Bayable Samuel Debas, Misganaw Abebaw, Guadie Ashebir Yitayal
Department of Anesthesia, College of Medicine and Health Science, Debre Markos University, Debre Markos, Ethiopia.
Prev Med Rep. 2022 Nov 15;30:102041. doi: 10.1016/j.pmedr.2022.102041. eCollection 2022 Dec.
Diabetes Mellitus is a known metabolic disorder and an emerging public health problem in developing countries. The study aimed to assess patients' self-care practice and its predictors among adult diabetic patients on follow-up at public health care diabetic referral clinics in Debre Markos Town. A cross-sectional study was conducted from November to January 2021/2022, on diabetic patients who were on follow-up. After ethical clearance was obtained from the ethical review board of Debre Markos University, data were collected and checked for its completeness, then coded, and entered using data version 4.4.2, and analyzed using SPSS version 22. Finally descriptive statistics were presented using tables, graphs, and texts. In addition all independent variables with P ≤ 0.2 in the bi-variable logistic regression analysis were analyzed by multivariable logistic regression with 95 % CI at 5 % margin of error and a p-value < 0.05 was declared as statistical significance. Out of the total 239 respondents 48.5 % of the study participants had good diabetes self-care practices. Diabetic patients who had college and above level of education were 1.41 times (AOR: 1.41, 95 % CI 0.54-3.65) more likely to have good self-care practice than those who were under diploma level of education. The odds of good diabetic self-care practice were 1.36 times (AOR: 1.36, 95 % CI 1.41-3.43) higher among respondents who were governmentally employed than those who are not employed. Study participants who were rural residents were 29 % (AOR: 0.71, 95 % CI 0.40-2.23) less likely to practice self-care habits than those urban residents of DM. Participants who were on the follow-up for less than one year were 47 % (AOR: 0.57, 95 % CI 0.12-2.46) less likely to have self-care practice than those patients who had been on follow-up for more than ten years. In this study the overall level of self-care practice among diabetic patients was low as compared to the previous study findings, so diabetic patients require intervention with an integrated approach through treatment as well as health education which will increase the health and well-being of the patients. In the present study employment, level of education, residency, and length of diabetic treatment were strongly associated with self-care practice of diabetes mellitus.
糖尿病是一种已知的代谢紊乱疾病，在发展中国家正成为一个新出现的公共卫生问题。该研究旨在评估德布雷马科斯镇公共卫生保健糖尿病转诊诊所成年糖尿病随访患者的自我护理行为及其预测因素。2021年11月至2022年1月对随访的糖尿病患者进行了一项横断面研究。在获得德布雷马科斯大学伦理审查委员会的伦理批准后，收集数据并检查其完整性，然后进行编码，使用数据版本4.4.2录入数据，并使用SPSS版本22进行分析。最后，使用表格、图表和文本呈现描述性统计结果。此外，在双变量逻辑回归分析中P≤0.2的所有自变量通过多变量逻辑回归进行分析，95%置信区间，误差幅度为5%，p值<0.05被判定具有统计学意义。在总共239名受访者中，48.5%的研究参与者有良好的糖尿病自我护理行为。接受大专及以上教育的糖尿病患者进行良好自我护理行为的可能性是接受文凭以下教育患者的1.41倍（调整后比值比：1.41，95%置信区间0.54 - 3.65）。在政府部门工作的受访者进行良好糖尿病自我护理行为的几率比未就业者高1.36倍（调整后比值比：1.36，95%置信区间1.41 - 3.43）。农村居民研究参与者进行自我护理习惯的可能性比糖尿病城市居民低29%（调整后比值比：0.71，95%置信区间0.40 - 2.23）。随访时间少于一年的参与者进行自我护理行为的可能性比随访时间超过十年的患者低47%（调整后比值比：0.57，95%置信区间0.12 - 2.46）。在本研究中，与之前的研究结果相比，糖尿病患者的自我护理行为总体水平较低，因此糖尿病患者需要通过治疗以及健康教育的综合方法进行干预，这将提高患者的健康水平和幸福感。在本研究中，就业、教育水平、居住地和糖尿病治疗时长与糖尿病的自我护理行为密切相关。
