scholarly journals Predictors of Diabetes Self-Management among Type 2 Diabetes Patients

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Azylina Gunggu ◽  
Chang Ching Thon ◽  
Cheah Whye Lian

Diabetes mellitus is a public health concern in Malaysia. Treatment of diabetes is costly and can lead to complications if disease is poorly controlled. Diabetes self-management (DSM) is found to be essential for optimal glycemic control. This cross-sectional study was conducted among samples from four randomly selected diabetes clinics in Sarawak, Malaysia. The aim was to determine the predictors for DSM. Face-to-face interview using questionnaire was used to collect data. Four hundred respondents with type 2 diabetes mellitus (T2DM) were recruited. Majority of the respondents were Sarawak Bumiputra (Iban and Bidayuh, 48.6%) and female (68.6%). The mean age was 58.77 years (SD = 11.46) and approximately half of the respondents (50.6%) had T2DM for six years (SD = 4.46). The mean fasting blood glucose (FBG) was 8.06 mmol/L (SD = 2.94), with majority (76.1%) having the level higher than 6.1 mmol/L. Multiple logistic regression tests showed significant linear relationship between DSM and belief in treatment effectiveness (p=0.001), family support (p=0.007), and self-efficacy (p=0.027). Health care personnel must convince patients with T2DM of the effectiveness of the treatment, empower and enhance their self-efficacy, and enlist the family support so as to ensure patients sustain their DSM efforts.

2021 ◽  
Vol 6 (2) ◽  
pp. 106
Author(s):  
Amaliathus Sholikhah ◽  
Retno Widiarini ◽  
Pipid Ari Wibowo

Puskesmas Manguharjo is a health center in Madiun City where the number of diabetes sufferers has increased every year with a total of 2,186 cases in 2019, spread across 4 urban villages, one of which is in the Nambangan Lor sub-district in 2019, there were 109 cases of which their blood sugar was checked. The purpose of this study was to determine the relationship between family support and self-management behavior with the stress level of undergoing a diet in type 2 diabetes mellitus sufferers in Nambangan Lor Village, Manguharjo City, Madiun District. This type of research used a cross-sectional study design. The number of samples needed is 86 people with the sampling technique used is simple random sampling using the Chi_Square test. Based on bivariate analysis, variable family support p = 0.021 and self-management behavior p = 0.006 proved to be associated with stress levels of dieting in people with type 2 diabetes mellitus in Nambangan Lor Village, Manguharjo District, Madiun City. The results showed that most of the type 2 DM sufferers had poor family support as many as 50 people, had good self-management behavior as many as 46 people, and most had moderate stress levels as many as 33 people. Researchers provide suggestions, namely to increase family support for people with diabetes mellitus


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Li Yang ◽  
Kun Li ◽  
Yan Liang ◽  
Qiuli Zhao ◽  
Dan Cui ◽  
...  

Abstract Background It has previously been established that patients who have strong barriers to their diet self-management are more likely to have weak social support; however, the key mechanisms underlying the association between these two variables have not yet been established. This study aims to examine the potential role that diet self-efficacy plays in the relationship between social support and diet behavior in patients with type 2 diabetes mellitus (T2DM). Methods It was a cross-sectional survey. Three hundred-eighty patients diagnosed with T2DM were recruited for this study from five community health centers in China. The Chronic Disease Resource Scale (CIRS), Cardiac Diet Self-efficacy Scale (CDSE), and Food Control Behavior Scale (FCBS) were used to estimate participants’ utilization of social resources, diet self-efficacy, and diet self-management, respectively. The data were analyzed utilizing structural equation modelling. Results The results suggest that both higher levels of social support and diet self-efficacy are related to higher levels of diet self-management. The mediating effect that diet self-efficacy has on the relationship between social support and diet self-management was significant (β = .30, p < .05), explaining 55.68% of the total effect of social support on diet self-management. Conclusions Diet self-efficacy plays a mediating role in the association between social support and diet behavior in patients with type 2 diabetes mellitus.


2021 ◽  
pp. 105477382110068
Author(s):  
Luis Angel Cendejas Medina ◽  
Renan Alves Silva ◽  
Magda Milleyde de Sousa Lima ◽  
Lívia Moreira Barros ◽  
Rafael Oliveira Pitta Lopes ◽  
...  

