Instructional Guidelines Using Conversation Maps to Improve Self- Management for Diabetic Patients

Background: Recognizing and promoting the factors that affect the self-management behaviors of diabetes leads to a reduction in the number of patients and an improvement in the quality of care. The ecological approach focuses on the nature of people's interactions with their physical and socio-cultural environments. Objective: The purpose of this study was to identify the predictors of self-management behaviors with a comprehensive approach in these patients. Methods: The Keywords were investigated in the relevant national and international databases, including PubMed, Google Scholar, Science Direct, Scopus, and Scientific Information Database, Magiran, and Iran Medex to obtain the articles published from 2009 to 2019. The search and article selection strategy was developed based on the Prisma checklist and was carried out in three steps. Results: Most studies have shown that personal factors had the highest prediction power for the self-management of diabetes. Then, the interpersonal factors, society and policy-making factors, and group and organization factors were most frequently reported predictors of self-management behaviors in diabetic patients. Conclusion: Self-management of diabetes is necessary for controlling it because 95% of care is done by the patient. When designing self-management interventions, factors based on the individual level that increasing self-management behaviors should be taken into account.

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A preliminary study on diabetes self-management education and glycemic control among patients with diabetes mellitus

Journal of Nursing Education and Practice ◽

10.5430/jnep.v9n9p98 ◽

2019 ◽

Vol 9 (9) ◽

pp. 98 ◽

Cited By ~ 1

Author(s):

Kisokanth G. ◽

Indrakumar J. ◽

Prathapan S. ◽

Joseph J. ◽

Ilankoon I.M.P.S.

Keyword(s):

Diabetes Mellitus ◽

Glycemic Control ◽

Management Education ◽

Self Management ◽

Rank Test ◽

Diabetic Patients ◽

Effective Measure ◽

Before And After ◽

Patients With Diabetes ◽

Preliminary Study

This study was aimed to assess the effectiveness of diabetes self-management education (DSME) in the improvement of glycemic control among patients with type 2 Diabetes Mellitus (T2DM) in Batticaloa District, Sri Lanka. The study was a prospective interventional study and conducted as a preliminary study at medical clinic, Base hospital, Kaluwanchikudy, Batticaloa. Thirty patients with T2DM were included based on inclusion and exclusion criteria. A structured individual diabetes self-management education for 10 hours (one hour per week) was delivered to diabetic patients by the trained Nurse Health Educator. Glycosylate hemoglobin (HbA1c) was assessed as a main outcome measure and Fasting Blood Sugar (FBS), Body Mass Index (BMI) of each patient were also measured and recorded before and after the intervention. The respondent rate was 96.7% (n = 29). Majority of them were females (n = 25, 86.2%). A Wilcoxon signed rank test showed that DSME had a statistically significant reduction in HbA1c [8.60 (IQR 2.60) vs. 7.40 (IQR 2.10), p = .000] and FBS level [159.00 (IQR 77.50) vs. 134.00 (IQR 40.50), p = .002] at 3 months of intervention. The mean BMI at baseline was higher compared to 3 months of intervention [24.88 (SD ± 3.06) vs. 24.19 (SD ± 2.79)] which was statistically significant (p = .000). Majority of participants (n = 22, 75.9%) had improved their HbA1c level by ≥ 0.5% in 3 months. The diabetes self-management education is an effective measure in improving glycemic control and other clinical parameters among patients with T2DM. Thus, DSME needs to be implemented among clinic patients with T2DM for the better outcome and the preventions of complications.

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Evaluating the Effect of Knowledge, Attitude, and Practice on Self-Management in Type 2 Diabetic Patients on Dialysis

Journal of Diabetes Research ◽

10.1155/2016/3730875 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 12

Author(s):

Shima Ghannadi ◽

Atieh Amouzegar ◽

Parisa Amiri ◽

Ronak Karbalaeifar ◽

Zhale Tahmasebinejad ◽

...

