scholarly journals Self Care Profile of Diabetic Patient during Covid 19 Pandemic in Manggarai Regency, East Nusa Tenggara

2021 ◽  
Vol 8 (3) ◽  
pp. 334-342
Author(s):  
Lidwina Dewiyanti Wea ◽  
Maria Getrida Simonb ◽  
Aldegonda F.Jeharutc ◽  
Rosalia Padutd ◽  
Viktoria K.Danue ◽  
...  

Diabetes mellitus (DM) is one of the comorbid diseases commonly found on COVID-19 infected individuals and causing the most death. In the pandemic era, DM patients are needful to execute the care management by themselves due to the social restriction as a part of transmission control. This study aimed to assess the self-care behavior of DM patients during the COVID-19 pandemic era in Manggarai Regency who still carry out various traditional ceremonies even during the pandemic. This study was a quantitative descriptive study. The research data get by the SDSCA (The Summary of Self-Care Activities) questionnaire developed by the General Service Administration (GSA) Regulatory Information Service Center (RISC). This study attends from January to March 2021, with 88 respondents have participated after being recruited using purposive sampling and inclusion criteria. Among the 88 respondents, the respondents were most compliant with eating restrictions on sugar-contained food such as cake, chocolate, biscuit, and ice cream diet. Respondents did not restrict themself to consume carbohydrate contained foods. Self-care behavior is most important to DM patients in the pandemic era due to the social restrictions creating the hesitancy among the patients to come to the health care facilities. Moreover, when DM patients are more prone to develop severe symptoms of covid-19. Health professionals have to improve the health education to the patients by emphasizing the importance of exercise, diabetic foot care, and routine blood sugar monitoring so that the patients are not only focused on dietary management and medicine.

2019 ◽  
Vol 3 (1) ◽  
pp. 12-18
Author(s):  
Ainul Yaqin Salam ◽  
Nur Hamim

 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


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hamideh Shiri-Mohammadabad ◽  
Seyed Alireza Afshani

Abstract Background Research on factors affecting self-care is scarce. The social factors, in particular, have not been yet investigated in Iran. Therefore, the present study aimed to investigate the relationship between self-care and social capital among women. Methods The participants were 737 women who were living in the marginal, middle and upper areas in the city of Yazd, Iran. Data were collected using a researcher-made self-care questionnaire and Harper’s (Off Natl Stat 11:2019, 2019) Social Capital Scale. The data were analyzed using structural equation modeling by SPSS and Amos v24. Results The results showed that the social capital had significant positive effects on the general self-care behavior of the participants (β = 0.56, p < 0.001). It also had significant positive effects on the self-care behavior of women living in the marginal (β = 0.58), middle (β = 0.49) and upper (β = 0.62) parts of the city (p < 0.001). Besides, the women living in the marginal parts had relatively lower levels of self-care compared to those living in the middle and upper parts of the city. The examination of the fit indices indicated that the model has a good fit (CMIN/DF = 2.087, NFI = 0.921, RMSEA = 0.027, CFI = 0.956, TLI = 0.940, GFI = 0.956, IFI = 0.957). Conclusion The findings of this study demonstrated that social capital has significant positive effects on the general self-care behavior of women. Therefore, improving their self-care can be achieved through promoting their social capital.


2021 ◽  
Vol 9 (1) ◽  
pp. 56-62
Author(s):  
Novi Lasmadasari ◽  
Weni Sulastri

Physical distancing during a pandemic makes more activities at home, but choosing activities at home must support health, especially for type 2 DM patients who are more at risk of being neglected during the pandemic. The success of managing type 2 diabetes mellitus is largely determined by the patient's ability to behave self-care towards his health status. This study aims to see the self-care behavior of DM patients during physical distancing before and after home care based nursing care was carried out during the pandemic against 15 respondents who were presented descriptively. The results of this study showed an increase in self-care behavior in the good category by 60% after nursing care was carried out. This is evident from several components of self-care that have increased, namely in the behavior of eating patterns (60%), activities/sports (100%), and adherence to medication or taking medication (87%). However, there is a need for further home care and involving the closest people to improve self-care behavior in components of routine blood sugar checks and foot care to prevent complications. Keywords: Self-care; DM; Home care.


