Tassew, Berhan (2015) Assessment of Diabetes Self-Care Practice and its Associated Factors among Patient on Follow Up at Public and Private Primary Level Health Care in Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Background: Diabetes mellitus is as one of the rapidly increasing non communicable diseases requiring continuous medical care and mainly life time patient self-care practice to prevent acute and chronic complications. Various factors influence one’s ability to perform diabetes self-care and these factors are not typically stable for all patients. Despite the importance of identifying these factors for health care providers to individualize clinical approaches, as to the current knowledge of the investigator there is no comprehensive assessment and documentation in Ethiopia particularly at primary health care level where these are closer to the people and first line contact point to the patients. Objective: To assess the magnitude of self-care practice and associated factors among diabetic patients who are on follow up at primary level health care (health centers and private clinics) in Addis Ababa, Ethiopia Methods: Facility based, cross-sectional study design was conducted from February to March 2015.A total of 595diabetic patients were selected by systematic random sampling method from both public health centers and private clinics in Addis Ababa. Data was collected based on interview administered method using pre tested structured questioner. Descriptive analysis was done and level of diabetic self- care practice was determined based on the mean value among the self -care practice questions asked. Bivariate and multivariate logistic regression was done to identify factors that were associated with diabetic self -care practice. The odds ratio with 95% CI was used to determine the association. A statistical significance was declared at p value <0.05. Result: Among 595 respondents about 311(52.3%) had good diabetic self-care practice. The mean (SD) age of the respondents was 53.5(14) and 343(57.6%) were male. The presence of co-morbidities (AOR=1.68, 95%CI; 1.07-2.65), having glucometer at home (AOR=2.01, 95%CI; 1.19-3.38), diabetic association membership (AOR = 3.02, 95%CI; 1.30-7.04), follow up in private clinics (AOR=3.05, 95%CI; 1.55-5.97), treatment satisfaction (AOR =1.69, 95%CI; 1.08-2.59) were significantly associated with good self-care practice. Conclusion: The study demonstrated almost half of the patients 52.3% had good diabetic self-care practice but still substantial number 47.7% of respondent had poor self-care. Good self-care was associated with having glucometer at home, diabetic association membership, attending follow-up in private clinics, treatment satisfaction. Advocating and empowering patients regarding the importance of diabetic self-care practice is highly recommended.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | Q Science > Q Science (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 04 Jul 2018 10:22 |
| Last Modified: | 04 Jul 2018 10:22 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6602 |
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