Self- Care Practices and Associated Factors among Adult Diabetic Patients in Public Hospitals of Dire Dawa Administration, Eastern Ethiopia

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Abstract Background Diabetes is a huge growing problem, and causes high and escalating costs to the society. To prevent serious morbidity and mortality, diabetes treatment requires commitment to demanding self-care behaviors in multiple domains. Even though the majority of diabetic treatment in lines with good self-care practice, the number of research’s conducted on self-care practice is not adequate and some domains, like foot care practice were not addressed. The aim of this study was to assess self- care practices and its associated factors among adult diabetic patients in Dire Dawa public hospitals of Eastern, Ethiopia.METHODS Cross-sectional study was conducted among 513 diabetic patients. Study participants were selected through systematic random sampling. Data was collected from Feb, 01 to March 01, 2018. Patients were interviewed using a structured questionnaire. Data were entered into Epi-data version 3.3.1 and exported to SPSS version 22.0 for analysis. Bivariate and multivariable logistic regression with crude and adjusted odds ratios along with the 95% confidence interval was computed and interpreted accordingly. A P-value of <0.05 was considered to declare a result as statistically significant.RESULT The result of the study showed that 55.9%,(95% CI: 51.4, 60.3) of participants had good self-care practices. There were statistical association between good diabetes knowledge (AOR= 2.14, 95% CI:1.37, 3.35), family support system (AOR= 2.69, 95% CI:1.56, 4.62), treatment satisfaction (AOR= 2.07, 95% CI:1.18, 3.62), diabetes education (AOR= 2.21, 95% CI: 1.35, 3.63), high economic status (AOR= 1.89, 95% CI: 1.01, 3.48), having glucometer,(AOR=2.69, 95% CI:1.57, 4.63),higher educational status (AOR= 2.68, 95% CI: 1.31, 5.49), and duration of disease greater than 10 years AOR=2.70, 95% CI: 1.17, 6.26) with good self-care practice.Conclusion In this study a substantial number of the patients had poor self-care practices especially dietary practice and self-monitoring of blood glucose which have critical roles in controlling diabetes. Provision of diabetes self-care education and counseling especially on importance of self-monitoring of blood glucose, and dietary practice should be considered by responsible bodies.

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