Keyword(s):

Quality Of Life ◽

Microvascular Complications ◽

Glycosylated Hemoglobin ◽

Self Care ◽

Self Management ◽

Diabetic Patients ◽

Attitude And Practice ◽

Knowledge Attitude And Practice

Background.Type 2 diabetes is an increasingly common condition with several preventable microvascular complications such as kidney damage. Nephropathy is expensive to manage, especially as hospital dialysis treatment. Improving patients’ knowledge, attitude, and practice (KAP) toward their condition can achieve better control, delay complications, and improve their quality of life. This study evaluated the KAP and self-care behaviors of diabetic patients on dialysis and variables that affect it.Methods.This cross-sectional study was conducted at Shahid Beheshti academic hospitals of Tehran, Iran. Face-to-face interviews were held to fill five validated questionnaires: three evaluating KAP, one evaluating self-management, and one evaluating quality of life.Result.117 diabetic patients on hemodialysis (42 females) with mean (SD) age of68.70±9.26years were enrolled in the survey. The scores for patient’s KAP, self-care, and quality of life were59.90±11.23,44.27±8.35,45.06±12.87,46.21±10.23, and26.85±13.23, respectively. There was significant negative correlation between patients’ knowledge and attitude with their glycosylated hemoglobin level and their fasting blood sugar. There was significant correlation between patients’ knowledge and practice with their self-care activities.Conclusion.The present study suggests that patients’ KAP scores have a practical effect upon self-care behavior. This highlights the needs for effective diabetes education programs in developing countries like Iran.

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Effect of diabetes self-management education on glycaemic control among type 2 diabetic patients at a family medicine clinic in Kenya: A randomised controlled trial

African Journal of Primary Health Care & Family Medicine ◽

10.4102/phcfm.v10i1.1762 ◽

2018 ◽

Vol 10 (1) ◽

Cited By ~ 3

Author(s):

Catherine W. Gathu ◽

Jacob Shabani ◽

Nancy Kunyiha ◽

Riaz Ratansi

Keyword(s):

Family Medicine ◽

Usual Care ◽

Primary Outcome ◽

Self Management ◽

Diabetic Patients ◽

Educational Approach ◽

Medicine Clinic ◽

The Family

Background: Diabetes self-management education (DSME) is a key component of diabetes care aimed at delaying complications. Unlike usual care, DSME is a more structured educational approach provided by trained, certified diabetes educators (CDE). In Kenya, many diabetic patients are yet to receive this integral component of care. At the family medicine clinic of the Aga Khan University Hospital (AKUH), Nairobi, the case is no different; most patients lack education by CDE.Aim: This study sought to assess effects of DSME in comparison to usual diabetes care by family physicians.Setting: Family Medicine Clinic, AKUH, Nairobi.Methods: Non-blinded randomised clinical trial among sub-optimally controlled (glycated haemoglobin (HbA1c) ≥ 8%) type 2 diabetes patients. The intervention was DSME by CDE plus usual care versus usual care from family physicians. Primary outcome was mean difference in HbA1c after six months of follow-up. Secondary outcomes included blood pressure and body mass index.Results: A total of 220 diabetes patients were screened out of which 140 met the eligibility criteria and were randomised. Around 96 patients (69%) completed the study; 55 (79%) in the DSME group and 41 (59%) in the usual care group. The baseline mean age and HbA1c of all patients were 48.8 (standard deviation [SD]: 9.8) years and 9.9% (SD: 1.76%), respectively. After a 6-month follow-up, no significant difference was noted in the primary outcome (HbA1c) between the two groups, with a mean difference of 0.37 (95% confidence interval: -0.45 to 1.19; p = 0.37). DSME also made no remarkable change in any of the secondary outcome measures.Conclusion: From this study, short-term biomedical benefits of a structured educational approach seemed to be limited. This suggested that offering a short, intensified education programme might have limited additional benefit above and beyond the family physicians’ comprehensive approach in managing chronic conditions like diabetes.

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Psychometric Properties of Osteoporosis Knowledge Tool and Self-Management Behaviours Among Malaysian Type 2 Diabetic Patients

Journal of Community Health ◽

10.1007/s10900-012-9586-4 ◽

2012 ◽

Vol 38 (1) ◽

pp. 95-105 ◽

Cited By ~ 8

Author(s):

Shaymaa Abdalwahed Abdulameer ◽

Syed Azhar Syed Sulaiman ◽

Mohamed Azmi Ahmad Hassali ◽

Karuppiah Subramaniam ◽

Mohanad Naji Sahib

Keyword(s):

Psychometric Properties ◽

Self Management ◽

Diabetic Patients ◽

Type 2 Diabetic Patients ◽

Osteoporosis Knowledge ◽

Type 2 Diabetic

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Experiences and guidelines for footcare practices of patients witli diabetes mellitus

Curationis ◽

10.4102/curationis.v26i1.1290 ◽

2003 ◽

Vol 26 (1) ◽

Cited By ~ 9

Author(s):

