scholarly journals The Effect of Continuous Monitoring of Hypertension and Type 2 Diabetes Mellitus on the Number of Visits to Medical Specialists and Hospitalization: a Retrospective Study

Medicina ◽  
2013 ◽  
Vol 49 (11) ◽  
pp. 77
Author(s):  
Ruth Kalda ◽  
Katrin Vastra
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Family Physicians ◽  
Chronically Ill ◽  
Medical Specialists ◽  
The Family ◽  
Number Of Visits ◽  
Chronically Ill Patients

Objective. The aim of the study was to determine whether the implementation of the quality system (QS) in primary healthcare made the care of chronically ill patients in family practice more consistent and reduced the load in specialized medical care. Material and Methods. A quantitative retrospective cohort study using the database of the Es- tonian Health Insurance Fund was provided. Patients with diagnosed essential hypertension (HYP) and/or type 2 diabetes mellitus (DM2) formed the study group. If the family physician met the criteria for the monitoring of patients with DM2 and HYP set in the QS, the result was defined as positive. The number of disease-specific hospitalizations, the length of hospital stay, and the num- ber of visits to family physicians and medical specialists due to HYP or DM2 in 2005-2008 were evaluated. Results. Chronically ill patients (DM2 and HYP) in the lists of family physicians with a posi- tive QS result were 1.26 times more likely (95% CI, 1.25-1.28) to be continuously monitored than those in the lists of family physicians with a negative QS result. The 2 coexisting chronic diseases (DM2 and HYP) increased the chance of being continuously monitored and increased the number of visits. The chance of being monitored by a medical specialist alone was reduced if the family phy- sician participated in the QS (OR, 0.66; 95% CI, 0.64-0.69) and had a rural practice (OR, 0.53; 95% CI, 0.51-0.55) and if the patient was a woman and older and had a diagnosis of HYP alone. The participation of family physicians in the QS reduced the hospitalization risk (OR, 0.9; 95% CI, 0.88-0.94) as well as the number of hospitalizations for the patients with HYP (OR, 0.93; 95% CI, 0.87-0.99). Conclusions. The implementation of the QS in primary healthcare reduces the load in specialized medical care. A more detailed analysis of the effect of the QS on the workload and the organization of family practice as well as on the patients' morbidity and satisfaction could be done in the near future.

Hubungan Dukungan Keluarga Dengan Kadar Gula Darah Pada Pasien Diabetes Mellitus Tipe 2: Literature Review

2021 ◽  
Vol 1 ◽  
pp. 309-316
Author(s):  
Nurul Febrian Bintari Putri ◽  
Trina Kurniawati
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Literature Review ◽  
Family Support ◽  
Blood Sugar ◽  
Google Scholar ◽  
The Family ◽  
Sugar Levels

AbstractDiabetes mellitus is a chronic disease that cannot be cured, but can be prevented by using the 5 pillars of diabetes mellitus management, one of which is controlling blood sugar levels. Patients with diabetes mellitus need support from the family because the family can influence a person's behavior and lifestyle so that it has an impact on the quality of life of patients with type 2 diabetes mellitus. To determine the relationship between family support and blood sugar levels in patients with type 2 diabetes mellitus through a literature review. The data collection technique uses a literature review method of 5 articles sourced from an online database with electronic searches on Google Scholar, Garba Garuda, and ProQuest published in 2017-2021. The critical analysis instrument used is using a strobe. The results of a literature review on the family support variable were 2 articles with supporting categories as many as 128 respondents, 2 articles with less categories as many as 63 respondents, and 1 article with good categories as many as 22 respondents. Variable blood sugar levels 2 articles in the controlled category as many as 98 respondents, 1 article in the poor category as many as 45 respondents, 1 article in the controlled category as many as 17 respondents, and 1 article in the diabetes category as many as 29 respondents. There is a relationship between family support and blood sugar levels in patients with type 2 diabetes mellitus.Keywords: Type 2 diabetes mellitus; family support; blood glucose levels; blood sugar levels AbstrakDiabetes mellitus merupakan penyakit kronik yang tidak dapat disembuhkan, namun dapat dicegah dengan menggunakan 5 pilarpengelolaan diabetes mellitus, salah satunya pengendalian kadar gula darah. Pasien diabetes mellitus perlu adanya dukungan dari keluarga karena keluarga dapat mempengaruhi perilaku dan gaya hidup seseorang sehingga berdampak pada kualitas hidup pasien diabetes mellitus tipe 2. Untuk mengetahui hubungan dukungan keluarga dengan kadar gula darah pada pasien diabetes mellitus tipe 2 melalui literature review. Teknik pengumpulan data menggunakan metode literature review 5 artikel yang bersumber database online dengan penelusuran elektronik pada Google Scholar, Garba Garuda, dan ProQuest yang dipublish pada tahun 2017-2021. Instrumen telaah kritis yang digunakan yaitu menggunakan Strobe. Hasil literature review pada variable dukungan keluarga 2 artikel dengan kategori mendukung sebanyak 128 responden, 2 artikel dengan kategori kurang sebanyak 63 responden, dan 1 artikel dengan kategori baik sebanyak 22 responden. Variable kadar gula darah 2 artikel dengan kategori terkendali sebanyak 98 responden, 1 artikel dengan kategori buruk sebanyak 45 responden, 1 artikel dengan kategori terkontrol sebanyak 17 responden, dan 1 artikel dengan kategori diabetes sebanyak 29 responden. Terdapat hubungan antara dukungan keluarga dengan kadar gula darah pada pasien diabetes mellitus tipe 2.Kata kunci: Diabetes mellitus tipe 2;dukungan keluarga;kadar glukosa darah;kadar gula darah

