The Needs for Information and Education Media in Supporting Self-Management of Patients with Diabetes Mellitus

Diabetes mellitus is a chronic disease that has very high morbidity and mortality rate. This disease cannot be cured but can be controlled with good self-management. This research supports the need for appropriate information and educational media in supporting self-management of patien with diabetes mellitus. This research is qualitative and quantitative. The sample of this study was 105 people with diabetes. Data collection was conducted from July to November 2019 at 7 Puskesmas in Padang City, namely: Nanggalo, Lapai, Alai, Andalas, Ambacang, Kuranji, and Pauh, with interview questions and interviews. Qualitative data processing techniques with coding and data validity by triangulation and analyzed using data reduction, data presentation, and analysis. Quantitative data analysis uses SEM (Structural Equation Model) analysis with the Lisrel 8.7 program. The results showed that the informants were elderly (56-65 years), 60% had good self-management quality, 65% actively participated in chronic disease management programs, 49.5 did not have cellphones. All aspects of self-management, namely blood sugar testing, physical exercise, taking medicine, diet and health education, can be used as educational material. Research information shows the fact most still need information about self-management of diabetics and in the form of conventional media. Informants who use phones that are approved for Android-based self-management applications.

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The Influence of Family, Community, and Information Technology Supports on Empowerment of Diabetes Mellitus Patients Using SEM (Structural Equation Modelling)

Asian Journal of Applied Sciences ◽

10.24203/ajas.v6i6.5611 ◽

2018 ◽

Vol 6 (6) ◽

Author(s):

Agus Heru Darjono ◽

Ujang Sumarwan ◽

Lilik Noor Yuliati ◽

Hari Wijayanto

Keyword(s):

Diabetes Mellitus ◽

Information Technology ◽

Chronic Disease ◽

Family Support ◽

Structural Equation Model ◽

Structural Equation ◽

Community Support ◽

Equation Model ◽

Technology Support ◽

Equation Modelling

Diabetes mellitus (DM) is a chronic disease that has not yet been able to cure. Supports are needed by its patients in order to increase their empowerment to manage their chronic disease. This study aimed to analyze the influence of supports for the empowerment of DM patients. The analytical method used in this research is Structural Equation Model (SEM) with 330 respondents at 25 hospitals within JABODETABEK (Jakarta, Bogor, Depok, Tangerang, Bekasi) areas. The results of this study showed that family support, community support and information technology support influence the empowerment of DM patients.

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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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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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Cyberstalking Victimization: An Empirical Assessment of RAT Among Female Iranian College Students

Journal of Interpersonal Violence ◽

10.1177/0886260520975826 ◽

2020 ◽

pp. 088626052097582

Author(s):

Saeed Kabiri ◽

Jaeyong Choi ◽

Seyyedeh Masoomeh (Shamila) Shadmanfaat ◽

Julak Lee

Keyword(s):

Structural Equation ◽

Strong Support ◽

Equation Model ◽

Routine Activity Theory ◽

Routine Activity ◽

Online Victimization ◽

Anglo American ◽

Using Data ◽

Iranian Students

The role of routine activity theory (RAT) as a guiding theoretical approach to understand online victimization has been well documented. However, the recent emphasis in criminology on its applicability to online victimization has largely been based on evidence from Anglo-American studies. This study fills this gap by testing the predictive utility of RAT for cyberstalking victimization, using data from a sample of female Iranian students. Our structural equation model showed that online exposure to motivated offenders, target suitability, and ineffective online guardianship were positively and significantly associated with cyberstalking victimization. Our results provide strong support for RAT, indicating its generalizability to a different sociopolitical context.

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Building a Caring-Based Hyperglycemic Crisis Prevention Model for Patients With Diabetes Mellitus, Thailand

International Journal for Human Caring ◽

10.20467/1091-5710.22.2.4 ◽

2018 ◽

Vol 22 (2) ◽

pp. 4-13

Author(s):

Nongnut Oba ◽

Charlotte D. Barry ◽

Shirley C. Gordon ◽

Rachada Pipatsart ◽

Viruch Sirigulsatien

Keyword(s):

Diabetes Mellitus ◽

Phase 1 ◽

Qualitative Interviews ◽

Patient Experiences ◽

Phase 2 ◽

Crisis Prevention ◽

Patients With Diabetes ◽

Prevention Model ◽

Seeking Help ◽

Using Data

The purpose of this study was to understand patient experiences of hyperglycemic crisis (HC) and develop a caring-based, interdisciplinary model for preventing HC in Thailand. A 2-Phase approach was used. In Phase 1, qualitative interviews were conducted with 15 in-patients with diabetes mellitus who had experienced a HC. Four themes emerged: not knowing, depending on others for care, experiencing stress, and seeking help for self-care. In Phase 2, interdisciplinary, participatory team focus groups were conducted using data from Phase 1 to develop a model of hyperglycemic crisis prevention.

