2018年埃塞俄比亚一家综合医院2型糖尿病患者糖尿病自我护理实践的影响因素，这些患者接受糖尿病护理随访
Factors influencing diabetes self-care practice among type 2 diabetes patients attending diabetic care follow up at an Ethiopian General Hospital, 2018.
作者信息
Tiruneh Sofonyas Abebaw, Ayele Asnakew Achaw, Emiru Yohannes Kelifa, Tegegn Henok Getachew, Ayele Belete Achamyelew, Engidaw Melaku Tadege, Gebremariam Alemayehu Digssie
机构信息
Department of Public Health, College of Health Sciences, Debre Tabor University, P.O. Box. 272, Debre Tabor, Ethiopia.
2Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
出版信息
J Diabetes Metab Disord. 2019 May 17;18(1):199-206. doi: 10.1007/s40200-019-00408-z. eCollection 2019 Jun.
INTRODUCTION
Diabetes mellitus is a global public health emergency in the twenty-first century. Diabetes patients who had to adhere to good self-care recommendation can prevent the complication associated with diabetes mellitus. Self-care management of diabetes mellitus in Sub-Saharan Africa was poor including Ethiopia. The aim of this study was to assess factors influencing diabetes self-care practice among type 2 diabetes patients at Debre Tabor General Hospital, Northwest Ethiopia diabetes clinic follow up unit.
METHODS
An institutional based cross-sectional survey was conducted on systematically sampled 405 type 2 diabetes patients at Debre Tabor General Hospital diabetes clinic from June 02/2018 to June 30/2018. Bivariate and multivariable logistic regression was fitted to identify independent predictors of diabetes self-care practice. A value of less than 0.05 was used to declare statistical significance.
RESULTS
A total of 385 type 2 diabetes patients participated with a response rate of 95%, of which 243 (63.1%) study participants had good self-care practice. The mean ± SD age of the respondents and the duration of diagnosed for diabetes mellitus was 52.28 ± 12.45 and 5.09 ± 3.80 years respectively. Type 2 diabetes patients who had a glucometer at home (AOR = 7.82 CI (3.24, 18.87)), getting a diabetes education (AOR = 2.65 CI (1.44, 4.89)), and having social support (AOR = 2.72 CI (1.66, 4.47)) were statistically associated with good self-care practice.
CONCLUSION
Despite, the importance of diabetes self-care practice for the management of diabetes and preventing its complications, a significant number of type 2 diabetes patients had poor diabetes self-care practice. So, to enhance this poor practice of diabetes self-care, provision of diabetes self-care education and counseling on self-monitoring blood glucose should be promote by health care providers during their follow up.
引言
糖尿病是21世纪的全球公共卫生紧急情况。必须遵循良好自我护理建议的糖尿病患者可以预防与糖尿病相关的并发症。撒哈拉以南非洲地区（包括埃塞俄比亚）糖尿病的自我护理管理情况较差。本研究的目的是评估影响埃塞俄比亚西北部德布雷塔博尔综合医院糖尿病诊所随访单元中2型糖尿病患者糖尿病自我护理实践的因素。
方法
于2018年6月2日至2018年6月30日在德布雷塔博尔综合医院糖尿病诊所对系统抽样的405名2型糖尿病患者进行了基于机构的横断面调查。采用二元和多变量逻辑回归来确定糖尿病自我护理实践的独立预测因素。P值小于0.05被用来判定具有统计学意义。
结果
共有385名2型糖尿病患者参与，应答率为95%，其中243名（63.1%）研究参与者具有良好的自我护理实践。受访者的平均年龄±标准差以及糖尿病诊断时长分别为52.28±12.45岁和5.09±3.80年。家中有血糖仪的2型糖尿病患者（调整后比值比[AOR]=7.82，置信区间[CI]为[3.24, 18.87]）、接受糖尿病教育的患者（AOR=2.65，CI为[1.44, 4.89]）以及获得社会支持的患者（AOR=2.72，CI为[1.66, 4.47]）与良好的自我护理实践在统计学上相关。
结论
尽管糖尿病自我护理实践对于糖尿病管理和预防并发症很重要，但仍有相当数量的2型糖尿病患者自我护理实践较差。因此，为改善这种较差的糖尿病自我护理情况，医疗保健提供者在随访期间应推广糖尿病自我护理教育并提供血糖自我监测咨询。
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