scholarly journals Illness Perception as a Predictor of Foot Care Behavior Among People With Type 2 Diabetes Mellitus in Indonesia

2018 ◽  
Vol 30 (1) ◽  
pp. 17-25 ◽  
Author(s):  
Sofyan Indrayana ◽  
Su-Er Guo ◽  
Ching-Lan Lin ◽  
Su-Ying Fang
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Care Providers ◽  
Illness Perception ◽  
Care Providers ◽  
Foot Care ◽  
Cross Sectional ◽  
Care Behavior

Introduction: Illness perception may contribute to foot care behavior because people with type 2 diabetes mellitus (T2DM) in Indonesia may have different beliefs that influence their foot care behaviors. This study aimed to determine the relationships among foot care knowledge, illness perception, local beliefs, and foot care behaviors in people with T2DM in Indonesia. Methods: Cross-sectional study with a convenience sampling technique was used to recruit 200 people with T2DM from the Outpatient Department of Islamic Hospital. The Foot Care Knowledge, Brief Illness Perception, Local Beliefs, and Foot Self-Care Behavior questionnaires were administered. Results: The predictors of foot care were having a family member or friend with diabetic foot ulcer ( p = .001), diabetes mellitus duration ( p = .026), foot care knowledge ( p < .001), consequences ( p < .001), treatment control ( p < .001), and local beliefs ( p = .017). Discussion: Health care providers may cultivate a spiritual approach, providing success stories to create positive images of the disease’s outcomes and increase patients’ confidence to control the disease.

scholarly journals Self-Care Management Behavior of Type 2 Diabetes Mellitus Patients in Indonesian Diabetes Association (Persadia) Depok City

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Natasya Setyamarta ◽  
Denissa Faradita Aryani
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetes Management ◽  
Self Care ◽  
Foot Care ◽  
Cross Sectional ◽  
Type 2 Dm ◽  
Care Behavior

<p class="AbstractContent"><strong>Objective:</strong> Type 2 diabetes mellitus (type 2 diabetes) is a chronic disease that requires long-term management throughout the life to prevent acute and chronic complications. Self-care is a fundamental and integral part of diabetes management. Social support obtained from family, health professionals, friends, or diabetic peers may predict good self-care behavior. The purpose of this study was to evaluate the self-care behavior of adult with type 2 DM in Persadia Depok.</p><p class="AbstractContent"><strong>Methods: </strong>This quantitative study used a cross-sectional design. A consecutive sample of 52 subjects with type 2 DM who joined in Persadia Depok was included. The instrument used to measure self-care behavior is The Summary of Diabetes Self-Care Activities questionnaire</p><p class="AbstractContent"><strong>Results:</strong> The results showed that self-care behavior of participants in the last seven days is 4,4 days (Median 4.4, Minimal-Maximum 2.6-5.4, 95% CI 4.1-4.5). Self-care was described as “good” in only half of the participant (50%). Self-care behavior was reported good in diet, physical exercise, and taking medication, but it was poor in self-monitoring of blood glucose (SMBG) and foot care.<strong></strong></p><p><strong>Conclusion: </strong>This study recommended that nurses should enhance education and support to improve patient self-care behaviors especially SMBG and foot care.</p><p class="AbstractContent"><strong> </strong></p><p><strong>Keywords: </strong>Colon cancer, deep breathing, early mobilization, effective coughing, preoperative education.</p>

scholarly journals Hubungan Perilaku Self-Management Dengan Kadar Gula Darah Pada Pasien Diabetes Mellitus Tipe 2 Di Wilayah Kerja Puskesmas Pucang Sewu, Surabaya

2019 ◽  
Vol 3 (3) ◽  
pp. 176
Author(s):  
Milda Hidayah
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Center ◽  
Medication Compliance ◽  
International Diabetes Federation ◽  
Self Management ◽  
Foot Care ◽  
Cross Sectional

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.

scholarly journals Factors associated with therapeutic non-compliance among type 2 diabetes mellitus patients in Chidambaram, Tamilnadu, India

