In-person later abortion accompaniment: a feminist collective-facilitated self-care practice in Latin America

Background Type 2 diabetes mellitus (T2D) has become a global health challenge. Diabetic peripheral neuropathy (DPN) is one of the common comorbidities of T2D that may affect the ability to perform diabetes self-care. Purpose To compare self-care practices between adult T2D patients with and without comorbid DPN and identify factors predicting self-care practices. Methods In this cross-sectional study, conducted at tertiary hospitals in Ethiopia, a total of 216 (108 with DNP and 108 without DNP) participants completed an interviewer-administered questionnaire including measures of diabetes self-care practices, self-evaluated peripheral neuropathy, self-efficacy, diabetes knowledge, and social support. Results Adult T2D patients with comorbid DPN had lower dietary (P< 0.001), exercise (P< 0.001), blood glucose testing (P = 0.001), and foot (P = 0.007) self-care practice than those without DPN. Social support is a significant predictor of dietary self-care in both groups while predicting foot self-care and blood glucose testing in those with comorbid DPN. Moreover, occupation, education, and having a glucometer are significant predictors of diabetes self-care practice in both groups. Conclusion This study found that adult T2D patients with comorbid DPN have poorer diabetes self-care practice than those without comorbid DPN. Interventions should focus on addressing social support and access to a glucometer in order to improve diabetes self-care practices in adult T2D patients with comorbid DPN.

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Self-Care for Nurse Leaders in Acute Care Environment Reduces Perceived Stress: A Mixed-Methods Pilot Study Merits Further Investigation

Journal of Holistic Nursing ◽

10.1177/0898010116685655 ◽

2017 ◽

Vol 36 (1) ◽

pp. 79-90 ◽

Cited By ~ 4

Author(s):

Susan Mac Leod Dyess ◽

Angela S. Prestia ◽

Doren-Elyse Marquit ◽

David Newman

Keyword(s):

Mixed Methods ◽

Acute Care ◽

Perceived Stress ◽

Repeated Measures ◽

Self Care ◽

Nurse Leaders ◽

Future Research ◽

Care Practice ◽

Meditation Practice ◽

Significant Drop

Acute care practice settings are stressful. Nurse leaders face stressful demands of numerous competing priorities. Some nurse leaders experience unmanageable stress, but success requires self-care. This article presents a repeated measures intervention design study using mixed methods to investigate a self-care simple meditation practice for nurse leaders. Themes and subthemes emerged in association with the three data collection points: at baseline (pretest), after 6 weeks, and after 12 weeks (posttest) from introduction of the self-care simple meditation practice. An analysis of variance yielded a statistically significant drop in perceived stress at 6 weeks and again at 12 weeks. Conducting future research is merited.

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A STUDY ON KNOWLEDGE, ATTITUDES, AND PRACTICES FOR THE PREVENTION OF DIABETIC FOOT IN RURAL TERTIARY CARE TEACHING HOSPITAL

International Journal of Pharmacy and Pharmaceutical Sciences ◽

10.22159/ijpps.2017v9i9.20114 ◽

2017 ◽

Vol 9 (9) ◽

pp. 138

Author(s):

Gopal Teli ◽

B. G. Ponnappa

Keyword(s):

Diabetic Foot ◽

Tertiary Care ◽

Self Care ◽

Research Centre ◽

Care Practice ◽

Diabetic Patients ◽

Foot Care ◽

Cross Sectional ◽

Attitudes And Practices ◽

The Mean

Objective: To assess the knowledge, attitude, and practice of diabetic patients regarding care of their own feet.Methods: This is a cross-sectional study conducted in the inpatient department of surgery at Adichunchanagiri hospital and research centre, B. G. Nagara, Karnataka, India from 1st Nov. 2016 to 31st Dec. 2016. The relation between gender and knowledge, attitude and practices of people with diabetes patients were compared by using the Chi-square test at 95% confidence interval at p<0.05.Results: Out of 51 patients, 72.54% were male and 27.46% female and 45.1% of the patients were in the age range 61-80 y. The mean SD of the age was 60.49±14.02. The mean SD of body weight of the patient was 66.17±8.54. The majority of the patients 45.1% were farmers and 41.7% were illiterate. Most of them did not know the practice of correct foot hygiene (39.22%) and what abnormalities observe in their feet (66.67%). We found that 90.2% patients were engaged in foot self-care practice and more than half of them (54.1%) always inspected their footwear before using it. Interestingly, more women were involved in foot care (100%) as compared to men (86.46%) but statistically not significant (p=0.147).Conclusion: We found that patients were not having sufficient knowledge about the correct hygiene of the foot, what abnormalities to observe in their feet and about ideal footwear. Even though females were showing interest towards self-care examination and foot care practice, it is essential that all the diabetic patients must be educated about the knowledge, attitude and foot self-care practice to prevent diabetic foot related complications.