To analyze the correlation between functional health literacy (FHL) and self-efficacy (SE) in people with type 2 Diabetes Mellitus. Cross-sectional study was conducted among September and October 2019, with 196 people with type 2 diabetes. Data were collected using the Functional Literacy in Health instrument (B-TOFHLA) and the Diabetes Management Self-Efficacy Scale for Patients with Type 2 Diabetes Mellitus (DMSES). Bivariate analysis was used to verify the relationship among the constructs. Most diabetics showed an average B-TOFHLA score of 74.75, considered adequate, and self-efficacy of 4.07, high. The association between SE and FHL in the bivariate analysis found no statistical significance ( p > .05), in the same sense as the B-TOFHLA score and the DMSES domains ( p > .05). Constructs were not related to each other in terms of skills arising from judgments and decisions with motivational confidence by the investigated audience.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Amara ◽  
R Ghammem ◽  
N Zammit ◽  
S BenFredj ◽  
J Maatoug ◽  
...  

Abstract Introduction Diabetes mellitus is a growing public health concern. Despite compelling evidence about the effectiveness of medications, studies have indicated that less than 50% of patients achieved therapeutic targets. The aim of this study was to assess the adherence to type 2 diabetes mellitus treatment and its determinants. Methods A cross-sectional study was conducted between April and June 2017 in the Endocrinology and internal medicine departments of Farhat Hached University Hospital in Sousse, Tunisia. A convenient sample of patients who fulfilled the eligibility criteria was recruited. A pre-tested questionnaire was used to gather information. This was followed by assessing patients' adherence to diabetes medications using the eight-item Morisky Medication Adherence Scale (MMAS-8). Results A total of 330 patients with Type 2 Diabetes Mellitus participated in this study. The mean ±SD age of patients was 58.96±10.3 with female predominance (60.3%). More than half of participants were with high cardiovascular risk. In most cases (70.6 %), participants were moderate adherent. Results showed that patients become non-adherent as the disease gets older (p = 0.001). In addition patients with health insurance were significantly more adherent comparing to those who did not have it (p = 0.01). Regarding self-care practices and other metabolic risk factors' effects, our data revealed that exercising 30 minutes below than 5 times in week and poor self-management of diet were associated with low adherence (p &lt; 10-3). On the other hand, patients who have started insulin therapy were less adherent than those who had not yet (0.01). Patients with diabetic retinopathy or maculopathy were significantly more prone to be non- adherent, with respective percentage of 39.1% and 37.5%. Conclusions This study provides insights into the determinants of non-adherence, ultimately guiding the effective interventions through development of structured long-term policies not yet implemented. Key messages In most cases (70.6 %), participants were moderate adherent. Patients with diabetic retinopathy or maculopathy were significantly more prone to be non- adherent.


2016 ◽  
Vol 50 (1) ◽  
pp. 32-40 ◽  
Author(s):  
S Ogedengbe ◽  
IU Ezeani ◽  
E Aihanuwa

AbstractObjective. Type 2 diabetes mellitus (T2DM) is characterized by a relative insulin deficiency or insulin resistance. It is also associated with a cluster of metabolic abnormalities, including hyper-tension and dyslipidemia. Although there are many studies that have studied the metabolic abnormalities in T2DM patients with metabolic syndrome (MetS), only few of them have assessed the metabolic abnormalities in their first-degree relatives (FDRs) who had MetS. The aim of this study is to compare the clinical and biochemical variables in T2DM subjects and their FDRs without diabetes in Benin City, Nigeria.Methods. This is a cross sectional case control study including 124 T2DM patients, 96 FDR of T2DM subjects, and 96 controls recruited using convenience sampling. Data were collected using a questionnaire-administered technique. Variables of interest that were assessed included anthropometric indices like waist circumference (WC), hip circumference (HC), waist:hip ratio (WHR), body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), serum lipid profile, fasting plasma glucose (FPG), hemoglobin A1c (HbA1c), proteinuria, and microalbuminuria. The 1999 World Health Organization (WHO) criteria were used to make a diagnosis of metabolic syndrome. The Chi-square test was used for comparison of proportions. P-value of less than 0.05 was taken as statistically significant. The student t-test was used to compare means and test for significant differences in the anthropometric and the metabolic indices.Results. The prevalence of the MetS in T2DM persons was 87.1%, 16.7% in the FDR group, and 13.5% in the control group according to the WHO criteria. The mean value of HbA1c was significantly higher in T2DM subjects with MetS (p<0.05). The mean values of WC, FPG, total cholesterol, HDL cholesterol, and LDL cholesterol were higher in subjects with MetS in the T2DM group than in persons with MetS in the FDR group though not significant (p>0.05). The mean values of WHR, BMI, SBP, DBP, and triglyceride were higher in persons with the MetS in the FDR group than in persons with the MetS in the T2DM group. The difference in the BMI and SBP was significant (p<0.05).Conclusion. The prevalence of MetS in subjects with T2DM in Nigeria is very high. Though, all the biochemical and clinical indices were higher in T2DM subjects with MetS, the mean HbA1c, BMI, and SBP was significantly higher when compared to their FDR who also have MetS.


