自我护理实践及其相关因素在埃塞俄比亚锡达马 Yirgalem 综合医院随访的糖尿病患者中的研究：一项横断面研究。

Self-care practice and associated factors among patients with diabetes on follow-up at Yirgalem General Hospital, Sidama, Ethiopia: a cross-sectional study.

机构信息

KNCV Tuberculosis Foundation, Hawassa, Ethiopia.

School of Public health, College of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia.

出版信息

BMC Endocr Disord. 2024 Jul 11;24(1):111. doi: 10.1186/s12902-024-01647-9.

DOI:10.1186/s12902-024-01647-9

PMID:38987698

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11238438/

Abstract

BACKGROUND

Self-care practice is an integral and efficient part of comprehensive diabetes management, which could be influenced by various socio-demographic, clinical, and lifestyle factors.

OBJECTIVE

The study aimed to assess the level of diabetes self-care practice and its associated factors among patients with diabetes on follow-up at Yirgalem General Hospital, Yirgalem, Sidama, Ethiopia.

METHODOLOGY

An Institution-based cross-sectional study was conducted from February 15 to May 10, 2022, involving 298 patients with diabetes on follow-up at Yirgalem General Hospital. A pre-tested interviewer-administered questionnaire was utilized to collect data from patients. A descriptive analysis was conducted to determine the level of good self-care practice. Bivariate and multivariable binary logistics regression were performed to determine factors associated with good diabetic self-care practice. Associations with a p-value < 0.05 were considered statistically significant.

RESULT

The overall good diabetic self-care practice among patients was 59.4%. Regarding the specific domains of care, 15 (5%) participants had good self-glucose monitoring care, 228 (76.5%) had good exercise self-care, 268 (89.9%) had good dietary self-care, 228 (76.5%) had good foot self-care, and 260 (87.2%) had good diabetic medication adherence. Single marital status (AOR = 5.7, 95% CI: (1.418, 22.915), urban residence (AOR = 2.992, 95% CI: (1.251, 7.153)), and having a glucometer (AOR = 2.273, 95% CI: (1.083, 4.772)) were factors that were significantly associated with good diabetic self-care practice.

CONCLUSION

Good diabetic self-care practices among participants was low. Marital status, place of residence, and having a glucometer were statistically significant predictors of good diabetic self-care practices. Targeted intervention addressing those patients from rural areas to increase awareness and practice of self-care, as well as the promotion of having a glucometer at home for self-glucose monitoring is recommended.

摘要

背景

自我护理实践是综合糖尿病管理的一个组成部分和有效方式，它可能受到各种社会人口学、临床和生活方式因素的影响。

目的

本研究旨在评估在埃塞俄比亚 Sidama 地区 Yirgalem 综合医院接受随访的糖尿病患者的糖尿病自我护理实践水平及其相关因素。

方法

这是一项 2022 年 2 月 15 日至 5 月 10 日在 Yirgalem 综合医院进行的基于机构的横断面研究，共纳入 298 名接受随访的糖尿病患者。使用经过预测试的访谈者管理问卷从患者那里收集数据。采用描述性分析来确定良好自我护理实践的水平。进行了双变量和多变量二元逻辑回归分析，以确定与良好糖尿病自我护理实践相关的因素。具有 p 值<0.05 的关联被认为具有统计学意义。

结果

患者总体良好的糖尿病自我护理实践水平为 59.4%。在护理的特定领域中，15 名（5%）参与者有良好的自我血糖监测护理，228 名（76.5%）有良好的运动自我护理，268 名（89.9%）有良好的饮食自我护理，228 名（76.5%）有良好的足部自我护理，260 名（87.2%）有良好的糖尿病药物依从性。单身婚姻状况（AOR=5.7，95%CI：（1.418，22.915））、城市居住（AOR=2.992，95%CI：（1.251，7.153））和拥有血糖仪（AOR=2.273，95%CI：（1.083，4.772））是与良好糖尿病自我护理实践显著相关的因素。