scholarly journals Self-care competence in the administration of insulin in older people aged 70 or over

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Mayara Sousa Vianna ◽  
Patrícia Aparecida Barbosa Silva ◽  
Cíntia Vieira do Nascimento ◽  
Sônia Maria Soares
Keyword(s):  
Older People ◽  
Statistical Tests ◽  
Glucose Monitoring ◽  
Self Care ◽  
Cross Sectional Study ◽  
Blood Glucose Monitoring ◽  
Self Administration ◽  
Cross Sectional ◽  
Patients With Diabetes ◽  
Senior Patients

ABSTRACT Objective: to analyze the self-care competence in the administration of insulin performed by older people aged 70 or over. Method: cross-sectional study carried out with 148 older people aged 70 or over, who performed self-administration of insulin. Data collection was carried out using a structured questionnaire and an adapted guide for the application of the Scale to Identify Self-Care Competence of Patients with Diabetes, at the participants’ home. Data analysis included descriptive and inferential statistical tests, with forward logistic regression. Results: the prevalence of self-care competence in the administration of insulin was 35.1%. Handwashing error was the most frequent in self-administration of insulin. Self-care competence was negatively associated with retirees and positively associated with senior patients who performed capillary blood glucose monitoring and skin pinching during insulin application. Conclusion: there was low self-care competence and it was associated with both the sociodemographic and the clinical characteristics with regard to self-application of insulin by the older people.

scholarly journals RESILIENCE AND SELF-CARE IN PEOPLE WITH DIABETES MELLITUS

2020 ◽  
Vol 29 ◽  
Author(s):  
Julia Estela Willrich Boell ◽  
Denise Maria Guerreiro Vieira da Silva ◽  
Maria Elena Echevarria Guanilo ◽  
Kathleen Hegadoren ◽  
Betina Hörner Schlindwein Meirelles ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Statistical Significance ◽  
Glucose Monitoring ◽  
Self Care ◽  
Cross Sectional Study ◽  
Blood Glucose Monitoring ◽  
Foot Care ◽  
Cross Sectional ◽  
Resilience Scale ◽  
One Year

ABSTRACT Objective: to investigate the association between resilience and self-care in people with diabetes mellitus treated in Primary Health Care. Method: Cross-sectional study, sample consisting of 362 people, aged 18 years or older, diagnosed with diabetes for at least one year. Descriptive analyzes and comparison of means were performed, assuming statistical significance with a value of p <0.05. The Resilience Scale and Questionnaire on Diabetes Self-Care Activities were applied, containing six dimensions: general food, specific food, physical activity, blood glucose monitoring, foot care, medication use, plus three items on smoking. Data collection took place between December and May 2016, in ten Health Centers in a city in the south of the country. Results: among the 15 self-care activities, four showed a statistically significant association when compared to the average resilience, highlighting: healthy eating and professional guidance, desirable sweet consumption, blood sugar assessment as recommended. Conclusion: the results obtained highlight the relationship between high averages of resilience and adequate performance in the care of diabetes mellitus.

scholarly journals Self-care activities and their relationship to metabolic and clinical control of people with diabetes Mellitus

2015 ◽  
Vol 24 (3) ◽  
pp. 697-705 ◽  
Author(s):  
Anna Claudia Martins Coelho ◽  
Lilian Cristiane Gomes Villas Boas ◽  
Daniele dos Santos Gomides ◽  
Maria Cristina Foss-Freitas ◽  
Ana Emilia Pace
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Glucose Monitoring ◽  
Self Care ◽  
Disease Diagnosis ◽  
Cross Sectional Study ◽  
Blood Glucose Monitoring ◽  
Foot Care ◽  
Cross Sectional ◽  
Clinical Control

