scholarly journals Adherence to Treatment Based on Social Support and Coping Strategies in Patients with Type 2 Diabetes

2021 ◽  
pp. 13-24
Keyword(s):  
Social Support ◽  
Type 2 Diabetes ◽  
Coping Strategies ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Adherence To Treatment ◽  
Cross Sectional ◽  
Patients With Diabetes ◽  
And Coping

Background: According to the growing prevalence of type 2 diabetes, the present study aimed to predict adherence to treatment based on social support variables and coping strategies to reduce the severity of this disease. Materials and methods: In this cross-sectional study, 392 men and women with type 2 diabetes were evaluated using purposeful and convenient sampling. Wax social support and the Blings and Moss coping strategies questionnaire were used. Data were analyzed using SPSS software (version 22), descriptive statistics (frequency, percentage, and mean), and inferential statistics (Pearson correlation coefficient and regression analysis). Results: The results indicated that the correlation between the subscales of social support and coping strategies with adherence to drug therapy was significant (P<.01). These measures could predict more than 27%) 27.1( of changes in compliance with drug treatment. Conclusion: Social support and coping strategies can be two effective factors in promoting self-care behaviors and adherence to treatment in patients with diabetes. Including these strategies in educational, treatment, and care programs improves health and reduces long-term complications of the disease to increase the life expectancy of patients.

scholarly journals Association between obesity and depression in patients with diabetes mellitus type 2; a study protocol

F1000Research ◽  
2015 ◽  
Vol 4 ◽  
pp. 7 ◽  
Author(s):  
Eduardo De la Cruz-Cano ◽  
Carlos Alfonso Tovilla-Zarate ◽  
Emilio Reyes-Ramos ◽  
Thelma Beatriz Gonzalez-Castro ◽  
Isela Juarez-Castro ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Diabetes Mellitus Type 2 ◽  
Cross Sectional Study ◽  
Diabetes Mellitus Type ◽  
Sectional Study ◽  
Cross Sectional ◽  
The World ◽  
Patients With Diabetes

Background: Diabetes mellitus and depression are highly prevalent conditions throughout the world and have significant impact on health outcomes. It has been estimated that diabetes mellitus type 2 affects about 246 million people in the world; nevertheless, incidence varies among countries. There is evidence that depression is associated with a poor metabolic control in patients with type 2 diabetes mellitus that present other health problems (such as hypertension and obesity). The aim of this study protocol is to determine if obesity increases the risk for depression in patient with diabetes type 2.Methods: The analysis will be reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).The studies suitable for inclusion will be assessed by the Newcastle-Ottawa Scale (NOS) to determine their methodological quality. To identify the studies of interest, we will search on PubMed and EBSCO databases. We will use the following keyword combinations: "Diabetes Mellitus type 2 AND obesity AND depression", "depression AND Diabetes Mellitus type 2", "Diabetes Mellitus type 2 AND body mass index cross sectional study", "depression AND obesity cross-sectional study". Causes for exclusion will be publications that studied patients diagnosed with diabetes mellitus type 1; articles that focused on the treatment and complications of diabetes mellitus type 2; publications that have studied other clinical or psychiatric conditions (for instance, seizure disorder or history of schizophrenia, bipolar disorder, psychotic symptoms or dementia).Conclusion: The results of this study will form the basis for a better understanding of the association between obesity and depression in patients with diabetes mellitus type 2, and will allow development of prediction tools and better interventions. It is evident that several modifiable and non-modifiable risk factors play an important role in the pathogenesis of diabetes among population. Currently, evidence for the deleterious effects of diabetes mellitus type 2 are based on cross-sectional or other observational designs. Therefore, this study will have important implications for future research and public health guidance.

scholarly journals Effect of Type 2 Diabetes Mellitus on the Hypoxia-Inducible Factor 1-Alpha Expression. Is There a Relationship with the Clock Genes?

