Foot Self Efficacy dan Foot Self Care Behaviour pada Lansia dengan Diabetes Melitus

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

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The Prevalence of Type D Personality and Correlations between Medication Self-Efficacy and Self-Care Behavior in Patients with Hypertension

10.21203/rs.2.20328/v1 ◽

2020 ◽

Author(s):

Chayanee Wongsuriyanan ◽

Sucheera Phattharayuttawat ◽

Woraphat Ratta-apha

Keyword(s):

Psychological Health ◽

Self Efficacy ◽

Positive Relationship ◽

Self Care ◽

Cross Sectional Study ◽

Type D Personality ◽

Cross Sectional ◽

Type D ◽

Care Situation ◽

Care Behavior

Abstract Background: Type D personality is a combination of 2 traits which are negative affectivity and social inhibition. In health care situation, type D patients are more likely to have non-medication adherence, pessimistic about their ability to cope with illness and believe that it will be long-lasting which lead them to present worse health outcomes. This study aimed to examine the prevalence of type D personality and associations among medication self-efficacy and self-care behaviors in patients with hypertension. Methods: This is a descriptive cross-sectional study. Patients with hypertension (n = 383) who attended a primary care unit were recruited. Volunteering participants completed the Type D-Scale (DS14) questionnaire for the evaluation of the prevalence of type D personality. To evaluate medication self-efficacy and self-care behavior, Self-efficacy for Appropriate Medication Use Scale Thai version and Self-care behaviors scale for patients with hypertension were employed. Descriptive statistics, t-test, and Pearson’s correlations were used in data analysis. Results: Fifty-six participants (14.6%) were classified with type D personality (26 males and 30 females). A positive relationship between medication self-efficacy and self-care behavior was found (r = 0.294, p < 0.01). In contrast, type D personality had a negative association with medication self-efficacy and self-care behavior (r = -0.251, r = -0.138, p < 0.01). Conclusion: Compare to the previous studies, the present study illustrated quite lower prevalence of type D personality. Type D personality is a psychological health risk factor which negatively affects health both directly and indirectly, especially self-efficacy and self-care behavior. Even just one of the two type D personality traits can lead to a similar detrimental result. Positive relationship between medication self-efficacy and self-care behavior can be applied to develop health promotion programs for patient with hypertension.

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Self-Care of African Immigrant Adults with Chronic Illness

Clinical Nursing Research ◽

10.1177/10547738211056168 ◽

2021 ◽

pp. 105477382110561

Author(s):

Onome Henry Osokpo ◽

Lisa M. Lewis ◽

Uchechukwu Ikeaba ◽

Jesse Chittams ◽

Frances K. Barg ◽

...

Keyword(s):

Chronic Illness ◽

Self Efficacy ◽

Self Care ◽

African Immigrants ◽

Cross Sectional Study ◽

The Self ◽

Cross Sectional ◽

Income Adequacy ◽

The Us ◽

Scale Scores

This cross-sectional study aims to describe the self-care of adult African immigrants in the US with chronic illness and explore the relationship between acculturation and self-care. A total of 88 African immigrants with chronic illness were enrolled. Self-care was measured with the Self Care of Chronic Illness Inventory v3 and the Self-Care Self-Efficacy scale. Scores are standardized 0 to 100 with scores >70 considered adequate. Acculturation was measured using a modified standardized acculturation instrument and predefined acculturation proxies. The self-care scores showed adequate self-care, with the mean scores of 78.6, 77.9, and 75.6 for self-care maintenance, monitoring, and management. Self-care self-efficacy mean score was 81.3. Acculturation was not significantly associated with self-care. Self-care self-efficacy was a strong determinant of self-care maintenance ( p < .0001), monitoring ( p < .0001), and management ( p < .0001). The perception of inadequate income was a significant determinant of poor self-care management ( p = .03). Self-care self-efficacy and perceived income adequacy were better determinants of self-care than acculturation.

