Exploring Self-Management Practices Among Patients with Diabetes in Government Hospitals in the Upper West Region of Ghana

Stephen Kpekura, J. Ninnoni, S. Nuvor
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Abstract

Diabetes mellitus is a chronic progressive metabolic disorder characterized by hyperglycaemia mainly due to absolute or relative deficiency of insulin hormone. The study aimed at exploring the level of self-management practices among diabetes patients receiving care in public hospitals in the Upper West Region of Ghana. The research was a cross-sectional survey adopting stratified sampling technique to select 201 respondents. A questionnaire was used in the study for data collection with a reliability coefficient of 0.8. The data was analyzed using the SPSS version 21. Adherence to proper self-management practices was high with a mean percentage of 64.7%. Demographic factors of diabetes patients did not have any effect on their Self-Management Practices (p>0.05). There were differences in Self-Management practices among group of diabetes patients receiving care at different hospitals (p<0.05). In conclusion, most diabetes patients in the Upper West Region adhered correctly to self-management practices. However, they needed to improve upon the management on monitoring of blood sugar level and foot care. There was a difference in self-management practices of diabetes patients who received care at Wa and Lawra. It was also found that sex, gender, district of location, occupation, and income among others did not have influence on self-management practice.
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加纳上西部地区政府医院糖尿病患者自我管理实践探索
糖尿病是一种慢性进行性代谢疾病,以高血糖为特征,主要是由于胰岛素激素的绝对或相对缺乏。该研究旨在探讨加纳上西部地区公立医院接受治疗的糖尿病患者的自我管理实践水平。本研究为横断面调查,采用分层抽样方法,共选取201名调查对象。本研究采用问卷进行数据收集,信度系数为0.8。数据分析采用SPSS version 21。坚持适当的自我管理做法的比例很高,平均为64.7%。人口统计学因素对糖尿病患者自我管理行为无显著影响(p < 0.05)。不同医院糖尿病患者自我管理行为差异有统计学意义(p<0.05)。综上所述,大多数上西部地区的糖尿病患者正确地坚持了自我管理的做法。然而,在血糖监测和足部护理方面的管理还有待改进。在Wa和Lawra接受治疗的糖尿病患者在自我管理实践方面存在差异。研究还发现,性别、性别、所在地区、职业、收入等因素对自我管理实践没有影响。
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