scholarly journals Effects of self-management support and family participation enhancing program for delayed progression of diabetic nephropathy in Thai adults with type 2 diabetes

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Somsak Thojampa
Keyword(s):  
Diabetic Nephropathy ◽  
Self Efficacy ◽  
The Self ◽  
Self Management ◽  
Management Support ◽  
Family Participation ◽  
Type 2 Dm ◽  
The Family ◽  
Experimental Group

Abstract Background/Purpose: Type 2 diabetes mellitus (DM) is increasingly becoming common in developing countries including Thailand. Uncontrolled hyperglycemia can lead to progression of severe complications for persons with DM which include diabetic nephropathy and can, later on, lead to kidney failure. Self-management support and participation of social groups, specifically the family of the patient, can help people with DM in controlling the complications of their disease from progressing; in this case, the advancement of diabetic nephropathy. The aim of this research is to develop a program and determine if self-management support with the participation of the family members will have an effect in delaying the progress of diabetic nephropathy in adults with type 2 DM. Theoretical Framework: Self-management based on social cognitive and self-regulation theories were used in this study to set a framework which utilizes social support from the family and self-efficacy of patients in implementing self-management activities. Methods: This is a quasi-experimental research. The sample consisted of 50 Thai adults with type 2 DM, 25 for the control group and 25 for the experimental group. The participants in the experimental group attended a self-management support and family participation enhancing the program for 8 weeks. The interventions included a video presentation, manual, and health education with a family member in a focus group. Data were collected before attending the program and evaluated on the 8th and 12 weeks after the program. The instruments used for the data collection were (1) Self-Management Activity Questionnaire (SMAQ), (2) Self- Efficacy Questionnaire (SEQ). The data collected for clinical outcome used the automatic physiological measures: Systolic and Diastolic blood pressure, Hemoglobin A1c (HbA1c), serum creatinine (SCr) and estimated glomerular filtration rate (eGFR).  Data were analyzed using descriptive statistics, Independent t-test and Paired t-test and repeated measurement ANOVA. Results: The mean scores of the self-management activity and self-efficacy of the experimental group were significantly higher, their clinical outcomes for blood pressure, SCr and HbA1C levels were significantly lower, and eGFR results were significantly higher after attending the self-management support and family participation enhancing the program. Conclusions and Implications: The findings of this study indicate that the self-management and family participation enhancing program promote and support health behavior change and leads to better control of the delayed progression of diabetic nephropathy in Thai adults with type 2 DM. This can be applied by health care professionals in health care centers as a supplement to their usual care in dealing with persons with type 2 DM.

scholarly journals The Effect of Dietary and Exercise Self-Management Support Program on Dietary Behavior Exercise Behavior and Clinical Outcomes in Muslim Patients with Poorly Controlled Type 2 DM in a Community Setting in Indonesia

2015 ◽  
Vol 5 (1) ◽  
pp. 1 ◽  
Author(s):  
Rian Adi Pamungkas ◽  
Tippamas Chinnawong ◽  
Charuwan Kritpracha
Keyword(s):  
Clinical Outcomes ◽  
Dietary Behavior ◽  
Exercise Behavior ◽  
Support Program ◽  
Self Management ◽  
Control Group ◽  
Management Support ◽  
Type 2 Dm ◽  
Experimental Group

Purpose: The objective of this study was to examine the effect of dietary and exercise self-management support program on the dietary behavior, exercise behavior, and clinical outcomes of Muslim patients with poorly controlled type 2 DM in Indonesia. Methods: This study was a quasi-experimental, two group, pre-test and post-test design. The experimental group received the dietary and exercise self-management support program and usual care, whereas the control group only received the usual nursing care.Result: 35 subjects in the experimental group and 35 subjects in the control group completed the program, respectively. The findings indicated that there are significantly differences in dietary behavior (p=.00), exercise behavior (p=.00) and clinical outcomes: fasting blood glucose (FBG) (p=.00), cholesterol total level (p=.01) and systolic blood pressure (p=.00) between the experimental group and control group. However, for the BMI status (p=.84) and diastolic blood pressure (BP) (p=.32) were no significant differences between two groups. Conclusion: The dietary and exercise self-management support program was effective for improving the dietary behavior, exercise behavior, FBG, and total cholesterol level for individuals with poorly controlled type 2 diabetes mellitus. Further studies should be replicated using larger groups over a longer time frame.

