埃塞俄比亚吉姆马地区2型糖尿病患者的自我护理相关知识、态度、实践及相关因素
Self-care Related Knowledge, Attitude, and Practice and Associated Factors Among Patients with Type 2 Diabetes in JMC, Ethiopia.
作者信息
Mekonnen Yimer, Hussien Nezif
机构信息
Department of Pharmacy, Institute of Health, Jimma University, Jimma, Ethiopia.
出版信息
Diabetes Metab Syndr Obes. 2021 Feb 5;14:535-546. doi: 10.2147/DMSO.S296112. eCollection 2021.
BACKGROUND
A patient's knowledge, attitude and practice toward diabetes self-care is found to be imperative for them to attain the desired treatment targets and contribute meaningfully in the management of their disease.
OBJECTIVE
To assess the knowledge, attitude and practice towards diabetes self-care with the associated factors among patients with type 2 diabetes mellitus (T2DM) in Jimma Medical Center, Ethiopia.
METHODS
A cross-sectional study was conducted to determine knowledge, attitude, and practice toward diabetes self-care. Three hundred and seventy-one T2DM patients attending Jimma Medical Center from March 30 to June 1, 2019 were included in this study and an interviewer-administered questionnaire was used to collect the data. SPSS version 20 was used for descriptive and logistic regression analysis. Odds ratios and their 95% confidence intervals together with -value <0.05 were used to declare statistical significance.
RESULTS
Out of 371 patients, 201 (54.2%) were male. Of the total, 235 (63.3%) had good knowledge, 221 (59.6%) had positive attitude, and 201 (54.2%) had good self-care practice toward diabetes. Primary educational level (AOR=1.895) was associated with poor knowledge of diabetes, while urban living (AOR=0.570) was protective for low knowledge of diabetes. Monthly income <1000 Ethiopian birr (ETB); (AOR=2.723) and 1000-3000 ETB; (AOR=1.126), illiterate (AOR=2.3), and duration of diabetes mellitus (DM) <5 years (AOR=2.242) were significantly associated with negative attitude. Having other comorbidities (AOR=0.602) was less likely to have negative attitude towards diabetes. Patients age, 41-50 years (AOR=2.256), and 51-60 years (AOR=2.677), education: being illiterate (AOR=4.372), primary level (AOR=4.514), and earning monthly income <1000 ETB (AOR=4.229) were significantly associated with poor self-care practice. On the contrary, being male (AOR=0.198) was less likely to have a poor self-care practice.
CONCLUSION
The knowledge level, attitude status and self-care practice among T2DM patients were found to be optimal.
背景
发现患者对糖尿病自我护理的知识、态度和实践对于他们实现期望的治疗目标并在疾病管理中发挥有意义的作用至关重要。
目的
评估埃塞俄比亚吉马医疗中心2型糖尿病（T2DM）患者对糖尿病自我护理的知识、态度和实践及其相关因素。
方法
进行了一项横断面研究以确定对糖尿病自我护理的知识、态度和实践。纳入了2019年3月30日至6月1日在吉马医疗中心就诊的371例T2DM患者，并使用访谈式问卷收集数据。使用SPSS 20版进行描述性和逻辑回归分析。优势比及其95%置信区间以及P值<0.05用于判定统计学显著性。
结果
371例患者中，201例（54.2%）为男性。总体而言，235例（63.3%）有良好的知识，221例（59.6%）有积极的态度，201例（54.2%）对糖尿病有良好的自我护理实践。小学教育水平（AOR=1.895）与糖尿病知识不足相关，而城市居住（AOR=0.570）对糖尿病知识不足有保护作用。月收入<1000埃塞俄比亚比尔（ETB）；（AOR=2.723）和1000 - 3000 ETB；（AOR=1.126）、文盲（AOR=2.3）以及糖尿病病程（DM）<5年（AOR=2.242）与消极态度显著相关。患有其他合并症（AOR=0.602）对糖尿病持消极态度的可能性较小。患者年龄41 - 50岁（AOR=2.256）和51 - 60岁（AOR=2.677）、教育程度：文盲（AOR=4.372）、小学水平（AOR=4.514）以及月收入<1000 ETB（AOR=4.229）与自我护理实践不佳显著相关。相反，男性（AOR=0.198）自我护理实践不佳的可能性较小。
结论
发现T2DM患者的知识水平、态度状况和自我护理实践处于最佳状态。
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