scholarly journals Factors related to self-care activities of patients with type 2 diabetes mellitus

2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Letícia Palota Eid ◽  
Sílvia Aparecida Dourado Leopoldino ◽  
Graziella Allana Serra Alves de Oliveira Oller ◽  
Daniele Alcalá Pompeo ◽  
Marlene Andrade Martins ◽  
...  

Abstract Objective: To verify self-care activities of patients with type 2 diabetes mellitus and to analyze the relationship with sociodemographic and clinical variables. Method: A cross-sectional study was performed of 149 people using the Diabetes Self-Care Activities Questionnaire. Results: Of the 15 self-care activities analyzed, appropriate behavior was observed for aspects related to medication use and inadequate for fruit/vegetable consumption, blood sugar testing and physical exercise. The correct use of medications was correlated to marital status. Regarding inadequate behaviors, there were associations of fruit/vegetable consumption with skin color and place of residence and blood sugar testing with marital status and inverse correlations of physical exercise with systolic blood pressure, pulse pressure, waist circumference and postprandial glycemia. Conclusion: The results of this research contribute by strengthening the line of care in chronic diseases and assist in divulging the importance of supported self-care. Implications for practice: The findings of this research provided information relevant to the planning of care.

Author(s):  
Hidayat Arifin ◽  
Kusnanto Kusnanto ◽  
Erna Dwi Wahyuni ◽  
Rifky Octavia Pradipta

Introduction: Treatment that must continue, control, and diet that must be obeyed by people with DM can cause boredom (burnout) - inability to care for themselves, and blood sugar that is not controlled. The purpose of this study was to determine the effect of diabetes resilience training on self-care, glycemic control, and diabetes burnout of adult type 2 diabetes mellitus. Methods: This study was a quasi-experimental design. The total samples were 70 respondents (treatment and control) obtained by cluster sampling. The independent variable was diabetes resilience training and dependent variables were self-care, glycemic control, and diabetes burnout. The intervention provided for one month with four meetings. Instrument used self-care questionnaire of Self-Care Inventory-Revised (SCI-R), glycemic control questionnaire used an observation sheet for fasting blood sugar, and diabetes burnout questionnaire used Diabetes Distress-Screening Scale (DDS17). Data were analyzed with Wilcoxon signed ranks test, Mann Whitney U Test, Independent-sample t-test, and 1-Sample K-S. Results: There was an effect of diabetes resilience training on self-care (p = 0.003; p <0.05), glycemic control (p = 0.020; p <0.05), and diabetes burnout (p = 0,000; p <0.05). Conclusions: Diabetes resilience training provided by researchers to respondents can improve good self-care behavior, decreased glycemic control values, and decreased distress (diabetes burnout) in adult type 2 diabetes mellitus.  Based on the results, it is recomandation to nurses and health care provider to implementation the diabetes resilience training regularly.


2021 ◽  
Vol 9 (1) ◽  
pp. 12-19
Author(s):  
Andi eka pranata Andi ◽  
Rizki Eko Prasetyo

Introduction: Diabetes Mellitus (DM) is a chronic disease (CD) in Indonesia that contributes to high mortality. This disease poses a limitation to self-care. Good self-care prevents complications and improves the quality of life. Self-care application (SCA) is a way to increase understanding of Type 2 Diabetes Mellitus (T2DM) clients and their families to improve the quality of care and good management of T2DM clients.  Objective: To determine the effect of SCA on improving the quality of care and management of T2DM clients which include blood sugar levels, nutrition management, activity/ exercise management, self aesthetics, and personal hygiene. Methods: A quasi-experimental design with a non-equivalent control group design. The population of this study was patients with type 2 diabetes with a total sample size of 50 patients with type 2 diabetes who were evenly divided into 2 research groups. The sampling method used was proportional sampling. The interventions are in the form of SCA with training and mentoring patterns of T2DM clients and their families. Data analysis using independent t-test.  Result: The application of self-care had no significant impact on blood sugar stability (p 0.540), was able to improve the quality of nutritional management (p 0.018), improve activity/ exercise management (p 0.000), improve self-esthetic behavior (p 0.000), and increase personal hygiene behavior (p 0.000). Conclusion: Improving the quality of care and management of T2DM due to SCA is directly related to the understanding and awareness of T2DM clients.


