Wake Addisu Dabi, Dinsa Sena Babsa
Nursing Department, College of Health Sciences, Arsi University, Asella, Oromia Regional State, Ethiopia.
SAGE Open Nurs. 2025 Jan 29;11:23779608241266070. doi: 10.1177/23779608241266070. eCollection 2025 Jan-Dec.
Globally, chronic kidney disease (CKD) has emerged as one of the leading causes of mortality and it is one of a small number of noncommunicable diseases that have shown an increase in associated deaths over the past two decades. Chronic kidney disease affects approximately 50% of patients with type 2 diabetic mellitus (DM).
To determine CKD preventive attitude, practices, and associated factors among type 2 DM (T2DM) patients attending follow-up in a diabetic clinic at Asella Referral and Teaching Hospital.
Institutional based cross-sectional study was conducted at Asella Referral and Teaching Hospital among T2DM patients from December 23, 2021, to January 23, 2022. Data were entered into EpiData 4.2.00 and analyzed by Statistical Package for the Social Sciences version 23.0.
A total of 216 study participants were included in to this study. The level of good preventive attitude and practice toward CKD among T2DM patients were 61.6% ( = 133, 95% CI: 55.6-68.0) and 54.6% ( = 118, 95% CI: 47.7-60.6), respectively. Age (50-59 years) (adjusted odds ratio [AOR] = 0.351, 95% CI: 0.125-0.988, = .047), married (AOR = 4.423, 95% CI: 1.366-14.314, = .013), urban residents (AOR = 0.321, 95% CI: 0.152-0.680, = .003), and governmental employed (AOR = 0.269, 95% CI: 0.076-0.954, = .042) were significantly associated with CKD preventive attitude. Formal education (AOR = 1.686, 95% CI: 1.416-5.502, = .043), an average monthly income of ≥8000 ETB (AOR = 4.048, 95% CI: 1.129-14.520, = .032), family history of CKD (AOR = 1.417, 95% CI: 1.231-7.136, = .045) were significantly associated with CKD preventive practice.
The level of good preventive attitude and practice toward CKD among T2DM patients was 61.6% and 54.6%, respectively. Age, marital status, residence, and occupation were significantly associated with good preventive attitude of T2DM patients. Whereas educational status, average monthly income, and duration since diagnosed with T2DM were significantly associated with good CKD preventive practice. Health educational program needs to occur to improve the preventive attitude and practice toward CKD among T2DM patients.
在全球范围内，慢性肾脏病（CKD）已成为主要死因之一，并且是过去二十年来少数相关死亡人数有所增加的非传染性疾病之一。慢性肾脏病影响着约50%的2型糖尿病（DM）患者。
确定在阿塞拉转诊和教学医院糖尿病诊所接受随访的2型糖尿病（T2DM）患者中CKD的预防态度、行为及相关因素。
于2021年12月23日至2022年1月23日在阿塞拉转诊和教学医院对T2DM患者开展基于机构的横断面研究。数据录入EpiData 4.2.00，并采用社会科学统计软件包23.0进行分析。
本研究共纳入216名研究参与者。T2DM患者中对CKD具有良好预防态度和行为的比例分别为61.6%（n = 133，95%CI：55.6 - 68.0）和54.6%（n = 118，95%CI：47.7 - 60.6）。年龄（50 - 59岁）（调整优势比[AOR]=0.351，95%CI：0.125 - 0.988，P = 0.047）、已婚（AOR = 4.423，95%CI：1.366 - 14.314，P = 0.013）、城市居民（AOR = 0.321，95%CI：0.152 - 0.680，P = 0.003）以及政府雇员（AOR = 0.269，95%CI：0.076 - 0.954，P = 0.042）与CKD预防态度显著相关。正规教育（AOR = 1.686，95%CI：1.416 - 5.502，P = 0.043）、月平均收入≥8000埃塞俄比亚比尔（AOR = 4.048，95%CI：1.129 - 14.
