scholarly journals Adherence of Type 2 Diabetic Patients to Self-Care Activity: Tertiary Care Setting in Saudi Arabia

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Ali Hassan Alhaiti ◽  
Mohammed Senitan ◽  
Wireen Leila T. Dator ◽  
Chandrakala Sankarapandian ◽  
Nadiah Abdulaziz Baghdadi ◽  
...  

Aim. To analyse the prevalence of self-care practices in T2D patients in KSA. Methods. The study was conducted in King Fahad Medical City (KFMC) in Saudi Arabia, and 385 patients were selected as samples. Data were collected using the Summary of Diabetes Self-Care Activities-Arabic (SDSCA) and consisted of 14 items related to self-care activities of T2D patients related to management and control of disease and four other aspects related to education and advice from healthcare members regarding management of T2D. Results. The self-care attributes including adherence to medication commitment activities ( M = 6.13 , SD = 1.25 ) were the most practised of all the domains. Glucose monitoring ( M = 4.15 , SD = 2.42 ) and foot care ( M = 3.28 , SD = 1.69 ) were at an average level, and adherence to the diet plan and exercise was found to be at a poor level ( M = 2.57 , SD = 1.73 and M = 2.13 , SD = 2.00 ) respectively. About 179 patients (74.3%) were found to be advised to follow a low-fat eating plan, and only 89 patients (36.9%) had received information concerning fruits and vegetables in their diet. More than 90% patients were found to be advised to strictly carry out exercise and blood sugar monitoring. Conclusion. It was found that adherence to self-care activities including diet, exercise, and foot care was relatively poor while intake of medication was strictly followed. The education provided by healthcare providers related to self-management attributes was found to be significant and had positive effects on the overall health and well-being of T2D patients.

Author(s):  
Gopal Teli ◽  
B. G. Ponnappa

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.


2020 ◽  
Vol 10 (3) ◽  
pp. 119-124
Author(s):  
Jeeba Chinnappan ◽  
Athira KP ◽  
Faheem Iqbal ◽  
Jasna V ◽  
Purnima Ashok ◽  
...  

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.


2021 ◽  
Vol 10 (02) ◽  
pp. 124-128
Author(s):  
Muhammad Sajid Abbas Jaffri ◽  
Saja Riyaz ◽  
Sara Riyaz ◽  
Mah Rida

Objective: To compare the knowledge and practices of diabetes self- care management among type 2 diabetic patients in two hospitals of Karachi. Study Design and Setting: A cross sectional study was carried out at two Tertiary Care Hospital of Karachi from March 2018 to August 2018. Methodology: A total of 120 subjects of type 2 diabetes were included in the study. Data was collected through structured questionnaire. Knowledge regarding diabetes includes normal blood sugar level, symptoms of low and high blood sugar and management of these symptoms. Structured questionnaire was used to collect information of sociodemographic characteristics, knowledge and attitude of diabetes and self-care management practices. Data was analyzed by SPSS version 21. P value less than 0.05 considered as significant Results: Majority of the participants were females (55%) and males were (45%).The duration of diabetes in majority of participants, (43.3%) was less than 5 years. From total 53.3% of our study participants were aware about the knowledge of diabetic complications. Approximately ,59.6% participants thought visit to eye specialist is important and about 44.16% thought that monthly visit to hospital for general health is important for diabetic patients. When asked about early signs of development of complications 48.3% participants thought that development of foot ulcers ,83% thought diabetes was strongly associated with obesity. Total, 76.6% participants thought that plan of meal is important. Total, 30.83% participants were in agreement with this thought that diabetes was strongly associated with obesity. Conclusion: The knowledge of self-care practices in diabetic patients was average in this study


2016 ◽  
Vol 04 (01) ◽  
pp. 025-029 ◽  
Author(s):  
Kalaiselvi Selvaraj ◽  
Gomathi Ramaswamy ◽  
Shrivarthan Radhakrishnan ◽  
Pruthu Thekkur ◽  
Palanivel Chinnakali ◽  
...  

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.


