Self-care behaviors and glycemic control among older Type 2 diabetes mellitus patients in low-income families in Southern Punjab, Pakistan

Introduction: Treatment that must continue, control, and diet that must be obeyed by people with DM can cause boredom (burnout) - inability to care for themselves, and blood sugar that is not controlled. The purpose of this study was to determine the effect of diabetes resilience training on self-care, glycemic control, and diabetes burnout of adult type 2 diabetes mellitus. Methods: This study was a quasi-experimental design. The total samples were 70 respondents (treatment and control) obtained by cluster sampling. The independent variable was diabetes resilience training and dependent variables were self-care, glycemic control, and diabetes burnout. The intervention provided for one month with four meetings. Instrument used self-care questionnaire of Self-Care Inventory-Revised (SCI-R), glycemic control questionnaire used an observation sheet for fasting blood sugar, and diabetes burnout questionnaire used Diabetes Distress-Screening Scale (DDS17). Data were analyzed with Wilcoxon signed ranks test, Mann Whitney U Test, Independent-sample t-test, and 1-Sample K-S. Results: There was an effect of diabetes resilience training on self-care (p = 0.003; p <0.05), glycemic control (p = 0.020; p <0.05), and diabetes burnout (p = 0,000; p <0.05). Conclusions: Diabetes resilience training provided by researchers to respondents can improve good self-care behavior, decreased glycemic control values, and decreased distress (diabetes burnout) in adult type 2 diabetes mellitus. Based on the results, it is recomandation to nurses and health care provider to implementation the diabetes resilience training regularly.

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Association of diabetes knowledge with glycemic control and self-care practices among Pakistani people with type 2 diabetes mellitus

Diabetes Metabolic Syndrome and Obesity Targets and Therapy ◽

10.2147/dmso.s209711 ◽

2019 ◽

Vol Volume 12 ◽

pp. 1409-1417 ◽

Cited By ~ 2

Author(s):

Allah Bukhsh ◽

Tahir Mehmood Khan ◽

Muhammad Sarfraz Nawaz ◽

Hafiz Sajjad Ahmed ◽

Kok Gan Chan ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Glycemic Control ◽

Self Care ◽

Diabetes Knowledge ◽

Care Practices

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Randomized trial of technology-assisted self-monitoring of blood glucose by low-income seniors: improved glycemic control in type 2 diabetes mellitus

Journal of Behavioral Medicine ◽

10.1007/s10865-016-9763-5 ◽

2016 ◽

Vol 39 (6) ◽

pp. 1001-1008 ◽

Cited By ~ 5

Author(s):

Jason C. Levine ◽

Edith Burns ◽

Jeffrey Whittle ◽

Raymond Fleming ◽

Paul Knudson ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Blood Glucose ◽

Glycemic Control ◽

Randomized Trial ◽

Low Income ◽

Self Monitoring

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Comportamentos de Pacientes com Diabetes Tipo 2 sob a Perspectiva do Autocuidado

Journal of Health Sciences ◽

10.17921/2447-8938.2017v19n2p109-113 ◽

2017 ◽

Vol 19 (2) ◽

pp. 109 ◽

Cited By ~ 1

Author(s):

Ernandes Gonçalves Dias ◽

Maria do Socorro Lopes Nunes ◽

Valéria Souza Barbosa ◽

Sandra Antunes Jorge ◽

Lyliane Martins Campos

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Low Income ◽

Life Quality ◽

Self Care ◽

Structured Interview ◽

Cross Sectional ◽

Medication Therapy

Diabetes Mellitus Tipo 2 é uma doença metabólica de importância mundial, a prevenção e suas complicações são um desafio para as equipes de saúde. O estudo teve como objetivo analisar os comportamentos adotados pelos usuários portadores de Diabetes Mellitus Tipo 2 em relação ao autocuidado. Trata-se de uma pesquisa descritiva e transversal de abordagem qualitativa, realizada com 17 portadores de Diabetes Mellitus Tipo 2 cadastrados na Unidade de Saúde Maria Fernandes de Souza de Janaúba-MG. Os dados foram coletados no período de março e abril de 2015, por meio de uma entrevista estruturada, gravada em áudio, aplicada no domicílio do participante. Os resultados apontaram que a maioria dos usuários tinha de 55 a 65 anos, eram do sexo feminino, pardas, casadas, possuíam baixa escolaridade e baixo poder aquisitivo. Verificouse baixa adesão às medidas terapêuticas de controle da doença, sedentarismo e alimentação inadequada. Conclui-se que há necessidade dos portadores de Diabetes Mellitus Tipo 2 serem conscientizados sobre a importância de desenvolver práticas de autocuidado diário e adoção de hábitos de vida saudáveis para conseguir melhor qualidade de vida e controle satisfatório da doença. Dessa forma, é preciso que os profissionais de saúde, especialmente, os atuantes na Atenção Primária à saúde, desenvolvam ações de saúde voltadas à educação em saúde com essa população.Palavras-chave: Diabetes Mellitus Tipo 2. Conduta do Tratamento Medicamentoso. Autocuidado.AbstractType 2 Diabetes Mellitus is a metabolic disease of global importance, prevention and its complications are a challenge for the health teams. The study aimed to analyze the Type 2 Diabetes Mellitus’ behavior’ bearers regarding self-care. The survey a descriptive and cross-sectional typewith a qualitative approach, carried out with 17 Type 2 Diabetes Mellitus patients registered at the Health Unit Maria Fernandes of Souza Janaúba-MG. Data were collected between March and April 2015 through a structured interview, recorded on audio, carried out at the participants’home. The results showed that most userswere 55-65 years old and female, brown, married, had low educational leveland low income. There was low adherence to therapeutic measures to control the disease, physical inactivity and unhealthy diet. It was concluded when it comes to Type 2 Diabetes Mellitus patients, they need to be aware of the importance of developing daily self-care practices and adoption of healthy living habits to achieve better life quality and satisfactory disease control. Thus, it is important that health professionals, especially those working in primary health care to develop health actions aimed at health education with this population.Keywords:Type 2 Diabetes Mellitus. Medication Therapy Management. Self-Care.