scholarly journals The Effect of a Cardiovascular Self-Management Support Program on Preventing Cardiovascular Complication Behaviors and Clinical Outcomes in the Elderly with Poorly Controlled Type 2 Diabetes Mellitus in Indonesia

2017 ◽  
Vol 16 (1) ◽  
pp. 9-17
Author(s):  
Dayan HISNI ◽  
Tippamas CHINNAWONG ◽  
Ploenpit THANIWATTANANON
Keyword(s):  
Clinical Outcomes ◽  
The Elderly ◽  
Cardiovascular Complication ◽  
Self Management ◽  
Control Group ◽  
Management Support ◽  
Type 2 Dm ◽  
The Mean ◽  
Experimental Group

Elderly people with poorly controlled type 2 DM often develop cardiovascular disease (CVD) as a major complication. Prevention can be managed by the action of preventing cardiovascular complication behaviors (PCCB) which consist of a DM and healthy heart diet, physical exercise, taking medication regularly, and ceasing smoking. The cardiovascular self-management support program (CSSP) facilitates successful and improved PCCB and clinical outcomes in the elderly with poorly controlled type 2 DM. A quasi-experimental study was conducted to find out the effectiveness of CSSP on PCCB and clinical outcomes in elderly with poorly controlled type 2 DM. Fifty-nine elders with poorly controlled type 2 DM were randomly recruited and divided into an experimental and a control group. Of these, 30 participants in the experimental group received the CSSP and the usual care whereas the control group only received the usual care. PCCB was measured by the prevention of cardiovascular complication behaviors questionnaire (PCCBQ), while clinical outcomes were measured by clinical devices provided by the Public Health Center. An independent t-test was conducted to determine the effect of the program between groups and a paired t-test was used to report the effect of the program within the group. The results showed that the mean score of the PCCB in the experimental group was significantly higher than those in the control group after participating in the program (p < .05) and improved the mean scores of the clinical outcomes except for the diastolic blood pressure (p > .05). The CSSP in this study clearly indicates positive effects on improving the PCCB and some clinical outcomes in the elderly with poorly controlled type 2 DM.

scholarly journals PENGARUH DIABETES SELF MANAGEMENT EDUCATION (DSME) BERBASIS APLIKASI WHATSAPP TERHADAP SELF EFFICACY PADA PASIEN DM TIPE 2 DI PUSKESMAS HAMPARAN PERAK

2021 ◽  
Vol 4 (2) ◽  
pp. 128-139
Author(s):  
Agnes Silvina Marbun ◽  
Rinco Siregar ◽  
Karnirius Harefa ◽  
Theresia Yuni Florensia Sinabutar
Keyword(s):  
Self Efficacy ◽  
Management Education ◽  
Medical Condition ◽  
Statistical Tests ◽  
Demographic Data ◽  
The Self ◽  
Self Management ◽  
P Value ◽  
Type 2 Dm

Diabetes mellitus (DM) is one of the biggest health problems in the world because every year there is an increase in cases. In addition to the increasing number, DM is also known to cause many complications which are divided into two, namely acute complications and chronic complications. The emergence of complications and leading to death in DM patients is due to the low self-efficacy and self-care behavior of DM patients themselves. Self-efficacy is an important factor that is defined as a patient's confidence in maintaining and improving his medical condition. Seeing the importance of self-efficacy in the care of DM patients, increasing patient self-efficacy is needed, namely through the Diabetes Self Management Education (DSME) program. The purpose of this study was to determine the effect of the WhatsApp-based DSME application on the self-efficacy of Type 2 DM patients. This type of research is a Quasy Experiment and the sampling technique used in this study is purposive sampling (Non-Probability sampling). The research design used was Pre-Experiment With Only one Group Pretest - Postest Design. The number of samples was 22 DM type 2 patients. Demographic data collection through questionnaires distributed via google form. The statistical test used was the Paired t test. The results of statistical tests found that there was an effect of WhatsApp-based DSME on the self-efficacy of Type 2 DM patients, with a p value of 0.000 (p <0.05). This shows that there is an effect of WhatsApp-based DSME on the self-efficacy of Type 2 DM patients at the Hamparan Perak Community Health Center.

