scholarly journals Self-Care Practices among Diabetic Patients in Anand District of Gujarat

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Shyamsundar Jagdish Raithatha ◽  
Singh Uday Shankar ◽  
Kumar Dinesh
Keyword(s):  
Physical Activity ◽  
Problem Solving ◽  
Psychosocial Adjustment ◽  
Self Care ◽  
Diabetic Patients ◽  
Foot Care ◽  
Performance Score ◽  
Dietary Practices ◽  
Cross Sectional ◽  
Care Practices

Background. Diabetes care requires a multipronged approach, wherein the patient has an important role to play. This study was undertaken to explore self-care practices of diabetic patients residing in Anand district of Gujarat. Methods. A cross-sectional study, involving 100 diabetic patients, was conducted in 2009-2010. Self-care practices in seven domains of physical activity, dietary practices, medication taking, monitoring of glucose, problem solving, foot care, and psychosocial adjustment were assessed using scores assigned to participants’ responses. Results. The mean age was 60.9 (SD=12.2) years and 57% were males. Majority (92%) were Hindus and were consulting private medical practitioners (71%). “Medication taking” was the domain with the best performance score (88.1%) and “problem solving” the worst (11.0%). The “psychosocial adjustment” of the participants was satisfactory (82.5%). Overall mean performance percentage score was 54.41%. Males had better performance scores as compared to females in areas of “physical activity,” “dietary practices,” and “problem solving.” Housewives had poorer performance scores. Total mean performance score was similar for patients on treatment from specialists and general practitioners. Conclusion. A self-care education program designed for this region should address the lacunae identified in various domains with a special emphasis on females.

scholarly journals Self-Care Practices among Diabetic Patients in Selected Sub-Metropolitan Cities of Nepal

2021 ◽  
pp. 1-9
Author(s):  
Supendra Karki ◽  
Srijana Pandey ◽  
Purusotam Raj Shedain
Keyword(s):  
Physical Activity ◽  
Blood Sugar ◽  
Self Care ◽  
Sampling Technique ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Metropolitan Cities ◽  
Care Practices ◽  
Specific Diet

Aims: Diabetes self-care requires a multipronged approach, wherein the diabetic patient has a significant role to play. This study was undertaken to explore self-care practices of diabetic patients residing in two sub-metropolitan cities of Nepal. Study Design: A cross-sectional comparative study. Place and Duration of Study: The study was carried out from March 2019 to June 2020. Methodology: An analytical cross-sectional study was done among 415 diabetic patients aged above 25 years. A simple random sampling technique was used to select the study participants. A structured questionnaire was adopted and making necessary contextual to collect the data. Descriptive statistics along with association between means, t-tests and ANOVA were calculated and a p < 0.05 was considered significant for data analysis. Results: Regarding the diabetes self-care activities in different domains with respect to sociodemographic independent variables, blood sugar testing and foot care was a statistically significant associated with education i.e.  (p= 0.018) and (p=0.003) simultaneously. The study also reveals that specific diet, physical activity/exercise and blood sugar testing are significantly associated with HbA1c of diabetic patients. i.e. (p=0.003), (p=0.004) and (p=0.037) respectively. Conclusion: The general awareness regarding both general and specific diet, physical activity/exercise, blood sugar testing, foot care and medications were poor in our study. More strategies need to be explored to make sure patients adhere to self-care activities.

scholarly journals Self-care practices among diabetes patients registered in a chronic disease clinic in Puducherry, South India

2016 ◽  
Vol 04 (01) ◽  
pp. 025-029 ◽  
Author(s):  
Kalaiselvi Selvaraj ◽  
Gomathi Ramaswamy ◽  
Shrivarthan Radhakrishnan ◽  
Pruthu Thekkur ◽  
Palanivel Chinnakali ◽  
...  
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Leisure Time Physical Activity ◽  
Self Care ◽  
Blood Glucose Monitoring ◽  
Diabetic Patients ◽  
Foot Care ◽  
Adherence To Medication ◽  
Disease Clinic ◽  
Care Practices