2020 ◽  
Vol 9 (8) ◽  
pp. 2632
Author(s):  
Carolina López-Cano ◽  
Liliana Gutiérrez-Carrasquilla ◽  
Ferran Barbé ◽  
Enric Sánchez ◽  
Marta Hernández ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Clock Genes ◽  
Univariate Analysis ◽  
Hypoxia Inducible Factor ◽  
Multivariate Regression Analysis ◽  
Cross Sectional Study ◽  
Orphan Receptor ◽  
Cross Sectional ◽  
Patients With Diabetes

Limited reports exist on the relationships between regulation of oxygen homeostasis and circadian clock genes in type 2 diabetes. We examined whether the expression of Hypoxia-Inducible Factor-1α (HIF-1α) and HIF-2α relates to changes in the expression of clock genes (Period homolog proteins (PER)1, PER2, PER3, Retinoid-related orphan receptor alpha (RORA), Aryl hydrocarbon receptor nuclear translocator-like protein 1 (ARNTL), Circadian locomotor output cycles kaput (CLOCK), and Cryptochrome proteins (CRY) 1 and CRY2) in patients with type 2 diabetes. A total of 129 subjects were evaluated in this cross-sectional study (48% with diabetes). The gene expression was measured by polymerase chain reaction. The lactate and pyruvate levels were used as surrogate of the hypoxia induced anaerobic glycolysis activity. Patients with diabetes showed an increased plasma concentration of both lactate (2102.1 ± 688.2 vs. 1730.4 ± 694.4 uM/L, p = 0.013) and pyruvate (61.9 ± 25.6 vs. 50.3 ± 23.1 uM/L, p = 0.026) in comparison to controls. However, this finding was accompanied by a blunted HIF-1α expression (1.1 (0.2 to 5.0) vs. 1.7 (0.4 to 9.2) arbitrary units (AU), p ≤ 0.001). Patients with diabetes also showed a significant reduction of all assessed clock genes’ expression. Univariate analysis showed that HIF-1α and almost all clock genes were significantly and negatively correlated with HbA1c concentration. In addition, positive correlations between HIF-1α and the clock genes were observed. The stepwise multivariate regression analysis showed that HbA1c and clock genes independently predicted the expression of HIF-1α. Type 2 diabetes modifies the expression of HIF-1α and clock genes, which correlates with the degree of metabolic control.

scholarly journals Dietary Attitude of Adults with Type 2 Diabetes Mellitus in the Kingdom of Saudi Arabia: A Cross-Sectional Study

Medicina ◽  
2020 ◽  
Vol 56 (2) ◽  
pp. 91 ◽  
Author(s):  
Waqas Sami ◽  
Khalid M Alabdulwahhab ◽  
Mohd Rashid Ab Hamid ◽  
Tariq A. Alasbali ◽  
Fahd Al Alwadani ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Saudi Arabia ◽  
Dietary Behavior ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Kingdom Of Saudi Arabia ◽  
Cross Sectional ◽  
Patients With Diabetes

Background and Objectives: There is a paucity of literature on the dietary attitude (DA) of patients with type 2 diabetes in the Kingdom of Saudi Arabia (KSA). Although the prevalence of diabetes mellitus (DM) is high in Gulf countries, there remains a lack of understanding of the importance of dietary behavior in diabetes management among patients. Understanding the behavior of patients with diabetes towards the disease requires knowledge of their DA. Therefore, this study aimed to assess and evaluate the DA of type 2 diabetes patients, and it is the first of its kind in the KSA. Material and Methods: An analytical cross-sectional study was conducted among 350 patients with type 2 diabetes. A self-administered DA questionnaire was used to collect the data. Psychometric properties of the questionnaire were assessed by face validity, content validity, exploratory factor analysis, and internal consistency reliability. The data were collected using a systematic random sampling technique. Results: The overall DA of the patients was inappropriate (p = 0.014). Patients had an inappropriate DA towards food selection (p = 0.003), healthy choices (p = 0.005), food restraint (p < 0.001), health impact (p < 0.001), and food categorization (p = 0.033). A poor DA was also observed in relation to the consumption of red meat (p <0.001), rice (p < 0.001), soup and sauces (p = 0.040), dairy products (p = 0.015), and junk food (p < 0.001). Conclusions: It is highly recommended that patients with diabetes receive counseling with an empowerment approach, as this can bring about changes in their dietary behavior, which is deeply rooted in their daily routine. Healthcare providers should also be well-informed about patients’ attitudes and beliefs towards diabetes to design tailored educational and salutary programs for this specific community. Diabetes self-management educational programs should also be provided on a regular basis with a special emphasis on diet and its related components.

