Meta Analysis: Factors Affecting Implementation of Self-Care Practice in Diabetes Mellitus Patients
DOI:
https://doi.org/10.26911/theijmed.2024.09.01.10Abstract
Background: Diabetes mellitus is a chronic metabolic disorder characterized by high blood sugar levels. If not controlled properly, diabetes mellitus can cause serious complications. Self-care practices are a very important factor in controlling the disease. This study aims to estimate the factors that influence self-care practices in diabetes sufferers.
Subjects and Method: This was a systematic review and meta-analysis using PICO format. Population: diabetes patients. Intervention: having diabetes knowledge, high social support, female gender and presence of comorbidities. Comparison: no diabetes knowledge, low social support, male gender and no comorbidities. Outcome: self-care practices. The articles used in this research came from 5 databases, namely Google Scholar and Science Direct. The keywords of the article are "Diabetes Knowledge" AND "Social Support" AND "gender" AND "comorbidities" AND "diabetes" AND "Self-care practice behavior". The articles included in this research are full paper articles, cross-sectional study, publication year range 20172023, and reporting the aORs. Articles were analyzed using the Review Manager 5.4.
Results: Female patients (aOR=1.56; 95% CI= 1.04 to 2.34; p= 0.030), high knowledge (aOR= 2.10; 95% CI= 1.27 to 3.46; p= 0.004), strong social support (aOR=1.73; 95% CI= 1.07 to 2.78; p= 0.020), and the presence of comorbidities (aOR=1.20; 95% CI= 0.67 to 2.16; p= 0.540) improved implementation of self-care practices.
Conclusion: Female patients, high knowledge, strong social support, and the presence of comorbidities improve implementation of self-care practices.
Keywords: factors, diabetes self-care practices, diabetes mellitus
References
Ambaw M, Gete Y, Abebe S, Teshome D, Gonete K (2021). Recommended dietary practice and associated factors among patients with diabetes at debre tabor general hospital, Northwest Ethiopia: institutional-based cross-sectional study design. BMJ Open. 11(5): 1–8. DOI: 10.1136/ bmjopen-2020-038668.
Aschalew A, Yitayal M, Minyihun A, Bise-tegn T (2019). Self-care practice and associated factors among patients with diabetes melitus on follow up at university of gondar referral hospital, gondar, Northwest Ethiopia. BMC Res. Notes. 12(1); 1–6. DOI: 10.1186/s13104-019-4630-4.
Cannon A, Handelsman Y, Heile M, Shan-non M (2018). Burden of illness in type 2 diabetes melitus. J Manag Care Spec Pharm, 24(9):S5-S13. DOI:10.18553/jmcp.2018.24.9-a.s5.
Chali S, Salih M, Abate A (2018). Self-care practice and associated factors among diabetes melitus patients on follow up in benishangul gumuz regional state public hospitals, Western Ethiopia: a cross-sectional study, BMC Res. Notes, 11(1):1–8. DOI:10.1186/s13104-018-3939-8.
Cho NH, Shaw JE, Karuranga S, Huang Y, da Rocha Fernandes JD, Ohlrogge AW, Malanda B (2018). IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Res Clin Pract. DOI: 10.1016/j.diabres.2018.02.023.
Cooper AJ, Gupta SR, Moustafa AF, Chao AM (2021). Sex/gender differences in obesity prevalence, comorbidities, and treatment. Curr Obes Rep, 10(4):458-466. DOI: 10.1007/s1367-9-021-00453-x.
Da Rocha RB, Silva CS, Cardoso VS (2020). Self-care in adults with type 2 diabetes melitus: a systematic review. Curr Diabetes Rev, 16(6):598-607. DOI: 10.2174/15733-9981566619070216-1849.
Dedefo M, Ejeta B, Wakjira G, Mekonen G, Labata B (2019). Self-care practices regarding diabetes among diabetic patients in West Ethiopia, BMC Res Notes, 12(1):1–7. DOI: 10.1186/s1310-4-019-4258-4.
Emire M, Zewudie B, Tarekegn T, Eyesus F, Amlak B, Mengist S, Terefe T, Mewahegn A (2022). Self-care practice and its associated factors among diabetic patients attending public hospitals in Gurage zone SouthWest, Ethiopia. PLoS ONE 17(9).
DOI:10.1371/journal. pone.02-71680
Gebre S, Zegeye B, Taderegew M (2020). Self-care practice and associated factors among individuals with dia-betes melitus in Northeast Ethiopia, J. Multidiscip. Healthc, 13:1817–1826. DOI: 10.2147/JMDH.S288200.
Getie A, Geda B, Alemayhu T, Bante A, Aschalew Z, Wassihun B (2020). Self- care practices and associated factors among adult diabetic patients in public hospitals of dire dawa administration, Eastern Ethiopia, BMC Public Health, 20(1):1–8. DOI:10.1186/s12889-020-09338-5.
Gulentie T, Yesuf E, Yazie TS, Kefale B (2020). Predictors of diabetes self-care practice among patients with type 2 diabetes in public hospitals in NorthEastern Ethiopia: a facility-based cross-sectional study. Diabet Metab Synd Ob, 13: 3137–3147. DOI: 10.2147/DMSO.S273682
Gurmu Y, Gela D, Aga F (2018) Factors associated with self-care practice among adult diabetes patients in West Shoa Zone, Oromia Regional State, Ethiopia, BMC Health Serv. Res, 18(1): 4–11. DOI: 10.1186/s1291-3-018-3448-4.
