scholarly journals Knowledge and Practice on Diabetic Foot Self-Care and Associated Factors Among Diabetic Patients at Dessie Referral Hospital, Northeast Ethiopia: Mixed Method

2021 ◽  
Vol Volume 14 ◽  
pp. 1203-1214
Author(s):  
Abdu Tuha ◽  
Abebe Getie Faris ◽  
Ababil Andualem ◽  
Solomon Ahmed Mohammed
Keyword(s):  
Mixed Method ◽  
Diabetic Foot ◽  
Associated Factors ◽  
Self Care ◽  
Referral Hospital ◽  
Diabetic Patients ◽  
Northeast Ethiopia ◽  
Knowledge And Practice ◽  
Dessie Referral Hospital

scholarly journals Self-care practice and associated factors among type 2 adult diabetic patients on follow up clinic of Dessie referral hospital, Northeast Ethiopia

2021 ◽  
Vol 5 (1) ◽  
pp. 031-037
Author(s):  
Addis Sisay Gedamu ◽  
Kassahun Sewunet Ademe ◽  
Ayele Samuel Anteneh ◽  
Nega Abebe Dires ◽  
Tegegne Kirubel Dagnaw
Keyword(s):  
Associated Factors ◽  
Self Care ◽  
Education Level ◽  
Referral Hospital ◽  
Care Practice ◽  
P Value ◽  
Diabetic Patients ◽  
Dessie Referral Hospital

Background: Diabetes mellitus is a common health problem in the world and Africa including Ethiopia. Its complication is the major cause of morbidity and mortality of people due to improper self-care practice. Objective: To assess self-care practices and associated factors among type 2 adult diabetic patients on follow-up clinic of Dessie referral hospital, Ethiopia. Method: Institutional based cross sectional study was conducted. Total of 278 type 2 diabetic patients was selected by systematic random sampling technique and data was collected by interviewer administered pretested questionnaire. Epidata 3.1 and SPSS version 23 software were used for data entry and analysis, respectively. In bivariate analysis, variables having a p - value of < 0.2 were entered to multivariate analysis model and statistical significance was declared at p - value of < 0.05 and 95% confidence interval. Results: The response rate was 269 (96.76%) of the total 278 participants. Among the respondents 150(55.8%) had good diabetic self-care practice. This study showed that primary school education level (AOR=2.592, 95%CI=1.104-6.087, p = 0.029), secondary school education level (AOR=3.873, 95%CI=1.325-11.323, p = 0.013), college/university graduate (AOR=3.030, 95%CI=1.276-7.197, 0.012), attended diabetic education regularly (AOR=2.981, 95%CI=1.050-8.462, p = 0.040), member of diabetic association (AOR=3.496, 95%CI=1.440-8.483, p = 0.006) and having glucometer at home (AOR=2.634, 95%CI=1.357-5.111, p = 0.004) were significantly associated with diabetes self-care practice. Conclusion: Nearly half of diabetic patients had poor self care practice. Hence, there is a need to improve diabetic self-care practice. Attention should be given by policy makers, Dessie referral hospital, health care professionals, diabetic associations and researchers.

scholarly journals Nutritional Status and Associated Factors among Adult Psychiatric Patients in Dessie Referral Hospital, Northeast Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Tesfaye Assefa ◽  
Omer Seid ◽  
Fentaw Tadese ◽  
Tsegaye Gebremedhin
Keyword(s):  
Nutritional Status ◽  
Associated Factors ◽  
Multinomial Logistic Regression ◽  
Psychiatric Patients ◽  
Referral Hospital ◽  
Vulnerable Groups ◽  
Cross Sectional ◽  
Factors Associated ◽  
Northeast Ethiopia ◽  
Dessie Referral Hospital

