Abstract
BackgroundA patient's knowledge, attitude and practice toward diabetes self-care is found to be imperative for them to attain the desired treatment targets and contribute meaningfully in the management of their disease.ObjectiveTo assess the knowledge, attitude and practice towards diabetes self-care with the associated factors among patients with type 2 diabetes mellitus (T2DM) in Jimma Medical Center, Ethiopia.MethodsA cross-sectional study was conducted to determine knowledge, attitude, and practice toward diabetes self-care. Three hundred and seventy-one T2DM patients attending Jimma Medical Center from March 30 to June 1, 2019 were included in this study and an interviewer-administered questionnaire was used to collect the data. SPSS version 20 was used for descriptive and logistic regression analysis. Odds ratios and their 95% confidence intervals together with p-value <0.05 were used to declare statistical significance.ResultsOut of 371 patients, 201 (54.2%) were male. Of the total, 235 (63.3%) had good knowledge, 221 (59.6%) had positive attitude, and 201 (54.2%) had good self-care practice toward diabetes. Primary educational level (AOR=1.895) was associated with poor knowledge of diabetes, while urban living (AOR=0.570) was protective for low knowledge of diabetes. Monthly income <1000 Ethiopian birr (ETB); (AOR=2.723) and 1000–3000 ETB; (AOR=1.126), illiterate (AOR=2.3), and duration of diabetes mellitus (DM) <5 years (AOR=2.242) were significantly associated with negative attitude. Having other comorbidities (AOR=0.602) was less likely to have negative attitude towards diabetes. Patients age, 41–50 years (AOR=2.256), and 51–60 years (AOR=2.677), education: being illiterate (AOR=4.372), primary level (AOR=4.514), and earning monthly income <1000 ETB (AOR=4.229) were significantly associated with poor self-care practice. On the contrary, being male (AOR=0.198) was less likely to have a poor self-care practice.ConclusionThe knowledge level, attitude status and self-care practice among T2DM patients were found to be optimal.
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