P. Matwa ◽

M. M. Chabeli ◽

M. Muller ◽

N. S. Levitt

Keyword(s):

Diabetes Mellitus ◽

Lower Limb ◽

Rural Areas ◽

Self Management ◽

Diabetic Patients ◽

Eastern Cape Province ◽

Eastern Cape ◽

The Poor ◽

Patients With Diabetes ◽

Poor Infrastructure

The former Transkei is a predominantly rural region of the Eastern Cape Province. The poor infrastructure in this area results in inaccessibility of the available health services. The majority is ill equipped to deliver optimum diabetes care. There is an increase of lower limb amputations and lack of knowledge among patients with diabetes mellitus in the former Transkei. These complications can be prevented by patient education on self-management and appropriate footcare procedures. This qualitative study was conducted to explore and describe the experiences and footcare practices of diabetic patients who live in the rural areas of Transkei.

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Diabetic patients' willingness to use tele-technology to manage their disease

Online Journal of Public Health Informatics ◽

10.5210/ojphi.v7i2.6011 ◽

2015 ◽

Vol 7 (2) ◽

Cited By ~ 9

Author(s):

Basema Saddik ◽

Norah Al-Dulaijan

Keyword(s):

Diabetes Mellitus ◽

Saudi Arabia ◽

National Guard ◽

The Self ◽

Health Concern ◽

Self Management ◽

Diabetic Patients ◽

Eastern Region ◽

Targeted Interventions ◽

Willingness To Use

Objectives: Diabetes mellitus is a public health concern worldwide. TeleHealth technology may be an effective tool for empowering patients in the self-management of diabetes mellitus. However despite the great impact of diabetes on healthcare in Saudi Arabia, no research has investigated diabetic patients’ willingness to use this technology. This study investigates diabetic patients’ willingness to use tele-technology as a tool to monitor their disease.Methods: Data were collected from diabetic patients attending the diabetes education clinic at the Ministry of National Guard Health Affairs (MNGHA) in the Eastern region of Saudi Arabia over a three month period. A survey was developed which measured patients’ willingness to use tele-technology in the self-management of their diabetes as well as their perceived expectations from the technology.Results: The study found that the majority of patients were willing to use tele-technology to self- monitor their diabetes. However, a minority (11.3%) indicated willingness to use the system daily and only half indicated preference to use it once a week (53.8%). Patients who were younger, had higher education levels, were employed, had internet access and had Type II diabetes were significantly more likely to report willingness to use the technology.Conclusions: Diabetic patients could be ready to play a more active role in their care if given the opportunity. Results from this study could serve as a baseline for future studies to develop targeted interventions by trialing tele-technology on a sample of the diabetic population. Patients with diabetes need to be in charge of their own care in order to improve health outcomes across the country. Keywords: diabetes, self-management, tele-technology, willingness.Abbreviations: Ministry of National Guard Health Affairs (MNGHA), Kingdom of Saud Arabia (KSA)

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Prevalence of Poor Diabetes Self-Management Behaviors among Ethiopian Diabetes Mellitus Patients: A Systematic Review and Meta- Analysis

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v30i4.18 ◽

2020 ◽

Vol 30 (4) ◽

Author(s):

Teshome Tesfaye Habebo ◽

Ebrahim Jaafari Pooyan ◽

Ali Mohammad Mosadeghrad ◽

Getachew Ossabo Babore ◽

Blen Kassahun Dessu

Keyword(s):

Quality Assessment ◽

Addis Ababa ◽

Meta Analysis ◽

Glucose Monitoring ◽

Blood Glucose Monitoring ◽

Self Management ◽

Diabetic Patients ◽

Pooled Prevalence ◽

Meta Analyses ◽

Management Behaviors

BACKGROUND: Diabetes has no cure so far, but appropriate self-management contributes to delay or control its progression. However, poor self-management by diabetic patients adds to disease burden. The pooled prevalence of overall, and its main components of poor self-management among Ethiopian diabetic patients remain elusive. Hence, this study aimed to determine the prevalence of poor diabetes self-management behaviors among diabetic patients in Ethiopia.METHOD: by using different combinations of search terms, we accessed articles done until February 15, 2020 through Pubmed, Scopus, Web of Science and Embase databases. Newcastle-Ottawa quality assessment scale was used for quality assessment, and STATA version 14 software along with the random-effects model was employed for statistical analyses. The Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA.) guideline was followed to report the results.RESULT: Twenty-one studies with 7,168 participants were included in this meta-analysis. The overall pooled prevalence of poor self-management behavior among diabetic patients in Ethiopia was 49.79% (95% CI: 43.58%, 56.01%). Based on subgroup analysis, the estimated magnitudes of poor selfmanagement by regions were 68.58% in Tigray, 55.46% in Harari, 54.74%, in Amhara, 40.90%, in SNNPRS and 37.06% in Addis Ababa. The worst (80.91%) and relatively better (24.65%) self-management components were observed on self-blood glucose monitoring and medication adherence, respectively.CONCLUSION: One in two diabetic patients in Ethiopia had poor self-management. Thus, we strongly recommend to the ministry of health and universities to train diabetes health educators, and the health facilities to deliver tailored diabetes health education.

