埃塞俄比亚西部糖尿病患者的糖尿病自我护理行为
Self-care practices regarding diabetes among diabetic patients in West Ethiopia.
作者信息
Dedefo Mohammed Gebre, Ejeta Balisa Mosisa, Wakjira Getu Bayisa, Mekonen Ginenus Fekadu, Labata Busha Gamachu
机构信息
Clinical Pharmacy Unit, Department of Pharmacy, College of Health Sciences, Wollega University, Nekemte, Oromia, Ethiopia.
Pharmaceutics Unit, Department of Pharmacy, College of Health Sciences, Wollega University, Nekemte, Oromia, Ethiopia.
出版信息
BMC Res Notes. 2019 Apr 8;12(1):212. doi: 10.1186/s13104-019-4258-4.
OBJECTIVE
To assess the self-care practices and associated factors among diabetic patients in West Ethiopia.
RESULTS
A total of 252 study participants were included in the study, of this 54.8% were male. Of the participants more than half 150 (59.5%) had poor glycemic control and 153 (60.7%) of the participants had good self-care. Majority of the study participants 209 (82.9%) had adequate foot care and more than half 175 (69.4%) and 160 (63.5%) had adequate dietary plan and exercise management respectively. However of the total diabetic patients only 38 (15.1%) had adequate blood glucose testing practices. On multivariable logistic analysis poor self-care practices were more likely to occur among male patients (AOR = 5.551, 95% CI = 2.055-14.997, p = 0.001), patients living in rural area (AOR = 5.517, 95% CI = 2.184-13.938, p < 0.001), patients with duration of diabetes < 6 years (AOR = 41.023, 95% CI = 7.373-228.257, p < 0.001), patients with no access for self-monitoring blood glucose (AOR = 9.448, 95% CI = 2.198-40.617, p = 0.003), patients with poor knowledge about diabetes (AOR = 67.917, 95% CI = 8.212-561.686, p < 0.001) and patients with comorbidities (AOR = 18.621, 95% CI = 4.415-78.540, p < 0.001).
目的
评估埃塞俄比亚西部糖尿病患者的自我护理行为及相关因素。
结果
本研究共纳入252名研究参与者，其中54.8%为男性。超过半数的参与者即150名（59.5%）血糖控制不佳，153名（60.7%）参与者自我护理良好。大多数研究参与者209名（82.9%）足部护理充足，超过半数的参与者175名（69.4%）和160名（63.5%）分别有充足的饮食计划和运动管理。然而，在所有糖尿病患者中，只有38名（15.1%）有充足的血糖检测行为。多变量逻辑分析显示，自我护理行为不佳更可能发生在男性患者中（比值比[AOR]=5.551，95%置信区间[CI]=2.055 - 14.997，p=0.001）、居住在农村地区的患者中（AOR=5.517，95% CI=2.184 - 13.938，p<0.001）、糖尿病病程<6年的患者中（AOR=41.023，95% CI=7.373 - 228.257，p<0.001）、无法进行自我血糖监测的患者中（AOR=9.448，95% CI=2.198 - 40.617，p=0.003）、糖尿病知识匮乏的患者中（AOR=67.917，95% CI=8.212 - 561.686，p<0.001）以及患有合并症的患者中（AOR=18.621，95% CI=4.415 - 78.540，p<0.001）。
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