2016 ◽  
Vol 2 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Kusuma Wijaya ridi Putra ◽  
Chanandchidadussadee Toonsiri ◽  
Suwanna Junprasert

Background: Diabetes mellitus (DM) is one of the leading causes of death and it is caused by genetics, nutrition, and unhealthy behaviors. Therefore, changes in lifestyle associated with eating behaviors in diabetes mellitus patients greatly impact on their quality of life. There are many factors related with changes in lifestyle of diabetes mellitus patients, especially eating behaviors.Purpose: This study aims to examine the relationships between self-efficacy, psychological stress, family support, and eating behaviors among type 2 diabetes mellitus (T2DM) patients in Sidoarjo, Indonesia.Method: A total of 117 T2DM patients from the Sidoarjo Community Health Center were included in the analysis. Using SPSS IBM 21.0 program, Pearson product moment correlation was performed to analyze data.Results: The findings showed that self-efficacy and family support had positive relationship with eating behaviors (r = .692, p < .001; r = .683, p < .001, respectively). Psychological stress had negative relationship with eating behaviors (r = -.327, p < .001).Conclusion: Self-efficacy, family support, and psychological stress had relationship with eating behaviors. Nurses should pay attention to the factors to make T2DM patients into a long-term commitment toward healthy eating behaviors.


2021 ◽  
Vol 14 (02) ◽  
pp. 82-89
Author(s):  
Ratna Yunita Sari ◽  
Umdatus Soleha ◽  
Erika Chandra Dewi

  Introduction: Diabetes self-care is an effort to control type 2 diabetes mellitus. Family support and self-efficacy are needed for elderly people with type 2 diabetes mellitus to increase independence in managing their disease. This study aims to determine the relationship between family support and self-efficacy with self-care behavior in the elderly with type 2 diabetes mellitus at the Elderly Posyandu in Wadungasri Village. Methods: This study is a quantitative study with a correlational analytic research design using a cross-sectional approach. The population in this study was 132 elderly with type 2 diabetes mellitus using a probability sampling method with a technique used simple random sampling and obtained a sample of 100 elderly DM type 2. Results: The results showed that most of the elderly have family support and good self-efficacy. with less self-care behavior. The results of the analysis using the Spearman rank test showed that family support was associated with self-care for people with diabetes mellitus type 2 (p-value = 0.006, ɑ = 0.05). The results of the Spearman rank test analysis showed that self-efficacy was related to self-care for people with diabetes mellitus type 2 (p-value = 0.001, ɑ = 0.05). Conclusion: Family support and self-efficacy gave to elderly people with type 2 diabetes mellitus can influence health behavior patterns that will make self-care behavior well.


2018 ◽  
Vol 13 (2) ◽  
pp. 71 ◽  
Author(s):  
Eva Rahayu ◽  
Ridlwan Kamaluddin ◽  
Eti Dwi Hapsari