Cross-sectional study with the aim to evaluate self-care in people with type 2 diabetes mellitus and verify its relationship with sociodemographic and clinical characteristics. The sample included 218 patients under outpatient follow-up. Self-care activities were evaluated by means of a questionnaire that was previously translated and validated for Brazil. The questionnaire items that reached the highest means were related to drug therapy, whereas those with the lowest means were related to the practice of physical activity. Age correlated inversely with physical activity and foot care, and elapsed time since the disease diagnosis showed a direct correlation with blood glucose monitoring. Data showed that self-care activities related to behavioral changes are the ones that require greater investments to achieve its goals, and age and time since diagnosis should be considered in the planning of nursing care for people with diabetes mellitus.

scholarly journals Self-care among patients enrolled in a self-monitoring blood glucose program

2014 ◽  
Vol 35 (4) ◽  
pp. 42-48 ◽  
Author(s):  
Vivian Saraiva Veras ◽  
Manoel Antônio dos Santos ◽  
Flavia Fernanda Luchetti Rodrigues ◽  
Clarissa Cordeiro Alves Arrelias ◽  
Tatiane Aparecida Martins Pedersoli ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Glucose Monitoring ◽  
Self Care ◽  
Blood Glucose Monitoring ◽  
Foot Care ◽  
Cross Sectional ◽  
Self Monitoring ◽  
Glucose Testing ◽  
Patients With Diabetes

This cross-sectional study checks specific self-care activities of patients with diabetes mellitus enrolled in a self-monitoring blood glucose program from August to December 2012 in two Primary Health Care units in the interior of São Paulo, Brazil. The sample was composed of 74 female and male individuals, aged 18 years old or older. The Summary of Diabetes Self-Care Activities Questionnaire was used. It contains six dimensions: general diet, specific diet, physical activity, blood glucose monitoring, foot care, medication usage, plus three items about smoking. Eight out of the 15 self-care activities were within desirable levels, namely: healthy diet, not eating sweets, blood glucose testing and as frequently as recommended, drying between toes after washing feet, and taking medications (three items). The results enabled the identification of gaps in specific self-care activities among patients with diabetes mellitus.

scholarly journals Adherence to diabetes mellitus care at three levels of health care

2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Jackline Duran Souza ◽  
Marcelo Henrique Barbosa Baptista ◽  
Danielle dos Santos Gomides ◽  
Ana Emilia Pace
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Tertiary Care ◽  
Glucose Monitoring ◽  
Self Care ◽  
Cross Sectional Study ◽  
Blood Glucose Monitoring ◽  
Nursing Interventions ◽  
Cross Sectional ◽  
Quantitative Descriptive

ABSTRACT Objective: To evaluate adherence to self-care among people with diabetes mellitus cared for at the three levels of health care. Method: Quantitative, descriptive, cross-sectional study addressing a sample of 143 people from a city in the interior of São Paulo, Brazil from primary (45), secondary (48) and tertiary (50) units. Adherence to self-care was assessed using the "The Summary of Diabetes Self-Care Activities Measure" and "Measurement of Treatment Adherence". Results: Adherence to exercises, blood glucose monitoring, shoe inspection, and the use of insulin differed between units; better results were obtained for those in tertiary care. Conclusion: The results indicate a need for greater investment in the initial phase of treatment to improve self-care adherence. Implications for practice: The study enabled identifying the profile of individuals in terms of self-care adherence and supporting the planning of nursing interventions in diabetes mellitus.

scholarly journals Educational programmes for frail older people, their families, carers and healthcare professionals

2021 ◽  
Author(s):  
Rachel J. Viggars ◽  
Andrew Finney ◽  
Barnabas Panayiotou
Keyword(s):  
Health Promotion ◽  
Older People ◽  
Health Professionals ◽  
Data Extraction ◽  
Self Care ◽  
Cross Sectional Study ◽  
Older Individuals ◽  
Cross Sectional ◽  
Educational Programmes ◽  
Quasi Experimental