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Non-health outcomes affecting self-care behaviors and medical decision-making preference in patients with type 2 diabetes: a cross-sectional study

10.21203/rs.2.21066/v2 ◽

2020 ◽

Author(s):

Ming-Jye Wang ◽

Hung-Ming Lin ◽

Li-Chen Hung ◽

Yi-Ting Lo

Keyword(s):

Type 2 Diabetes ◽

Decision Making ◽

Health Literacy ◽

Self Efficacy ◽

Patient Empowerment ◽

Self Care ◽

Cross Sectional Study ◽

Medical Decision ◽

Cross Sectional

Abstract Background: The effects of patient sustained self-care behaviors on glycemic control are even greater than the effects of medical treatment, indicating the value of identifying the factors that influence self-care behaviors. To date, these factors have not been placed in a single model to clarify the critical path affecting self-care behaviors. The aims of this study were to explore the relationships of these factors and the differences in patient preference for medical decision-making.Methods: A cross-sectional study was conducted among outpatients with type 2 diabetes at a regional teaching hospital. Purposive sampling was adopted to recruit 316 eligible patients via self-administered questionnaires. Partial least squares structural equation modeling was used for analysis.Results: Significant direct pathways were identified from health literacy to self-efficacy, patient empowerment, and self-care behaviors; from self-efficacy to self-care behaviors; and from patient empowerment to self-care behaviors. Indirect pathways were from health literacy to self-care behaviors via self-efficacy or patient empowerment. The pathway from health literacy to self-efficacy was significantly stronger in those preferring shared decision-making than in those who preferred physician decision-making. Conclusions: Health literacy is a critical factor in improving self-care behaviors in patients with type 2 diabetes, and the effect of health literacy on self-efficacy was more significant in the shared decision-making than in the physician decision-making. Therefore, developing an effective health strategy to strengthen health literacy awareness and designing friendly, diverse health literacy materials, and application tools is the most important factor to facilitate self-care behaviors in this population.

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How self-stigma affects patient activation in persons with type 2 diabetes: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2019-034757 ◽

2020 ◽

Vol 10 (5) ◽

pp. e034757

Author(s):

Asuka Kato ◽

Yuko Fujimaki ◽

Shin Fujimori ◽

Akihiro Isogawa ◽

Yukiko Onishi ◽

...

Keyword(s):

Self Efficacy ◽

Goodness Of Fit ◽

Patient Activation ◽

Self Care ◽

Self Esteem ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Fit Index

ObjectivesSelf-stigma is associated with lower patient activation levels for self-care in persons with type 2 diabetes mellitus (T2DM). However, the causal pathway linking self-stigma with patient activation for self-care has not been shown. In order to determine how self-stigma affects patient activation for self-care, we tested a two-path hypothetical model both directly and as mediated by self-esteem and self-efficacy.DesignA cross-sectional study.SettingTwo university hospitals, one general hospital and one clinic in Japan.ParticipantsT2DM outpatients receiving treatment (n=209) completed a self-administered questionnaire comprising the Self-Stigma Scale, Patient Activation Measure, Rosenberg Self-Esteem Scale, General Self-Efficacy Scale, Patient Health Questionnaire, haemoglobin A1c test, age, sex and body mass index.Primary and secondary outcome measuresSelf-stigma levels were measured by using the Self-Stigma Scale. Patient activation levels were measured by the Patient Activation Measure.ResultsPath analysis showed a strong relationship between self-stigma and patient activation (χ2=27.55, p=0.120; goodness-of-fit index=0.97; adjusted goodness-of-fit index=0.94; comparative fit index=0.98; root mean square error of approximation=0.04). Self-stigma had a direct effect on patient activation (β=−0.20; p=0.002). Indirectly, self-stigma affected patient activation along two paths (β=0.31; p<0.001) by reducing self-esteem (β=−0.22; p<0.001) and self-efficacy (β=−0.36; p<0.001).ConclusionsDue to the cross-sectional design of the study, longitudinal changes between all the variables cannot be established. However, the findings indicate that self-stigma affected patient activation for self-care, both directly and as mediated by self-esteem and self-efficacy. Interventions that increase self-esteem and self-efficacy may decrease self-stigma in patients with T2DM, thus increasing patient activation for self-care.

