Factors influencing knowledge and performance of selfcare practices among type 2 diabetes mellitus patients in a teaching hospital in Nigeria
Abstract
Background: There are several factors that influence the levels of knowledge and performance of self-care practices (SCP) among patients with Type 2 Diabetes Mellitus (T2DM) in different parts of the world. The objective of the study was to identify the factors that influence the levels of knowledge and performance of self-care practices among patients with T2DM in a Teaching Hospital. Material and Methods: The study utilized a descriptive cross-sectional design. It was carried out in a tertiary health facility in Ondo State, Nigeria. 132 Participants who were T2DM patients attending endocrine clinic at the hospital were selected for the study using convenience sampling. A structured questionnaire and a self-care performance recall form were used for data collection. Data collected were analyze using descriptive while the hypothesis was done using Binary Logistics Regression at a 0.05% significant level.
Results: Results revealed that an individual’s belief in innate ability (OR=2.871) and self-efficacy (OR=2.121) were twice more likely to have been more associated with increased level of knowledge of self-care practice. Also, beliefs and attitude about life (OR=2.533) and knowledge of the disease process and severity (OR=2.706) were twice more likely to have been more associated with better performance of SCP.
Conclusion: There were poor knowledge of self-care practices and its performance among the participants, factors that were more associated with increased levels of knowledge and performance of SCP as reported in the study should be strengthened as they positively impact outcomes in patients with T2DM.
Received: 01 March 2024
Accepted: 06 April 2024
Published: 08 May 2024
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Oluwaseun Oluwafunmilayo A, Adenike Ayobola E O, Adewale Oladayo A. Educational Intervention Impacts on Knowledge and Performance of Self-Care Practices among Type 2 Diabetes Mellitus Patients in Selected Hospitals in Southwestern, Nigeria. Int J Diabetes Clin Res. 2020;7(2).
Abebaw M, Messele A, Hailu M, Zewdu F. Adherence and Associated Factors towards Antidiabetic Medication among Type II Diabetic Patients on Follow-Up at University of Gondar Hospital, Northwest Ethiopia. Adv Nurs. 2016 Jan 17;2016:1–7.
Abdulazeez FI, Omole M, Ojulari SL. Medication adherence amongst diabetic patients in a tertiary healthcare institution in central Nigeria. Tropical Journal of Pharmaceutical Research. 2014;13(6).
Ahmed MU SHDS et al. Knowledge, attitude, and self care practices amongsts patients with type 2 diabetes in Pakistan. Glob . Glob J Health Sci . 2016;8–18.
Akpor OA, Abegunde SS, Olorunfemi O, Abiodun OO. I must eat what I want: A roadblock to type 2 diabetes management. Vol. 4, Journal of Integrative Nursing. 2022.
Alhaiti AH, Senitan M, Dator WLT, Sankarapandian C, Baghdadi NA, Jones LK, et al. Adherence of Type 2 Diabetic Patients to Self-Care Activity: Tertiary Care Setting in Saudi Arabia. J Diabetes Res. 2020;2020.
Getie A, Geda B, Alemayhu T, Bante A, Aschalew Z, Wassihun B. Self- care practices and associated factors among adult diabetic patients in public hospitals of Dire Dawa administration, Eastern Ethiopia. BMC Public Health. 2020;20(1).
Alotaibi A, Perry L, Gholizadeh L, Al-Ganmi A. Incidence and prevalence rates of diabetes mellitus in Saudi Arabia: An overview. J Epidemiol Glob Health. 2017;7(4):211.
American Diabetes Association. Lifestyle management. Sec. 4. In Standards of Medical Care in Diabetes-2017. Diabetes Care. 2017;40(Suppl. 1).
Amente T, Belachew T, Hailu E, Berhanu N. Self Care Practice and Its Predictors Among Adults With Diabetes Mellitus on Follow Up At Nekemte Hospital Diabetic Clinic, West Ethiopia. World Journal of Medicine and Medical Science. 2014;2(3).
Awodele O, Osuolale JA. Medication adherence in type 2 diabetes patients: Study of patients in alimosho general hospital, Igando, Lagos, Nigeria. Afr Health Sci. 2015;15(2).
Chinnappan J, KP A, Iqbal F, V J, Ashok P, Varghese RS. Assessment of Self-Care Practices among Type 2 Diabetic Patients in a Secondary Care Teaching Hospital. Journal of Drug Delivery and Therapeutics. 2020 May 15;10(3):119–24.
Ayele K, Tesfa B, Abebe L, Tilahun T, Girma E. Self care behavior among patients with diabetes in harari, eastern ethiopia: The health belief model perspective. PLoS One. 2012;7(4).
Daoud N, Osman A, Hart TA, Berry EM, Adler B. Self-care management among patients with type 2 diabetes in East Jerusalem. Health Educ J. 2015 Sep 26;74(5):603–15.
Dinesh P, Kulkarni A, Gangadhar N. Knowledge and self-care practices regarding diabetes among patients with Type 2 diabetes in Rural Sullia, Karnataka: A community-based, cross-sectional study. J Family Med Prim Care. 2016;5(4).
Chiwanga FS, Njelekela MA. Diabetic foot: Prevalence, knowledge, and foot self-care practices among diabetic patients in Dar es Salaam, Tanzania - a cross-sectional study. J Foot Ankle Res. 2015;8(1).
