Self-Care Strategy and Management of Diabetes Mellitus. Effectiveness of Self-Care Strategy on Management of Type 2 Diabetes Mellitus in Borama District, Somaliland

      Аннотация: This study investigated effectiveness of self-care strategy on management of type 2 diabetes mellitus in Borama district. Diabetes Mellitus deaths in Somaliland were 1,136 (0.88%) in 2015. In Borama district, diabetes cases were 265 in 2013, 425 in 2014 and 585 in 2015. Despite the high prevalence, the effectiveness of self-care strategy had not been investigated, despite being promoted as a control strategy. Using Orem’s Self-Care Theory, the cross-sectional survey design used a random sample of 190 diabetic patients selected from 3 hospitals in the district, using questionnaire and document analysis methods in March, 2017. Adherence, ?2 (1, N = 190) = 63.340, p = .000, OR = 81.714; self-monitoring blood glucose, ?2 (1, N = 190) = 40.464, p = .000, OR = 27.427; and lifestyle modification, ?2 (1, N = 190) = 31.656, p = .000 OR = 68.545 had significant influence on management of type 2 diabetic mellitus. Adherence, ?2 (1, N = 190) = 17.884, p = .000, OR = 12.269 and lifestyle modification, ?2 (1, N = 190) = 6.313 p = .000, OR = 9.590 were significant in combination. The study concludes that self-care strategy is an effective strategy for management of type 2 diabetes mellitus.

Ключевые слова: adherence, Lifestyle modification, Type 2 diabetes mellitus, self-care strategy, self-monitoring blood glucose