Abstract
ObjectiveDiabetes, a rising global health problem, requires continuous self-care practice. There are limited studies about self-care practice, and most of the studies conducted in Ethiopia focused on some parts of the recommended self-care practices. Therefore, this study aimed to assess diabetes self-care practice and associated factors among diabetic patients attending at University of Gondar Referral Hospital, Gondar, Northwest Ethiopia.ResultsThe study revealed that 51.86% (95% CI 46.95–56.72%) of the patients have poor self-care practice. Unable to read and write (AOR = 3.36; 95% CI 1.42–7.90), primary level of education (AOR = 2.62; 95% CI 1.20–5.70), living in rural area (AOR = 3.33; 95% CI 1.61–6.88), having strong social support (AOR = 0.31; 95% CI 0.15–0.62), having diabetes related complication (AOR = 2.20; 95% CI 1.12–4.30), and poor socio-economic status (AOR = 2.16; 95% CI 1.17–3.98) were factors significantly associated with poor self-care practice of patients with diabetes. The study indicates that the prevalence of poor self-care practice was high. Education, residence, socio-economic status, complication and social support were significantly associated with poor self-care practice. Therefore, strategies should be developed to support patients with information, glucometer, and enhance patient’s social support.
Highlights
Diabetes mellitus (DM) is one of the chronic diseases that affect both developed and developing countries, and it needs lifelong treatment and patient engagement
Factors associated with diabetes self‐care practice In the present study, the odds of poor self-care for respondents who were unable to read and write and those with primary level education were 3.36 (AOR = 95% confidence interval (CI) 1.42–7.90) and 2.62 (AOR = 95% CI 1.20–5.70) times higher than those with secondary education level and above, respectively
For respondents who come from rural areas, the odds of having poor self-care practice was 3.33 times (AOR = 95% CI 1.61–6.88) higher than those who came from urban areas
Summary
Diabetes mellitus (DM) is one of the chronic diseases that affect both developed and developing countries, and it needs lifelong treatment and patient engagement. International Diabetes Federation (IDF) reported that in 2015, Diabetes affected 415 million people worldwide, and it will be 642 million in 2040. An estimated 14.2 million adults aged 20–79 have diabetes in the Sub-Saharan, Africa region. In Ethiopia, it affects 1.3 million people. Its prevalence is around 3.8%, and one of the four priorities of non-communicable diseases [1, 2]. Studies conducted in Northwest Ethiopia showed that the prevalence of DM
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