<p align="center"><strong>DETERMINANTS OF DIABETES SELF-CARE ON PATIENTS WITH TYPE 2 DIABETES MELLITUS IN BANYUMAS REGENCY</strong></p><p align="center"><strong>Eva Rahayu, </strong><strong>Ridlwan Kamaluddin</strong><strong>, Eti Dwi Hapsari</strong></p><p align="center">Lecturer of Nursing Department, Jenderal Soedirman University</p><p align="center">“[email protected]”</p><p align="center"> </p><p align="center"><strong>ABSTRAK</strong></p><p>Penderita diabetes tipe 2 perlu menerapkan perawatan mandiri diabetes dalam rangka meminimalisir berbagai komplikasi dan penurunan kualitas hidup. Beberapa faktor diduga memiliki pengaruh terhadap penerapan  perawatan mandiri<em> </em>diabetes oleh penderita diabetestipe 2 di Kabupaten Banyumas. Tujuan penelitian ini adalah untuk  mengetahui faktor determinan yang berhubungan dengan penerapan perawatan mandiri<em>  </em>diabetes tipe 2 di Wilayah Kabupaten Banyumas. Penelitian ini menggunakan desain <em>cross sectional</em>. Populasi adalah seluruh penderita diabetes melitus tipe 2 se-Kabupaten Banyumas. Metode penarikan sample dengan teknik <em>cluster sampling</em>  dengan besar sampel 532 orang yang tersebar di 22 puskesmas se-Kabupaten Banyumas. Analisis data menggunakan uji korelasi Spearman dan Regresi Linier Ganda. Hasil penelitian menunjukkan nilai p pada masing–masing variabel yang dihubungkan dengan <em>perawatan mandiri</em> diabetes antara lain adalah jenis kelamin (p=0,043),usia (p=0,18), lama menderita diabetes (p= 0,11)  pengetahuan (p=0,000), motivasi (=0,01), serta dukungan keluarga (p=  0,000). Sebesar 10,4 % variasi perawatan mandiri diabetes  dapat dijelaskan oleh variabel pengetahuan dengan koefisien β = 0,32.  Kesimpulan penelitian adalah ada hubungan antara jenis kelamin, pengetahuan, motivasi dan dukungan keluarga dengan perawatan mandiri diabetes. Variabel pengetahuan menjadi faktor yang paling dominan berhubungan dengan perawatan mandiri diabetes<em>.</em></p><p><strong>Kata kunci : </strong>determinan, diabetes melitus<em>, </em>perawatan mandiri<em> </em>diabetes</p><p align="center"><strong> </strong></p><p align="center"><strong> </strong></p><p align="center"><strong> </strong></p><p align="center"><strong>ABSTRACT</strong></p><p align="center"><strong> </strong></p><p>Patients with type 2 diabetes need to apply self-care in order to minimize various complications and decreasing quality of life. Several factors are assumed to have an effect on the application of diabetes self-care by patients with type 2 diabetes in Banyumas Regency.  The purpose of this research was to determine the determinants related to the application of diabetes self care by patients withtype 2 diabetesin Banyumas Regency. This research used cross sectional design. Population was all patients with type 2 diabetes mellitus in Banyumas Regency. Sampling method was performed by cluster sampling technique with sample size of 532 patients spreading in 22 community health centers (Puskesmas) in Banyumas Regency. Data analysis used Spearman correlation test and Multiple Linear Regression. The result indicated that p value in each variable affecting diabetes self-care was gender  (p=0,043), age (p=0.18), duration of diabetes (p= 0.11) , knowledge (p=0.000), motivation (=0.01), and family support (p=  0.000). 10.4 % variation in diabetes self-care can be explained by knowledge variable with the coefficient β = 0.32.  It can be concluded that there was a relationship among gender, knowledge, motivation and family support on diabetes self-care. Knowledge variable was the most dominant factor related to diabetes self-care.</p><p><strong> </strong></p><br clear="ALL" /><p><strong>Keywords</strong><strong> : </strong>determinants, diabetes mellitus, diabetes self-care</p>