2021 ◽  
Vol 2 (1) ◽  
pp. 363-367
Author(s):  
Untung Halajur ◽  
Riki

Diabetes mellitus is a group of symptoms that arise in a person caused by an increase in blood glucose levels due to reduced insulin secretion are progressive background by the retention of insulin. Gymnastics diabetic foot is needed in the management of diabetes mellitus, regular physical exercise can lower blood sugar levels. To examine the effect of diabetic foot gymnastics to decrease blood sugar levels in patients with Diabetes Mellitus as type 2 Clubs Prolanis Sanang Barigas BPJS Palangkaraya. Method This study is a quantitative research study design Preexperimental Design, the design of the study one-group pre-post-test design. The number of respondents 30 people. Retrieving data using a questionnaire and analyzed using SPSS. Statistical test using the Wilcoxon Signed RankTest. Results Statistical test results obtained Wilcoxon Signed Rank Test average value (mean) pretest / before gymnastics at 6:06 and posttest leg / foot after gymnastics at 18.93 while the value of the probability p value or sig. (2-tailed) 0.00 <0.05 (0.00 less than 0.05) so that Ho refused and Ha accepted which means there is a significant difference between random blood sugar levels before and after exercisefeet. Conclusion regular physical exercise and the effect on blood sugar levels drop as in patients with type 2 diabetes mellitus in prolanis club Sanang barigas BPJS Palangkaraya. so that exercisers diabetic foot is needed in the management of diabetesmellitus.


Author(s):  
Shah Namrata Vinubhai ◽  
Pardeep Agarwal ◽  
Bushra Fiza ◽  
Ramkishan Jat

Background: Serum ferritin is known as an index for body iron stores also as an inflammatory marker and it is influenced by several disease. We were looking for a correlation between HbA1c and S. Ferritin in type 2 DM. Methodology: The present study a total of 150 participants were enrolled of which 100 were confirmed cases of Type 2 Diabetes Mellitus and rest 50 age and sex matched healthy subjects constituted the control group. All were screened for HbA1c, Fasting blood sugar, Post prandial blood sugar and S.Ferritin. Results: A highly significant variation and positive correlation was observed with respect to S.Ferritin and HbA1c levels. Mean S.Ferritin was high in the subgroup with poor glycemic control. Conclusion: The fasting, post prandial sugar levels, HbA1c and S.Ferritin were significantly higher in the diabetic subjects. This study shows a positive correlation between HbA1c and S. Ferritin levels. So we can conclude that in diabetic patients S. Ferritin may serve as an independent marker of poor glycemic and metabolic control. Keywords: Serum ferritin, Type 2 Diabetes Mellitus, HbA1c.


2020 ◽  
Vol 16 (6) ◽  
pp. 598-607 ◽  
Author(s):  
Rebeca Barbosa da Rocha ◽  
Cristiano Sales Silva ◽  
Vinícius Saura Cardoso

Background: Self-care is essential for the prevention of complications in patients with diabetes, but several authors report that even with health education programs, the incidence of complications in patients with diabetes continues to increase. Objective: We aimed to examine adherence to self-care strategies and the repercussions of adherence on the clinical profiles of individuals with type 2 diabetes. Methods: We performed a systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. We searched for related studies in 4 databases: PubMed, Web of Science, Scopus, and Latin American and Caribbean Health Science Literature (LILACS). We included observational studies in English and Portuguese that evaluated the effects of selfcare in individuals with type 2 diabetes. Results: The search resulted in the identification of 615 articles, of which 34 met all the inclusion criteria. General self-care was considered unsatisfactory. Physical exercise was classified as the self-care activity that was performed less frequently by individuals with type 2 diabetes mellitus; adherence to medication was the most frequent behavior among volunteers. Conclusion: The studies indicated poor adherence of the population to good self-care practices, reflected by the increase in complications related to DM.


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