Self Care Behavior among Patients with Diabetes in Harari, Eastern Ethiopia The Health Belief Model Perspective 英文参考文献.docVIP
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Self Care Behavior among Patients with Diabetes in Harari, Eastern Ethiopia The Health Belief Model Perspective 英文参考文献
SelfCareBehavioramongPatientswithDiabetesin
Harari,EasternEthiopia:TheHealthBeliefModel
Perspective
KetemaAyele1.,BisratTesfa2.,LakewAbebe2.,TiztaTilahun3.,EshetuGirma2*
1Harar Health Science College, Harai, Ethiopia, 2Department of Health Education and Behavioral Sciences, Jimma University, Jimma, Ethiopia, 3Department of
PopulationandFamilyHealth,JimmaUniversity,Jimma,Ethiopia
Abstract
Background:Diabetesmellitusisachronicdiseasethatrequireslifelongmedicaltreatmentsandalifestyleadjustment.To
preventseriousmorbidityandmortality,itrequiresdedicationtodemandingself-carebehaviorsinmultipledomains.The
objectiveofthisstudywastoidentifypredictorsofselfcarebehaviorsamongpatientswithdiabetes.
Methods:Fromatotalof425followupdiabeticpatients,aquantitativecrosssectionalstudywasconductedamong222of
themfromthreedifferenthospitalsinHarartown,fromMarchtoApril,2011.Thesamplewastakenusingsimplerandom
sampling method. Data was collected using pretested questionnaire. Descriptive statistics multiple logistic regression
analysiswerealsousedtoassessthepredicatorsofselfcarebehaviorsamongpatientswithdiabetes.
Result:Majorityofthestudyrespondents134(60.4%)werefemaleandthemeanagewas49.7(SD614.7)years.Morethan
half147(66.2%)ofthemweremedicallydiagnosedwithtype-2diabetes.208(93.7%)hadgeneralknowledgeaboutdiabetes
and specific knowledge about diabetes self care 207(93.2%). Large proportion of them had moderate perceived
susceptibility174(78.4%)andseverity112(50.5%).Morethanhalfoftherespondents149(67.1%)hadlessperceivedbarrier
while only 30 (13.5%) of them had high self efficacy to self care practices related to diabetes mellitus. Only 87(39.2%)
followedtherecommendedselfcarepracticesondiabetes.
Conclusions: Patients with less frequent information were less likely to take diabetes self care. Patients who were more
educated,middleincome,hadhighperceivedseverityofdiabetesandlessperceivedbarriertoselfcareweremorelikelyto
takediabetesselfcare.Toincreasetheselfcarebehavior,diabetesmessagesshouldfoc
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