2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Natasya Setyamarta ◽  
Denissa Faradita Aryani

<p class="AbstractContent"><strong>Objective:</strong> Type 2 diabetes mellitus (type 2 diabetes) is a chronic disease that requires long-term management throughout the life to prevent acute and chronic complications. Self-care is a fundamental and integral part of diabetes management. Social support obtained from family, health professionals, friends, or diabetic peers may predict good self-care behavior. The purpose of this study was to evaluate the self-care behavior of adult with type 2 DM in Persadia Depok.</p><p class="AbstractContent"><strong>Methods: </strong>This quantitative study used a cross-sectional design. A consecutive sample of 52 subjects with type 2 DM who joined in Persadia Depok was included. The instrument used to measure self-care behavior is The Summary of Diabetes Self-Care Activities questionnaire</p><p class="AbstractContent"><strong>Results:</strong> The results showed that self-care behavior of participants in the last seven days is 4,4 days (Median 4.4, Minimal-Maximum 2.6-5.4, 95% CI 4.1-4.5). Self-care was described as “good” in only half of the participant (50%). Self-care behavior was reported good in diet, physical exercise, and taking medication, but it was poor in self-monitoring of blood glucose (SMBG) and foot care.<strong></strong></p><p><strong>Conclusion: </strong>This study recommended that nurses should enhance education and support to improve patient self-care behaviors especially SMBG and foot care.</p><p class="AbstractContent"><strong> </strong></p><p><strong>Keywords: </strong>Colon cancer, deep breathing, early mobilization, effective coughing, preoperative education.</p>


2018 ◽  
Vol 7 (1) ◽  
pp. 11-17
Author(s):  
Dejina Thapa

 Background: Diabetes mellitus is a complex disease and has emerged the worldwide. Self care management is very important to control and prevent from complications. Although it can be preventable by adopting the healthy numerous skills and health education. Method and Materials: A cross-sectional study of 141 patients with >1-year duration of type 2 diabetes mellitus (DM) were interviewed at Nobel Medical College Teaching Hospital using a non-probability sampling technique to select the sample between October 2017 -January 2018 to respond the diabetic self care questionnaire. For the analysis the descriptive statistics was used. T test and anova were used for the association between the variables. Result: A total of 141 diabetic were participated in the study, in which 50.4% were male and 49.6% female. Among the respondents 27% were in the age group below 50 years, 50.4% were illiterate, 42.6 % were overweight and most of the respondents had duration of disease between 1 to 5 years. The mostly performed self care activities were foot care whereas least was blood sugar monitoring. The mean score of self care behavior of respondents was 53.56 ± 4.48. Among them 50.4% of respondents had self care behavior below 69.5% i.e. had poor practice and 78% scored 69.5% and above 49.6% i.e. had good practice. The obtained results showed that there is significant association of self care behavior with age, education level, occupation and age at diagnosis but not with sex.Conclusion: The scenario of self care activities in some areas were found not up to the mark. So health personnel should provide education to the people with diabetes as it has significant benefit with regard to have better quality of life and prevention of complications.Journal of Nobel Medical CollegeVolume 7, Number 1, Issue 12, January-June 2018, Page: 11-17 


Crisis ◽  
2003 ◽  
Vol 24 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Lourens Schlebusch ◽  
Naseema B.M. Vawda ◽  
Brenda A. Bosch

Summary: In the past suicidal behavior among Black South Africans has been largely underresearched. Earlier studies among the other main ethnic groups in the country showed suicidal behavior in those groups to be a serious problem. This article briefly reviews some of the more recent research on suicidal behavior in Black South Africans. The results indicate an apparent increase in suicidal behavior in this group. Several explanations are offered for the change in suicidal behavior in the reported clinical populations. This includes past difficulties for all South Africans to access health care facilities in the Apartheid (legal racial separation) era, and present difficulties of post-Apartheid transformation the South African society is undergoing, as the people struggle to come to terms with the deleterious effects of the former South African racial policies, related socio-cultural, socio-economic, and other pressures.


