scholarly journals Self Efficacy in Patients with Diabetes Mellitus Management Healthy Eating In UPTD Sananwetan District of Blitar Town

2017 ◽  
Vol 4 (3) ◽  
pp. 260-267
Author(s):  
Rizha Malayanita

Self -efficacy in meal management of diabetic patients, which is one of the self-regulating ability of individuals in meal management of diabetic patients. The purpose  of this research to determine self efficacy in meal management of patients with diabetes mellitus such amount of food, type of food and eating schedules that consumed DM patients in Distict Health Sananwetan, Blitar. This research  used a descriptive design. The study population was all of DM patient who check their health at health centers Sananwetan, Blitar, and the  sample take  of 30 people with accidental sampling technique. The data collection is done by questionnaire closed-ended multiple choice questions. Collection data is done on the date June 6 until 18, 2016. The results showed that self efficacy in meal management of diabetic patients  is 50 % (15 people) less , 33.3 % (10 people) enough and 16.7 % (5 people) good. Patients with diabetes mellitus in district health Sananwetan Blitar ,need motivation , guidance and health education  to improve self efficacy meal management is good and right.

2021 ◽  
Vol 20 (1) ◽  
pp. 183-190
Author(s):  
Haidong Luo ◽  
Yin Lin ◽  
Jia Li ◽  
Weiguo Xu

Purpose: To determine the relationship between adherence to anti-diabetic medication and depression among patients with diabetes mellitus in three hospitals in Chinese.Methods: This research utilized a quantitative and descriptive design, and included 200 diabetic patients who fulfilled the inclusion criteria for recruitment through a convenient sampling technique. The study applied Beck’s depression inventory II scale for assessment of depression, and a questionnaire for adherence to anti-diabetic medication.Results: A total of 64 (32 %) participants had diabetes for 6 to 10 years. There was a high level of adherence to anti-diabetic medication in 96 patients (48 %); 74 participants (37 %) had moderate adherence to anti-diabetic medication, while 30 patients (15 %) had low adherence. A majority of the patients (181, 90.5 %) had no depression. Six (6) patients (3 %) had mild mood disturbance, 2 patients (1 %) had borderline clinical depression, while 11patients (5.5 %) experienced moderate depression.Adherence to anti-diabetic medication was not associated with depression (p = 0.068). However, depression was associated with age ˃ 50 years (p = 0.041), female sex (p = 0.043), long duration of illness (> 5-years) (p = 0.048), and presence of one or more comorbidities (p = 0.049).Conclusion: There was no association between adherence to anti-diabetic medication and depression among diabetic patients. Keywords: Adherence to anti-diabetic medication, Beck’s depression inventory II, Depression, Diabetes mellitus


2019 ◽  
Vol 1 (1) ◽  
pp. 55-65
Author(s):  
Abid Hussain ◽  
Zareen Atta Memon ◽  
Rakhshan Ahsan ◽  
Syeda Khushbakht Hussain

The study was accomplished through correlational research design. The purpose was comprised of investigating the impact of psychological burden on patients’ level of their marital life. The convenient sampling technique was utilized to approach 139 patients with diabetes mellitus as a sample. The data was collected through questionnaires as a source of measurement. The permission was taken to keep information confidential. The collected data was entered into SPPS for analysing. Inferential statistics were used to test hypothesis with the help of the following tests; linear regression and t-test for independent sample designs. The results of the study reflect that the psychological burden of diabetic patients influences their degree of marital satisfaction significantly. In addition, the difference of psychological burden (stress, depression and anxiety) and marital satisfaction was found significant with respect to demographic characteristics of the participants; gender, type of disease, education and working status. Female patients are reported with a greater level of psychological burden but they were observed with a poor degree of marital satisfaction as compared to males. Psychological burden and satisfaction associated with marital life due to diabetes was discussed as significant between working and non-working, type 1 and type 2 diabetes mellitus, and educated and uneducated patients. In the future, there is a need to investigate the coping styles as mediator between psychological disturbance and marital satisfaction.