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The association between foot-care self efficacy beliefs and actual foot-care behaviour in people with peripheral neuropathy: a cross-sectional study

Journal of Foot and Ankle Research ◽

10.1186/1757-1146-2-3 ◽

2009 ◽

Vol 2 (1) ◽

Cited By ~ 22

Author(s):

Byron M Perrin ◽

Hal Swerissen ◽

Craig Payne

Keyword(s):

Peripheral Neuropathy ◽

Self Efficacy ◽

Cross Sectional Study ◽

Efficacy Beliefs ◽

Sectional Study ◽

Foot Care ◽

Cross Sectional

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Self-Care, Sense Of Coherence And Depression In Patients Hospitalized For Decompensated Heart Failure

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420150000300005 ◽

2015 ◽

Vol 49 (3) ◽

pp. 387-393 ◽

Cited By ~ 3

Author(s):

Viviane Martinelli Pelegrino Ferreira ◽

Luma Nascimento Silva ◽

Rejane Kiyomi Furuya ◽

André Schmidt ◽

Lídia Aparecida Rossi ◽

...

Keyword(s):

Physical Activity ◽

Heart Failure ◽

Sense Of Coherence ◽

Self Care ◽

Decompensated Heart Failure ◽

Cross Sectional Study ◽

Cross Sectional ◽

Significance Level ◽

Symptoms Of Depression ◽

Care Behavior

OBJECTIVE To analyze the self-care behaviors according to gender, the symptoms of depression and sense of coherence and compare the measurements of depression and sense of coherence according to gender. METHOD A correlational, cross-sectional study that investigated 132 patients with decompensated heart failure (HF). Data were collected through interviews and consultation to medical records, and analyzed using the chi-square and the Student's t tests with significance level of 0.05. Participants were 75 men and 57 women, aged 63.2 years on average (SD = 13.8). RESULTS No differences in self-care behavior by gender were found, except for rest after physical activity (p = 0.017). Patients who practiced physical activity showed fewer symptoms of depression (p<0.001). There were no differences in sense of coherence according to self-care behavior and gender. Women had more symptoms of depression than men (p = 0.002). CONCLUSION Special attention should be given to women with HF considering self-care and depressive symptoms.

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Social Support, Self-Care Behaviour and Self-Efficacy in Patients with Type 2 Diabetes during the COVID-19 Pandemic: A Cross-Sectional Study

Healthcare ◽

10.3390/healthcare9111607 ◽

2021 ◽

Vol 9 (11) ◽

pp. 1607

Author(s):

Premalatha Paulsamy ◽

Rizwan Ashraf ◽

Shadia Hamoud Alshahrani ◽

Kalaiselvi Periannan ◽

Absar Ahmed Qureshi ◽

...

Keyword(s):

Social Support ◽

Glycemic Control ◽

Self Efficacy ◽

Diabetes Management ◽

Self Care ◽

Cross Sectional Study ◽

The Self ◽

Sectional Study ◽

Cross Sectional

Diabetes mellitus is a major public health issue that considerably impacts mortality, morbidity, and healthcare costs worldwide. The COVID-19 pandemic has created havoc in diabetes management, too, like other spectrums of life. A descriptive, cross-sectional study was adopted to determine the effect of Social Support, Self-Care Behaviour and Self-Efficacy in Type 2 Diabetes Mellitus (T2D) during this COVID-19 pandemic. Two hundred T2D patients who satisfied the inclusion criteria were chosen using a convenient sampling procedure. The tool consists of four sections, including socio-demographic characteristics, Multidimensional Scale of Perceived Social Support (MSPSS), revised Summary of Diabetes Self-Care Activities (SDSCA) Scale and modified Diabetes Management Self-Efficacy Scale (DMS). Descriptive and inferential statistics were used to analyze the obtained data. The mean and SD of diabetic management self-efficacy is 5.74 (1.95) and 4.37 (1.4), respectively, for patients with HbA1c < 6.5% and HbA1c ≥ 6.5%. The self-care activities of the patients who had good glycemic control were 4.31 (2.06) compared to 3.50 (1.73) who did not. The social support received by the patients was 6.13 (2.13) vs. 5.31 (1.67) among patients with glycemic control vs. no control. The results show that social support (p = 0.04), self-efficacy (p =0.01) and self-care activities (p = 0.001) were significantly related to the level of glycemic control of the T2D patients. A significant relationship was also identified between gender (p = 0.036), age (p = 0.001) and education status (p = 0.000) with HbA1c control of the participants. This study demonstrates a significant relationship between social support, self-care behaviours, self-efficacy and glycemic management in T2D patients. During this COVID-19 pandemic, interventions to enhance the self-care activities like exercise and social support to boost their self-efficacy; for better diabetes management, reducing diabetes complications or prolonging their onset are the need of the hour.

