Agidew Eskeziyaw, Wale Mengistu Zelalem, Kerebih Haregewoyin, Yirsaw Mesenbet Terefe, Zewdie Tadiwos Hailu, Girma Meseret, Miskir Abebaw
Department of Public Health, College of Health Science, Debre Markos University, Debre Markos, North West Ethiopia.
Department of Biomedical Sciences, School of Medicine, Debre Markos University, Debre Markos, North West Ethiopia.
SAGE Open Med. 2021 Oct 30;9:20503121211053953. doi: 10.1177/20503121211053953. eCollection 2021.
Adherence to diabetes self-care management is a lifestyle modification for people with diabetes which includes; medication, dietary practice and regular physical activity. The objective of this study was to assess the adherence to diabetes self-care management and associated factors among people with diabetes in Gamo Gofa Zone, Southern, Ethiopia, 2018.
Institutional-based cross-sectional study design with a systematic random sampling technique was conducted. A total 635 diabetic participants were involved in this study. Data were collected using structured interviewer administered questionnaire. Data were analyzed using SPSS version 21. Descriptive statistics were employed to describe the study population in relation to the relevant variables. Binary and multivariable logistic regression was conducted to identify factors associated with the outcome variables. -value < 0.05 with 95% confidence interval was used to declare statistical significance.
The prevalence of good adherence toward diabetes self-care management was 341 (53.7%), (95% confidence interval = 46.09, 61.31). Regarding diabetes self-care practices, poor adherence had been detected in blood sugar measurement practice, dietary feeding practice, physical exercise and eye examination practice. The multivariable analysis indicated that government workers [adjusted odds ratio = 2.74 (1.03, 7.30)], training on diabetes self-care practice [adjusted odds ratio = 3.13 (1.89, 5.16)], diabetes' association membership [adjusted odds ratio = 1.59 (1.01, 2.50)], having personal glucometer at home [adjusted odds ratio = 2.70 (1.37, 5.33)], duration of diabetic illness >10 years [adjusted odds ratio = 9.59 (3.99, 23.05)] and people with diabetes who were not developing complication [adjusted odds ratio = 1.54 (1.01, 2.33)] were significantly associated with good adherence to diabetes self-care management practice.
Significant number of diabetes patients had poor adherence to diabetes self-care practice. Special focus should be given to farmers with diabetes, those with diabetic complication and for those with duration of diabetes less than 10 years. Periodical training should be given for people with diabetes on dietary feeding, physical exercise and eye examination practice.
坚持糖尿病自我护理管理是糖尿病患者的一种生活方式改变，包括药物治疗、饮食习惯和定期体育活动。本研究的目的是评估2018年埃塞俄比亚南部加莫戈法地区糖尿病患者对糖尿病自我护理管理的依从性及相关因素。
采用基于机构的横断面研究设计和系统随机抽样技术。共有635名糖尿病参与者参与了本研究。使用结构化访谈问卷收集数据。使用SPSS 21版进行数据分析。采用描述性统计来描述研究人群与相关变量的关系。进行二元和多变量逻辑回归以确定与结果变量相关的因素。P值<0.05且置信区间为95%时被用来判定统计学显著性。
对糖尿病自我护理管理依从性良好的患病率为341（53.7%），（95%置信区间=46.09，61.31）。关于糖尿病自我护理实践，在血糖测量实践、饮食喂养实践、体育锻炼和眼部检查实践中发现依从性较差。多变量分析表明，政府工作人员[调整后的优势比=2.74（1.03，7.30）]、糖尿病自我护理实践培训[调整后的优势比=3.13（1.89，5.16）]、糖尿病协会会员身份[调整后的优势比=1.59（1.01，2.50）]、家中有个人血糖仪[调整后的优势比=2.70（1.37，5.33）]、糖尿病病程>10年[调整后的优势比=9.59（3.99，23.05）]以及未发生并发症的糖尿病患者[调整后的优势比=1.54（1.01，2.33）]与良好的糖尿病自我护理管理实践依从性显著相关。
大量糖尿病患者对糖尿病自我护理实践的依从性较差。应特别关注糖尿病农民、有糖尿病并发症的患者以及糖尿病病程少于10年的患者。应为糖尿病患者提供关于饮食喂养、体育锻炼和眼部检查实践的定期培训。
