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Coexistence of Chronic Complications among Diabetic Patients at Nigist Eleni Mohammed Memorial Hospital, Hossana, South Ethiopia

DOI: 10.4236/oalib.1101218    912 Downloads   1,477 Views   Citations

ABSTRACT

Background: Chronic complications reduce quality of life, increases diabetes related mortality and overburden the public health services. This study aims to assess the prevalence of chronic complications and its associated factors among diabetic patients at Nigist Eleni Mohammed Memorial Hospital, Hossana, South Ethiopia. Method and Materials: We conducted a hospital based cross-sectional study. A simple random sampling technique was used to select 266 participants from the follow up clinic of the hospital. Data were collected using semi structured questionnaire, weight, height, waist and hip circumference measurements and patients chart review. Descriptive statistics was used to describe the study variable. Bivariate and multivariate logistic regression analysis was used to identify factors associated with chronic diabetic complications. Result: Out of 247 diabetic subjects, 114 (46.2%) were found to have at least one chronic complication that included, hypertension 59 (23.9%), diabetes related eye disease 29 (11.7%), neuropathy 25 (10.1%) and nephropathy 16 (6.5%). Compared to age group 15 - 29 there was higher risk of chronic complications for those who were in age groups 45 - 64, [AOR = 2.50, (95% CI): (1.20, 5.22)] and ≥65 years, [AOR = 7.18, (95% CI): (2.10, 24.87)]. Duration of diabetes > 10 years [AOR = 2.87, (95% CI): (1.20, 6.88)], and not performing self-monitoring of blood glucose, [AOR = 15.22, (95% CI): (3.07, 75.48)] were also strongly associated with chronic complications of diabetes mellitus. Conclusion and Recommendation: Considerable number of diabetic participants in this study area had at least one chronic complication. Attention should be given to older diabetic patients and longer diabetic duration. Diabetic education should focus on health benefit of self-monitoring of blood glucose.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Tesfaye, D. , Tessema, F. and Taha, M. (2015) Coexistence of Chronic Complications among Diabetic Patients at Nigist Eleni Mohammed Memorial Hospital, Hossana, South Ethiopia. Open Access Library Journal, 2, 1-10. doi: 10.4236/oalib.1101218.