Summary Background More people are living with frailty and requiring additional health and support services. To improve their management, the “Frailty: Core Capability Framework” in the United Kingdom recommends frailty education for older individuals, their families, carers and health professionals. We performed a systematic review of specific educational programmes for these groups. Methods Electronic databases were searched using dedicated search terms and inclusion criteria. To improve accuracy, two reviewers carried out the screening and selection of research papers. Information from included studies was collected using a tailored data extraction template, and quality appraisal tools were used to assess the rigour of the studies. The findings were analysed to identify key themes. Results A total of 11 studies met the criteria and were included in the review. The study populations ranged from 12 to 603 and the research designs were heterogeneous (6 qualitative; 2 randomised controlled trials; 1 quasi-experimental; 1 mixed methods; 1 cross-sectional study). Whilst some methodological shortcomings were identified, all studies contributed valuable information. The results underwent narrative synthesis, which elucidated four thematic domains: (1) accessibility of educational programmes, (2) empowerment, (3) self-care, and (4) health promotion (especially exercise and nutrition). Conclusion Educational programmes for older people, their carers and health professionals are important for effective frailty prevention and management. To be maximally beneficial, they should be easily accessible to all target populations and include empowerment, self-care and health promotion. Further research should explore the formulation of widely applicable, user-friendly programmes and delivery formats that can be tailored to different client groups.

scholarly journals Foot Self Efficacy dan Foot Self Care Behaviour pada Lansia dengan Diabetes Melitus

2019 ◽  
Vol 3 (1) ◽  
pp. 12-18
Author(s):  
Ainul Yaqin Salam ◽  
Nur Hamim
Keyword(s):  
Self Efficacy ◽  
Self Care ◽  
Cross Sectional Study ◽  
Foot Care ◽  
Cross Sectional ◽  
Foot Complications ◽  
Patients With Diabetes ◽  
Main Determinants ◽  
And Gender ◽  
Care Behavior

 AbstrakLansia dengan diabetes adalah kelompok khusus yang memiliki resiko tinggi komplikasipada kakinya. Self-efficacymenjadi salah satu determinan faktor utama untuk meningkatkan perilaku perawatan kaki. Penelitian ini bertujuan untuk mengidentifikasi tingkat efikasi diri kaki (Foot Self Efficacy) dan perilaku perawatan kaki (Foot Crae Behaviour) dan hubungannya dengan karakteristik demografis pada lansia dengan diabetes.Studi cross-sectional digunakandi Desa Karangren Kecamatan Krejengan Probolinggo dari Mei hingga Juni 2019. Kriteria khusus dipilih untuk berpartisipasi dalam penelitian ini. Para responden diwawancarai menggunakan seperangkat kuesioner yang telah divalidasi. Statistik deskriptif dan inferensial (regresi linier berganda) digunakan untuk menjawab hipotesis penelitiandengan bantuanSPSS 19. Hasil penelitian menyebutkan rata-ratafoot self-efficacysebesar 29,79 dengan standar deviasi 8,26 danrata-ratafoot care behavior sebesar 28,72 dengan SD 6,33. Terdapat hubungan positif dan signifikan antara foot self-efficacy (β = 0,43, p <0,001), tingkat pendidikan (β = 0,43, p <0,001), dan jenis kelamin (β = 0,31, p <0,001) dengan perilaku perawatan kaki. Program edukasi self-efficacydapat menjadi pertimbangan yang krusial  untuk meningkatkan perilaku perawatan kaki. Lansia dengan diabetes harus diajari pemeriksaan kaki secara mandiri.Perawatan kaki diabetes yang tepat dan berkelanjutan dapat secara signifikan mencegah terjadinya komplikasi pada kaki lebih lanju yang berefek pada peningkatan kualitas hidup.                                                                                                     Kata kunci: diabetes, lansia, efikasi diri, perilaku perawatan diri, kaki  AbstractThe elderly with diabetes is a special group that has a high risk of complications in the legs. Self-efficacy is one of the main determinants of improving foot care behavior.The essential aims of this study were to identify the level of self-efficacy and foot care behavior and its relationship to demographic characteristics in elderly patients with diabetes. The cross-sectional study has been done in Karangren Village, Krejengan Probolinggo district from May to June 2019. Specific criteria  were chosen to participate in this study. The respondents interviewed used a set of validated questionnaires. Descriptive and inferential statistics (multiple linear regression) were used to answer the research hypothesisby SPSS 19. The results mentioned that the average foot self-efficacy was 29.79, with a standard deviation of 8.26, and the normal foot care behavior was 28.72, with an SD of 6.33. There is a significant relationship between foot self-efficacy (β = 0.43, p <0.001), level of education (β = 0.43, p <0.001), and gender (β = 0.31, p <0.001) with foot care behavior. The self-efficacy education program can be a crucial considerateness for improving foot care behavior.Elderly with diabetes must be taught foot examinations independently. Appropriate and ongoing diabetes foot care can significantly prevent diabetic foot complications, which affect improving the quality of life. Keywords: diabetes, elderly, self-efficacy, self-care behavior, feet