2017 ◽  
Vol 4 (3) ◽  
pp. 787 ◽  
Author(s):  
Manobharathi M. ◽  
Kalyani P. ◽  
John William Felix A. ◽  
Arulmani A.
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Care Providers ◽  
Compliance Rate ◽  
Health Centre ◽  
Diabetic Patients ◽  
Care Providers ◽  
Factors Associated

Background: Diabetes mellitus is one of the most common non-communicable diseases causing many serious complications worldwide. Therapeutic non-compliance leads to treatment failure thus making diabetes a serious problem to both the individuals and the health care providers. There are many factors which influence patient’s compliance. The aim of this study is to assess the frequency of therapeutic compliance and factors associated with therapeutic non-compliance.Methods: A descriptive cross-sectional study was conducted among type 2 diabetes mellitus patients attending the urban health centre, Chidambaram.  Compliance and factors associated with non-compliance were assessed using Morisky Medication adherence questionnaire.Results: 108 diabetic patients were enrolled. The overall compliance rate was found to be 39.8%. A statistically significant association was found between non-compliance and associated chronic diseases (p=0.007), financial problems to buy the medicines (p=0.001), reporting side effects with the prescribed medicines (p=0.049), missed at least one dose in last one week(p=0.01).Conclusions: Majority of the patients were non-compliant. This emphasizes the need of strengthening health system and improving patients knowledge through teaching programs.

Prevalence of Foot Complications in People With Type 2 Diabetes Mellitus: A Community-Based Survey in Rural Udupi

2018 ◽  
Vol 17 (3) ◽  
pp. 169-175 ◽  
Author(s):  
Arun Gundmi Maiya ◽  
Shubha Gundmi ◽  
Prabhath Matpady ◽  
Radhika Jadhav ◽  
Ramachandra Lingadakai ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetic Foot ◽  
Social Health ◽  
Foot Care ◽  
Cross Sectional ◽  
Foot Complications ◽  
Rural Part

The objective of the study was to determine the prevalence of foot complications among people with type 2 diabetes mellitus in the rural part of Udupi district, Karnataka, India. A cross-sectional observational study design was conducted in the rural area of Udupi district. In the study, accredited social health activists were trained to screen people with type 2 diabetes mellitus for diabetic foot complications at a community level. Adults over 35 years of age were screened for the presence of type 2 diabetes mellitus by accredited social health activists who reside in the rural part of Udupi district. Participants with type 2 diabetes mellitus were included in the study. Blood glucose level was measured using a glucometer. Foot examination was done by visual inspection, monofilament, tuning fork, and pedal pulse. In the present study, 2110 among the total participants were found to have type 2 diabetes mellitus. The prevalence of musculoskeletal foot complications was 1218 (58%), vascular problem 466 (22.2%), sensory neuropathy 634 (30.2%), autonomic neuropathy 1729 (81.9%), ulcer 134 (6.38%), and infection 561 (26.7%) among people with type 2 diabetes mellitus. In the current study, we found 84.7% of people residing in rural Udupi had type 2 diabetes mellitus. Hence, there is a strong need to create awareness about diabetic foot care in these people.

scholarly journals Economic Burden of Type 2 Diabetes Mellitus among the Patients Attending Combined Military Hospital, Dhaka

2014 ◽  
Vol 9 (1) ◽  
pp. 8-13
Author(s):  
MZ Rahman ◽  
MZ Islam ◽  
MJ Alam ◽  
S Sajjad ◽  
R Ara ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Health Care ◽  
Type 2 Diabetes Mellitus ◽  
Health Care Providers ◽  
Economic Burden ◽  
Treatment Cost ◽  
Military Hospital ◽  
Care Providers