Effectiveness of nurse-led intervention on self-management, self-efficacy and blood glucose level among patients with Type 2 diabetes mellitus

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Sumathi Chinnasamy Subramanian ◽  
Arjunan Porkodi ◽  
Pandurangan Akila
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Blood Glucose ◽  
Blood Glucose Level ◽  
Self Efficacy ◽  
Self Management ◽  
Type 2 Dm ◽  
Experimental Group

AbstractBackgroundThis study assesses the effectiveness of nurse-led intervention on self-management, self-efficacy, and blood glucose level among patients with Type 2 diabetes mellitus (DM) attending diabetic Out patient department (OPD) in Sri Ramachandra Hospital, Chennai.MethodsIn this study, the experimental group received nurse-led intervention on video-assisted teaching regarding nature of the disease condition including, diet, medication, hand and leg exercises, home care management, for 30 mins. Then a demonstration of hand and leg exercise was done followed by return demonstration done by the participants. The participants in the control group did not receive nurse-led intervention; they received only routine care. On the 15th day, when the patients came for the first follow-up, posttest was conducted for both the experimental and control groups.ResultsThere was a statistically considerable difference noted in self-management (t=29.639; p<0.001), self-efficacy (t=28.293; p<0.001), FBS (t=2.415; p<0.05), and PPBS (t=2.102; p<0.05) in the posttest among patients with Type 2 DM in the experimental group.ConclusionsThe study concluded that the nurse-led intervention through video-assisted teaching is an effective method to recover self-management and self-efficacy as well as reduce the fasting blood sugar and postprandial blood sugar among patients with Type 2 DM.

scholarly journals Personal and Social Factors Affecting the Preventive Behavior among Patients with Type II Diabetes Mellitus in Ponorogo, East Java, Indonesia

2020 ◽  
Author(s):  
Nur Aida Yuliana ◽  
◽  
Pawito Pawito ◽  
Bhisma Murti ◽  
◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Observational Learning ◽  
Social Factors ◽  
Self Efficacy ◽  
Self Management ◽  
Preventive Behavior ◽  
Vicarious Learning ◽  
Factors Affecting ◽  
Type 2 Dm

Background: Self-management of diabetes mellitus (DM)) is critical in preventing long-term complications. It includes proper medication use, diet, physical activity, blood glucose monitoring, foot care, and periodic health checkups. The purpose of this study was to examine personal and social factors affecting the preventive behavior among patients with type II DM. Subjects and Method: A cross-sectional study was carried out at Regional Hospital in Ponorogo, East Java, Indonesia, from January to February 2020. A sample of 200 patients with type 2 DM was selected randomly. The dependent variable was preventive behavior toward type 2 DM. The independent variables were observational learning, vicarious learning, imitation, attitude, knowledge, self-efficacy, and self-management. The data were collected by questionnaire anad analyzed by a multiple logistic regression run on Stata 13. Results: Tertiary preventive behavior toward type 2 DM increased with good observational learning (b= 1.55; 95% CI= 0.59 to 2.51; p= 0.002), strong vicarious learning (b= 1.15; 95% CI= 0.17 to 2.13; p= 0.021), strong imitation (b= 1.55; 95% CI= 0.58 to 2.52; p= 0.002), positive attitude (b= 1.28; 95% CI= 0.35 to 2.22; p= 0.007), good knowledge (b= 1.10; 95% CI= 0.14 to 2.06; p= 0.024), strong self-efficacy (b= 1.06; 95% CI= 0.11 to 2.02; p= 0.029), and self-management (b= 2.26; 95% CI= 1.24 to 3.29; p<0.001). Conclusion: Tertiary preventive behavior toward type 2 DM increases with good observational learning, strong vicarious learning, strong imitation, positive attitude, good knowledge, strong self-efficacy, and self-management. Keywords: social cognitive theory, type 2 Diabetes Mellitus Correspondence: Nur Aida Yuliana. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6285790767582. DOI: https://doi.org/10.26911/the7thicph.02.57