scholarly journals Evaluation of the Predictive Power of the Health Belief Model on the Care of Kidney in Type 2 Patients With Diabetes: a Cross-sectional Study

2021 ◽  
Author(s):  
mallihe faramarzi ◽  
mohsen shamsi ◽  
mahboobeh khorsandi ◽  
amir hashyani almasi
Keyword(s):  
Type 2 Diabetes ◽  
Health Belief Model ◽  
Kidney Failure ◽  
Health Belief ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Patients With Diabetes ◽  
Belief Model

Abstract Background: Kidney failure is one of the most important late complication in type 2 patients with diabetes, so more of half-people are wait to graft kidney are people that caused to diabetes. The purpose of this study, was predict to care of kidney in type 2 diabetes patients based on Health Belief Model (HBM).Methods: In this analytical cross-sectional study, 242 patients with type 2 diabetes select with simple sampling of health centers in Arak ( a city in Iran) in 2020 and health behaviors of kidneys collected based on HBM with reliable and validity of questionaries’ and analyses by linear regression logistic.Results: The mean age of patients was 47.51 ±7.86 years. FBS average was 159.65 ± 55.01 mi/dc and average of performance of patients about care of kidney was 30/31± 6/42. Among HBM construct predicted about %38 perceived severity, %67.6 knowledge, %31.8 self-efficacy and %16.4 internal cues to action, these cases have the most power for prediction and total of construct predict health behavior of kidneys that are about %49. Conclusion: This study showed that increasing patients information in field of recognizing kidney failure, emphasis on role of cues to action and finally increasing self-efficacy in patients with type 2 diabetes about care of kidney should be emphasis in education programs for preventing of kidney failure.

scholarly journals Relationship Between Social Support and Coping Strategies and Disease Among the Cancer Patients of the City of Kerman

2020 ◽  
Vol 10 (6) ◽  
pp. 375-382
Author(s):  
Soodeh Maghsoodi ◽  
◽  
Zahra Salehinejad ◽  
Keyword(s):  
Social Support ◽  
Coping Strategies ◽  
Cancer Patients ◽  
Social Protection ◽  
Care Program ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Cross Sectional ◽  
Systematic Sampling Method ◽  
And Coping

Background: Cancer pain affects coping strategies in patients. Besides, social protection is a tool that helps to alter the patient’s encounter with cancer. This study aimed to investigate the relationship between social support, coping, and disease strategies. Methods: This was an analytical cross-sectional study with a quantitative approach, and conducted using a self-made social support questionnaire and the Billings and Mouse coping strategies questionnaire. The study population consisted of all the cancer patients in Kerman City, from September 2016 to March 2017; it was estimated to include 1400 people. Based on the Cochran formula, the study sample size was calculated as 300 cancer patients, which were collected using a systematic sampling method. Also, data analysis was carried out using the Pearson tests and regression in SPSS V. 21. Results: The results showed a statistically significant association of social support and coping with the disease strategies (P<0.01). Moreover, problem-focused coping has the most positive and direct relationship with social support. Regression analysis also showed that emotional aspects (kindness and shared positive actions), service-practical support, and financial support can predict the coping strategies with disease. Conclusion: According to the results, it is recommended to formulate a comprehensive care program and increase social support to enhance the problem-focused coping strategies among cancer patients.

scholarly journals Assessment of self-reported adherence among patients with type 2 diabetes in Matlala District Hospital, Limpopo Province

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Sadeen A. Adegbola ◽  
Gert J.O. Marincowitz ◽  
Indiran Govender ◽  
Gboyega A.O. Ogunbanjo
Keyword(s):  
Type 2 Diabetes ◽  
Healthy Lifestyle ◽  
District Hospital ◽  
Cross Sectional Study ◽  
Limpopo Province ◽  
Poor Adherence ◽  
Adherence To Treatment ◽  
Cross Sectional ◽  
Validated Questionnaire

