Assessment of Self Care Management and its Associated Factors among Type 2 Diabetes Patients in Mekelle Hospital and Ayder Referral Hospitals, Mekelle City, Tigray, Northern Ethiopia, 2012/13.

Background: Diabetes is a group of metabolic disorders that affect the body’s ability to process and use sugar (glucose) for energy. The success of long-term maintenance therapy for diabetes depends largely on the patients’ adherence with self-care practices. Objective: Was to assess self-management and its associated factors among type 2 diabetes patients in Mekelle hospital and Ayder referral hospitals, Mekelle City, Tigray, Northern Ethiopia, 2012/13. Method: The research design was institutional based cross sectional method and 343 study subjects were selected using systematic random sampling technique and the data was collected using interviewer administered structured questionnaire, data was analyzed and cleaned using SPSS version 16. Frequencies and proportions were computed. Bivariate and Multivariate logistic regression was computed to assess statistical association between the outcome variable and selected independent variables and significance of statistical association was assured or tested using 95%CI and P-value (<0.05). Result: A total of 310 male and female adult type 2 diabetes patients were interviewed using standardized structured questionnaire and the response rate was 96.8 %. Of all respondents 57.7% were Male. The majority of the respondents 69% were in the age group of 40 to 69 years. Mean age of patients was 50.02±12.01 years. The mean age in which diabetic disease occurred was 44.53+11.07 years. The mean duration of diabetes was 5.63+ 7.6 years. More than half respondents 58.7% had multiple injection treatment (two injections per day). Of all respondents only 12.7% had long term diabetic complication confirmed medically. The majority 86.0% of the study participants were not adhered to Self-Monitoring of Blood Glucose. Those who have glucometer at home were eleven times less risk not to be adhered to the practice when compared with those who didn't have [P<0.001, AOR (95% CI) = 10.722 (4.095-28.075)] and those who are with monthly income