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Perceived health care climate, diabetes knowledge and self-care practice of Hong Kong Chinese older patients: a pilot study

Journal of Clinical Nursing ◽

10.1046/j.1365-2702.2003.00892.x ◽

2004 ◽

Vol 13 (4) ◽

pp. 534-535 ◽

Cited By ~ 6

Author(s):

Catharine Siu-Ling Lee ◽

Ann Tak-Ying Shiu

Keyword(s):

Health Care ◽

Hong Kong ◽

Pilot Study ◽

Older Patients ◽

Self Care ◽

Perceived Health ◽

Hong Kong Chinese ◽

Care Practice ◽

Diabetes Knowledge

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Diabetic foot self-care practice in women with diabetes in Iran

Diabetes & Metabolic Syndrome Clinical Research & Reviews ◽

10.1016/j.dsx.2021.102225 ◽

2021 ◽

pp. 102225

Author(s):

Maryam Aalaa ◽

Mohammadreza Amini ◽

Hossein Yarmohammadi ◽

Hamid Reza Aghaei Meybodi ◽

Mostafa Qorbani ◽

...

Keyword(s):

Diabetic Foot ◽

Self Care ◽

Care Practice

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Diabetes Self-Care Practice, and Associated Factors Among Type 2 Diabetic Patients in Public Hospitals of Tigray Region, Ethiopia

10.21203/rs.3.rs-51145/v1 ◽

2020 ◽

Author(s):

Medina Abdulkadir Wehabrebi ◽

Goitom Molalign Takele ◽

Hiyab Teklemichael Kidane ◽

Kahsu Gebrekirstos Gebrekidan ◽

Birhan Gebresillassie Gebregiorgis

Keyword(s):

Type 2 Diabetes ◽

Self Care ◽

Public Hospitals ◽

Care Practice ◽

Diabetic Patients ◽

Care Providers ◽

Factors Associated ◽

Tigray Region ◽

Care Practices

Abstract Background: The prevalence of Type 2 diabetes is increasing steadily at an alarming rate and Ethiopia is placed fourth among the top five countries of the Africa region according to the International diabetes federation. Regardless of its burden, the self-care behaviors are still unknown. This study is aimed to determine the level of diabetes self-care practice and factors associated with among Type 2 diabetes mellitus patients in public hospitals of Tigray region.Methods: Institution-based, cross-sectional study was conducted in six selected hospitals of Tigray region from January to February, 2020. Data was collected by trained nurses with a face to face interview method using Summary Diabetes Self-Care Activities (SDSCA). Bivariate and multivariate logistic regression was used to identify factors associated with self-care practices. Statistical significance was declared at P-value < 0.05.Results: A total of 570 patients with type 2 diabetes were included in this study. The mean age of the participant was 46 ± 14.6 years. Less than half (46.7%) of the participants has good diabetes self-care practices. Urban residency (AOR=2.79, 95% CI 1.858-4.205), age group above 64 years (AOR=2.384, 95% CI 1.258-4.518), not having formal education (AOR=2.616, 95% CI 1.337-4.518), having family or social support (AOR=1.878, 95% CI 1.243-2.837), duration DM above 10 years (AOR=2.325, 95% CI 1.224-4.418), having personal glucometer at home (AOR=5.9, 95% CI 2.790-12.764) were determinant factors of good diabetes self-care practice. Conclusion: the diabetes self-care practices in the region was found to be low. Health care providers might have to consider actions to act on the identified factors and improve self-care practices of the patients. Especially, focusing on caring and giving follow up services to younger adults and DM patients coming from a rural areas.

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KNOWLEDGE AND SELF CARE PRACTICE OF HEART FAILURE PATIENTS IN BIRATNAGAR

International Journal of Engineering Applied Sciences and Technology ◽

10.33564/ijeast.2019.v04i05.019 ◽

2019 ◽

Vol 04 (05) ◽

pp. 133-137

Author(s):

Saraswati Basnet ◽

Dr. Deepak Sigdel

Keyword(s):

Heart Failure ◽

Self Care ◽

Care Practice ◽

Heart Failure Patients

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Diabetics’ self-care practice and its determinants among Adult diabetic patients in Ethiopia: A systematic review and meta-analysis.Diabetics’ self-care practice and its determinants among Adult diabetic patients in Ethiopia: A systematic review and meta-analysis

10.21203/rs.2.18987/v2 ◽

2019 ◽

Author(s):