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Healthcare Providers’ Knowledge, Attitude, and Perspective regarding Diabetes Self-Management during Ramadan Fasting: A Cross-Sectional Study

Nurse Media Journal of Nursing ◽

10.14710/nmjn.v11i1.33926 ◽

2021 ◽

Vol 11 (1) ◽

pp. 124-132

Author(s):

Sh Sugiharto ◽

Wiwiek Natalya ◽

Bambang Widjanarko Otok

Keyword(s):

Community Health Centers ◽

Healthcare Providers ◽

Sampling Technique ◽

Management Training ◽

Cross Sectional Study ◽

Wilcoxon Test ◽

Self Management ◽

Diabetic Patients ◽

Cross Sectional ◽

Ramadan Fasting

Background: Evidence shows that most general practitioners have low knowledge related to diabetes self-management during Ramadan fasting. However, studies on healthcare providers’ competencies related to diabetes self-management during Ramadan fasting are still rare.Purpose: This study aimed to investigate healthcare providers’ knowledge, attitude, and perspective concerning diabetes self-management during Ramadan fasting.Methods: The study applied a cross-sectional design and was conducted in forty-one (41) community health centers in Pekalongan, Central Java, Indonesia. The study participants were medical doctors, nurses, nutritionists, pharmacists, and public health officers. The total sampling technique was used. There were 205 healthcare providers who met the inclusion criteria. Their knowledge, attitude, and perspective were assessed using a questionnaire developed by Zainudin and Hussain. The Wilcoxon test was used to analyze the data. Results: The healthcare providers’ knowledge of Ramadan fasting was very low (36.79±26.11). More than half of the respondents (53.17%) advised diabetic patients to manage diabetes in general, although specific counseling for diabetic patients related to fasting in Ramadan month was not provided (55.12%). The perspective of Ramadan fasting among healthcare providers was moderate (62.68%±30.40). The results also showed that general and safe practice knowledge significantly affected the healthcare providers’ perspective toward Ramadan fasting (Z=-12.49, p=0.000), (Z=-12.02, p=0.000), respectively. Conclusion: Healthcare providers’ knowledge and attitude concerning diabetes self-management during Ramadan fasting were low. Accordingly, this affected their perspective. It is strongly recommended that a formal Ramadan fasting management training program should be given regularly to provide appropriate consultations and services.

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Self-Management Behaviors of Diabetes Control Among Diabetic Patients in Indonesia

International Journal of Studies in Nursing ◽

10.20849/ijsn.v6i2.863 ◽

2021 ◽

Vol 6 (2) ◽

pp. 18

Author(s):

Wisnu Sadhana ◽

Rong, Jiin-Ru

Keyword(s):

Life Experience ◽

Care Center ◽

Self Management ◽

Diabetic Patients ◽

Health Care Center ◽

Attitudes And Behaviors ◽

Daily Exercise ◽

Exercise Activity ◽

Diet Intake ◽

Management Behaviors

Aims: This study was conducted to exploring the behaviors of self-management of Indonesian diabetes patients on Diabetes (DM) control and health promotion.Methods: Grounded theory was applied to explore the health self-management, by used In-depth interview.Results: The study takes place in the community and health care center, which interviewed 20 respondents, explained the health self-management behaviors. There were found out 5 main themes including: Self-regularly take medication to control DM; Manage daily exercise activity in controlling DM; Manage my food and diet intake is necessary; Monitor blood sugar is the important part of DM control and; Monitor the hypo/hyperglycemia symptoms.Conclusion: The healthy self-management behaviors need to be improved to enhance the motivation and self-care skills of diabetic patients in DM control. Although, the disease management of DM patients may be affected by the environment, culture, and life experience. The results show that diabetic patients have multiple DM self-management attitudes and behaviors towards diabetes disease.

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