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Digitalization and migration: the role of social media and migrant networks in migration decisions. An exploratory study in Nigeria

Digital Policy Regulation and Governance ◽

10.1108/dprg-08-2020-0101 ◽

2020 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Chinedu Obi ◽

Fabio Bartolini ◽

Marijke D’Haese

Keyword(s):

Social Media ◽

Information Asymmetry ◽

Structural Equation ◽

Equation Model ◽

Content Type ◽

Migrant Networks ◽

Awareness Campaigns ◽

Using Data ◽

And Migration

Purpose This paper aims to explore the connectivity between social media use, access to migrant networks, information asymmetry and migration intentions. Design/methodology/approach The study was conducted using data from individuals living in Nigeria and analysed with a generalized structural equation model, which is rare for this kind of research. Findings The authors find a dual mediating role of the social media and the migrant networks in facilitating migration, i.e. reducing the threshold cost required to migrate and introducing a bias in terms of information asymmetry. While social media and access to migrant networks directly increase migration intentions, this changes when incomplete information is provided. People who use social media and their migrant networks for information are more likely to have information about destination countries than information on the transit risk. Social implications The study adds valuable insights for designing awareness campaigns aimed at reducing irregular migration. Originality/value This study contributes to the understanding of the intersection of migration and digitalization

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Dermatological Manifestations in Diabetes Mellitus at NGMCTH Kohalpur

Journal of Nepalgunj Medical College ◽

10.3126/jngmc.v13i2.16542 ◽

2017 ◽

Vol 13 (2) ◽

pp. 31-34

Author(s):

Sumit Pandey ◽

Pradip Mishra ◽

Nirmala Sharma ◽

Shyam B.K.

Keyword(s):

Diabetes Mellitus ◽

Chronic Disease ◽

Teaching Hospital ◽

College Teaching ◽

The Body ◽

Diabetic Patients ◽

Cutaneous Infections ◽

Medical College ◽

Patients With Diabetes ◽

Sugar Levels

Background: Skin is the largest and most visible organ in the body. It undoubtedly determines to a great extent our appearance and plays a major role in socio-sexual communication. More than one third of diabetic patients have some type of dermatologic 1 manifestations during the course of their chronic disease . The association of certain skin diseases with diabetes mellitus has been 2 3 fairly well recognized with an incidence rate ranging from 11.4% to 66%. At least 30% of patients with diabetes mellitus have some 4 5 type of cutaneous involvement during the course of their chronic disease. Skin sugar levels run parallel to the blood sugar levels. Skin changes generally appear subsequent to the development of DM but may be the first presenting sign or even precede the 6 diagnosis by many years. Among the many skin manifestations in DM, none is pathognomonic of this disease. Cutaneous findings in DM can be classified into four categories: (1) skin disease with strong association and others with less distinct association with DM, (2) cutaneous infections, (3) dermatological disorders related to diabetic complications, and (4) skin conditions related to diabetes 7 treatments.Objectives: This study was undertaken to find out the pattern of Dermatological manifestations in Diabetes patients attending Nepalgunj Medical College Teaching Hospital, Kohalpur. Method and material: This is a hospital- based descriptive study conducted in the Department of Dermatology, Venereology and Leprology of Nepalgunj Medical College Teaching Hospital, Kohalpur between September 2013 to August 2014. A total of 100 patients were included in the study. History and clinical examinations were performed and the data were recorded and analyzed. Results: The age of the patients ranged from 20 years to 85 years with the mean age of 51.7+12.13 years. The most common age groups were 46-55 years (36%) followed by 56-65 years (24.7%) and 36-45 years (17.3%), 66-75 years (9.3%), 76-85 years (12.7%). Among the 100 patients of diabetes ellitus, there were 44(44%) males and 56 (56%) females. Among the cutaneous disorders commonly associated with diabetes, infections were the most prevalent. 59(59%) out of 100 patients had skin infections.Conclusions: Patients with Diabetes can present with array of cutaneous disorders. Cutaneous infections formed the largest group of dermatoses in this study. Increased incidence of cutaneous infections mainly fungal and bacterial was noticed in majority diabetics emphasizing the need for more aggressive management of diabetes mellitus. Among infective dermatoses, fungal infections were the most common, with Candidal infections being more common than dermatophytosis.JNGMC Vol. 13 No. 2 December 2015, Page: 31-34

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Structural Equation Model of Customer Satisfaction for the New York City Subway System

Transportation Research Record Journal of the Transportation Research Board ◽

10.3141/1735-16 ◽

2000 ◽

Vol 1735 (1) ◽

pp. 133-137 ◽

Cited By ~ 46

Author(s):

Kenneth R. Stuart ◽

Marc Mednick ◽

Johanna Bockman

Keyword(s):