Fikadu Ambaw Yehualashet ◽

Wuber Worku Takele ◽

Eleni Tesfaye Tegegne ◽

Amare Demsie Ayele

Keyword(s):

Diabetes Mellitus ◽

Social Support ◽

Systematic Review ◽

Meta Analysis ◽

National Level ◽

Self Care ◽

Care Practice ◽

Diabetic Patients ◽

Qualitative Synthesis ◽

Complications Of Diabetes

Abstract Background Appropriate diabetic self-care is indispensable to prevent and limit diabetic associated short and long term complications including death. Despite the well-recorded devastating complications of diabetes mellitus, a pooled percentage of diabetic patients applying self-care and its determinants at the national level have remained unknown. Therefore, this comprehensive systematic review and meta-analysis is aimed at determining the pooled national percentage of diabetic self-care practice and its determinants among adult diabetic patients in Ethiopian. Methods: Different electronic databases including PubMed/Medline and search engines such as Google scholar were used to retrieve published studies. The Joanna Briggs Institute quality appraisal checklists were used to appraise the quality of studies. Data were extracted using excel spreadsheets and analyses were done by STATA 14. Heterogeneity among studies was diagnosed using the I2 test. The DerSimonian and Laird random-effects model was employed for substantial heterogeneity (I2>50%). The pooled estimate of diabetic self-care and odds ratio was reported based on the 95% CI. Results: A total of 3861 studies were identified, of which only 19 studies have reached the final qualitative synthesis and quantitative analysis. Well over half of the Ethiopian diabetic patients have good self-care 54.04% (47.07-61.01, I2 =97.3, P<0.001). Subgroup analysis showed that the highest pooled estimate was in Southern Nations Nationalities and Peoples 81.96(71.85-92.04), I2=89.1, P<0.002) while the lowest was from the Hareri region 44.53(32.16-56.89) I2=94%%, P<0.001). Being knowledgeable about diabetes mellitus 2.69 (1.62, 4.46; I2 =99%, P<0.001), having good social support 2.25(1.49-3.39; I2=99%, P=0.00), owning private glucometer 3.04(1.64, 5.65; I2=97.4, P<0.001), and being urban residents 3.26(2.24, 4.74; I2=96.3%, P<0.001) have promoted diabetic victims to apply self-care practice. Conclusions: Despite the life-threatening complications of diabetes mellitus, the percentage of patients applying self-care has remained low in Ethiopia, depicting the high proportion of diabetic patients are prone to develop long and short term complications of diabetes mellitus. Therefore, improving the client’s awareness about the disease and counseling clients about the significance of social support are believed to be possible strategies to improve self-care practice and policymakers are strongly recommended to combat complications to attain sustainable development goal 3.4 aims to reduce premature death.

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Patient autonomy in home care: Nurses’ relational practices of responsibility

Nursing Ethics ◽

10.1177/0969733018772070 ◽

2018 ◽

Vol 26 (6) ◽

pp. 1638-1653 ◽

Cited By ~ 8

Author(s):

Gaby Jacobs

Keyword(s):

Professional Development ◽

Home Care ◽

Narrative Analysis ◽

Patient Autonomy ◽

Informal Caregivers ◽

Self Care ◽

Care Practice ◽

Moral Concept ◽

Healthcare Budget ◽

Home Care Nurses

Background: Over the last decade, new healthcare policies are transforming healthcare practices towards independent living and self-care of older people and people with a chronic disease or disability within the community. For professional caregivers in home care, such as nurses, this requires a shift from a caring attitude towards the promotion of patient autonomy. Aim: To explore how nurses in home care deal with the transformation towards fostering patient autonomy and self-care. Research design and context: A case study was conducted in a professional development course (‘learning circle’) for home care nurses, including participant observations and focus groups. The theoretical notion of ‘relational agency’ and the moral concept of ‘practices of responsibility’ were used to conduct a narrative analysis on the nurses’ stories about autonomy. Participants: Eight nurses, two coaches and two university lecturers who participated in the learning circle. Ethical considerations: Informed consent was sought at the start of the course and again, at specific moments during the course of the learning circle. Findings: Three main themes were found that expressed the moral demands experienced and negotiated by the nurses: adapting to the person, activating patients’ strengths and collaboration with patients and informal caregivers. Discussion: On a policy and organisational level, the moral discourse on patient autonomy gets intertwined with the instrumental discourse on healthcare budget savings. This is manifested in the ambiguities the nurses face in fostering patient autonomy in their daily home care practice. To support nurses, critical thinking, moral sensitivity and trans-professional working should be part of their professional development. Conclusion: The turn towards autonomy in healthcare raises moral questions about responsibilities for care. Promoting patient autonomy should be a collaborative endeavour and deliberation of patients, professional and informal caregivers together.

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