2016 ◽  
Vol 24 (4) ◽  
pp. 281-290 ◽  
Author(s):  
Ibrahim Suliman ALAboudi ◽  
Mohamed Azmi Hassali ◽  
Asrul Akmal Shafie ◽  
Fahad Saleem

2021 ◽  
Vol 19 (2) ◽  
Author(s):  
Abdullah A. Hassan ◽  
Yahia M. Alkhaldi ◽  
Bassam M.K Mawkili ◽  
Bandar A.M. Al-Mudawi ◽  
Ayidh A.A. Alasmari

Background: Amputations and ulcers of foot are the main causes of disability, morbidity, physical and emotional costs among diabetics. Management of their risk factors and early recognition can delay or prevent the beginning of any adverse outcomes. Objectives: To assess the levels of knowledge and practice regarding foot care among recently diagnosed diabetic patients. Subjects and Methods: A cross-sectional study was conducted at primary healthcare centers belonging to the Ministry of Health, Muhayil city, Aseer Region, Kingdom of Saudi Arabia (KSA) among recently diagnosed (i.e., before two years) diabetic patients. A study questionnaire (in a simple Arabic language) was used to collect data related to personal characteristics, present history related to diabetes, fasting blood sugar control (mg/dL), provided medical care, assessment of knowledge about foot self-care and prevention of diabetic foot and assessment of patient’s daily practices related to foot self-care. Results: The study included 250 recently diagnosed diabetic patients. Males represented 55.6% of them. Only 14.8% had glycemic control, based on HbA1c level <7%. Generally, 66% of patients had poor knowledge regarding diabetic foot, whereas only 13.6% of them had good knowledge. Good foot care practice was observed among 52% of patients. Young patients (20-30 years old) were more likely to have good foot care practice than those aged over 60 years, p=0.026. Patients with heart diseases were significantly less likely to have good foot care practice compared to those without cardiac diseases, p=0.039. Patients with HbA1c<7% were significantly more likely to express good foot care practice than those with HbA1c 7%, p=0.006. There was a significant association between patients’ knowledge about foot care and their practice, p<0.001. Regarding provided foot-related health care, 90.8% of patients reported undergoing feet examination by their physicians, 63.2% reported that physicians explained to them the importance of foot care and how to perform it (60.0%). Less than half of patients (45.2%) received health educational brochures about foot care Conclusion: Most recently diagnosed diabetic patients in Muhayil City, Aseer Region, KSA have inadequate knowledge and poor practices regarding foot care. Intensive health education regarding diabetic foot care is highly recommended. Key words: Diabetes mellitus, diabetic foot, foot care, knowledge, practice, Saudi Arabia.


2019 ◽  
Vol 6 (3) ◽  
pp. 239-249 ◽  
Author(s):  
Neimat Mahmoud Abd-Alrahman Ali Dinar ◽  
◽  
Ghassan Abd-Al lateef Mohammad Al sammouri ◽  
Mohammed Abdalla Eltahir ◽  
Aida Ahmed Fadlala Ahmed ◽  
...  

Salud Mental ◽  
2017 ◽  
Vol 40 (2) ◽  
pp. 47-56 ◽  
Author(s):  
Ingrid Patricia Martinez-Vega ◽  
◽  
Svetlana V Doubova ◽  
Ricardo Pérez-Cuevas ◽  

Introduction. Low adherence to diabetes self-care affects glycemic control and increases the risk of diabetes complications and premature deaths. Studies from the United States have found a relationship between distress and adherence to self-care in patients with diabetes; however, there is a lack of research on distress and its association with self-care in Mexican patients with diabetes. Objective. To evaluate the prevalence and association of distress with low self-care in patients with type 2 diabetes. Method. A cross-sectional study was carried out in two family medicine clinics of the Mexican Institute of Social Security in Mexico City. Four hundred eighty-nine type 2 diabetic patients ≥ 19 years of age participated. The statistical analysis incorporated a multiple Poisson regression. Results. Of the patients 18.8% had distress, 44.8% had low adherence to medication, 43.8% had low adherence to regular physical exercise, 82.4% did not consume the recommended amount of vegetables and 51.1% consumed foods with high sugar content. The distress was associated with poor adherence to medication and lack of regular physical exercise. Discussion and conclusion. The high prevalence of distress in type 2 diabetic patients in comparison with the general population reveals the importance of distress screening and health care at family practice clinics


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