Introduction: Diabetes Mellitus (DM) is a major concern for the developed as well as developing countries. It poses with enormous disabilities and economic burden to the victims. The treatment cost of diabetes is increasing day by day. Aim: To ascertain how type 2 diabetes mellitus is incurring economic burden to the patients. Materials and Methods: This descriptive cross sectional study was conducted during the period from January to June 2010 on 110 type 2 diabetes mellitus patients attending Combined Military Hospital, Dhaka. The patients were selected conveniently and data were collected by face to face interview with the help of a semi-structured questionnaire. For estimation of economic burden, both direct and indirect treatment costs were calculated. Results: The study revealed that majority (36.4%) of the patients were in the age group of 46-55 years with the mean age of 53.65 (+10.44) years. Majority (60.0%) of them had lower monthly family income (Tk.5, 000-Tk.10, 000) and 36.4% of them lived in urban area. Most of the patients (90.9%) were under treatment with drug, diet control and physical exercise. Regarding sources of fund for treatment, 31.8% patients used their savings while 27.3% took loan, 20% got help from relatives and the remaining 20.9% got donation and sold wealth. Average treatment cost incurred by the patients was estimated to Tk. 5543.35 (+1273.29). Average direct treatment cost was estimated to Tk.2656.88 (+1367.23) of which average drug cost was Tk.653.36 (+476.36), investigation cost was Tk.596.73 (+375.56), travel cost Tk.530.31 (+795.46), attendant cost Tk.865.87 (+734.22) and consultation fee was Tk.244.48 (+167.22). Average indirect cost was calculated to Tk.3081.27 (+1275.91) which was only due to loss of income due to illness. Conclusion: The study findings will enable the health policy makers and health care providers at different levels to provide need based cost-effective health care services to reduce the economic burden of diabetes mellitus patients. DOI: http://dx.doi.org/10.3329/jafmc.v9i1.18718 Journal of Armed Forces Medical College Bangladesh Vol.9(1) 2013: 8-13

scholarly journals Peran Perawat sebagai Edukator terhadap Persepsi Sakit pada Pasien Diabetes Mellitus Tipe 2 Kabupaten Jember

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Nabila Cindy Anggraeni ◽  
Nur Widayati ◽  
Jon Hafan Sutawardana
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Illness Perception ◽  
P Value ◽  
Cross Sectional ◽  
Illness Perception Questionnaire ◽  
Brief Illness Perception Questionnaire

ABSTRAKPasien dengan diabetes melitus (DM) tipe 2 akan menggambarkan penyakit yang dialami sesuai dengan apa yang ada dalam pikirannya untuk memahami masalah terkait. Persepsi sakit dapat ditingkatkan melalui pendidikan kesehatan oleh perawat tentang bagaimana mengelola penyakit dan manajemen perawatan diri. Penelitian ini bertujuan untuk menganalisa hubungan antara peran perawat sebagai edukator dengan persepsi sakit pada pasien DM tipe 2. Jenis penelitian ini adalah observasional analitik dengan pendekatan cross sectional. Teknik sampling penelitian ini adalah consecutive sampling dengan sampel sebanyak 112 responden. Pengumpulan data menggunakan kuesioner peran perawat sebagai edukator dan kuesioner Brief Illness Perception Questionnaire (BIPQ). Analisis data dilakukan dengan menggunakan uji korelasi Spearman-rank dengan tingkat signifikansi 0,05. Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara peran perawat sebagai edukator dengan persepsi sakit (p value: 0,001; r: -0,433). Tingkat korelasi sedang dan bersifat negatif yang berarti semakin tinggi nilai peran perawat sebagai edukator maka semakin rendah nilai persepsi sakit. Semakin baik peran perawat sebagai edukator, semakin positif persepsi pasien tentang penyakit, yang berarti semakin sedikit ancaman penyakit yang dirasakan oleh pasien. Studi ini menunjukkan bahwa perawat harus dapat meningkatkan penyediaan pendidikan kesehatan untuk pasien dengan DM tipe 2 sehingga pasien dapat memiliki persepsi positif terhadap penyakit.   ABSTRACT Patients with type 2 diabetes mellitus will describe their illness based on what is in their minds to understand related problems. Illness perception can be improved through health education by nurses about how to manage the illness and self-care management. This study aimed to analyze correlation between the role of nurse as educator and illness perception in patients with type 2 diabetes mellitus. This research applied an observational analytic design with cross sectional approach. A total of 112 respondents were obtained by using consecutive sampling technique. Data collection was conducted by administering questionnaires of Role of Nurse as Educator and Brief Illness Perception Questionnaire (BIPQ). Data analysis was performed with Spearman-rank correlation test with significance level of 0,05. The result showed a significant correlation between the role of nurse as educator and illness perception (p value: 0,001; r: -0,433). The correlation was moderate and negative which means the higher the value of the role of nurse as educator, the lower the value of illness perception. The better the role of the nurse as educator, the more positive the patient’s perception about the illness, which means the less threatening the illness is perceived by the patients. This study indicates that nurses should be able to improve the provision of health education to patients with type 2 diabetes mellitus so that patients can have positive perceptions of the illness.