Getie A, Geda B, Alemayhu T, Bante A, Aschalew Z, wassihun B. Self- care practices and associated factors among adult diabetic patients in public hospitals of Dire Dawa administration, Eastern Ethiopia. BMC Public Health. 2020 Dec 12;20(1):1232.
Hailu E MWBTBZ. Table of Contents. J Prim Health Care. 2012;4(1):1.
Huang M, Zhao R, Li S, Jiang X. Self-Management Behavior in Patients with Type 2 Diabetes: A Cross-Sectional Survey in Western Urban China. PLoS One. 2014 Apr 17;9(4):e95138.
International Diabetes Federation. Global Fact Sheet. IDF Diabetes Atlas. 2019;
Iregbu S, Iregbu FU. A review of Self-management of diabetes in Africa. African Journal of Diabetes Medicine. 2016;24(2).
Jackson IL, Adibe MO, Okonta MJ, Ukwe C V. Medication Adherence in Type 2 Diabetes Patients in Nigeria. Diabetes Technol Ther. 2015 Jun;17(6):398–404.
Kiberenge MW, Ndegwa ZM, Njenga EW, Muchemi EW. Knowledge, attitude and practices related to diabetes among community members in four provinces in Kenya: a cross-sectional study. Pan Afr Med J. 2010;7.
Karthik R, Radhakrishnan A, Vikram A, Arumugam B, Jagadeesh S. Self-care practices among type II diabetics in rural area of Kancheepuram district, Tamil Nadu. J Family Med Prim Care. 2020;9(6).
Tran Kien N, Phuong Hoa N, Minh Duc D, Wens J. Health-related quality of life and associated factors among patients with type II diabetes mellitus: A study in the family medicine center (FMC) of Agricultural General Hospital in Hanoi, Vietnam. Health Psychol Open. 2021;8(1).
Kong SY, Cho MK. Factors Related to Self-care in Patients with Type 2 Diabetes. Open Nurs J. 2020 Apr 22;14(1):64–73.
Gemeda ST, Woldemariam ZB. Assessment of self-care practice amongst patients with type II diabetes attending Adama Hospital Medical College, Ethiopia. BMC Endocr Disord. 2022;22(1).
Mabaso RG, Oduntan OA. Knowledge and practices related to diabetes mellitus among adults with diabetes in the Mopani District, Limpopo Province, South Africa. African Vision and Eye Health. 2016 Mar 24;75(1).
Molalign Takele G, Weharei MA, Kidanu HT, Gebrekidan KG, Gebregiorgis BG. Diabetes self-care practice and associated factors among type 2 diabetic patients in public hospitals of Tigray regional state, Ethiopia: A multicenter study. PLoS One. 2021 Apr 21;16(4):e0250462.
Niguse H, Belay G, Fisseha G, Desale T, Gebremedhn G. Self-care related knowledge, attitude, practice and associated factors among patients with diabetes in Ayder Comprehensive Specialized Hospital, North Ethiopia. BMC Res Notes. 2019;12(1).
Odume BB, Ofoegbu OS, Aniwada EC, Okechukwu EF. The influence of family characteristics on glycaemic control among adult patients with type 2 diabetes mellitus attending the general outpatient clinic, National Hospital, Abuja, Nigeria. South African Family Practice. 2015 Nov 2;57(6):347–52.
Raimi TH. Factors influencing medication adherence among patients with diabetes mellitus and hypertension in Nigeria. European Journal of Biology and Medical Science Research. 2017;5(7).
Reyes J, Tripp-Reimer T, Parker E, Muller B, Laroche H. Factors Influencing Diabetes Self-Management Among Medically Underserved Patients With Type II Diabetes. Glob Qual Nurs Res. 2017 Jan 1;4:233339361771309.
Ryan P, Sawin KJ. The Individual and Family Self-Management Theory: Background and perspectives on context, process, and outcomes. Nurs Outlook. 2009 Jul;57(4):217-225.e6.
Scientific Resource Center Portland. Mobile Applications for Self-Management of Diabetes Technical brief 31.
Thojampa S. Knowledge and self-care management of the uncontrolled diabetes patients. Int J Afr Nurs Sci. 2019;10:1–5.
Tiruneh SA, Ayele AA, Emiru YK, Tegegn HG, Ayele BA, Engidaw MT, et al. Factors influencing diabetes self-care practice among type 2 diabetes patients attending diabetic care follow up at an Ethiopian General Hospital, 2018. J Diabetes Metab Disord. 2019 Jun 17;18(1):199–206.
WHO. World Health Organization (WHO). 2016. Global report on diabetes-Fact Sheet.
World Health Organization (WHO). Healthy diets: Fact sheet. World Health Organisation. 2018;FACT SHEET(394).
Yoon S, Ng JH, Kwan YH, Low LL. Healthcare Professionals’ Views of Factors Influencing Diabetes Self-Management and the Utility of a mHealth Application and Its Features to Support Self-Care. Front Endocrinol (Lausanne). 2022 Feb 24;13.
Zewdie S, Moges G, Andargie A, Habte BM. Self-Care Practice and Associated Factors Among Patients with Type 2 Diabetes Mellitus at a Referral Hospital in Northern Ethiopia – A Mixed Methods Study. Diabetes Metab Syndr Obes. 2022 Oct;Volume 15:3081–91.
DOI: http://dx.doi.org/10.21622/AMPDR.2024.04.1.824
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Advances in Medical, Pharmaceutical and Dental Research
E-ISSN: 2812-4898
P-ISSN: 2812-488X
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