2019 ◽  
Vol 3 (3) ◽  
pp. 176
Author(s):  
Milda Hidayah

Background: Diabetes Mellitus (DM) is one of the four priorities for Non-Contagious Diseases in the world. According to the IDF (International Diabetes Federation), people with Diabetes Mellitus in Indonesia will increase from 9.1 million in 2014 to 14.1 million in 2035. Diabetes Mellitus Type 2 can affect can affect the quality of life from the sufferers and can be at risk of causing complications, these problems can be solved by applying self-management to their disease.Objectives: The purpose of this research is to describe the self-management behavior which consists of five aspects, that is settings of diet, physical activity/exercise, self/foot care, medication compliance, and monitoring of blood sugar in Type 2 Diabetes Mellitus patients at Pucang Sewu Health Center, Surabaya.Methods: This research used observational study design using cross sectional approach. The population in this research were outpatients with Type 2 Diabetes Mellitus in Pucang Sewu Health Center, Surabaya. Data collection using random sampling technique and obtained 79 respondents. The research data was obtained using the SDSCA (The Summary of Self-Care Activities) questionnaire developed by the General Service Administration (GSA) Regulatory Information Servive Center (RISC).Results: The research found that some respondents had a good level of self-management (59.5%). In several aspects such as settings of diet, and medication compliance, most respondents were included in the good category, but in physical activity/ exercise, self/foot care, and monitoring of blood sugar aspect were still in the less category. In addition, most of the respondents had normal blood glucose levels (50.6%). Conclusion: There is a relationship between self-management behavior with blood glucose levels in patients with Type 2 Diabetes Mellitus in Pucang Sewu Health Center, SurabayaABSTRAK Latar Belakang: Diabetes Mellitus (DM) menjadi satu dari empat prioritas Penyakit Tidak Menular di dunia. Menurut IDF (International Diabetes Federation), peningkatan penyandang DM di Indonesia akan mengalami peningkatan dari 9,1 juta di tahun 2014 menjadi 14,1 juta di tahun 2035. Penyakit DM Tipe 2 dapat mempengaruhi kualitas hidup penderitanya dan dapat beresiko menimbulkan terjadinya komplikasi, masalah tersebut dapat dikendalikan salah satunya dengan menerapkan perilaku self-management terhadap penyakitnya.Tujuan: Tujuan dari penelitian ini yaitu untuk mengetahui gambaran serta hubungan perilaku self-management (pengaturan pola makan, aktivitas fisik/olahraga, perawatan diri/kaki, kepatuhan konsumsi obat, dan monitoring gula darah) dengan kadar gula darah pada pasien Diabetes Mellitus Tipe 2 di wilayah kerja Puskesmas Pucang Sewu, Surabaya.Metode: Penelitian ini menggunakan desain studi observasional dengan menggunakan pendekatan cross sectional. Populasi pada penelitian ini adalah pasien rawat jalan yang menderita Diabetes Mellitus Tipe 2 di Puskesmas Pucang Sewu, Surabaya. Pengambilan data menggunakan teknik random sampling dan didapatkan 79 responden. Data penelitian didapatkan dengan menggunakan kuisioner SDSCA (The Summary of Diabates Self-Care Activities) yang telah dikembangkan oleh General Service Administration (GSA) Regulatory Information Servive Center (RISC). Analisis data menggunakan uji statistik chi-square.Hasil: Hasil penelitian didapatkan bahwa sebagian responden memiliki tingkat self-management baik (59.5%). Beberapa aspek seperti pengaturan pola makan, dan kepatuhan konsumsi obat, sebagian besar responden termasuk dalam kategori baik, namun pada aspek aktivitas fisik/olahraga, perawatan diri/kaki, dan monitoring gula darah masih dalam kategori kurang. Selain itu, sebagian besar responden memiliki kadar gula darah yang terkontrol (50,6%).Kesimpulan: Terdapat hubungan antara perilaku self-management dengan kadar gula darah pada pasien Diabetes Mellitus Tipe 2 di wilayah kerja Puskesmas Pucang Sewu Surabaya.


2020 ◽  
Vol 7 (52) ◽  
pp. 3148-3152
Author(s):  
Labanyabati Pattanaik ◽  
Madhusmita Acharya ◽  
Manoj Kumar Yadav ◽  
Prafulla Kumar Mishra ◽  
Madhab Nayak

BACKGROUND Type 2 diabetes mellitus is a widely prevalent lifestyle disease associated with high morbidity and mortality due to dead end complications like acute coronary syndrome, chronic kidney failure and acute stroke. Diabetes mellitus patients frequently develop problems of dyselectrolytemia which is common among hospitalised patients with decompensated diabetes. But there is little information on the prevalence of electrolyte disturbances among diabetes patients. Our aim is to find out the pattern of dyselectrolytemia among type 2 diabetes patients and to know if there is any association of blood glucose level with dyselectrolytemia. METHODS An analytical cross-sectional study was done among type 2 diabetes patients admitted in the department of medicine. Fasting blood glucose (FBG), glycosylated haemoglobin level (HbA1c), blood sodium (Na+), potassium (K+) and calcium (Ca2+) were analysed. Occurrence of dyselectrolytemia was compared between patients of very much controlled versus uncontrolled blood glucose levels. RESULTS Out of 199 patients included in the study, 112 (56 %) had uncontrolled diabetes mellitus (DM) with HbA1c level > / = 7.0 %. Occurrence of hyponatremia, hypokalaemia, hyperkalaemia, hypocalcaemia and hypercalcemia were 35 %, 13 %, 7 %, 16 % and 2 % respectively. In diabetes patients, hyponatremia was seen more commonly in patients with uncontrolled DM than those with very much controlled blood glucose (52.67 % versus 12.64 %, p < 0.001). The extent of patients with hypokalaemia or hyperkalaemia didn't vary between the two groups. Patients on insulin treatment were more likely to have hyponatremia than noninsulin patients (p < 0.001). CONCLUSIONS Type 2 DM patients specifically those who have uncontrolled diabetes mellitus have an increased chance to develop dyselectrolytemia. The most well-known electrolyte disturbances seen were hyponatremia followed by hypocalcaemia in our study and they were generally predominant among patients with uncontrolled DM. KEYWORDS Type 2 Diabetes, Dyselectrolytemia, Hyperglycaemia, Fasting Blood Glucose, Hyponatremia


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