Abstract Background: In management of diabetes, self-care plays an important role in prevention of complications. This study aims to find the proportion of diabetic patients following the recommended self-care practices in an urban area of Puducherry. Materials and Methods: Consecutive eligible patients registered in chronic disease clinic were interviewed using Summary of Diabetes Self Care Activities Score (SDSCA) questionnaire. Self-care practices were evaluated in domains of diet, physical activity, foot-care, adherence to medications and blood glucose monitoring. All domains were scored from the range of 0 to 7. Results: Totally 162 diabetic patients were interviewed. The mean (SD) age of participants was 57 (11.1) yrs. Among all domains, adherence to medication was the highest (95.6 %) followed by avoidance of selected food items (99.4%). Almost 78% of patients had their blood sugar checked at least once in the last three months. Only half of them (50.6%) had followed at least 20 minutes of leisure time physical activity. Except washing of foot (83.3%) all other foot care practices were less commonly (35-57%) followed. Conclusion: The study shows that higher level of compliance to self-care practices in terms of taking drugs and diet but self-care in other domains such as foot care is alarmingly low.

scholarly journals Perception of Self-care and Self-care Practice of Diabetic Patients Attending Selected Hospitals in Oyo State, Nigeria

2021 ◽  
Vol 1 (2) ◽  
pp. 50-59
Author(s):  
Aina M.A. ◽  
Agbede C.O.
Keyword(s):  
Glucose Monitoring ◽  
Self Care ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Perception Of Self ◽  
Care Practices

Patients with diabetes require continuous self-care practice as poor self-care results in complications. This study assessed the perception of self-care and self-care practice of diabetic patients attending selected hospitals in Oyo State, Nigeria. An institutional-based cross-sectional study was employed and a total of 120 diabetic patients were selected using a systematic random sampling technique. Pretested, structured, and interview administered questionnaires were used for data collection. The collected data were analysed using IBM SPSS version 23 to generate descriptive (Mean and standard deviation) and inferential (Chi-square and correlation) statistics. The respondents had a mean perception score of 30.68±7.56. Majority 113(94.2%) of the respondents had poor self-care practices. Respondents’ perception was significantly correlate with patient physical activity (r= 0.184; p=0.004); healthy eating (r=-0.24; p= 0.026); glucose monitoring (r=0.319; p=0.000); compliance with medication (r= 0.438; p = 0.00); risk reduction (r= 0.229; p=0.012) However, patient perception is not correlated with foot care (r= 0.052; p=0.575). Patient’s perception of diabetes is a key determinant of self-care. It is recommended that psycho cognitive interventions are developed to help patients practice the recommended self-care practices.

scholarly journals Perceived self-efficacy and self-care practices among diabetic patients in a Tertiary Hospital, Nepal

2021 ◽  
Vol 5 (1) ◽  
pp. 25-32
Author(s):  
N. Dwa ◽  
B. Panthee
Keyword(s):  
Self Efficacy ◽  
Self Care ◽  
Public Health Problem ◽  
Care Practice ◽  
Diabetic Patients ◽  
Major Public Health Problem ◽  
Foot Care ◽  
Cross Sectional ◽  
Quality Life ◽  
Care Practices

Background: Diabetes Mellitus (DM) is a major public health problem worldwide and Nepal is not an exception. Complications of DM are in rise which results in major disabilities and poor quality of life. But evidences show that adoption of self-care practices can prevent those complications leading a healthy and quality life. Self-care practice is closely related to self-efficacy. Thus, present study aimed to assess perceived self-efficacy and self-care practices and to examine relationship between perceived self-efficacy and self-care practice of patients with Diabetes. Methods: This analytical cross-sectional study conducted in Patan Hospital among 100 patients was reviewed and approved by Institutional Review Committee. Samples were selected purposively and data was collected by face to face interview technique. Diabetes Self-Efficacy Scale and self-care practice questionnaire was used to measure self-efficacy and self-care practice, respectively. Results: Fifty nine percent and 81% of participants had moderate level of perceived self-efficacy and good self-care practice, respectively. There was significant moderate positive (r=0.62, p<0.001) correlation between perceived self-efficacy and self-care practice even after controlling the variables (e.g. age, gender and participation in educational program regarding self-care). Conclusion: The self-efficacy of participants was moderate and self-care practice was good. However, self-care practice was very low on foot care and exercise. The significant positive relationship between perceived self-efficacy and self-care practice highlights the need for conducting educational activities for patients with DM to increase self-efficacy thereby increasing self-care practice.  