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Factors associated with wound healing outcome among Diabetic Foot patients- A cross sectional Study

International Journal of AYUSH Case Reports ◽

10.52482/ijacare.v5i1.170 ◽

2021 ◽

Vol 5 (1) ◽

pp. 36-46

Author(s):

M Jayalakshmi ◽

P Thenmozhi

Keyword(s):

Diabetic Foot ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Cross Sectional Study ◽

Wound Management ◽

Diabetic Patients ◽

Foot Care ◽

Cross Sectional ◽

Patients With Diabetes ◽

One Year

Diabetic foot ulcer (DFU) has been identified as the leading reason for hospitalization among patients with diabetes. Patients with diabetes are at greater risk of complications, the most important of them are diabetic neuropathy and peripheral vascular disorders leading to the development of foot ulcers. The problem is generally faced and as well is considered as one among the most common complications of diabetes that affect millions of people all over the world. The current study, aimed to document the clinical profile and healing outcome of diabetic foot ulcer management which may become guidance for further improvement in wound management among diabetic foot ulcer patients. Cross sectional descriptive study was conducted over one-year period of time. A total of 246 Diabetic patients with a foot ulcer of Grade 1 to 3 participated in the study. Patients with higher grade ulcers of Grade 4 and 5 were excluded from the study. Final data analysis of 160 patients was done using SPSS version 20. The prevalence of Grade 2 and 3 ulcers were observed 54.37% and 31.8 % while Grade 1 ulcer was observed 13.75%. No risk factors were found to be significantly associated with diabetic foot ulcer. Wound was healed well in 50 % and partially healed in 21 % of the participants. Wound remains unchanged in 3 % of study participants, while 8% of participants underwent toe amputation. Foot ulceration is a preventable in many diabetic patients with adequate education, routine foot care and attention to foot wear.

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RESILIENCE AND SELF-CARE IN PEOPLE WITH DIABETES MELLITUS

Texto & Contexto - Enfermagem ◽

10.1590/1980-265x-tce-2018-0105 ◽

2020 ◽

Vol 29 ◽

Author(s):

Julia Estela Willrich Boell ◽

Denise Maria Guerreiro Vieira da Silva ◽

Maria Elena Echevarria Guanilo ◽

Kathleen Hegadoren ◽

Betina Hörner Schlindwein Meirelles ◽

...

Keyword(s):

Diabetes Mellitus ◽

Statistical Significance ◽

Glucose Monitoring ◽

Self Care ◽

Cross Sectional Study ◽

Blood Glucose Monitoring ◽

Foot Care ◽

Cross Sectional ◽

Resilience Scale ◽

One Year

ABSTRACT Objective: to investigate the association between resilience and self-care in people with diabetes mellitus treated in Primary Health Care. Method: Cross-sectional study, sample consisting of 362 people, aged 18 years or older, diagnosed with diabetes for at least one year. Descriptive analyzes and comparison of means were performed, assuming statistical significance with a value of p <0.05. The Resilience Scale and Questionnaire on Diabetes Self-Care Activities were applied, containing six dimensions: general food, specific food, physical activity, blood glucose monitoring, foot care, medication use, plus three items on smoking. Data collection took place between December and May 2016, in ten Health Centers in a city in the south of the country. Results: among the 15 self-care activities, four showed a statistically significant association when compared to the average resilience, highlighting: healthy eating and professional guidance, desirable sweet consumption, blood sugar assessment as recommended. Conclusion: the results obtained highlight the relationship between high averages of resilience and adequate performance in the care of diabetes mellitus.

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