Self-care Management among Patients with Type 2 Diabetes Mellitus in Tanahun, Nepal
Article Sidebar
Main Article Content
Abstract
Maintaining optimum blood glucose level in diabetic patients requires proper self-care management focusing on diet, medication, regular exercise, and foot care. The aim of the study was to investigate self-care practices and predictors of self-care management activities among type 2 diabetes mellitus patients in Tanahun district of Nepal.
Methods: Descriptive cross- sectional study was carried out among 139 patients with type 2 diabetes mellitus attending outpatient department of two private polyclinics of Bhimad Municipality at Tanahun district, Nepal. The self-care practice was measured by the Summary of Diabetes Self-Care Activities (SDSCA). Predictors of self-care behaviors were identified by using binary logistic regression.
Results: Among the 139 patients, less than half (46%) had desirable self-care practice for diabetes management. Of the total, 89.9% had adequate exercise and 74.8% and had foot care management practices. The multivariate analysis showed that poor self-care practice was likely to occur among illiterate patients (AOR=2.950; 95% CI= (1.149-7.573); p <0.05) and patients with co-morbidities (AOR=2.801; 95% CI=1.121-7.002; p <0.05).
Conclusion: Self-care practice of diabetic participants was considerably particularly in practice of recommended blood glucose testing. These findings recommend health care organizations and professionals to plan on behavioral change communication and education programs targeting diabetic patients in order to improve their self-care practice.
Downloads
Article Details
Copyright (c) 2021 Adhikari Baral I, et al.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Kassahun T, Gesesew H, Mwanri L, Eshetie T (2016) Diabetes related knowledge, self-care behaviours and adherence to medications among diabetic patients in Southwest Ethiopia: a cross-sectional survey. BMC Endocr Disord 16: 28. Link: https://bit.ly/2MPZrep
World Health Organization (2018). Diabetes Key facts. Link: https://bit.ly/3tlPR3B
HERD International (2018) Diabetes in Nepal. Link: https://bit.ly/3tlDg0a
World Health Organization (2016). Global Report on Diabetes. Link: https://bit.ly/2MRTehL
Basu S, Garg S, Sharma N, Singh MM, Garg S (2018) Adherence to self-care practices, glycemic status and influencing factors in diabetes patients in a tertiary care hospital in Delhi. World J Diabetes 9: 72-79. Link: https://bit.ly/3tgFrlT
Chaurasia N, Mishra R, Ling H, Thapa B, Pokhrel A, et al. (2015) A self-care management awareness study among diabetes mellitus patients in rural Nepal. American Journal of Public Health Research 3: 67-71. Link: https://bit.ly/3j9jyAg
Adibe MO, Aguwa CN, Ukwe CV, Okonta JM, Udeogaranya OP (2009) Diabetes self-care knowledge among type 2 diabetic outpatients in south-eastern Nigeria. Int J Drug Dev Res 1: 85-104. Link: https://bit.ly/3tmV4IA
Jordan DN, Jordan JL (2010) Self-care behaviors of Filipino-American adults with type 2 diabetes mellitus. Journal of Diabetes and its Complications 24: 250-258. Link: https://bit.ly/3rkRywa
Dedefo MG, Ejeta BM, Wakjira GB, Mekonen GF, Labata BG (2019) Self-care practices regarding diabetes among diabetic patients in West Ethiopia. BMC Res Notes 12: 212. Link: https://bit.ly/2Lc4Hs6
Gurmu Y, Gela D, Aga F (2018) Factors associated with self-care practice among adult diabetes patients in West Shoa Zone, Oromia Regional State, Ethiopia. BMC Health Serv Res 18: 732. Link: https://bit.ly/3rmq4GN
Gyawali B, Sharma R, Neupane D, Mishra SR, van Teijlingen E, et al. (2015) Prevalence of type 2 diabetes in Nepal: a systematic review and meta-analysis from 2000 to 2014. Glob Health Action 8: 29088. Link: https://bit.ly/3jaDiUb
Thapa D (2018) Self-care activities among patients with diabetes attending a tertiary care hospital in Biratnagar, Nepal. Journal of Nobel Medical College 7: 11-7. Link: https://bit.ly/2MPZ03L
Pokhrel S, Shrestha S, Timilsina A, Sapkota M, Bhatt MP, et al. (2019) Self-care adherence and barriers to good glycaemic control in Nepalese type 2 diabetes mellitus patients: a hospital-based cross-sectional study. J Multidiscip Healthc 12: 817-826. Link: https://bit.ly/2NSuyX0
Shrivastava SR, Shrivastava PS, Ramasamy J (2013) Role of self-care in management of diabetes mellitus. J Diabetes Metab Disord 12: 14. Link: https://bit.ly/2MPYXVD
Jalilian F, Motlagh FZ, Solhi M, Gharibnavaz H (2014) Effectiveness of self-management promotion educational program among diabetic patients based on health belief model. J Educ Health Promot 3: 14. Link: https://bit.ly/2Mm3Rda
Baral S, Upreti S, Lamichhane B (2016) Diabetes in Nepal. HERD International. Link: https://bit.ly/3tfREHk
Toobert DJ, Hampson SE, Glasgow RE (2000) The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes care 23: 943-950. Link: https://bit.ly/3azKqWm
Bujang MA, Ismail M, Bariyyah NK (2016) Validation of the summary of diabetes self-care activities (SDSCA) in Malay language for Malaysian adults. MJPHM 16: 227-234. Link: https://bit.ly/3axFctU
Kamradt M, Bozorgmehr K, Krisam J, Freund T, Kiel M, et al. (2014) Assessing self-management in patients with diabetes mellitus type 2 in Germany: validation of a German version of the Summary of Diabetes Self-Care Activities measure (SDSCA-G). Health Qual Life Outcomes 12: 185. Link: https://bit.ly/39IWHIQ
Ayele K, Tesfa B, Abebe L, Tilahun T, Girma E (2012) Self-care behavior among patients with diabetes in Harari, Eastern Ethiopia: the health belief model perspective. PloS One 7: e35515. Link: https://bit.ly/2YEc7Yn
Chali SW, Salih MH, Abate AT (2018) Self-care practice and associated factors among Diabetes Mellitus patients on follow up in Benishangul Gumuz Regional State Public Hospitals, Western Ethiopia: a cross-sectional study. BMC Res Notes 11: 833. Link: https://bit.ly/3oNg3At
Aschalew AY, Yitayal M, Minyihun A, Bisetegn TA (2019) Self-care practice and associated factors among patients with diabetes mellitus on follow up at University of Gondar Referral Hospital, Gondar, Northwest Ethiopia. BMC Res Notes 12: 591. Link: https://bit.ly/2MMIaTe
Shrestha AD, Kosalram K, Gopichandran V (2013) Gender difference in care of type 2 diabetes. Journal of the Nepal Medical Association 52. Link: https://bit.ly/3tjUlHX
Niguse H, Belay G, Fisseha G, Desale T, Gebremedhn G (2019) Self-care related knowledge, attitude, practice and associated factors among patients with diabetes in Ayder Comprehensive Specialized Hospital, North Ethiopia. BMC Res Notes 12: 34. Link: https://bit.ly/2MMupnI
Rahaman KS, Majdzadeh R, Naieni KH, Raza O (2017) Knowledge, Attitude and Practices (KAP) regarding chronic complications of diabetes among patients with type 2 diabetes in Dhaka. International Journal of Endocrinology and Metabolism 15. Link: https://bit.ly/3ricfJe