AI Article Synopsis
- Self-care is crucial for managing diabetes in low-and-middle-income countries like Ghana, especially due to limited clinical resources.
- The study analyzed 12 observational studies involving 2,671 individuals with type 2 diabetes, focusing on their adherence to self-care behaviors over recent years.
- Results showed varying adherence rates, with diet and physical activity receiving the most attention; however, self-monitoring and medication adherence were notably lower, highlighting challenges affected by personal and systemic factors.
Article Abstract
Background: Self-care remains an effective model for diabetes management and care in low-and-middle-income countries due to the limited resources available for the clinical management of the disease and its complications This study examined adherence to self-care behaviors and associated factors among people with type 2 diabetes in Ghana.
Methods: PubMed, PsycINFO, Scopus, Web of Science, Embase and Google scholar were used to identify quantitative observational studies published between 1990 and September 30, 2023. Studies exclusive to persons with type 2 diabetes ≥ 18 years of age in a Ghanaian setting were included in this review. Findings of primary studies were analyzed using narrative synthesis.
Results: Twelve studies, presenting data on a total of 2,671 persons with type 2 diabetes, were included. All the studies were published in the last decade (2015-2022) and a majority of them were from the Greater Accra Region. The mean number of days (per week) participants adhered to a self-care behavior were in the ranges of 3.9-4.4 for diet, 4.2-4.8 for physical activity, 0.5-2.2 for self-monitoring of blood glucose (SMBG), and 2.9-5.0 for foot care. Adherence rates for medication were in the range of 33.5-84.5%. Patient-related factors, sociodemographic/economic-related factors, condition-related factors, and healthcare system-related factors were associated with various self-care behaviors.
Conclusion: Adherence to self-care behaviors among persons with type 2 diabetes in Ghana remains an ongoing challenge with significant variations in adherence among patients with different characteristics.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664613 | PMC |
| http://dx.doi.org/10.1186/s12902-023-01508-x | DOI Listing |
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