New York ◽

New York City ◽

Customer Satisfaction ◽

York City ◽

Structural Equation ◽

Equation Model ◽

Complex Model ◽

Transportation Industry ◽

Subway System ◽

Using Data

A more complex model in content and design than previously applied to the measurement of customer satisfaction within the transportation industry is used in this study. Drawing from the results of previous studies that had a narrower focus, a network of 10 potentially important factors that affect customer satisfaction within the New York City subway system was postulated and tested using data collected from a cross section of adult residents. Results indicate that several factors have a direct influence on satisfaction, whereas others have an effect through intermediary variables. Path coefficients for the posited model are statistically significant, although several factors have notably more impact than others. Using model diagnostics, minor revisions and improvements to the initial model have been made while adhering closely to the principles of the original theory. Future developments are discussed, as is the model’s application for planning and resource allocation.

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Pharmacist-Led Interventions on Improving Outcomes in Patients with Diabetes Mellitus: Evidence from the Literature

Journal of Drug Delivery and Therapeutics ◽

10.22270/jddt.v10i4.4195 ◽

2020 ◽

Vol 10 (4) ◽

pp. 49-58

Author(s):

Sini T Inasu ◽

MV Kumudavalli

Keyword(s):

Diabetes Mellitus ◽

Self Management ◽

Diabetic Patients ◽

Health Related Quality ◽

Randomized Controlled ◽

Chd Risk ◽

Patients With Diabetes ◽

Related Quality ◽

Health Related

Diabetes mellitus is a rapidly growing major health problem world-wide. The management of type 2 diabetes mellitus is complex, requiring continuous medical care by health care professionals and considerable self-care efforts by patients. A collaborative and integrated team approach in which pharmacists can play a pivotal role should be sought when managing patients with diabetes. Pharmacist-led care programs have been shown to help patients with diabetes succeed in achieving treatment goals and improving outcomes. Hence, the aim of this narrative review is to address and summarize the effectiveness of pharmacist interventions in the management of diabetic patients. A comprehensive literature search was conducted in PubMed/Medline, Scopus, web of Science and the Cochrane Library were searched from the date of database inception to June 2019. All randomized controlled trials evaluating the effectiveness of pharmacist-based interventions on diabetic patients in comparison with usual care were included in study. Outcomes of interest included short-term and long-term measures such as glycated haemoglobin (HbA1c), and secondary outcomes were blood glucose level, blood pressure (BP), lipid profile, body mass index (BMI), 10-year coronary heart disease (CHD) risk, medication adherence, health related quality of life (HRQoL), and economic outcomes. Twenty-five studies were included in this systematic study. They were heterogeneous in terms of interventions, participants, settings and outcomes. Pharmacist-led self-management interventions included education on diabetes and its complications, medication adherence, lifestyle and education of self-management skills. Few studies even focussed on patients need through a tailored intervention. We found that those who received the pharmacist care had a statistically significant improvement in HbA1C, blood pressure, lipid profile, health-related quality of life, and CHD risk. These results underline the added value of pharmacists in patient-related care. Hence this review supports the involvement of pharmacists as a member of health- care teams in managing diabetic patients at diverse settings worldwide. Keywords: diabetes, self-management, HbA1C, pharmaceutical care, randomized controlled trial

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Optimization of Self Monitoring Blood Glucose in Diabetes Mellitus Patients in Detecting Hypoglicemia Episodes: Literature Review

Critical Medical and Surgical Nursing Journal ◽

10.20473/cmsnj.v10i2.29103 ◽

2021 ◽

Vol 10 (2) ◽

pp. 47

Author(s):

Ninik Ambar Sari ◽

Ceria Nurhayati

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Literature Review ◽

Preventive Measure ◽

Diabetes Mellitus Patient ◽

Self Management ◽

Inclusion Criteria ◽

Self Monitoring ◽

Patients With Diabetes ◽

Blood Glucose Self Monitoring

Introduction: Diabetes mellitus is a chronic disease that continues to increase from year to year. The act of detecting hypoglycemic episodes is a must for a diabetic patient. This study aims to present the optimization of blood glucose self-monitoring measures in patients with diabetes mellitus and to review some of the literature on this topic.Methods: This study is a form of literature review of articles with the theme Optimization Self Monitoring Blood Glucose in diabetes mellitus patient detecting hypoglicemia episodes. Articles in this study came from the electronic databases of Google Scholar, PubMed, Proquest, Scopus and Science Direct from 2005 to 2020. Results: Search results using the keywords Self Management Blood Glucose, Hypoglicemia, Diabetes Mellitus were obtained from 57 articles. 18 articles that met the inclusion criteria were then reviewed for their full text. Conclusion: Self Monitoring Blood Glucose is a preventive measure in detecting hypoglycemic episodes. This intervention is the best choice for patients to prevent further complications.

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