References

[1] Sarah, W., Gojka, R., Anders, G., Richard, S. and Hilary, K. (2004) Global Prevalence of Diabetes, Estimates for the Year 2000 and Projections for 2030. Diabetes Care, 27, 1047-1053. http://dx.doi.org/10.2337/diacare.27.5.1047
[2] Sicree, R., Shaw, J. and Zimmet (2009) The Global Burden: Diabetes and Impaired Glucose Tolerance. Diabetes Atlas, IDF. 4th Editions. International Diabetes Federation, Brussels.
[3] Ducorps, M., Ndong, W., Jupkwo, B., Belmejdoud, G., Poirier, J.M., Watkins, P. and Alemu, S. (2003) Delivery of diabetes care in Ethiopia: An experience from Gondar. Ethiopian Medical Journal, 41, 9-17.
[4] Kasper, L. (2010) Harrison’s Principle of Internal Medicine. Chapter 344. 18th Edition. McGrew-Hill Companies, New York City.
[5] Victoria, H. and Reimar, W. (2011) Ole H and Nicolai L. Diabetes in Sub Saharan Africa 1999-2011: Epidemiology and Public Health Implications. A Systematic Review. BMC Public Health, 11, 564.
http://dx.doi.org/10.1186/1471-2458-11-564
[6] Feleke, Y. and Enquselassie, F. (2005) An Assessment of the Health Care System for Diabetes in Addis Ababa. Ethiopian Journal of Health Development, 19, 203-210.
[7] Seyum, B., Mengistu, Z. and Berhanu, P. (2001) Retinopathy in Tikur Anbessa Hospital Diabetic Clinic. Ethiopian Medical Journal, 39, 123-31.
[8] Dawit, W., Leja, H., and Kifle, W. (2010) Patterns of Diabetic Complications at Jimma University Specialized Hospital, Southwest Ethiopia. Ethiopian Journal of Health Sciences, 20, 33-39.
[9] Seyum, B. (1998) Impotence in Ethiopian Diabetic Men. East African Medical Journal, 75, 208-210.
[10] Mengistu, M. (1987) The Pattern of Chronic Complications in Adult Ethiopian Diabetics. Ethiopian Medical Journal, 25, 167-176.
[11] Gudina, E.K., Amade, S.T., Tesfamichael, F.A. and Ram, R. (2011) Assessment of Quality of Care Given to Diabetic Patients at Jimma University Specialized Hospital Diabetes Follow-Up Clinic, Jimma, Ethiopia. BMC Endocrine Disorders, 11, 19.
http://dx.doi.org/10.1186/1472-6823-11-19
[12] Feleke, Y. and Enquselassie, F. (2007) Cost of Hospitalization of Diabetic Patients Admitted at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Ethiopian Medical Journal, 45, 275-282.
[13] Tamba, S.M., Ewane, M.E., Bonny, A., Nkidiaka Muisi, C., Nana, E., Ellon, A., Mvogo, C.E. and Mandengue, S.H. (2013) Micro and Macrovascular Complications of Diabetes Mellitus in Cameroon: Risk Factors and Effect of Diabetic Check-Up—A Monocentric Observational Study. Pan African Medical Journal, 15, 141.
http://dx.doi.org/10.11604/pamj.2013.15.141.2104
[14] Liu, Z.L., Fu, C.W., Wang, W.B. and Xu, B. (2010) Prevalence of Chronic Complications of Type 2 Diabetes Mellitus in Outpatients—A Cross-Sectional Hospital Based Survey in Urban China. Health and Quality of Life Outcomes, 8, 62.
http://www.hqlo.com/content/8/1/62
http://dx.doi.org/10.1186/1477-7525-8-62
[15] Roaeid, R. and Kadiki, O. (2011) Prevalence of Long-Term Complications among Type 2 Diabetic Patients in Benghazi, Libya. Journal of Diabetology, 3, 5.
[16] Orchard, T.J., Dorman, J.S., Maser, R.E., Becker, D.J., Drash, A.L., Ellis, D., LaPorte, R.E. and Kuller, L.H. (1990) Prevalence of Complications in IDDM by Sex and Duration: Pittsburgh Epidemiology of Diabetes Complications Study II. Diabetes, 39, 1116-1124.
http://dx.doi.org/10.2337/diab.39.9.1116
[17] Giday, A., Wolde, M. and Yihdego, D. (2010) Hypertension, Obesity and Central Obesity in Diabetics and Non-Diabetics in Southern Ethiopia. Ethiopian Journal of Health Development, 24, 145-147.
[18] Nigist Eleni Mohammed Memorial Hospital, 9 Month Activity Report, 2012/2013, Unpublished.
[19] Lester, F.T. (1984) The Clinical Pattern of Diabetes Mellitus in Ethiopians. Diabetes Care, 7, 6-11.
http://dx.doi.org/10.2337/diacare.7.1.6
[20] Adem, A., Demis, T. and Feleke, Y. (2011) Trend of Diabetic Admissions in Tikur Anbessa and St. Paul’s University Teaching Hospitals from January 2005-December 2009, Addis Ababa, Ethiopia. Ethiopian Medical Journal, 49, 231-238.
[21] WHO, Waist Circumference and Waist-Hip Ratio: Report of a WHO Expert Consultation. Geneva, 2008.
[22] Deborah, J., Sarah, E. and Russell, E. (2000) The Summary of Diabetes Self-Care Activities Measure: Results from 7 studies and a revised scale. Diabetes Care, 23, 943-950.
[23] Ejigu, A. (2000) Pattern of Chronic Complication of Diabetic Patients in Menilik II hospital, Ethiopia. Ethiopian Journal of Health Development, 14, 113-116.
[24] Struijs, J.N., Baan, C.A., Schellevis, F.G., Westert, G.P. and van den Bos, G.A.M. (2006) Comorbidity in Patients with Diabetes Mellitus: Impact on Medical Health Care Utilization. BMC Health Services Research, 6, 84.
http://dx.doi.org/10.1186/1472-6963-6-84
[25] Kerr, E.A., Heisler, M., Krein, S.L., Kabeto, M., Langa, K.M., Weir, D. and Piette, J.D. (2007) Beyond Comorbidity Counts: How Do Comorbidity Type and Severity Influence Diabetes Patients’ Treatment Priorities and Self-Management? Journal of General Internal Medicine, 22, 1635-1640. http://dx.doi.org/10.1007/s11606-007-0313-2
[26] Martin, S., Schneider, B., Heinemann, L., Lodwig, V., Kurth, H., Kolb, H. and Scherbaum, W. (2006) Self-Monitoring of Blood Glucose in Type 2 Diabetes and Long-Term Outcome: An Epidemiological Cohort Study. Diabetologia, 49, 271-278.
http://dx.doi.org/10.1007/s00125-005-0083-5
[27] American Diabetes Association (2003) Tests of Glycemia in Diabetes. Diabetes Care, 27, s91-s93.
[28] Franciosi, M., Pellegrini, F., De Berardis, G., Belfiglio, M., Cavaliere, D., Di Nardo, B., Greenfield, S., Kaplan, S.H., Sacco, M., Tognoni, G., Valentini, M. and Nicolucci, A. (2001) The Impact of Blood Glucose Self-Monitoring on Metabolic Control and Quality of Life in Type 2 Diabetic Patients. Diabetes Care, 24, 1870-1877.
http://dx.doi.org/10.2337/diacare.24.11.1870

  
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