Department of Emergency and Critical Care Nursing, School of Nursing, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
Department of Pediatrics and Child Health Nursing, School of Nursing, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
PLoS One. 2021 Apr 21;16(4):e0250462. doi: 10.1371/journal.pone.0250462. eCollection 2021.
The prevalence of type 2 diabetes is increasing steadily at an alarming rate. Ethiopia is placed fourth among the top five countries of the African region members of the international diabetes federation. This study aimed to determine the level of diabetes self-care practice and associated factors among patients with type 2 diabetes mellitus attending public hospitals of the Tigray region.
An institution-based, cross-sectional study was conducted in six selected hospitals of Tigray region from January to February 2020. Study participants were recruited using a systematic random sampling method. Diabetes self-care practice was assessed using Summary Diabetes Self-Care Activities (SDSCA) assessment tool. The data were collected by trained nurses via face-to-face interview. Binary and multivariable logistic regression analyses were used to identify factors associated with self-care practices. Statistical significance was declared at p-value < 0.05.
A total of 570 patients with type 2 diabetes were included in this study. The mean (SD) age of the participant was 46 (±14.6) years. Less than half (46.7%) of the participants had good diabetes self-care practices. Surprisingly, only 68 (11.9%) of the participants had access to a personal glucometer. Urban residency (AOR = 1.9, 95% CI = 1.20-2.94), age group 48-63 years (AOR = 2.1, 95% CI = 1.19-3.98), not having a formal education (AOR = 2.6, 95% CI = 1.32-5.25), having family support (AOR = 1.9, 95% CI = 1.24-2.85), and having a personal glucometer at home (AOR = 6.1, 95% CI = 2.83-13.0) were the factors associated with good diabetes self-care practices.
The diabetes self-care practice in the region was found to be poor. Where factors like, being an urban resident, age group between 49-63 years, not having a formal education, and having a personal glucometer at home were associated with good self-care practices. Health care providers might have to consider actions to act on the identified factors and improve the level of self-care practices of the patients.
2 型糖尿病的患病率正以惊人的速度稳步上升。埃塞俄比亚在国际糖尿病联合会非洲区域成员国中排名第五。本研究旨在确定提格雷地区公立医院 2 型糖尿病患者的糖尿病自我护理实践水平及其相关因素。
这是一项 2020 年 1 月至 2 月在提格雷地区六家选定医院进行的基于机构的横断面研究。研究参与者采用系统随机抽样方法招募。使用综合糖尿病自我护理活动（SDSCA）评估工具评估糖尿病自我护理实践。数据由经过培训的护士通过面对面访谈收集。采用二项和多变量逻辑回归分析确定与自我护理实践相关的因素。具有统计学意义的 p 值 < 0.05。
本研究共纳入 570 例 2 型糖尿病患者。参与者的平均（SD）年龄为 46（±14.6）岁。只有不到一半（46.7%）的参与者有良好的糖尿病自我护理实践。令人惊讶的是，只有 68（11.9%）名参与者有个人血糖仪。城市居住（AOR = 1.9，95%CI = 1.20-2.94）、48-63 岁年龄组（AOR = 2.1，95%CI = 1.19-3.98）、无正规教育（AOR = 2.6，95%CI = 1.32-5.25）、有家庭支持（AOR = 1.9，95%CI = 1.24-2.85）和在家中拥有个人血糖仪（AOR = 6.1，95%CI = 2.83-13.0）与良好的糖尿病自我护理实践相关。
该地区的糖尿病自我护理实践被发现很差。城市居民、49-63 岁年龄组、无正规教育和在家中拥有个人血糖仪等因素与良好的自我护理实践相关。卫生保健提供者可能需要考虑采取行动，针对确定的因素采取行动，提高患者的自我护理实践水平。