Introduction: Complications associated with Diabetes Mellitus are a burden to health services, especially in resource poor settings. These complications are associated with substandard care and poor adherence to treatment plans. The aim of the study was to assess the self-reported adherence to treatment amongst patients with type 2 diabetes in Matlala District Hospital, Limpopo Province. Methods: This cross-sectional study used convenience sampling with a standardised, validated questionnaire. Data were collected over 4 months, and Microsoft Excel was used for data capturing. Results: We found that 137 (70%) of the participants considered themselves adherent to their diabetes medication. Younger age (p = 0.028), current employment (p = 0.018) and keeping appointment were factors significantly associated with adherence. Reasons given for poor adherence were that the clinic did not have their pills (29%), they had forgotten to take their medication (16%) and gone travelling without taking enough pills (14%). Reasons given for poor adherences to a healthy lifestyle were being too old (29%), 22% had no specific reason, 13% struggled to motivate themselves and 10% simply forgot what to do. Sixty-eight percent of the adhered participants recommended the use of medication at meal times, 14% set a reminder, and 8% used the assistance of a treatment supporter. Conclusions and recommendations: The study revealed a higher than expected reported level of adherence to diabetes treatment. Further research is needed to assess whether self-reported adherence corresponds to the metabolic control of the patients and to improve services.

scholarly journals Anxiety and coping in women with breast cancer in chemotherapy

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Araceli Vicente da Silva ◽  
Eliana Zandonade ◽  
Maria Helena Costa Amorim
Keyword(s):  
Breast Cancer ◽  
Coping Strategies ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Anxiety State ◽  
Cross Sectional ◽  
Interview Technique ◽  
Anxiety Trait ◽  
Problem Solving Strategies ◽  
And Coping

ABSTRACT Objective: to identify the coping strategies used by women with breast cancer in chemotherapy and to verify the association with the anxiety profile presented by them. Method: cross-sectional study of the analytical type. We used a random sample of 307 women with cancer in previous chemotherapy, adjuvant or palliative treatment. The data was collected using an interview technique with form registration, active search in medical records, Scale of Mode of Confronting Problems and Inventory of Anxiety and State. The Statistical Package for Social Sciences 19.0, Pearson correlation coefficient and the test Mann-Whitney were used. Results: there was a significant association of the anxiety trait and problem-focused coping strategies with a focus on emotion (p<0,000) and the anxiety state with problem-focused coping (p=0,001) and with focus on emotion (p=0,004). The results demonstrate weak associations between different coping strategies. Conclusion: the coping strategy chosen by women with breast cancer is directly related to anxiety. Patients with low-level anxiety tend to use problem-solving strategies while emotion-focused coping is applied if the level is medium to high.

Effects of social and economic factors on the attitudes of diabetic patients towards self-care behaviors in Iran

2021 ◽  
Vol 13 (2) ◽  
pp. 20206
Author(s):  
Raana Gholamzadeh Nikjoo ◽  
Haniye Nikbakht ◽  
Yegane Partovi ◽  
Tohid Jafari Koshki
Keyword(s):  
Type 2 Diabetes ◽  
Self Care ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Economic Factors ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Virtual Groups ◽  
Patients With Diabetes

Background: One of the most common chronic diseases is diabetes, which self-care has a very significant role in reducing its complications. The aim of this study was to investigate the effect of social and economic factors on the attitude of diabetic patients towards self-care behaviors. Methods: The current study is a cross-sectional study conducted in 2019. The sample included 170 patients with diabetes referring to the clinics affiliated to the Tabriz University of Medical Sciences. Data were collected using a previously developed questionnaire through interview. Results: Out of participants in the study, had a positive attitude towards self-care behaviors of type 2 diabetes. We observed significant association between attitude towards self-care behaviors in type 2 diabetes and membership in real and virtual groups (P < 0.001), education (P < 0.001) support of family members (P < 0.001), household income (P = 0.01). Conclusion: Regarding the correlation between certain social and economic variables, and patient attitude towards self-care in diabetes, as well as the effects of attitude in performing self-care behaviors, and the beneficial results of these behaviors in disease control, correct methods must be adapted to control these variables both materially and spiritually. Some of the methods suggested by the researchers are holding frequent educational classes for these people, providing suitable pamphlets, allocating suitable environments and green spaces for diabetic patients, creating suitable and fun virtual groups, identifying type 2 diabetic patients who are not supported by families or do not have enough income and creating suitable group spaces for these people.

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