Knowledge and practices on diabetic care among the caregivers of children with type 1 diabetes mellitus: A cross sectional study

Bonsa Girma, M. Berhane
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Abstract

Background: Diabetes mellitus care in children requires parental support and involvement as young children cannot independently handle all of their diabetes cares; the diabetic cares given to these children entirely depend on the knowledge and skills of the care givers. This study was conducted to determine the knowledge and practices on diabetic care and associated factors among the caregivers of children with type 1 diabetes mellitus attending the follow-up clinic at Jimma Medical Center, Southwest Ethiopia. Methods: Institution-based prospective cross-sectional study was conducted from July 10 to October 10, 2022. Data was collected using a structured questionnaire and analyzed using statistical packages for social sciences software Version 25.0. Bivariate and stepwise multivariate analysis was performed to test associations between the dependent and independent variables. Results: One hundred fifty-eight caregivers of children with type 1 diabetes mellitus participated in the study; over half of the participants (93, 58.9%) were females. Over half of caregivers have a poor level of knowledge (56.3%) and practice (58.6%) about diabetes cares. Participants residing in the urban area are found to have better knowledge (p<0.001; 95%CI:1.81-6.86), whereas being female caregiver (p=0.03; 95%CI:1.04-4.22), attending diabetic education sessions (p=0.035; 95%CI:1.17-79.66) and, those who had good diabetes knowledge (p=0.04; 95%CI:1.03-4.04 ) were found to have a better practice. Conclusion: The knowledge and practices of caregivers regarding diabetic care among caregivers of children with type 1 diabetes mellitus were found to be low. Structured diabetes care education should be given to all caregivers to improve their knowledge and practices.
1 型糖尿病患儿照顾者的糖尿病护理知识和实践:横断面研究
背景:儿童糖尿病护理需要父母的支持和参与,因为幼儿无法独立处理所有糖尿病护理事宜;这些儿童的糖尿病护理完全依赖于护理人员的知识和技能。本研究旨在了解在埃塞俄比亚西南部吉马医疗中心随访门诊就诊的 1 型糖尿病患儿的护理人员在糖尿病护理方面的知识和实践以及相关因素。研究方法于 2022 年 7 月 10 日至 10 月 10 日开展了基于机构的前瞻性横断面研究。使用结构化问卷收集数据,并使用社会科学统计软件包 25.0 版进行分析。对因变量和自变量之间的关联进行了双变量和逐步多变量分析。结果158 名 1 型糖尿病患儿的照顾者参与了研究,其中一半以上(93 人,58.9%)为女性。半数以上的照顾者对糖尿病护理的知识(56.3%)和实践(58.6%)水平较低。居住在城市地区的参与者拥有更好的糖尿病护理知识(p<0.001;95%CI:1.81-6.86),而女性护理人员(p=0.03;95%CI:1.04-4.22)、参加过糖尿病教育课程(p=0.035;95%CI:1.17-79.66)以及拥有良好糖尿病知识(p=0.04;95%CI:1.03-4.04)的参与者则拥有更好的糖尿病护理实践。结论研究发现,1 型糖尿病患儿护理人员的糖尿病护理知识和实践水平较低。应向所有照顾者提供有组织的糖尿病护理教育,以提高他们的知识和实践水平。
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