scholarly journals Using the Self-Management Assessment Scale for Screening Support Needs in Type 2 Diabetes: Qualitative Study (Preprint)

2019 ◽  
Author(s):  
Ulrika Öberg ◽  
Carl Johan Orre ◽  
Åsa Hörnsten ◽  
Lena Jutterström ◽  
Ulf Isaksson
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
Primary Health Care ◽  
Qualitative Study ◽  
Screening Instrument ◽  
The Self ◽  
Self Management ◽  
Management Support ◽  
Primary Health

BACKGROUND Globally, most countries face a common challenge by moving toward a population-based structure with an increasing number of older people living with chronic conditions such as type 2 diabetes. This creates a considerable burden on health care services. The use of digital tools to tackle health care challenges established views on traditional nursing, based on face-to-face meetings. Self-management is considered a key component of chronic care and can be defined as management of the day-to-day impact of a condition, something that is often a lifelong task. The use of a screening instrument, such as the Self-Management Assessment Scale (SMASc), offers the potential to guide primary health care nurses into person-centered self-management support, which in turn can help people strengthen their empowerment and self-management capabilities. However, research on self-management screening instruments is sparse, and no research on nurses’ experiences using a digitalized scale for measuring patients’ needs for self-management support in primary health care settings has been found. OBJECTIVE This paper describes diabetes specialist nurses’ (DSNs) experiences of a pilot implementation of the SMASc instrument as the basis for person-centered digital self-management support. METHODS This qualitative study is based on observations and interviews analyzed using qualitative content analysis. RESULTS From the perspectives of DSNs, the SMASc instrument offers insights that contribute to strengthened self-management support for people with type 2 diabetes by providing a new way of thinking and acting on the patient’s term. Furthermore, the SMASc was seen as a screening instrument with good potential that embraces more than medical issues; it contributed to strengthening person-centered self-management support, and the instrument was considered to lead both parts, that is, DSNs and patients, to develop together through collaboration. CONCLUSIONS Person-centered care is advocated as a model for good clinical practice; however, this is not always complied with. Screening instruments, such as the SMASc, may empower both nurses and patients with type 2 diabetes with more personalized care. Using a screening instrument in a patient meeting may also contribute to a role change in the work and practice of DSNs.

scholarly journals EFFECTS OF DIABETIC CAMP ON SELF EFFICACY AMONG MIDDLE-AGED AND ELDERL Y PEOPLE WITH TYPE 2 DIABETES MELLITUS

2021 ◽  
Author(s):  
Junaidy Rustam
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Elderly People ◽  
Self Efficacy ◽  
Control Group ◽  
Middle Aged ◽  
Type 2 Dm ◽  
Experimental Group

Introduction: The benefits of Diabetic Camp as known can be applied to promote knowledge and self management among diabetes people. Nevertheless, empirical data of its effect on diabetes self-efficacy are still limited, especially on middle aged and elderly people with type 2 Diabetes Mellitus. Objectives: The purpose of this intervention study was to investigate the change of self-efficacy among middle-aged and elderly people living with type 2 DM after attending camp. Methods: A quasi-experimental study was used. Eighty-four participants were recruited form two public health center in Bukittnggi City West Sumatra Indonesia were randomly assigned into either the experimental group (n=42) or control group (n=42) by matching technique based on gender , age, and duration of illness. The experimental group participated in diabetic camp for two days continuing with weekly follow up for over 1 month while those in the control group participated in routine activities. Outcome was measured by using Self-efficacy Questionnaire for Diabetes at the first day before receiving the intervention as pretest data, and on the four weeks after the intervention was completed as the posttest data. The reliability of the Self-efficacy Questionnaire for Diabetes with Cronbach's alpha coefficient was 0.81. Descriptive and inferential statistics were performed to analyze the data. Results: Mean of self-efficacy score in the experimental group after receiving the intervention was significantly higher than those in the control group (t =4.27; p&lt;0.05). The mean of self-efficacy score after receiving the intervention in the experimental group was increased significantly from before receiving the intervention (t = 8.15; p&lt;0.05). Conclusions: The results showed that Diabetic camp was effective in promoting self-efficacy of middle-aged and elderly people with type 2 DM. Thus, this diabetes care program can be recommended for practice

