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Diabetes, a non-communicable metabolic disease, causes multiple complications and deaths worldwide. It is a complex, chronic disease that requires continuous medical care with multifactorial risk reduction strategies beyond glycemic control. Ongoing patient education and self-management support are critical for preventing acute complications and reducing the risk of long-term complications. There is ample evidence that healthy lifestyle choices, such as a healthy diet, moderate weight loss, and regular exercise, can maintain normal blood sugar levels and minimize diabetes-related complications. In addition, this lifestyle change has a major impact on controlling hyperglycemia and can help to maintain normal blood sugar levels. This study aimed to assess lifestyle modification and medication use in patients with diabetes mellitus at Jimma University Medical Center. Hospital-based prospective cross-sectional study was conducted from April 1 to September 30, 2021 among DM patients who have follow-up at diabetic clinic of Jimma University Medical Center. Consecutive sampling was used until the required sample size was achieved. Data were checked for completeness, then entered into Epidata version 4.2 software and exported to SPSS version 21.0. Pearson's chi-square test was performed to determine the association between KAP and independent factors. Variables with a p value < 0.05 were considered significant. A total of 190 participants took part in this study with a response rate of 100%. In this study, 69 (36.3%) participants had good knowledge, 82 (43.2%) moderate knowledge and 39 (20.5%) poor knowledge, 153 (85.8%) had positive attitudes, 141 (74.2%) had good practice. Marital status, Occupational status and educational status were significantly associated with knowledge and attitude towards LSM and medication use. Marital status was the only variable that remained significantly associated with knowledge, attitude and practice towards LSM and medication use. The result of this study showed that more than 20% of the participants had poor knowledge, attitude, and practice towards medication use and LSM. Marital status was the only variable which remained to be significantly associated with KAP towards LSM and medication use.

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RESUMEN

Background: Good relationships among healthcare professionals in general and nurses and midwives, in particular, are vital in creating a smooth working environment and producing the best services from these two backbones of healthcare. Unfortunately, no studies have been conducted in Ethiopia that assesses the relationship between nurses and midwives in health facilities and the possible associated factors. Thus, this study aimed to assess the relationship between nurses and midwives in their working areas and factors associated with their relationships. Methods: An institution-based cross-sectional study was conducted among 358 nurses at Jimma medical center, Jimma, Southwest Ethiopia. The sample size was calculated using a single-population proportion formula, and a simple random sampling technique was used to select individual study participants. Data were collected using a semistructured self-administered questionnaire prepared in the local language. Data were entered into epi-data version 4.2, and the analysis was conducted using the statistical packages for social sciences version 23. The level of significance was declared at a p-value less than .05 in the final multivariable logistic regression model. The results are presented in a figure, tables, frequencies and percentages, and narratives. Results: This study indicated that 284 (79.60%) nurses had good relationships with midwives in their work area, and the remaining 74 (20.40%) had poor relationships. The rules and regulations of the hospital (p = .009, adjusted odds ratio [AOR] = 0.478, confidence interval [CI]: (0.274, 0.833)) and years of experience (p = .039, AOR = 8.391, CI: (1.120, 9.845)) were found to have statistically significant associations with relationships between nurses and midwives. Conclusion: It could be concluded that there is a relatively good relationship between nurses and midwives at Jimma medical center. Although there is a good relationship, it is vital to make nurses aware of the importance of good relationships. Enabling hospital rules and regulations to be helpful in fostering relationships between nurses and midwives and working with nurses with few years of experience to develop good relationships with midwives is recommended.