included. Study participants were
selected by systematic sampling technique after proportional allocation of samples to the hospitals.
Furthermore, descriptive statistics, and binary and multivariate logistic regression analyses were
employed to assess factors associated with diabetes self-care knowledge among type 2 diabetes.
Result: Out of 422 patients with type 2 DM intended to participate in the study, 412 patients actually
responded for the interview making a response rate of 97.63%. More than half of the study sample,
239(58%) had a high (70% or over) overall knowledge while the rest 173(42%) showed low (<70%)
overall knowledge level about self-care. Marital status, duration of DM, being member of diabetic
association and exposure to diabetic health education showed a significant association with good
knowledge at a 5% level of significance
Conclusion: This study reflects that there is a need to improve diabetic self-care knowledge among
the patients. Overall knowledge about diabetes self-care among patients was not adequate; some
critical knowledge gaps were also identified in specific areas.
Recommendation: Policy makers, hospital administrations and health care professionals should have
to establish well organized diabetic self-care education program and they should strength the existing
programs. Further research should be done in order to know the association between self-care
knowledge and self-care practice adherence.
Key words: Self-care, self-care knowledge, type 2 diabetes
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Keywords
Self-care, Self-care knowledge, Type 2 diabetes