International Diabetes Federation (2019). Diabetes Atlas Ninth Edition 2019, Retrieved September 30, 2023. From https://diabetesatlas.org/upload/resources/material/20200302_13335-1_IDFATLAS9e-final-web.pdf
Ishak N, Yusoff S, Rahman, R, Kadir A (2017). Diabetes self-care and its associated factors among elderly diabetes in primary care. J Taibah Univ. Medical Sci, 12(6):504–511. DOI:10.1016/j.jtumed.2017.03.008
Kementerian Kesehatan RI (2020). Infodatin tetap produktif, cegah, dan atasi diabetes melitus 2020, Pus-datin-DTO Kemenkes, 1–10.
Khan R, Chua Z, Tan J, Yang Y, Liao Z, Zhao Y (2019). From pre-diabetes to diabetes: diagnosis, treatments and translational research. Medicina, 55(9):546. DOI:10.3390/medicina55-090546
Kobamo M, Bekele F, Simachew Y, Abebe M, Abore K (2023). Self-care practice and associated factors among adults with diabetes on chronic care follow-up at Yirgalem General Hospital, Sidama, Ethiopia: A cross-sectional study. Res Sq Title, DOI:10.21203/-rs.3.rs-2718954/v1
Letta S, Aga F, Yadeta T, Geda B, Dessie Y (2022). Self-care practices and corre-lates among patients with type 2 dia-betes in Eastern Ethiopia: A hospital-based cross-sectional study, SAGE Open Med, 10:1-11. DOI: 10.1177/-20503121221107337.
Mekonen E, Demssie T (2022). Preventive foot self-care practice and associated factors among diabetic patients attending the university of Gondar comprehensive specialized referral hospital, Northwest Ethiopia, 2021, BMC Endocr Disord, 22(1):1–11. DOI: 10.1186/-s12902-022-01044-0.
Mekonnen Y, Hussien N (2021). Self-care related knowledge, attitude, and practice and associated factors among patients with type 2 diabetes in JMC, Ethiopia, Diabetes Metab Syndr Obes, 14:535–546. DOI: 10.21-47/DMSO.S296112.
Melat M, Meaza D (2017). Self-care practice and its associated factors among diabetic patients in Addisababa public hospitals, cross sectional study, Nutr. Metab. Insights, 1(1). DOI: 10.1371/journal.-pone.0271680
Melkamu L, Berhe R, Handebo S (2021). Does patients perception affect self-care practices? the perspective of health belief model, Diabetes Metab Syndr Obes, 14:2145–2154. DOI:10.-2147/DMSO.S306752.
Mohebi S, Parham M, Sharifirad G, Gharli-pour Z, Mohammadbeigi A, Rajati F (2018). Relationship between per-ceived social support and self-care behavior in type 2 diabetics: A cross-sectional study. J Educ Health Promot, 7:48. DOI: 10.4103/jehp.-jehp_73_17
Niguse H, Belay G, Fisseha G, Desale T, Gebremedhn G (2019). Self-care related knowledge, attitude, practice and associated factors among patients with diabetes in Ayder Comprehensive Specialized Hospital, North Ethiopia. BMC Res Notes. 12(1):34. DOI:10.1186/s13104-019-4-072-z
RISKESDAS. (2018). Riset Kesehatan Dasar 2018. Kementerian Kesehatan Republik Indonesia.
Russo G, Manicardi V, Rossi M, Orsi E, Solini A (2022). Sex-and gender-differences in chronic long-term complications of type 1 and type 2 diabetes mellitus in Italy. Nutr Metab Cardiovasc Dis, 32(10) 2297-2309. DOI:10.1016/j.numecd.2022.08.011.
Sharoni S, Shdaifat E, Majid H, Shohor N, Ahmad F, Zakaria Z (2015). Social support and self-care activities among the elderly patients with diabetes in Kelantan. Malays Fam Physician, 10(1): 34–43. DOI: PMID: 26425293
Siddiqui M, Khan M, Carline, T (2013). Gender differences in living with dia-betes melitus. Mater. Socio Med, 25(2): 140–142. DOI: 10.5455/msm.-2013.25.140-142
Takele G, Weharei M, Kidanu H, Gebrekidan K, Gebregiorgis B (2021). 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, 16(4). DOI: 10.1371/journal.-pone.0250462
Tiruneh S, Ayele A, Emiru Y, Tegegn H, Ayele B, Engidaw M, Gebremariam A (2019). 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 control, 18(1):199–206. DOI: 10.1007/s40200-019-00408-z
Toar J (2020). Faktor yang mempengaruhi literasi kesehatan pada penderita diabetes melitus tipe 2 di Kota Manado. J Keperawatan, 8(2). DOI: 10.35790/jkp.v8i2.32327
Tuha A, Faris G, Andualem A, Mohammed S (2021). Knowledge and practice on diabetic foot self-care and associated factors among diabetic patients at Dessie Referral Hospital, Northeast Ethiopia: Mixed Method. Diabet Metab Synd Ob, 14:1203–1214. DOI: 10.2147/DMSO.S300275
Ye Z, Yang X, Zeng C, Wang Y, Shen Z, Li X, Lin D (2020). Resilience, social support, and coping as mediators between COVID-19-related stressful experiences and acute stress disorder among college students in China. Appl. Psychol. Health Well-Being, 12(4): 1074–1094. DOI:10.1111/aph-w.12211
Zewdie S, Moges G, Andargie A, Habte B (2022). Self-care practice and asso-ciated factors among patients with type 2 diabetes mellitus at a referral Hospital in Northern Ethiopia - A Mixed Methods Study. Diabet Metab Synd Ob, 15:3081–3091. DOI:10.21-47/-DMSO.S373449
