Exploring Self-Management Practices Among Patients with Diabetes in Government Hospitals in the Upper West Region of Ghana
International Journal of Diabetes and Endocrinology
Volume 3, Issue 3, September 2018, Pages: 35-40
Received: Sep. 17, 2018;
Accepted: Sep. 28, 2018;
Published: Oct. 25, 2018
Views 392 Downloads 42
Stephen Kpekura, Department of Adult Health, University of Cape Coast, Cape Coast, Ghana
Jerry Paul Kukye-Ayiri Ninnoni, Department of Mental Health, University of Cape Coast, Cape Coast, Ghana
Samuel Victor Nuvor, Department of Immunology and Microbiology, University of Cape Coast, Cape Coast, Ghana
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.
Jerry Paul Kukye-Ayiri Ninnoni,
Samuel Victor Nuvor,
Exploring Self-Management Practices Among Patients with Diabetes in Government Hospitals in the Upper West Region of Ghana, International Journal of Diabetes and Endocrinology.
Vol. 3, No. 3,
2018, pp. 35-40.
Shafer, K. N. (2000). Medical Surgical Nursing. United States of America: Mosby Company.
Clavell, C. M. (2005). Mayo Clinic on Managing Diabetes. New York. Kensington Publishing Corporation.
Iwueze, J. O. (2007). Managing your Diabetes: Assessment and Management of Patients with Diabetes Mellitus. Owerri. Skill mark Media Ltd.
World Health Organization (WHO) (2011). World Health Organization Global Status Report on Non Communicable Diseases 2010. Geneva.
Kyrou, I., & Kumar, S. (2010). Weight management in overweight and obese patients with type 2 diabetes mellitus. The British Journal of Diabetes& Vascular Disease, 10(6).
World Health Organization (2006). Diabetes Mellitus. Epidemiology Statistics 3(1): 652-660.
Tan, A. S., Yong, L. S., Wan, S., & Wong, M. L. (2007). Patient education in the management of diabetes mellitus. Singapore Medical Journal, 38 (4), 156-60.
Urhobo National Association of North America (2004). UNANA Home Projects: Report regarding the2004 Diabetes and High Blood Pressure Screening. Delta. In Uchenna1, V. O., Ijeoma1, O. E., Peace1, N. I. & Ngozi, J. K. (2009). Knowledge of diabetes management and control by diabetic patients at Federal Medical Center Umuahia Abia State, Nigeria. International Journal of Medicine and Medical Sciences, 1(9), 353-358.
Massi-Benedetti, M., & CODE-2 Advisory Board (2002). The cost of diabetes Type II in Europe: the CODE 2 Study. Diabetologia 45: S1-4.
International Diabetes Federation (IDF) (2013). DIABETES ATLAS, 6THedition.
World Health Organization (WHO) (2014). Non Communicable Disease (NCD) Country Profiles-Ghana retrieved from http://www.who.int/nmh/ countries/gha.
Ministry of Health (MOH) (2013). The Ghana Health Sector 2013 Programme of work. Count down to 2015; working together to achieve MDGs 4 & 5.
Kpekura, S., Ninnoni J. P. K., & Nuvor, S. V. (2018). Knowledge and attitude of patients with diabetes in government hospitals in the Upper West Region of Ghana, Int. J Community Med Public Health, 5(9). 3788-95.
Mupepi, C. S.; Sampselle, M. C. & Johnson, R. B. T. (2011). Knowledge, attitudes, and demographic factors influencing cervical cancer screening behavior of Zimbabwean women, Journal of Women’s Health, 20 (6).
Abu-Qamar, Z. M. (2014). Knowledge and practice of foot self-care among Jordanians with diabetes: An interview-based survey study. Journal of wound care, 2 3(5).
Raithatha J. S., Shankar, U. S. & Dinesh, K. (2014). Self-Care Practices among Diabetic Patients in Anand District of Gujarat. International Scholarly Research Notices, 2014 (2014), 1-6.
Bruce, S. P., Acheampong, F., &Kretchy, I. (2015). Adherence to oral anti-diabetic drugs among patients attending a Ghanaian teaching hospital. Pharmacy Practice, 13(1), 533.
Jackson, I. L., Adibe, M. O., Okonta, M. J., &Ukwe, C. V. (2014). Knowledge of self-care among type 2 diabetes patients in two states of Nigeria. Pharmacy Practice, 12(3):404.
Shultz, A. J., Corbett, F. C., & Allen, B. C. (2009). Slavic Women’s Understanding of Diabetes Dietary Self-Management and Reported Dietary Behaviors. Journal of Immigrant Minority Health, 11, 400–405.
Garcia, A. G. J., Rocha, S. L. A., Lopez, I., Baerd, D. R., Dressler, W., & Weller, C. S. (2007). Diabetes is my companion’’: Lifestyle and self-management among good and poor control Mexican diabetic patients. Social Science & Medicine 64, 2223–2235.
Dunning, T., & Manias, E. (2005). Medication Knowledge and Self-Management by People with Type 2 Diabetes. Australian Journal of Advanced Nursing, 23(1).
Phillips, C. K., Mashigeb, P. K., & Clarke-Farrc, C. P. (2012). Knowledge of diabetes mellitus in privately-funded diabetic patients attending a rural optometric practice in Malmesbury South Africa. South African Optometrist, 71(2), 70-77.
Arden, A. R J. G., Paz-Pacheco, E., Jimeno, A. C., Lantion-Ang, L. F., Paterno, E., & Juban, N. (2010). Knowledge, attitudes and practices of persons with type 2 diabetes in a rural community: Phase I of the community-based Diabetes Self-Management Education (DSME) Program in San Juan, Batangas, Philippines. Elsevier Ireland Ltd, 1 60–1 66.
Chen, A., Huang, Z., Wan, X., Deng, W., Wu, J., Li, L., Cai, Q., Xiao, H., &Li, Y., (2012). Attitudes toward Diabetes Affect Maintenance of Drug-Free Remission in Patients with Newly Diagnosed Type 2 Diabetes after Short-Term Continuous Subcutaneous Insulin Infusion Treatment. Diabetes Care, 35(1), 474–481.
Abrahim, M. (2011). A Systematic Literature Review on Factors Contributing to Self-Care among Type 2 Diabetes Mellitus Patients. Linnaeus University, School of Health and Caring Sciences.
Shiu, Y. T. A. (2007). National Standards for Diabetes Self-Management Education. Diabetes Care, 30 (11).
Akotey A. A. E. (2012). Barriers To Glycaemic Control among Diabetes Patients at the Korle-Bu Teaching Hospital, University of Ghana retrieved from http://ugspace.ug.edu.gh.
Shrivastava, S. R., Shrivastava, P. S., & Ramasamy, J. (2013). Role of self-care in management of diabetes mellitus. Journal of Diabetes & Metabolic Disorders, 12(1), 14.
Pender, J. N. (2011). Health Promotion Model Manual. Deep blue. Retrieved from https://deepblue.lib.umich.edu/bitstre.