Author(s):  
Manish Deheriya ◽  
Anuj Bhargava ◽  
Dushyant Pippal ◽  
Anupama Ahirwar

Background: Diabetes mellitus is a group of chronic metabolic disorders known to exhibit a myriad of complications over a period of time. Periodontal disease is the sixth most common complication in diabetic patients. The aim of the study was to assess the periodontal status of adult diabetic patients.Methods: 100 diabetic patients in the age group of 25-80 years fulfilling the inclusion criteria were examined by a calibrated WHO CPI probe to assess their periodontal status as per the scoring criteria of the community periodontal index. Student t test, Chi square test and ANOVA F were applied for statistical analysis. p>0.05 was considered not significant and p<0.01 was considered highly significant.Results: A prevalence of 73% periodontitis was found in diabetic study population with statistically high significance (p=0.001) found according to age. A total of 52% Shallow pockets and 15% Deep pockets were reported respectively in middle (41-56 years) and older (57-80 years) age groups. Further, 47% male population was found to have statistically significant (p=0.027) more periodontitis (shallow and deep periodontal pockets) compared to female (26%) population.Conclusions: Within limitations of the study it may be safely concluded that assessment of periodontal status of DM patients revealed chronic periodontal destruction particularly in age groups beyond 40 years in majority of study population depicting that age is significantly associated with the increased prevalence and severity of periodontal disease in patients with diabetes.


2020 ◽  
Vol 2 (1) ◽  
pp. 14-18
Author(s):  
Adnan Khan ◽  
Tajamul Ahmad ◽  
Nadia Afridi ◽  
Madiha Anees ◽  
Bilal Khan

Introduction: A fall may be defined as a loss of balance, resulting in coming to rest on the ground or on another object below knee level. Fear of all or Basophobia is a condition of concern towards falls and natural fear of unable to stand or walk. Since the identification of the post-fall syndrome, fear of fall is considered the major health issue among elderly population. Therefore, this study was conducted to measure the level of fear of fall and factors which might contribute to it. Material & Methods: It was a cross sectional study conducted to measure the level of fear of fall among the diabetic patients of Hayatabad Medical Complex Peshawar. According to the inclusion criteria, participants who had age more than 40 years and diabetic history of more than 2 years were included in the study. We measured the fear of fall with age, gender and duration of diabetes mellitus. Convenient sampling technique was used for the recruitment of the participants. Data was collected by self-repored questionnaires and was analyzed by SPSS 20.0 version. Results: A total of 306 participants, 164 (53.59%) males and 142 (46.40%) female with a mean age 56.02 ± 9.68 years (mean ± sd) were recruited. The level of fear of all was high in diabetic patients in which 222 (72.5%) participants showed high, 48 (15.7%) moderate and 36 (11.8%) low concerns. Conclusion: Fear of fall is a common problem in both male and female population having diabetes mellitus. It is one of the major concerns among patients with diabetes. It has a positive relation with age, duration of DM, and insulin intake.


2015 ◽  
Vol 1 (1) ◽  
pp. 33
Author(s):  
Susanti Susanti

Patients with Diabetes Mellitus is necessary therapeutic regimen for prevention or treatment, care to help patients to prevent complications. One is by providing information to physical activity to increase knowledge about the effects of Diabetes Mellitus patients and physical exercise. The purpose of this study was to determine the relationship of knowledge with diabetic patient compliance in physical exercise. The research method is a correlation with cross sectional approach, the research sample are 39 people with purposive sampling technique. The tools used assess knowledge and compliance of respondents using a questionnaire. Data collection is done coding, scoring, and tabulation and correlation test by Spearman Rank Test. The results showed that the results of the statistical test of Spearman rank correlation significance value (<0.05), it shows there is a relationship then H1 accepted which means that there is a relationship between knowledge and compliance of patients with Diabetes Mellitus in physical exercise. Results of this study can assist clients in improving the quality of life program Diabetes Mellitus patients through regular physical exercise. Suggested to the nurse to use the results of this study as a reference for improving services in diabetic patients leading to the needs of the patient in physical exercise. Penderita Diabetes Mellitus membutuhkan tindakan terapeutik untuk pencegahan atau penatalaksanaan, dan tindakan lain untuk mencegah komplikasi. Hal tersebut dapat dilakukan denga menambah informasi tentang aktifitas fisik untuk meningkatkan pengetahuan pasien Diabetes Mellitus. Tujuan penelitian ini untuk mengidentifikasi hubungan antara pengetahuan dengan kepatuhan penderita Diabetes Mellitus dalam melakukan latihan fisik. Metode penelitian menggunakan korelasi dengan pendekatan potong lintang. Sampel terdiri dari 39 responden dan menggunakan teknik purposive sampling. Pengukuran pengetahuan dan kepatuhan penderita Diabetes mellitus dalam melakukan latihan fisik menggunakan kuesioner. Data diolah menggunakan Spearman rank test. Hasil menunjukkan signifikan (<0,05). Hal ini menunjukkan terdapat hubungan antara pengetahuan dan kepatuhan penderita Diabetes Mellitus dalam melakukan latihan fisik. Hasil ini dapat menunjang penderita Diabetes Mellitus untuk meningkatkan kualitas hidup dan dapat digunakan sebagai sumber pustaka bagi perawat dalam meningkatkan pelayanan bagi penderita Diabetes Mellitus dalam melakukan latihan fisik. DOWNLOAD FULL TEXT PDF >>