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

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.

scholarly journals Assessment of Self-Care Practices among Type 2 Diabetic Patients in a Secondary Care Teaching Hospital

2020 ◽  
Vol 10 (3) ◽  
pp. 119-124
Author(s):  
Jeeba Chinnappan ◽  
Athira KP ◽  
Faheem Iqbal ◽  
Jasna V ◽  
Purnima Ashok ◽  
...  
Keyword(s):  
Economic Status ◽  
Self Care ◽  
The Self ◽  
Diabetic Patients ◽  
Foot Care ◽  
Type 2 Diabetic Patients ◽  
Socio Economic Status ◽  
Care Practices ◽  
Type 2 Diabetic

Background: Diabetes is one of the major health problems worldwide that can be effectively managed by good self-care activities like medication adherence, exercise, monitoring of blood glucose, foot care and diet. Objectives: The study assessed the self-care activities of diabetic patients using summary of diabetes self-care activities scale (SDSCA) and the variables (Age, gender, educational level, socioeconomic status (SES)) associated with it. Methods: A cross-sectional descriptive study was undertaken in 400 Type 2 diabetic patients. Self-care practices of the patients were evaluated by using SDSCA and correlation with variables were determined statistically. Results: Among 400 diabetic patients about 215 (53.75%) had an average score of self-care. Self-care was poor in 184 (46%) subjects, and only 1 subject (0.25%) scored good. Blood sugar monitoring was the highest (100%) followed by medication adherence (92.75%) whereas inadequate levels of self-care were reported in foot care (1.5%), and physical activity (31.5%) domains. A significant positive correlation was found between self-care practices and socio-demographic variables such as age (r=0.298, p=0.000), income (r=0.490, p=0.000) occupation (r=0.433, p=0.000), education (r=0.582, p=0.000), and Socio-Economic status (r=0.599, p=0.000). Conclusion: The study revealed higher level of adherence to self-care activities in terms of blood sugar monitoring and medication taking behaviour in the current setting, but self-care in other domains such as foot care is critically low. Age, education and Socio-Economic status seems to affect the self-care practice by the patients. Keywords:  Diabetes, Diabetes self- care, Diabetic foot care, Summary of diabetes self-care activities (SDSCA) score.

scholarly journals Diabetic Foot Care - A Public Health Problem

2011 ◽  
Vol 12 (2) ◽  
pp. 109-114 ◽  
Author(s):  
Jamil Ahmed Somroo ◽  
Anjum Hashmi ◽  
Zafar Iqbal ◽  
Aslam Ghori
Keyword(s):  
Diabetic Foot ◽  
Fungal Infections ◽  
Public Health Problem ◽  
Global Scale ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Foot Health ◽  
Care Practices

