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埃塞俄比亚东南部阿尔西地区公立医院随访的糖尿病患者的自我保健实践及其预测因素。

Self-care practice and its predictors among adults with diabetes mellitus on follow up at public hospitals of Arsi zone, southeast Ethiopia.

机构信息

Department of Surgical Nursing, Saint Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia.

Ethiopian Midwives Association, Addis Ababa, Ethiopia.

出版信息

BMC Res Notes. 2021 Mar 19;14(1):102. doi: 10.1186/s13104-021-05511-0.

Abstract

OBJECTIVE

Diabetes mellitus is a chronic illness that requires ongoing patient self-management and support to prevent acute complications and to reduce the risk of long- term complications. The objective of the study was to assess diabetic self-care practice and its predictors among adults with diabetes mellitus on follow up at hospitals of Arsi zone, southeast Ethiopia.

RESULTS

Above half (53.3%) of diabetic patients had good self-care practice. Younger age (AOR: 8.95, 95% CI 1.89,42.48), earning a high income (AOR: 2.495, 95% CI 1.0,5.85), having a family history of diabetes (AOR: 4.5, 95% CI 1.3, 15.5), long duration since the diagnosis of diabetes (AOR: 2.14,95% CI 1.127,4.05), not having diabetic complications (AOR: 3.87, 95% CI 2, 7.48), and having glucometer (AOR: 4.08, 95% CI 1.78 l, 9.33) were significantly associated factors with good diabetic self care practice. Efforts should be made to prevent complications of diabetes mellitus, to support patients who are aged and who have no glucometer at their home to promote good self-care practice. Particularly, health care providers should give special attention to newly diagnosed patients.

摘要

目的

糖尿病是一种慢性病,需要患者持续自我管理和支持,以预防急性并发症并降低长期并发症的风险。本研究旨在评估埃塞俄比亚东南部阿尔西地区医院随访的糖尿病患者的糖尿病自我护理实践及其预测因素。

结果

超过一半(53.3%)的糖尿病患者自我护理良好。年龄较小(AOR:8.95,95%CI 1.89,42.48)、收入较高(AOR:2.495,95%CI 1.0,5.85)、有糖尿病家族史(AOR:4.5,95%CI 1.3,15.5)、糖尿病诊断时间较长(AOR:2.14,95%CI 1.127,4.05)、无糖尿病并发症(AOR:3.87,95%CI 2,7.48)、拥有血糖仪(AOR:4.08,95%CI 1.78 l,9.33)是良好糖尿病自我护理实践的显著相关因素。应努力预防糖尿病并发症,为年龄较大且家中没有血糖仪的患者提供支持,以促进良好的自我护理实践。特别是,医疗保健提供者应特别关注新诊断的患者。

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