Predictors of Adherence to Self-Care Behavior Among Patients with Diabetes at Public Hospitals in West Ethiopia

Adugna Oluma, Getu Mosisa, Muktar Abadiga, Reta Tsegaye, Ashenafi Habte, Eba Abdissa School of Nursing and Midwifery, Institute of Health Sciences, Wollega University, Nekemte, EthiopiaCorrespondence: Adugna Oluma Tel +251917814582Email adugnaoluma2005@gmail.comBackground: Diabetes is a typical chro...

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Autores principales:	Oluma A, Mosisa G, Abadiga M, Tsegaye R, Habte A, Abdissa E
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	diabetes mellitus adherence self-care behavior ethiopia Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/70a624def2f34fcc8489df5681ff56ac
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spelling	oai:doaj.org-article:70a624def2f34fcc8489df5681ff56ac2021-12-02T03:39:14ZPredictors of Adherence to Self-Care Behavior Among Patients with Diabetes at Public Hospitals in West Ethiopia1178-7007https://doaj.org/article/70a624def2f34fcc8489df5681ff56ac2020-09-01T00:00:00Zhttps://www.dovepress.com/predictors-of-adherence-to-self-care-behavior-among-patients-with-diab-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Adugna Oluma, Getu Mosisa, Muktar Abadiga, Reta Tsegaye, Ashenafi Habte, Eba Abdissa School of Nursing and Midwifery, Institute of Health Sciences, Wollega University, Nekemte, EthiopiaCorrespondence: Adugna Oluma Tel +251917814582Email adugnaoluma2005@gmail.comBackground: Diabetes is a typical chronic disease that needs integrated and multifaceted approaches. Self-care practices are fundamental to achieve good blood glucose control and prevent long-term complications. Therefore, the aim of the study was to determine the level and predictors of adherence to self-care behavior among patients with diabetes on follow-up at public hospitals of western Ethiopia.Patients and Methods: The cross-sectional study design was employed on a sample of 423 diabetic patients on follow-up at public hospitals of western Ethiopia. A systematic random sampling method was employed. The data were entered into Epi data version 3.1 and exported into Statistical Package for the Social Sciences window version 24 for analysis. All variables significant at p-value < 0.05 in the bivariable were entered in multivariate regression analysis. Backward stepwise goodness of fit was used to ascertain the suitable variables in multiple linear regression analysis. Finally, multivariate linear regression analysis with adjusted B, CI at 95%, and the significance level was set at p < 0.05. All predictive variables were reported in terms of adjusted R2.Results: The overall mean and standard deviation of adherence to self-care behavior was 23.09 ± 6.55. Among the study participants, 42.70% had good self-care behavior. Self-efficacy (B=0.106, p< 0.001), home blood glucose test (B=0.075, p< 0.001), exercise per week (0.035, P< 0.002), meal planning (B=0.039, P< 0.001), dietary restriction (B=0.077, P< 0.001), duration of diabetes< 4 years (B=0.030, P< 0.013), non-pharmacological intervention (B=0.055, P< 0.011), and good appetite (B=0.039, P< 0.045) were significant variables associated with adherence to self-care behaviors.Conclusion: The overall level of adherence to self-care behavior was low. Therefore, we recommended that it is better if the national health policymaker focused on dietary management modality that engages patients’ behavior change to develop self-care practices and closely monitoring of glucose level. Also, we recommended an additional longitudinal study incorporating a qualitative study that focused on behavioral changes.Keywords: diabetes mellitus, adherence, self-care behavior, EthiopiaOluma AMosisa GAbadiga MTsegaye RHabte AAbdissa EDove Medical Pressarticlediabetes mellitusadherenceself-care behaviorethiopiaSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 3277-3288 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes mellitus adherence self-care behavior ethiopia Specialties of internal medicine RC581-951
spellingShingle	diabetes mellitus adherence self-care behavior ethiopia Specialties of internal medicine RC581-951 Oluma A Mosisa G Abadiga M Tsegaye R Habte A Abdissa E Predictors of Adherence to Self-Care Behavior Among Patients with Diabetes at Public Hospitals in West Ethiopia
description	Adugna Oluma, Getu Mosisa, Muktar Abadiga, Reta Tsegaye, Ashenafi Habte, Eba Abdissa School of Nursing and Midwifery, Institute of Health Sciences, Wollega University, Nekemte, EthiopiaCorrespondence: Adugna Oluma Tel +251917814582Email adugnaoluma2005@gmail.comBackground: Diabetes is a typical chronic disease that needs integrated and multifaceted approaches. Self-care practices are fundamental to achieve good blood glucose control and prevent long-term complications. Therefore, the aim of the study was to determine the level and predictors of adherence to self-care behavior among patients with diabetes on follow-up at public hospitals of western Ethiopia.Patients and Methods: The cross-sectional study design was employed on a sample of 423 diabetic patients on follow-up at public hospitals of western Ethiopia. A systematic random sampling method was employed. The data were entered into Epi data version 3.1 and exported into Statistical Package for the Social Sciences window version 24 for analysis. All variables significant at p-value < 0.05 in the bivariable were entered in multivariate regression analysis. Backward stepwise goodness of fit was used to ascertain the suitable variables in multiple linear regression analysis. Finally, multivariate linear regression analysis with adjusted B, CI at 95%, and the significance level was set at p < 0.05. All predictive variables were reported in terms of adjusted R2.Results: The overall mean and standard deviation of adherence to self-care behavior was 23.09 ± 6.55. Among the study participants, 42.70% had good self-care behavior. Self-efficacy (B=0.106, p< 0.001), home blood glucose test (B=0.075, p< 0.001), exercise per week (0.035, P< 0.002), meal planning (B=0.039, P< 0.001), dietary restriction (B=0.077, P< 0.001), duration of diabetes< 4 years (B=0.030, P< 0.013), non-pharmacological intervention (B=0.055, P< 0.011), and good appetite (B=0.039, P< 0.045) were significant variables associated with adherence to self-care behaviors.Conclusion: The overall level of adherence to self-care behavior was low. Therefore, we recommended that it is better if the national health policymaker focused on dietary management modality that engages patients’ behavior change to develop self-care practices and closely monitoring of glucose level. Also, we recommended an additional longitudinal study incorporating a qualitative study that focused on behavioral changes.Keywords: diabetes mellitus, adherence, self-care behavior, Ethiopia
format	article
author	Oluma A Mosisa G Abadiga M Tsegaye R Habte A Abdissa E
author_facet	Oluma A Mosisa G Abadiga M Tsegaye R Habte A Abdissa E
author_sort	Oluma A
title	Predictors of Adherence to Self-Care Behavior Among Patients with Diabetes at Public Hospitals in West Ethiopia
title_short	Predictors of Adherence to Self-Care Behavior Among Patients with Diabetes at Public Hospitals in West Ethiopia
title_full	Predictors of Adherence to Self-Care Behavior Among Patients with Diabetes at Public Hospitals in West Ethiopia
title_fullStr	Predictors of Adherence to Self-Care Behavior Among Patients with Diabetes at Public Hospitals in West Ethiopia
title_full_unstemmed	Predictors of Adherence to Self-Care Behavior Among Patients with Diabetes at Public Hospitals in West Ethiopia
title_sort	predictors of adherence to self-care behavior among patients with diabetes at public hospitals in west ethiopia
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/70a624def2f34fcc8489df5681ff56ac
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Predictors of Adherence to Self-Care Behavior Among Patients with Diabetes at Public Hospitals in West Ethiopia

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