2009 ◽  
Author(s):  
Tiny Jaarsma ◽  
Kristofer Franzén Årestedt ◽  
Jan Mårtensson ◽  
Kathleen Dracup ◽  
Anna Strömberg

2013 ◽  
Vol 5 (1) ◽  
pp. 131-137
Author(s):  
Roxanne Christensen ◽  
LaSonia Barlow ◽  
Demetrius E. Ford

Three personal reflections provided by doctoral students of the Michigan School of Professional Psychology (Farmington Hills, Michigan) address identification of individual perspectives on the tragic events surrounding Trayvon Martin’s death. The historical ramifications of a culture-in-context and the way civil rights, racism, and community traumatization play a role in the social construction of criminals are explored. A justice orientation is applied to both the community and the individual via internal reflection about the unique individual and collective roles social justice plays in the outcome of these events. Finally, the personal and professional responses of a practitioner who is also a mother of minority young men brings to light the need to educate against stereotypes, assist a community to heal, and simultaneously manage the direct effects of such events on youth in society. In all three essays, common themes of community and growth are addressed from varying viewpoints. As worlds collided, a historical division has given rise to a present unity geared toward breaking the cycle of violence and trauma. The authors plead that if there is no other service in the name of this tragedy, let it at least contribute to the actualization of a society toward growth and healing.


2017 ◽  
Vol 6 (1) ◽  
pp. 153-168
Author(s):  
Celal Hayir ◽  
Ayman Kole

When the Turkish army seized power on May 27th, 1960, a new democratic constitution was carried into effect. The positive atmosphere created by the 1961 constitution quickly showed its effects on political balances in the parliament and it became difficult for one single party to come into power, which strengthened the multi-party-system. The freedom initiative created by 1961’s constitution had a direct effect on the rise of public opposition. Filmmakers, who generally steered clear from the discussion of social problems and conflicts until 1960, started to produce movies questioning conflicts in political, social and cultural life for the first time and discussions about the “Social Realism” movement in the ensuing films arose in cinematic circles in Turkey. At the same time, the “regional managers” emerged, and movies in line with demands of this system started to be produced. The Hope (Umut), produced by Yılmaz Güney in 1970, rang in a new era in Turkish cinema, because it differed from other movies previously made in its cinematic language, expression, and use of actors and settings. The aim of this study is to mention the reality discussions in Turkish cinema and outline the political facts which initiated this expression leading up to the film Umut (The Hope, directed by Yılmaz Güney), which has been accepted as the most distinctive social realist movie in Turkey. 


Author(s):  
Stefan Winter

This concluding chapter summarizes key themes and presents some final thoughts. The book has shown that the multiplicity of lived ʻAlawi experiences cannot be reduced to the sole question of religion or framed within a monolithic narrative of persecution; that the very attempt to outline a single coherent history of “the ʻAlawis” may indeed be misguided. The sources on which this study has drawn are considerably more accessible, and the social and administrative realities they reflect consistently more mundane and disjointed, than the discourse of the ʻAlawis' supposed exceptionalism would lead one to believe. Therefore, the challenge for historians of ʻAlawi society in Syria and elsewhere is not to use the specific events and structures these sources detail to merely add to the already existing metanarratives of religious oppression, Ottoman misrule, and national resistance but rather to come to a newer and more intricate understanding of that community, and its place in wider Middle Eastern society, by investigating the lives of individual ʻAlawi (and other) actors within the rich diversity of local contexts these sources reveal.


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