PMID- 27381349
OWN - NLM
STAT- MEDLINE
DCOM- 20170118
LR  - 20220409
IS  - 1472-6823 (Electronic)
IS  - 1472-6823 (Linking)
VI  - 16
IP  - 1
DP  - 2016 May 31
TI  - Diabetes related knowledge, self-care behaviours and adherence to medications 
      among diabetic patients in Southwest Ethiopia: a cross-sectional survey.
PG  - 28
LID - 10.1186/s12902-016-0114-x [doi]
LID - 28
AB  - BACKGROUND: The provision of health education involving self-care and good 
      adherence to medications has been acknowledged to be a cost effective strategy 
      for improving quality of life of diabetes patients. We assessed levels of 
      knowledge about type 2 diabetes mellitus (T2DM), self-care behaviours and 
      adherence to medication among DM patients. METHODS: A facility based 
      cross-sectional survey of 325 adults with T2DM patients attending Jimma 
      University Teaching Hospital, Southwest Ethiopia was conducted. We used diabetes 
      Knowledge Test, Expanded Version of the Summary of Diabetes Self-Care Activities 
      and Morisky 8-Item medication adherence as tools to measure diabetic knowledge, 
      self-care behaviours and adherence to medications respectively. Multinomial 
      logistic regression analyses were used to assess the independent predictors of 
      diabetes knowledge and adherence to medications. The binary logistic regression 
      was applied for self-care behaviours. RESULTS: 309 respondents were included in 
      the survey. Of all the respondents, 44.9 %, 20.1 % and 34.9 % had low, medium and 
      high level diabetic knowledge respectively. High level of diabetic knowledge was 
      the reference group. Being illiterate (AOR = 3.1, 95%CI: 1.03-9.3), having BMI 
      <18 kg/m(2) (AOR = 6.4, 95%CI: 1.2-34.9) and duration of DM < 5 years (AOR = 4.2, 
      95%CI: 1.9-9.5) were significantly associated with low level of diabetic 
      knowledge. T2DM patients who practiced good self-care (AOR = 0.5, 95%CI: 0.3-0.9) 
      were less likely to have low knowledge. Duration of DM < 5 years (AOR = 9.8, 
      95%CI: 3.2-30.2) was significantly associated with medium level of diabetic 
      knowledge. 157(50.8 %) patients had poor self-care behaviour and this was 
      associated with level of education and adherence to medication. The proportions 
      of patients with low, medium and high adherence to medication were 24.9 %, 37.9 % 
      and 37.2 % respectively. Being a merchant, having medium level of diabetic 
      knowledge and having good glycemic control level were associated with low 
      adherence to medications. CONCLUSIONS: Significant number of DM patients had low 
      level of knowledge, poor self-care behaviours and low level of adherence to 
      medications. These findings call for the need of integrated interventional 
      management on diabetic knowledge, self-care behaviours and adherence to 
      medications. To ensure effective T2DM management, a strategic approach that 
      improves health literacy could be a cross cutting intervention.
FAU - Kassahun, Tefera
AU  - Kassahun T
AD  - Dilchora Hospital, Diredawa, East Ethiopia.
FAU - Gesesew, Hailay
AU  - Gesesew H
AD  - Department of Epidemiology, College of Health Sciences, Jimma University, Jimma, 
      Ethiopia. hailushepi@gmail.com.
AD  - Discipline of Public Health, Faculty of Medicine, Nursing and Health Sciences, 
      Flinders University, Adelaide, Australia. hailushepi@gmail.com.
FAU - Mwanri, Lillian
AU  - Mwanri L
AD  - Discipline of Public Health, Faculty of Medicine, Nursing and Health Sciences, 
      Flinders University, Adelaide, Australia.
FAU - Eshetie, Tesfahun
AU  - Eshetie T
AD  - Department of Clinical Pharmacy, College of Health Sciences, Jimma University, 
      Jimma, Ethiopia.
LA  - eng
PT  - Journal Article
DEP - 20160531
PL  - England
TA  - BMC Endocr Disord
JT  - BMC endocrine disorders
JID - 101088676
SB  - IM
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus, Type 2/drug therapy/*psychology
MH  - Ethiopia
MH  - Health Education
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Logistic Models
MH  - *Patient Compliance
MH  - *Self Care
PMC - PMC4933997
OTO - NOTNLM
OT  - Adherence
OT  - Ethiopia
OT  - Knowledge
OT  - Self-care behaviour
OT  - Type 2 diabetes mellitus
EDAT- 2016/07/07 06:00
MHDA- 2017/01/19 06:00
PMCR- 2016/05/31
CRDT- 2016/07/07 06:00
PHST- 2016/01/07 00:00 [received]
PHST- 2016/05/26 00:00 [accepted]
PHST- 2016/07/07 06:00 [entrez]
PHST- 2016/07/07 06:00 [pubmed]
PHST- 2017/01/19 06:00 [medline]
PHST- 2016/05/31 00:00 [pmc-release]
AID - 10.1186/s12902-016-0114-x [pii]
AID - 114 [pii]
AID - 10.1186/s12902-016-0114-x [doi]
PST - epublish
SO  - BMC Endocr Disord. 2016 May 31;16(1):28. doi: 10.1186/s12902-016-0114-x.