Background: Diabetes is global epidemic with devastating human, social and economic consequences. The disease claims as many lives per year as HIV/AIDS and places a severe burden on healthcare systems and economies everywhere, with the heaviest burden falling on low- and middle-income countries. Despite this, awareness of the global scale of the diabetes threat remains pitifully low, inappropriate diabetic foot care affects, feet health leading to callosities, cracks, fissures, fungal infections, ingrown toe nails and patients end up in ulcers and amputations. Objectives: To assess diabetic patients taking proper foot care according to International Guidelines and its impact on their foot health. Methods: A cross sectional study was conducted at outdoor patients department of Medicine, Liaquat University of Medical Sciences Hospital Hyderabad from 17th January 2008 to 16th January 2009. 100 diabetic patients were selected by non probability convenience sampling according to Performa having questions regarding diabetic foot care derived from American Diabetic Association Guidelines for Diabetic Foot care. Results: Diabetic patients taking proper foot care was only 6%. There were 45(45%) males and 55(55%) females. Mean age was 51.57+10.72 years. 38% patients knew about foot care. 17% used to inspect their feet daily, 20% washed their feet daily, while 73% washed their feet more than once. 23% patients dried their feet after every foot wash, 27% applied emollients, 25% checked shoes before wearing, 24% used to wear correct shoes, 8% used to wear cotton socks and 36% used to walk bare feet. Foot care practices on foot health has statistically highly significant association (p<0.01) e.g. number of foot washes with foot hygiene, fungal infections with proper foot drying, emollient application with skin texture, cracks and fissures. Associations of proper foot care were statistically significant with literacy status of patients and foot care teachings (p<0.05). Conclusion: Few diabetic patients are taking proper foot care. Proper Foot care practices were associated with provision of education of foot care and literacy status of patients. Community health education programs regarding diabetic foot care will likely to reduce diabetic foot complications. Keyword: Diabetes, Foot care education, Diabetic foot care, Diabetic foot, Ulceration; Prevention. DOI: http://dx.doi.org/10.3329/jom.v12i2.7604 JOM 2011; 12(2): 109-114

scholarly journals Determinants Influencing Awareness and Healthy Practices among a Sample of Insulin-dependent Diabetic Egyptian Patients: A Rural Community-based Study

2021 ◽  
Vol 9 (E) ◽  
pp. 500-508
Author(s):  
Ammal M. Metwally ◽  
Hanaa Yousof ◽  
Monira M. Elkholy ◽  
Lobna A. Eletreby ◽  
Abeer A. Barakat ◽  
...  
Keyword(s):  
Physical Activity ◽  
Morbidly Obese ◽  
High Educational Level ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Disease Awareness ◽  
Positive Effects ◽  
Insulin Dependent ◽  
Insulin Dependent Diabetic

BACKGROUND: The prevalence of diabetes mellitus (DM) is predicted to increase over the coming years. AIM: The objectives of the study were to measure the level of awareness and healthy practices related to five healthy domains and assess the effect of different demographic characteristics, glycated hemoglobin (HbA1c) level, and body mass index (BMI) on these levels among diabetic patients in a rural Egyptian village. METHODS: A cross-sectional study was done on 300 selected insulin-dependent diabetic patients resident in an Egyptian village. Data were collected using a questionnaire covering five domains: General disease awareness and management compliance practice, check-up, foot care, diet, and physical activity. HbA1c and BMI were also measured as an impact of the management adherence. RESULTS: The study found that more than three quarters of the participants (82.0%) were uncontrolled or poorly uncontrolled (HbA1c >8) diabetics and 76.0% were either obese or morbidly obese. Total awareness and practices percentage scores were low (42.4 ± 16.8% and 40.5 ± 12.3%, respectively). The linear regression model showed that high educational level had significantly positive effects on both the total awareness and practice scores as well as their domains. The study found that female participants and those having relatives with DM had significantly higher diet awareness and practice scores (p < 0.05). Younger age had significantly higher scores on foot care and diet awareness scores, physical activity, general disease awareness, and management compliance practices domains. CONCLUSION: The studied awareness and practice domains were inadequate. Their improvement is cornerstones to impact glycemic control of diabetics and control their health risks, especially in rural communities.

scholarly journals Diabetes self-care practices and resilience in the Brazilian COVID-19 pandemic: results of a web survey: DIABETESvid