scholarly journals Applications of a Chronic Care Model for Self-Management of Type 2 Diabetes: A Qualitative Analysis

2021 ◽  
Vol 18 (20) ◽  
pp. 10840
Author(s):  
Rashid M. Ansari ◽  
Mark F. Harris ◽  
Hassan Hosseinzadeh ◽  
Nicholas Zwar
Keyword(s):  
Type 2 Diabetes ◽  
System Design ◽  
Delivery System ◽  
Chronic Care ◽  
Healthcare Professionals ◽  
The Self ◽  
Self Management ◽  
Management Support ◽  
Care Model

The main aim of this study was to explore the suitability, practicality, and acceptability of the self-management support and delivery system design components of the Chronic Care Model (CCM) in type 2 diabetes self-management in primary care settings in rural Pakistan. Thirty patients living with type 2 diabetes and 20 healthcare professionals (10 general practitioners and 10 nurses) were recruited from Al-Rehman Hospital at Abbottabad, Pakistan. The study data were collected using semi-structured interviews and analyzed using thematic analysis. The self-management element of the CCM played an important role in managing type 2 diabetes, and self-efficacy in relation to diet and diabetes management were the most effective strategies. Surprisingly, considering the local culture around diabetes, patient care reflecting their cultural background was identified as an important factor by patients not healthcare professionals. The delivery system design element of the CCM promoted multidisciplinary teamwork. Our findings suggest that the self-management support and delivery system design components of the CCM provided an effective framework for supporting diabetes self-management education and support in rural areas.

scholarly journals Self-Management Mobile Virtual Reality Program for Women with Gestational Diabetes

2021 ◽  
Vol 18 (4) ◽  
pp. 1539
Author(s):  
Sung-Hoon Kim ◽  
Hye Jin Kim ◽  
Gisoo Shin
Keyword(s):  
Type 2 Diabetes ◽  
Virtual Reality ◽  
Gestational Diabetes ◽  
Dietary Habits ◽  
The Body ◽  
The Self ◽  
Self Management ◽  
Control Group ◽  
Experimental Group

The incidence of type 2 diabetes and gestational diabetes shows an increasing trend worldwide, and women diagnosed with gestational diabetes are more likely to develop type 2 diabetes within 5 years of delivery. This is closely related to lifestyle habits such as dietary intake and physical activity; hence, self-management should be continuously practiced. However, after childbirth, women find it challenging to practice self-management due to physical discomfort and child rearing. Therefore, it is necessary to develop an intervention program that is tailored to the characteristics of each participant and allows them to practice self-health management efficiently without time and space restrictions. This study aimed to develop a self-management mobile virtual reality program and investigate its efficacy in preventing type 2 diabetes after childbirth among women diagnosed with gestational diabetes. Intervention with the self-management mobile virtual reality program was performed for 12 weeks. The data of 57 participants in the experimental group and 62 participants in the control group were analyzed. After 12 weeks, the body weight, body fat, hemoglobin A1c, and fasting glucose were decreased in the experimental group compared with the control group. In addition, the dietary habits and health-promoting lifestyle profile were improved in the experimental group compared with the control group. These findings demonstrated that a self-managed mobile virtual reality program could be used as an intervention method for health promotion. To verify the effectiveness of intervention with the self-management mobile virtual reality program, a follow-up study with a larger number of research subjects should be conducted in the future.

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