Berhan Tassew
Addis Ababa University, Ethiopia
Posters & Accepted Abstracts: J Diabetes Metab
Diabetes mellitus as one of the rapidly increasing non-communicable diseases in sub-Saharan Africa currently, requires continuous medical care and mainly patient�??s life time self-care practice to prevent acute and chronic complications. Approximately 95% diabetes�?? management is self-care practice. Various factors influence one�??s ability to perform diabetes selfcare and these factors are not typically stable for all patients. Despite the significance of identifying these factors for health care providers to individualize clinical approaches, it is important to assess patients�?? self-care in these primary levels of health care in both private and public sector as these are the first line of contact to the health care system. Facility based, cross-sectional study design was conducted from February to March 2015. A total of 595 diabetic patients were selected by systematic random sampling method from both public health centers and private clinics in Addis Ababa. Data were collected using an interviewer administered pre-tested questionnaire. Descriptive analysis was done. Bivariate and multivariate logistic regression was also done to identify factors that were associated with diabetic self-care practice. Among 595 respondents about 311 (52.3%) had good diabetic self-care practice. Among the participants who knew their fasting blood glucose (73%), (89%) had inadequate blood glucose level. Majorities were on oral medication (72%), 10% of respondents were member of a Diabetic association, 53% had followed up at public health centers. About 51.9% didn�??t know their diabetes type, among those who knew 18% type I & 30%type II. 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. Advocating and empowering patients regarding the importance of diabetic self-care practice and diabetic association membership is highly recommended.
Email: berhan_tassew@yahoo.com
