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埃塞俄比亚西部贝尼尚古尔-古穆兹地区州立公立医院糖尿病患者随访期间的自我护理实践及相关因素:一项横断面研究

Self-care practice and associated factors among Diabetes Mellitus patients on follow up in Benishangul Gumuz Regional State Public Hospitals, Western Ethiopia: a cross-sectional study.

作者信息

Chali Segni Wanna, Salih Mohammed Hassen, Abate Addisu Taye

机构信息

Department of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

BMC Res Notes. 2018 Nov 26;11(1):833. doi: 10.1186/s13104-018-3939-8.

Abstract

OBJECTIVE

The aim of this study was to assess the self-care practice among patients with diabetes and their associated factors in Benishangul Gumuz Public Hospitals, Western Ethiopia, 2018.

RESULT

Out of the total 399 selected patients, 383 were participated in the study with a response rate of 96%. From 383 respondents, 45.7% had poor diabetes self-care practice. Unable to read and write (AOR = 3.63, 95% CI 1.33-9.89, p = 0.011), never had a diabetic health education (AOR = 4.09, 95% CI 1.89, 8.84, p = 0.000), not having glucometer (AOR = 2.66, 95% CI 1.30, 5.46 p = 0.007), poor diabetic knowledge (AOR = 5.01, 95% CI 2.44, 10.28, p = 0.000), poor self-efficacy (AOR = 3.00, 95% CI 1.76, 5.11, p = 0.000) and not having social support (AOR = 1.84, 95% CI 1.08, 3.13, p = 0.023) were significantly associated with poor self-care practice of diabetes patients. These findings request for the need of integrated interventional management approach, which will improve the health and quality of life of the diabetes patients.

摘要

目的

本研究旨在评估2018年埃塞俄比亚西部贝尼尚古尔-古穆兹公立医院糖尿病患者的自我护理行为及其相关因素。

结果

在总共399名选定患者中,383名参与了研究,应答率为96%。在383名受访者中,45.7%的糖尿病自我护理行为较差。无法读写(调整后比值比[AOR]=3.63,95%置信区间[CI]为1.33 - 9.89,p=0.011)、从未接受过糖尿病健康教育(AOR=4.09,95%CI为1.89 - 8.84,p=0.000)、没有血糖仪(AOR=2.66,95%CI为1.30 - 5.46,p=0.007)、糖尿病知识匮乏(AOR=5.01,95%CI为2.44 - 10.28,p=0.000)、自我效能感差(AOR=3.00,95%CI为1.76 - 5.11,p=0.000)以及没有社会支持(AOR=1.84,95%CI为1.08 - 3.13,p=0.023)与糖尿病患者自我护理行为较差显著相关。这些发现表明需要采取综合干预管理方法,以改善糖尿病患者的健康状况和生活质量。

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