{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T08:40:44Z","timestamp":1789116044598,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,12,4]],"date-time":"2022-12-04T00:00:00Z","timestamp":1670112000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The objective of the study was to determine the clinical factors associated with knowledge and self\u2010care practice among adults living with type 2 diabetes mellitus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Descriptive cross\u2010sectional design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A convenience sample of 330 participants was recruited over 3\u2010months in 2018 and data were collected using a structured instrument.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants on insulin treatment modality had four times higher odds of knowledge on diabetes (<jats:italic>B<\/jats:italic>\u00a0=\u00a04.17, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.023) while those on combined therapy (both oral hypoglycaemic agent and insulin) had 7.26 times higher odds of knowledge (<jats:italic>B<\/jats:italic>\u00a0=\u00a07.26, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Participants without medically confirmed diabetic complications had 3.66 higher odds of knowledge of diabetes (<jats:italic>B<\/jats:italic>\u00a0=\u00a03.66, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.002). Participants on insulin treatment modality had a 1.4\u2010fold higher odds of self\u2010care practice (<jats:italic>B<\/jats:italic>\u00a0=\u00a01.4, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.028). It was revealed that participants with hypertension and diabetic foot had lower odds of self\u2010care practice (<jats:italic>B<\/jats:italic>\u00a0=\u00a0\u22121.13, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.021).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In particular, participants who were on insulin and combined therapy (tablet and insulin) had higher knowledge and better self\u2010care practice. Self\u2010care was significantly influenced among those with, than those without diabetic foot and hypertension as complications.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nop2.1506","type":"journal-article","created":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T03:13:52Z","timestamp":1670210032000},"page":"2492-2500","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Clinical factors influencing knowledge and self\u2010care practice among adults with type 2 diabetes mellitus"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4616-7642","authenticated-orcid":false,"given":"Richard Adongo","family":"Afaya","sequence":"first","affiliation":[{"name":"Department of Midwifery and Women's Health University for Development Studies  Tamale Ghana"},{"name":"Department of Nursing Kwame Nkrumah University of Science and Technology  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2780-7579","authenticated-orcid":false,"given":"Victoria","family":"Bam","sequence":"additional","affiliation":[{"name":"Department of Nursing Kwame Nkrumah University of Science and Technology  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9028-1739","authenticated-orcid":false,"given":"Alberta Yemotsoo","family":"Lomotey","sequence":"additional","affiliation":[{"name":"Department of Nursing Kwame Nkrumah University of Science and Technology  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7918-2999","authenticated-orcid":false,"given":"Agani","family":"Afaya","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Nursing and Midwifery University of Health and Allied Sciences  Ho Ghana"},{"name":"College of Nursing Yonsei University  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,4]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104\u2010018\u20103874\u20108"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2009.02.003"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2018.10.010"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/inthealth\/ihy067"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104\u2010018\u20103939\u20108"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010014\u20100666\u20102"},{"issue":"3","key":"e_1_2_12_8_1","first-page":"347","article-title":"Prevalence of hypertension and diabetes mellitus in adults from a rural community in Ghana","volume":"22","author":"Cook\u2010Huynh M.","year":"2012","journal-title":"Ethnicity and Disease"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12306"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2017.05.004"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.21.5.706"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12902\u2010015\u20100021\u20106"},{"key":"e_1_2_12_13_1","unstructured":"Ghana Statistical Service. 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