scholarly journals Insulin self-administration technique with disposable syringe among patients with diabetes mellitus followed by the family health strategy

2009 ◽  
Vol 17 (4) ◽  
pp. 474-480 ◽  
Author(s):  
Thaís Santos Guerra Stacciarini ◽  
Ana Emilia Pace ◽  
Vanderlei José Haas
Keyword(s):  
American Diabetes Association ◽  
Family Health ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Self Administration ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Patients With Diabetes ◽  
Family Health Strategy

This cross-sectional study aimed to describe the most common correct and incorrect self-administration techniques for insulin using disposable syringes by patients cared for by the Family Health Strategy (FHS), relate the findings to sociodemographic variables and also identify the professional responsible for teaching this technique. A total of 169 patients were selected by simple random sampling in 37 FHS units in a city in the state of Minas Gerais, Brazil from August to October 2006. The results identified errors in all the steps recommended by the American Diabetes Association and Brazilian Diabetes Association for the safe administration of insulin, from hand washing to compression on the injection site. The FHS favors the development of interventions focused on the needs of the clientele registered at the unit, stimulating self-care. Results from this study can contribute to the planning of these interventions.

scholarly journals Depression in Iranian Children with Diabetes and Related Factors

2020 ◽  
Vol 30 (5) ◽  
Author(s):  
Azadeh Sayarifard ◽  
Fatemeh Sayarifard ◽  
Maryam Nazari ◽  
Morteza Nikzadian ◽  
Mona Amrollahinia ◽  
...  
Keyword(s):  
Medical Center ◽  
Glucose Monitoring ◽  
Cross Sectional Study ◽  
Blood Glucose Monitoring ◽  
Index Number ◽  
Related Factors ◽  
Cross Sectional ◽  
Diabetic Children ◽  
Iranian Children ◽  
Age Range

Background: Studies have indicated that diabetic children are at risk of developing other diseases such as depression. Objectives: This study was conducted to determine the prevalence of depression in diabetic children and identify factors that influence it. Methods: This cross-sectional study was performed on 125 diabetic children in the 7 - 16 age range who had attended the Endocrinology and Metabolism Clinic of the Children’s Medical Center affiliated to Tehran University of Medical Sciences. Children’s Depression Inventory (CDI) was used to assess depression. Results: The study showed 44% of the children were nondepressed, 14.4% depressed and 41.6% borderline. Depression in the diabetic children was not significantly associated with age, gender, injection tools, socioeconomic status, body mass index, number of siblings, disease duration, frequency of injections, number of injected units, and frequency of blood glucose monitoring. Depression was significantly associated with the level of mother’s education (P < 0.001), father’s education (P = 0.01), frequency of hospitalization (P = 0.04) and level of HbA1c (P = 0.03). Conclusions: According to the results of the study, metabolic control reduces the HbA1c level and the frequency of hospitalization, thereby mitigating the risk of depression in the diabetic children. The educational level of parents, especially mother, is also effective in minimizing this risk in diabetic children.

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