Mende Mensa Sorato
Arba Minch College of health Sciences, Ethiopia
Mende has completed his Masters degree in Clinical pharmacy and at the age of 32 years from Jimma University and He is a senior lecturer and researcher. He is the coordinator of in-service training program of Arba Minch College of health Sciences, and head of the Department of Pharmacy in the college. He has published more than 2 papers in reputed journals and other two are under process for publication.
Background: Diabetes self-care behaviour adherence is considered to be the cornerstone in diabetes care. Inadequate diabetic self-management remains a significant problem facing health care providers and populations in all settings. Patients who have adequate self-management behaviour have better outcomes and higher quality of life.
Objective: To assess Levels and Predictors of Adherence to self-Care Behaviour and Glycaemic Control among Adult Type 2 Diabetics at Arba Minch General Hospital, Southern Ethiopia.
Method: An institutional based cross sectional study was conducted from [15th-February to 15th-March, 2015] and data were collected by using interviewer administered questionnaires. The data were entered into EPI-DATA version 3.1, and analysed by Statistical Package for Social Science (SPSS) version 20.0. Descriptive statistics were used for most variables; a bivariate analysis was employed to determine the presence of association between adherence to self-care behaviour with other variables at P-value less than 0.05. Multi-variable logistic regression was performed to identify independent predictors of glycaemic control and self-care behaviour adherence.
Results: One hundred ninety four type 2 diabetics were participated in this study and 99 (51.0%) were Females. Mean age of participants was 50.3(±13.2) years, and 41.2% had good self-care behaviour adherence. Above one half (57.2%) had diabetes duration less than five years, with mean duration of diabetes 5.02 ± 3.8 years. Most of patients 169(87.1%) were on oral anti diabetics Age 35-44 years [AOR=13.4, 95% CI=1.582, 113.56], Monthly income <750.00 birr [AOR=0.340, 95% CI=0.119, 0.976] and age at diabetes onset 15-24 years [AOR=11.3, 95% CI=2.621, 49.065] were independent predictors of self-care behaviour adherence.
Conclusion: In our study area adherence to self-care behaviour of the study subjects were low. So strategies that can improve these discrepancies like provision of diabetes self-care education and counselling especially on importance of self-monitoring of blood glucose, physical activity and problem solving should be considered by responsible bodies.