埃塞俄比亚西北部东戈贾姆地区足分支菌病患者的自我护理实践及其相关因素

Self-Care Practice and Its Associated Factors Among Podoconiosis Patients in East Gojjam Zone, North West Ethiopia.

作者信息

Esubalew Habtamu, Wubie Moges, Tafere Yilkal, Gietaneh Wodaje, Endalew Bekalu, Habtegiorgis Samuel Derbie, Gebre Tsige, Tesfaw Eyerus, Abiy Hailemariam, Telayneh Animut Takele

机构信息

Debre Elias Woreda Health Office, Amhara, Ethiopia.

Department of Public Health, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.

出版信息

Patient Prefer Adherence. 2022 Aug 5;16:1971-1981. doi: 10.2147/PPA.S376557. eCollection 2022.

DOI:10.2147/PPA.S376557

PMID:35958889

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9362903/

Abstract

INTRODUCTION

Podoconiosis is endemic non-filarial elephantiasis of the lower legs swelling caused by barefoot exposure to red clay soil. The burden of disability occurs among the poorest populations. Self-care practice is the most cost-effective prevention strategy practiced at home to improve lymphedema, working functionality, and quality of life. Despite this, there is a scarce of knowledge about self-care practices and associated factors among podoconiosis patients in Ethiopia.

OBJECTIVE

To determine self-care practice and its associated factors among podoconiosis patients in East Gojjam zone North West, Ethiopia.

METHODS

Community-based cross-sectional study design was used among 633 podoconiosis patients. Computer-generated simple random sampling technique was used to recruit participants. All patients who started podoconiosis treatment were the source population. Data were entered using Epidata version 3.1 and exported to SPSS version 25 for cleaning and analysis. Variables with 95% CI corresponding AOR were used to identify statistically significant factors for self-care practice.

RESULTS

In this study, the self-care practice of podoconiosis patient was 64%. Females [AOR: 0.38 (95% CI: 0.22, 0.65)], 55-65 years age [AOR: 0.41 (95% CI: 0.22, 0.74)], above 65 years age [AOR: 0.22 (95% CI: 0.11, 0.450)], 4-6 km distance from water source [AOR: 0.06 (95% CI: 0.03, 0.12)], above 6 km distance from water source [AOR: 0.03 (95% CI: 0.01, 0.09)], educational level [AOR: 0.05 (95% CI: 0.01, 0.40)], marital status [AOR: 5.40 (95% CI: 2.30, 12.90)], and distance from health institution [AOR: 0.35 (95% CI: 0.23, 0.54)] were statistically identified associated factors for self-care practice of podoconiosis patient.

CONCLUSION

In this study, the self-care practice of podoconiosis patients was not well practiced. Socio-demographic factors are identified as associated factors for self-care practice. Strengthening health education and behavioral changes are required to improve self-care practice.

摘要

引言

足分支菌病是一种地方性非丝虫性象皮病，由赤足接触红粘土土壤引起小腿肿胀。残疾负担发生在最贫困人群中。自我护理措施是在家中实施的最具成本效益的预防策略，可改善淋巴水肿、工作功能和生活质量。尽管如此，埃塞俄比亚足分支菌病患者对自我护理措施及其相关因素的了解却很少。

目的

确定埃塞俄比亚西北戈贾姆区东部足分支菌病患者的自我护理措施及其相关因素。

方法

对633名足分支菌病患者采用基于社区的横断面研究设计。使用计算机生成的简单随机抽样技术招募参与者。所有开始接受足分支菌病治疗的患者为源人群。数据使用Epidata 3.1版本录入，并导出到SPSS 25版本进行清理和分析。具有95%置信区间的相应调整后比值比的变量用于确定自我护理措施的统计学显著因素。

结果

在本研究中，足分支菌病患者的自我护理措施实施率为64%。女性[调整后比值比：0.38（95%置信区间：0.22，0.65）]、55 - 65岁年龄组[调整后比值比：0.41（95%置信区间：0.22，0.74）]、65岁以上年龄组[调整后比值比：0.22（95%置信区间：0.11，0.450）]、距离水源4 - 6公里[调整后比值比：0.06（95%置信区间：0.03，0.12）]、距离水源6公里以上[调整后比值比：0.03（95%置信区间：0.01，0.09）]、教育程度[调整后比值比：0.05（95%置信区间：0.01，0.40）]、婚姻状况[调整后比值比：5.40（95%置信区间：2.30，12.90）]以及距离医疗机构的距离[调整后比值比：0.35（95%置信区间：0.23，0.54）]在统计学上被确定为足分支菌病患者自我护理措施的相关因素。