Browsing by Author "Afaya, Richard Adongo"

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    Self-management of diabetes among type 2 diabetes mellitus patients attending diabetes clinics in selected hospitals in the Tamale Metropolis, Northern Region, Ghana.
    (2021-07-26) Afaya, Richard Adongo;
    Background: The rising number of persons living with diabetes in Ghana has posed a huge economic burden to the patients and their families, healthcare systems and the national economy. This study aimed at assessing self-management among Type 2 diabetes mellitus patients attending diabetes clinics in public hospitals in the Tamale Metropolis. Methods: The study was conducted at three government hospitals in the Tamale Metropolis, Ghana. A descriptive cross sectional design was used and convenience sampling technique was employed to recruit respondents for a period of four months. Data were collected using structured questionnaire. Results: Of the 330 patients whose data was included in the analysis, the majority (73%) had good knowledge and 27% had poor knowledge of diabetes. Educational level, monthly income, occupation, place of residence and duration of diabetes were the factors significantly associated with knowledge of diabetes. The least performed self-management activity was self-monitoring of blood glucose (0.53 ± 1.27 days per week), followed by diet (3.95 ± 1.04 days per week). The highest performed activity was foot care (4.35 ± 1.31 days per week). Educational level and gender were significantly associated with self-management practices. More than half of the patients (57.9%) had poor glycaemic control. Women were less likely to have poor glycaemic control than men [COR=0.36 (95%CI: 0.22-0.58), p<0.001]. Rural residence [COR=1.60 (95%CI: 1.04-2.78), p=0.035] and overweight [AOR=3.05 (95%CI: 1.08-8.58), p=0.034] were associated with higher odds of uncontrolled diabetes. Conclusion: The patients’ adherence to self-management practices and level of glycaemic control were suboptimal. It is recommended that health care professionals providing education and counselling strengthen specific areas of knowledge including knowledge on medication, self-monitoring, and knowledge on complication in their future education sessions.