scholarly journals The THE EXPERIENCE OF TYPE 2 DIABETES MELLITUS MALE PATIENTS WHO UNDERGO SEXUAL DYSFUNCTION

2019 ◽  
Vol 2 (3) ◽  
pp. 116-123
Author(s):  
Imelda Sirait ◽  
Setiawan Setiawan ◽  
Rosina Tarigan
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Sexual Dysfunction ◽  
Health Care Providers ◽  
Qualitative Content Analysis ◽  
Sexual Problem ◽  
Care Providers ◽  
Male Patients

The sexual problem became a sensitive issue and embarrassed among patients, especially among those who are living with diabetes. The study aimed to dig up deeply the experience of male patients with diabetes mellitus type 2 who underwent sexual dysfunction. The qualitative study with phenomenology approach was applied in this study. We collected the data by using an interview method. Fifteen samples were recruited using the purposive sampling technique and selected from Endocrine Polyclinic Martha Friska Hospital. The interview transcriptions were analyzed using the qualitative content analysis approach. Four themes related to the patients’ experience on sexual dysfunction have been analyzed in this study including 1) feeling that the sexual libido was high in the midst of the limitation of sexual dysfunction, 2) inferior feelings toward mates, 3) attempting to adapt to sexual changes, 4) trying to solve sexual problems in different ways. The participant had bad experience wich influence their quality of life with their partner. We suggested to the health care providers, including doctors, nurses, etc. to design the cultural program for addressing the sexual problem and completed the facilities for sexual favors. Keywords: type 2 diabetes mellitus, Experience, sexual dysfunction

scholarly journals Disclosure of Herbal Medicine Usage in Diabetes Management: A Qualitative Study amongst Type 2 Diabetes Mellitus Patients and Health Care Providers in Negeri Sembilan, Malaysia

2021 ◽  
Vol 6 (1) ◽  
pp. 279-288
Author(s):  
Nadia Amirudin ◽  
Albeny Joslyn Panting ◽  
Rosnani Kassim ◽  
Norbaidurah Ithnain
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Herbal Medicine ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Diabetes Management ◽  
Communication Process ◽  
Care Providers

The use of herbal medicine (HM) and its products has significantly increased in the past decade. Type 2 Diabetes mellitus patients (T2DM) are always rendering herbal medicine as an alternative to the current option of treatment to manage their disease. This article is aimed to explore the extent of communication process of patients who disclose their HM usage to healthcare providers (HCPs) and HCP’s experiences in managing these patients. Purposive sampling method was applied in this qualitative study, which involved 28 respondents from four government clinics in Negeri Sembilan, Malaysia. A semi-structured interview was developed for the in-depth interview (IDI) and focus group interview (FGD). Both IDIs and FGDs were audio-recorded and conducted for approximately (40–60) minutes. The contents were transcribed verbatim and thematically analysed. The majority of T2DM patients did not reveal their HM usage due to fear of negative feedback, never been inquired by HCP and bad experiences after disclosure. Whereas, patients will disclose if they have a good rapport with HCPs and HCP asked patients courteously. However, HCPs reported that they did not discuss HM usage with patients due to limited knowledge, patients refuse to admit and time constraint to consult patients. Communication between T2DM patients and HCPs during consultation concerning the proper use of HM alongside modern medicine needs to be improved. Therefore, a better understanding factor of HM usage and its disclosure would make patients more open-minded to discuss and encourage HCPs to be attentive to avoid any potential adverse effects in HM usage.

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