Self-care practices and psychosocial distress for people with type 2 diabetes mellitus in Dar es salaam, tanzania.

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Sokoine university of Agriculture


Nutritional intake and modification of lifestyle are the cornerstones for management of Type 2 diabetes. It has been recognized that, in order to achieve satisfactory metabolic control, adoption of self-care skills by the diabetic person is crucial. The aim of this study was to determine self-care practices and diabetes related emotional distress for people with Type 2 diabetes mellitus in Dar es Salaam, Tanzania. A cross sectional survey involving 121 people with Types 2 diabetes was conducted in four diabetic clinics located in Dar es Salaam. Both descriptive and inferential statistical analyses were carried out using Statistical Package for Social Sciences (SPSS 11.5). Result of the study showed that, the level of self-care practices in area of diet, physical exercises, medication, and blood glucose test was not up to desired level of practice requiring following of all of the recommendations in seven days per week without missing. Diabetic related emotion distress for studied sample was low and comparable to levels reported in other studies however the level was not in line with the score recommended in PAID. The recommended PAID score for emotion is zero. For this reason, efforts are needed to reduce the emotional stress among diabetic subjects. The main problem in self-care was financial limitation and lack of care education. Efforts are therefore required to improve the quality of care including self-care education, counselling and medical support. Following the result of this study it is recommended that, the government and other stakeholders should increase effort to lower the cost of diabetic services like diabetic tests and medications; Given the importance of self monitoring of blood glucose to diabetes care, government, and other stakeholders should strive to make the procedure readily accessible and affordable for all patients who require; Further research is needed to determine optimum self-care practices and diabetic related emotional distress levels that can predict good glycemic control that would help researcher and programme managers to be able to monitor the progress of diabetic care programs.



Diabetes mellitus, Dar es Salaam, Self-care practices


Heri Rashidi(2007). Self-care practices and psychosocial distress for people with type 2 diabetes mellitus in Dar es salaam, tanzania.Morogoro; Sokoine university of Agriculture