Background. Psychiatric illnesses involve alterations in the brain or nervous system function and result in altered perception, responses to the environment, and daily functioning, which ultimately diminish the capacity to cope with the regular demands of life, including nutritional intake. Little is known about nutritional status in psychiatric patients in our setup, particularly in northeast Ethiopia. Thus, this study is aimed at assessing the nutritional status and associated factors among adult psychiatric patients in Dessie referral hospital, northeast Ethiopia. Methods. A facility-based cross-sectional study was employed among 530 psychiatric patients using an interviewer-administered structured questionnaire, and anthropometric measurements were taken from April 10 to June 20, 2018. Multinomial logistic regression analysis was used to identify the associated factors with the nutritional status of adult psychiatric patients. Results. The study revealed that the proportion of undernutrition and overnutrition was 20.0% (95% CI: 16.80-23.60) and 23.4% (95% CI: 19.80-27.00), respectively. Being male (AOR: 2.39, 95% CI: 1.28-4.47), private employed (AOR: 0.08, 95% CI: 0.02-0.31), and not consuming alcohol (AOR: 0.20, 95% CI: 0.56-0.74) were factors associated with undernutrition. Whereas not involved in physical activity (AOR: 2.98, 95% CI: 1.37-6.49), being newly diagnosed patient (AOR: 1.86, 95% CI: 1.01-3.42), and not chewing Khat (AOR: 3.92, 95% CI: 1.63-9.42) were factors associated with overnutrition of adult psychiatric patients. Conclusion. The proportion of both undernutrition and overnutrition was above the national average. Notably, nutrition significantly affects the production and use of neurotransmitters, and this may result in significant effects on physical, mental, or emotional processes. This undoubtedly affects the stabilization processes of neuropsychiatric patients. Therefore, healthcare managers, supervisors, and policymakers identify those vulnerable groups early and thereby design effective nutritional strategies to intervene in malnutrition among adult patients with a psychiatric disorder.

scholarly journals Self-care practice and associated factors among patients with diabetes mellitus on follow up at University of Gondar Referral Hospital, Gondar, Northwest Ethiopia

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Andualem Yalew Aschalew ◽  
Mezgebu Yitayal ◽  
Amare Minyihun ◽  
Telake Azale Bisetegn
Keyword(s):  
Social Support ◽  
Associated Factors ◽  
Economic Status ◽  
Self Care ◽  
Northwest Ethiopia ◽  
Referral Hospital ◽  
Care Practice ◽  
Diabetic Patients ◽  
Socio Economic Status ◽  
Patients With Diabetes

Abstract Objective Diabetes, a rising global health problem, requires continuous self-care practice. There are limited studies about self-care practice, and most of the studies conducted in Ethiopia focused on some parts of the recommended self-care practices. Therefore, this study aimed to assess diabetes self-care practice and associated factors among diabetic patients attending at University of Gondar Referral Hospital, Gondar, Northwest Ethiopia. Results The study revealed that 51.86% (95% CI 46.95–56.72%) of the patients have poor self-care practice. Unable to read and write (AOR = 3.36; 95% CI 1.42–7.90), primary level of education (AOR = 2.62; 95% CI 1.20–5.70), living in rural area (AOR = 3.33; 95% CI 1.61–6.88), having strong social support (AOR = 0.31; 95% CI 0.15–0.62), having diabetes related complication (AOR = 2.20; 95% CI 1.12–4.30), and poor socio-economic status (AOR = 2.16; 95% CI 1.17–3.98) were factors significantly associated with poor self-care practice of patients with diabetes. The study indicates that the prevalence of poor self-care practice was high. Education, residence, socio-economic status, complication and social support were significantly associated with poor self-care practice. Therefore, strategies should be developed to support patients with information, glucometer, and enhance patient’s social support.

scholarly journals Diabetic Complications among Adult Diabetic Patients of a Tertiary Hospital in Northeast Ethiopia

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Asrat Agalu Abejew ◽  
Abebe Zeleke Belay ◽  
Mirkuzie Woldie Kerie
Keyword(s):  
Diabetic Complications ◽  
Information Provision ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Diabetic Complication ◽  
Referral Hospital ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Northeast Ethiopia ◽  
Dessie Referral Hospital

Background.The diabetic complications are becoming common community problems. The outcomes of diabetic complications are increased hospitalization, increased direct patient costs, and mortality. In Dessie, the prevalence of the diabetic complications is not well studied so far. Thus, the aim of this study is to assess prevalence of diabetic complications and associated factors among adult diabetic patients of Dessie Referral Hospital, Northeast Ethiopia.Methods.Cross-sectional study was conducted in the diabetic clinic of Dessie Referral Hospital from April to May 31, 2013. All diabetic patients who visited the clinic during the study period were included. Data was collected using interview guided self-administered questionnaire. Presence of complications and the type of medications the patient was on were identified through review of patient records. Data were cleaned, coded, and entered into SPSS for Windows version 17.0. Descriptive statistics and chi-square tests were carried out to meet the stated objective.The Results.Overall 129 (59.7%) of the patients were found to have been affected by one or more of the diabetic complications. Complications were identified mainly among type II diabetic patients. The age of patients (Pvalue-0.048), type of diabetes (Pvalue-0.00), and medication (Pvalue-0.00) were strongly associated with the occurrence of diabetic complication but self-reported adherence, attitude, and knowledge level of patients and the family history were not associated with the presence of complication.Conclusion.The prevalence of complications among diabetic patients in Dessie Referral Hospital was high. Targeted counseling and health information provision to the patients by the clinical staff will be helpful in reducing avoidable morbidity and mortality in the patients.

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