Predictors of Adherence to Self-Care Behavior Among Patients with Diabetes at Public Hospitals in West Ethiopia

被引:7
作者
Oluma, Adugna [1 ]
Mosisa, Getu [1 ]
Abadiga, Muktar [1 ]
Tsegaye, Reta [1 ]
Habte, Ashenafi [1 ]
Abdissa, Eba [1 ]
机构
[1] Wollega Univ, Sch Nursing & Midwifery, Inst Hlth Sci, Nekemte, Ethiopia
来源
DIABETES METABOLIC SYNDROME AND OBESITY-TARGETS AND THERAPY | 2020年 / 13卷
关键词
diabetes mellitus; adherence; self-care behavior; Ethiopia; MANAGEMENT PRACTICES; TYPE-2; DIABETICS; GLYCEMIC CONTROL; MELLITUS; INDIVIDUALS; GLUCOSE;
D O I
10.2147/DMSO.S266589
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Diabetes is a typical chronic disease that needs integrated and multifaceted approaches. Self-care practices are fundamental to achieve good blood glucose control and prevent long-term complications. Therefore, the aim of the study was to determine the level and predictors of adherence to self-care behavior among patients with diabetes on follow-up at public hospitals of western Ethiopia. Patients and Methods: The cross-sectional study design was employed on a sample of 423 diabetic patients on follow-up at public hospitals of western Ethiopia. A systematic random sampling method was employed. The data were entered into Epi data version 3.1 and exported into Statistical Package for the Social Sciences window version 24 for analysis. All variables significant at p-value <0.05 in the bivariable were entered in multivariate regression analysis. Backward stepwise goodness of fit was used to ascertain the suitable variables in multiple linear regression analysis. Finally, multivariate linear regression analysis with adjusted B, CI at 95%, and the significance level was set at p <0.05. All predictive variables were reported in terms of adjusted R2. Results: The overall mean and standard deviation of adherence to self-care behavior was 23.09 +/- 6.55. Among the study participants, 42.70% had good self-care behavior. Self efficacy (B=0.106, p<0.001), home blood glucose test (B=0.075, p<0.001), exercise per week (0.035, P<0.002), meal planning (B=0.039, P<0.001), dietary restriction (B=0.077, P<0.001), duration of diabetes<4 years (B=0.030, P<0.013), non-pharmacological intervention (B=0.055, P<0.011), and good appetite (B=0.039, P<0.045) were significant variables associated with adherence to self-care behaviors. Conclusion: The overall level of adherence to self-care behavior was low. Therefore, we recommended that it is better if the national health policymaker focused on dietary management modality that engages patients' behavior change to develop self-care practices and closely monitoring of glucose level. Also, we recommended an additional longitudinal study incorporating a qualitative study that focused on behavioral changes.
引用
收藏
页码:3277 / 3288
页数:12
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