Author(s):  
Bruce R. Pachter

Diabetes mellitus is one of the commonest causes of neuropathy. Diabetic neuropathy is a heterogeneous group of neuropathic disorders to which patients with diabetes mellitus are susceptible; more than one kind of neuropathy can frequently occur in the same individual. Abnormalities are also known to occur in nearly every anatomic subdivision of the eye in diabetic patients. Oculomotor palsy appears to be common in diabetes mellitus for their occurrence in isolation to suggest diabetes. Nerves to the external ocular muscles are most commonly affected, particularly the oculomotor or third cranial nerve. The third nerve palsy of diabetes is characteristic, being of sudden onset, accompanied by orbital and retro-orbital pain, often associated with complete involvement of the external ocular muscles innervated by the nerve. While the human and experimental animal literature is replete with studies on the peripheral nerves in diabetes mellitus, there is but a paucity of reported studies dealing with the oculomotor nerves and their associated extraocular muscles (EOMs).


e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Ezra G. R. Tambunan ◽  
Karel Pandelaki ◽  
Christy N. Mintjelungan

Abstract: Diabetes mellitus (DM) is a group of metabolic diseases with characteristic hyperglycemia that occurs due to insulin secretion, insulin action or both. This disease affects many societies and continuously growing in Indonesia. Periodontal disease is an oral health problem which has a relatively high prevalence in the community where periodontal disease in all age groups in Indonesia.The purpose of this study was to determine the periodontal disease in patients with diabetesmellitus in RSUP Prof. dr. R. D. Kandou Manado. This descriptive study has 68 sample taken with total sampling technique. The sample is examined using evaluation criteria gingival index and CPITN index. The result show that subjects with periodontitis with a score of 4 is the highest as many as 18 people (44%) and subject with a score of 2 is that at least as many as 8 people (19.5%). And subjects with bad gingivitis is the highest as many as 10 people (52.6%) and subject with the good gingivitis is the at least as many as 5 people (26.3%). Based on the result of this study, periodontal disease in patients with diabetes mellitus in RSUP Prof. Dr. R. D. Kandou most that periodontitis with the number of 41 people (68.3%) compared to gingivitis which is just as many as 19 people (31.7%)Keywords: diabetes mellitus, periodontitis, gingivitis, periodontalAbstrak:Diabetes Melitus (DM) merupakan suatu kelompok penyakit metabolik dengan karakteristik hiperglikemia yang terjadi karena sekresi insulin, kerja insulin atau kedua-duanya. Penyakit ini merupakan penyakit yang banyak diderita kalangan masyarakat dan terus berkembang di Indonesia. Penyakit periodontal merupakan masalah kesehatan gigi dan mulut yang memiliki prevalensi cukup tinggi di masyarakat dimana penyakit periodontal pada semua kelompok umur di Indonesia.Tujuan penelitian ini adalah untuk mengetahui penyakit periodontal pada penderita diabetes mellitus di RSUP Prof. dr. R. D. Kandou Manado. Jenis penelitian ini adalah penelitian deskriptif dengan jumlah sampel 60 orang yang diambil dengan teknik total sampling. Sampel diperiksa dengan menggunakan kriteria penilaian indeks gingiva dan indeks CPITN. Hasil menunjukkan bahwa yang mengalami periodontitis dengan skor 4 adalah yang paling tinggi yaitu sebanyak 18 orang (44%), dan subjek yang mengalami skor 2 adalah yang yang paling sedikit yaitu sebanyak 8 orang (19.5%). Sedangkan yang mengalami gingivitis yang paling tinggi yaitu gingivitis buruk sebanyak 10 orang (52.6%) dan yang paling sedikit adalah yang mengalami gingivitis ringan yaitu sebanyak 5 orang (26.3%). Berdasarkan hasil penelitian ini dapat disimpulkan bahwa penyakit periodontal yang paling banyak ditemui pada penderita diabetes melitus di RSUP Prof. Dr. R. D. Kandou Manado adalah penyakit periodontitis yaitu sebanyak 41 orang (68.3%) dan yang paling sedikit adalah gingivitis yaitu sebanyak 19 orang (31.7%)Kata kunci: diabetes melitus, periodontitis, gingivitis, periodontal


