Work-related factors associated with self-care and psychological health among people with type 2 diabetes in Japan

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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Modifiable Factors Associated with Non-adherence to Antihypertensive or Antihyperlipidemic Drugs Are Dissimilar: a Multicenter Study Among Patients with Diabetes in Indonesia

Journal of General Internal Medicine ◽

10.1007/s11606-020-05809-y ◽

2020 ◽

Vol 35 (10) ◽

pp. 2897-2906

Author(s):

Sofa D. Alfian ◽

Nurul Annisa ◽

Fajriansyah Fajriansyah ◽

Dyah A. Perwitasari ◽

Rizky Abdulah ◽

...

Keyword(s):

Type 2 Diabetes ◽

Antihypertensive Drugs ◽

Multinomial Logistic Regression ◽

Cross Sectional Survey ◽

Related Factors ◽

Patient Counselling ◽

Medication Beliefs ◽

Factors Associated ◽

Modifiable Factors

Abstract Background To develop targeted and tailored interventions for addressing medication non-adherence, it is important to identify underlying factors. Objective To identify factors associated with non-adherence as well as subtypes of non-adherence to antihypertensive or antihyperlipidemic drugs among patients with type 2 diabetes in Indonesia. Design An observational multicenter cross-sectional survey. Participants Patients with type 2 diabetes using either antihypertensive or antihyperlipidemic drugs in four regions in Indonesia. Main Measures Non-adherence and its subtypes of intentional and unintentional non-adherence were assessed using the Medication Adherence Report Scale. Necessity and concern beliefs were assessed with the Beliefs about Medicines Questionnaire. We applied binary and multinomial logistic regression to assess associations of medication beliefs, sociodemographic factors, and clinical-related factors to non-adherence and report odds ratios (OR) with 95% confidence intervals (CI). Key Results Of 571 participating patients (response rate 97%), 45.5% and 52.7% were non-adherent to antihypertensive and antihyperlipidemic drugs, respectively. Older age was associated with non-adherence to antihypertensive drugs (60–69 years) (OR, 5.65; 95% CI, 2.68–11.92), while higher necessity beliefs (OR, 0.92; 95% CI, 0.88–0.95) were associated with less non-adherence. Factors associated with non-adherence to antihyperlipidemic drugs were female gender (OR, 1.84; 95% CI, 1.03–3.27) and higher concern beliefs (OR, 1.10; 95% CI, 1.03–1.18), while higher necessity beliefs (OR, 0.89; 95% CI, 0.83–0.96) were associated with less non-adherence. Conclusions The main factors associated with non-adherence to antihypertensive and antihyperlipidemic drugs are modifiable. In general, beliefs about the necessity of the drug are important but for antihyperlipidemic drugs concerns are important as well. Healthcare providers should pay attention to identify and address medication beliefs during patient counselling.

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Factors Associated With Glycemic Control and Diabetes Self-care Among Outpatients With Schizophrenia and Type 2 Diabetes

Archives of Psychiatric Nursing ◽

10.1016/j.apnu.2010.06.002 ◽

2011 ◽

Vol 25 (1) ◽

pp. 63-73 ◽

Cited By ~ 14

Author(s):

Masayo Ogawa ◽

Yuki Miyamoto ◽

Norito Kawakami

Keyword(s):

Type 2 Diabetes ◽

Glycemic Control ◽

Self Care ◽

Factors Associated

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Factors Associated with Self-Care Behavior of Elderly Patients with Type 2 Diabetes in Thailand

The Open Public Health Journal ◽

10.2174/1874944502114010494 ◽

2021 ◽

Vol 14 (1) ◽

pp. 494-498

Author(s):

Prapada Watcharanat ◽

Kitsarawut Khuancheree ◽

Brian Lee

Keyword(s):

Social Support ◽

Type 2 Diabetes ◽

Elderly Patients ◽

Statistical Significance ◽

Self Care ◽

Diabetic Patients ◽

Factors Associated ◽

Average Value ◽

Care Behavior

Introduction: Diabetes belongs to the chronic disease group with an average high prevalence rate of 463 million worldwide. This research aims to investigate factors associated with self-care behavior among elderly patients with type 2 diabetes. Methods: The sample included 441 patients diagnosed with diabetes admitted to the Tambon Health Promoting Hospital in Nakhon Nayok Province. The sample size used in this study was calculated according to the sampling group of Yamane with a 95% confidence level. Data were analyzed by descriptive statistics, correlation coefficients, and multiple regression analysis at the statistical significance level of 0.05. Results: The results showed that the average value of knowledge was 9.17 (SD=2.38), and the average values of attitude and social support behavior towards diabetes were 2.72 (SD=0.64) and 1.83 (SD=0.27), respectively. The results indicated that knowledge, attitude, and social support towards diabetes showed an average of a medium level. Moreover, the average value of self-care behavior towards diabetes was 30.52 (SD= 7.19). The results indicated that the knowledge about diabetes, attitude towards diabetes, and social support towards diabetes positively affected self-care behavior towards diabetes with the statistical significance of 0.05. Conclusion: Health promotion programs for patients with diabetes should be organized to promote knowledge and awareness on proper health behavior. In order to take care of themselves, diabetic patients must first get awareness regarding diabetes and then build skills for self-care. The results obtained in the study can help diabetic patients stay healthier, reduce the manifestation of both acute and chronic complications, and improve the quality of life of the elderly with diabetes.

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Patient-related factors associated with poor glycaemic control among patients with type 2 diabetes mellitus

Australian Journal of General Practice ◽

10.31128/ajgp-02-19-4859 ◽

2019 ◽

Vol 48 (8) ◽

pp. 557-563

Author(s):

Pablo Romakin ◽

Masoud Mohammadnezhad

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Glycaemic Control ◽

Related Factors ◽

Poor Glycaemic Control ◽

Factors Associated

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Poor dietary practice and its associated factors among patients with type 2 diabetes mellitus on follow up in Nigist Elleni Mohammed Memorial Comprehensive Specialized Hospital, Ethiopia

10.21203/rs.3.rs-819197/v1 ◽

2021 ◽

Author(s):

Mulugeta Selassie ◽

Desalegn Tamiru ◽

Tegegn Tadesse ◽

Adisalem Gizachew

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Self Care ◽

Poor Adherence ◽

Dietary Practice ◽

Factors Associated ◽

Specialized Hospital

Abstract Background Despite the importance of dietary practice on self care of patients with type 2 diabetes mellitus, poor dietary practice results in long term complications. Therefore this study was conducted to identify the level of poor dietary practice among type 2 diabetic patients on follow up in Nigist Elleni Mohammed Memorial comprehensive specialized Hospital, Southern Ethiopia. Methods Facility based cross-sectional study design was employed to assess the level of poor dietary practice among type II diabetes mellitus adult patients. The study was conducted from March to April 2020 G.C. Systematic random sampling method was used to select the study respondent. Both bivariate and multivariable logistic regressions were carried out to assess independent predictors of poor practice to diet. Odds ratios and their 95% confidence intervals together with value ≤ 0.05 were used to identify independent predictors of poor dietary practice. Result The overall proportion of poor dietary adherence among type diabetes patients was 53.7% (n = 168). Having large family size, occupations, being low wealth status, lack of family support and not being member of diabetic association were the factors associated with poor adherence of dietary practice among type 2 diabetes mellitus patients. Conclusion The overall magnitude of the poor adherence to dietary practice among type 2 diabetes mellitus adult patients was 53.7% which is not going in line with international recommendations of diabetic self care. Every concerned body should strive to address those factors associated with poor dietary practice among type 2 diabetes mellitus patients.

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