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Efektifitas Pemberdayaan Keluarga Terhadap Kontrol Metabolik Pada Pasien Diabetes Mellitus Tipe 2

Jurnal Keperawatan Muhammadiyah ◽

10.30651/jkm.v4i2.3067 ◽

2019 ◽

Vol 4 (2) ◽

Author(s):

Rasnah Rasnah ◽

Elly L Sjattar ◽

Saldy Yusuf

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Glycemic Control ◽

Metabolic Control ◽

Family Members ◽

Self Care ◽

Diabetic Patients ◽

Family Empowerment

Background : Family empowerment plays an important role in the management of diabetes mellitus experienced by family members. Because of the chronic nature of this disease, people with diabetes mellitus need long-term assistance to improve self-care and delay chronic complications from diabetes mellitus through glycemic control. Aim : To conduct a systematic review and assess the effectiveness of family empowerment for metabolic control in patients with type 2 diabetes mellitus. Method : Systematic reviews are carried out using electronic databases in article searches such as PubMed, ScienceDirect, ProQuest, Google Scholar. Results: After reviewing five articles it was found that family-based intervention or by empowering families in the care of patients with diabetes mellitus played a role in decreasing HbA1c as an indicator in glycemic control. And the most widely used instruments are the scale of self-care and diabetes activity (SDSCA), the diabetes empowerment scale (DES) and the diabetes knowledge questionnaire (DKQ). Conclusion : From the review of the article reviewed it can be concluded that families must be involved in the care of people with diabetes mellitus, diabetes education given only to individuals with type 2 diabetes limits the impact on patients, therefore empowering families will provide a large role in the management of chronic diseases that emphasize context where this disease occurs including the family's physical environment, education, and the personal needs of patients and family members. Helps develop healthy family behavior and shows self-management of diabetic patients, especially in health care programs, especially those who are able to promote various forms of social support, glycemic control and to strengthen ties between family members.Keywords : Family empowerment, metabolic control, type 2 diabetes mellitus.

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Type D personality and its impact on patients with Type 2 diabetes mellitus

10.21203/rs.2.20259/v1 ◽

2020 ◽

Author(s):

Yi-Hsin Lin ◽

Di-An Chen ◽

Chemin Lin ◽

Hsuan Huang

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Psychological Distress ◽

Glycemic Control ◽

Perceived Stress ◽

Self Efficacy ◽

Self Care ◽

Type D

Abstract Background: Type D personality (TDP) has been recognized as a risk factor for many diseases. Researches in association with TDP and type 2 diabetes mellitus (T2DM) were limited. Aims: The aim of this study was to estimate the prevalence of TDP, also to assess the relationship between TDP and perceived stress, self-efficacy, self-care behaviors, and psychological distress on Taiwanese patients with T2DM.Methods: 198 patients with T2DM were recruited consecutively from the department of endocrinology of a regional hospital in Taipei, Taiwan from December 2017 to April 2018. The participants completed questionnaires containing questions about sociodemographic characteristics, TDP, illness-related stress, self-efficacy, execution of diabetes management and emotional distress. Their medical records were reviewed for biomedical data.Results: 41.4% of the 198 patients had TDP. Controlling for sociodemographic factors, patients with TDP were reported significantly poorer on glycemic control than those without this personality (P<0.05). Compared to those without TDP, the results showed significantly higher levels of perceived stress (P<0.001) and psychological distress (anxiety and depression) (P<0.001), as well as significantly lower levels of self-efficacy (P<0.001) and self-care behaviors (P<0.001) on patients with TDP. TDP is positively correlated with perceived stress and psychological distress. It is negatively correlated with self-efficacy and self-care behavior scores.Discussion: This study provides the evidence linking TDP with poor glycemic control, self-efficacy, and self-care behaviors, as well as high perceived stress and psychological distress, which highlights the screening of TDP and the specific needs for the care among T2DM patients with TDP.

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