2019 ◽  
Vol 9 (9) ◽  
pp. 98 ◽  
Author(s):  
Kisokanth G. ◽  
Indrakumar J. ◽  
Prathapan S. ◽  
Joseph J. ◽  
Ilankoon I.M.P.S.

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.


2021 ◽  
Vol 7 (4) ◽  
pp. 298
Author(s):  
Teny M. John ◽  
Ceena N. Jacob ◽  
Dimitrios P. Kontoyiannis

Mucormycosis (MCR) has been increasingly described in patients with coronavirus disease 2019 (COVID-19) but the epidemiological factors, presentation, diagnostic certainty, and outcome of such patients are not well described. We review the published COVID-19-associated mucormycosis (CAMCR) cases (total 41) to identify risk factors, clinical features, and outcomes. CAMCR was typically seen in patients with diabetes mellitus (DM) (94%) especially the ones with poorly controlled DM (67%) and severe or critical COVID-19 (95%). Its presentation was typical of MCR seen in diabetic patients (mostly rhino-orbital and rhino-orbital-cerebral presentation). In sharp contrast to reported COVID-associated aspergillosis (CAPA) cases, nearly all CAMCR infections were proven (93%). Treating physicians should have a high suspicion for CAMCR in patients with uncontrolled diabetes mellitus and severe COVID-19 presenting with rhino-orbital or rhino-cerebral syndromes. CAMR is the convergence of two storms, one of DM and the other of COVID-19.


Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 788
Author(s):  
Egidia Miftode ◽  
Larisa Miftode ◽  
Ioana Coman ◽  
Cristian Prepeliuc ◽  
Maria Obreja ◽  
...  

Early research into the implications concerning the evolution of the infection caused by the new coronavirus in people with glucose metabolism dysfunction, in this case diabetics, shows that severe forms of the disease predominate in this risk category. Moreover, it seems that even in patients with normal glycaemic status, COVID-19 may predispose to the development of hyperglycaemia which modulates immune mechanisms and inflammatory responses, with direct effects on morbidity and mortality. Thus, taking into account these scientific data, as well as the increased frequency of diabetes in the general population, we aimed to assess the risk of an unfavourable outcome of diabetic patients, which is in a strong connection with the presence and severity of pulmonary disease such as interstitial pneumonia/bronchopneumonia, as well as the effectiveness of Tocilizumab administration. The results of our study indicate a three-fold higher risk of death in patients with diabetes and COVID-19 (RR = 3.03; IC95%: 2.37–3.86; p = 0.001),compared to nondiabetic patients, and the risk of developing severe forms of acute respiratory failure was 1.5 times higher in the first studied category. In conclusion, we can say that the diabetic diagnosed with SARS-CoV-2 infection is more predisposed to immunological and organic dysfunctions that may ultimately result in death, and treatment with monoclonal anti-IL-6 antibodies was more effective in diabetic patients than non-diabetics (p < 0.05). The effectiveness of Tocilizumab was significant in both studied groups, but diabetic patients responded better to this therapy compared to non-diabetes-mellitus (DM) ones (76.7% vs. 35% p = 0.001).


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