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Bárbara Aparecida Binhardi ◽  
Carla Regina de Souza Teixeira ◽  
Bianca de Almeida-Pititto ◽  
Francisco Barbosa-Junior ◽  
Laercio Joel Franco ◽  
...  
Keyword(s):  
Physical Activity ◽  
Great Part ◽  
Self Care ◽  
Healthcare Services ◽  
Survey Study ◽  
Web Survey ◽  
Eastern Region ◽  
Cross Sectional ◽  
Social Distancing ◽  
Care Practices

Abstract Background The world guidance on the measures of social distancing for prevention of COVID-19 has changed the daily habits of great part of the population, and this could influence the care and resilience with diabetes during situations of adversity. This study aimed at assessing the characteristics of diabetic individuals and self-care practices and resilience with diabetes in the context of the COVID-19 pandemic in Brazil. Methods This is a cross-sectional web survey study carried out among adults with diabetes, in which a structured 43-item questionnaire was conducted on the REDCap plataform, including the Diabetes Self-Care Activities Questionnaire and Connor-Davidson Resilience Scale, to measure socio-demographic and clinical characteristics. The web survey was disseminated through the main social media and data were collected from September 1st to October 19th, 2020. Data analysis was performed according to type of diabetes mellitus (DM) and at a significance level of 5% (p < 0.05). Results Of the 1633 participants, 67.5% were women, 43.2% aged between 35 and 59 years old, 68.0% lived in the south-eastern region of Brazil, 57.1% had a high education level, 49% reported to have DM1 and 140 participants reported to have had COVID-19. Diabetes care mostly involved the use of medications (93%), whereas the least used ones were physical activity (24.6%) and examination of the shoes (35.7%). About 40% of the participants reported to be followed up by telemedicine, 61.5% monitored the glycaemic levels, 61.2% followed a healthy diet and 43.4% left home only to go to the supermarket and drugstore. The mean resilience was 25.4 (SD = 7.7). Conclusions In Brazil, individuals with diabetes followed social distancing and maintained their medication treatment for DM. However, practice of physical activity and foot examination was little followed by the participants, who also had a low level of resilience. These findings showed the importance of patient follow-up in the healthcare services, meaning that telemedicine should be improved and support provided for adaptation in view of the therapeutic setbacks.

Development and Testing of the Foot Care Scale for Older Japanese Diabetic Patients

2021 ◽  
pp. 153473462110450
Author(s):  
Sayuri Sable-Morita ◽  
Yuki Arai ◽  
Sanae Takanashi ◽  
Keita Aimoto ◽  
Mika Okura ◽  
...  
Keyword(s):  
Older Adults ◽  
Assessment Tool ◽  
Reliability And Validity ◽  
Japanese Patients ◽  
Skin Condition ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Patients With Diabetes ◽  
Care Practices

We aimed to develop and test the reliability and validity of a foot care self-management assessment tool for older Japanese patients with diabetes. In this cross-sectional observational study, which was carried out according to the Strengthening the Reporting of Observational Studies in Epidemiology guidelines, additional items were developed and selected to reflect older Japanese patients’ needs a thorough investigation with experts in diabetes and geriatrics. A total of 200 older patients with diabetes in a foot care outpatient clinic were included in the study to finalize the scale items and verify the scale's reliability and validity. A factor analysis yielded a 4-factor, 9-item scale. Factors 1 to 4 were “skin condition” (3 items), “nail clipping” (2 items), “attention to wounds” (2 items), and “relationships with others” (2 items). The Cronbach's α coefficients for the 4 factors were .852, .900, .820, and .571, respectively. The overall scale was 0.797, indicating good internal consistency. Spearman's correlation coefficients for each of the 4 factors with the scale's total score showed good stability; all correlations were significant. In Japan's super-aged society, it is important to focus on foot care practices among older adults and to promote good foot care practices among early older adults so that they can practice self-care at home. Therefore, a scale for comprehensively evaluating foot care in elderly patients with diabetes is needed. The Foot Care Scale for Older Diabetics could be useful as a tool for assessing the ability to self-manage foot care in older Japanese patients with diabetes.

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