Perception of Family Support is Correlated with Glycemic Control in Greeks with Diabetes Mellitus

2001 ◽  
Vol 88 (3) ◽  
pp. 929-930 ◽  
Author(s):  
Ioannis Ilias ◽  
Eftichios Hatzimichelakis ◽  
Athanassios Souvatzoglou ◽  
Tanya Anagnostopoulou ◽  
Athanassios Tselebis
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Glycemic Control ◽  
Family Support ◽  
Hemoglobin A1c ◽  
Anglo Saxon ◽  
The Family ◽  
Of Greece

We studied 98 native Greek patients with Type 2 diabetes mellitus. Their degree of glycemic control, evaluated with glycated hemoglobin A1c levels, was correlated with perceived family support, assessed with the Family Support Scale. The different social context of Greece—and its corresponding perception of family support—influence glycemic control in a way that is at variance from data of some studies of Anglo-Saxon families. In conclusion, family support should be taken into consideration in the management of native Greek patients with Type 2 diabetes mellitus.

scholarly journals Family's Ability to Take Care The Patient of Type 2 Diabetes Mellitus in Tasikmalaya

2020 ◽  
Vol 3 (3) ◽  
pp. 150
Author(s):  
Bayu Brahmantia ◽  
Miftahul Falah ◽  
Lilis Lismayanti ◽  
Vina Erviana
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Education ◽  
Blood Sugar ◽  
Metabolic Disorder ◽  
Sampling Method ◽  
The Family

Diabetes Mellitus is a metabolic disorder disease characterized by a rise of blood sugar due to a decrease of insulin by the pancreas. The role of the family in caring for the patient with type 2 diabetes mellitus is crucial in treatment. this study was aimed to know the ability of family in caring. a purposive sampling method was applied in this research. a total of 31 respondents were selected. the results showed that the majority of family's ability to recognize as a problem was good with 16 people ( 51,6 % ), in taking decisions for treatment was positive as much as 19 people (61.3%), in treatment of type 2 Diabetes Mellitus patients were positive 25 people (80,6%), in modifying the environment for Treatment was negative  18 people (58.1%). therefore, Health education for the family related to modifying the environment for treatment was required to recover the patient.

Beta cell function and insulin sensitivity in women with polycystic ovary syndrome: Influence of the family history of type 2 diabetes mellitus

2009 ◽  
Vol 25 (9) ◽  
pp. 597-602 ◽  
Author(s):  
Jana Vrbikova ◽  
Bela Bendlova ◽  
Marketa Vankova ◽  
Katerina Dvorakova ◽  
Tereza Grimmichova ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Beta Cell Function ◽  
Cell Function ◽  
Polycystic Ovary ◽  
Ovary Syndrome ◽  
The Family ◽  
History Of

scholarly journals Understanding food selection and dieting patterns: type 2 diabetes mellitus patients and their families

2021 ◽  
Vol 17 (6) ◽  
pp. 456-458
Author(s):  
Dikha Ayu Kurnia ◽  
Yulia Yulia
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Thematic Analysis ◽  
Food Selection ◽  
Main Concern ◽  
Eating Pattern ◽  
Food Ingredients ◽  
The Family

Background. The prevalence of type 2 diabetes mellitus (T2DM) is increasing from year to year, especially in Indonesia. The risk of T2DM starts at the dinner table in the family. Meal planning plays an important role in redu­cing the potential complications associated with poor glycemic, lipid and blood pressure control. Focusing on reducing sugar, fat and sodium intake and incorporating culture-appropriate foods will improve adherence. However, T2DM patients develop conflicting eating disorders in which there is a gap between nutrition and self-fulfillment regarding eating control. The purpose of this research is to explore the understanding of the diabetes patient and their family in determining the selection of food and eating pattern during the disease. Materials and methods. This study explores the understanding of T2DM patients and their families in the Depok and Jakarta. The purposive sampling method used 14 participants and 7 family members. The data obtained from participant observation and in-depth interviews then analyzed using thematic analysis. Using a descriptive phenomenological method with a semi structured in-depth interview. The interviews were conducted face to face from October 2017 — July 2018 and were analyzed by thematic analysis Collaizi’s method. Results. This study found 4 important themes: 1) food is believed to affect high blood su­gar; 2) changes in diet after diabetes; 3) the main concern of the family is to keep eating but not make it a burden; and 4) the challenge faced by participants and their families is the lack of information. This study recommends continuing education and partnerships from nurses about the importance of the relationship between diet and blood glucose levels. Conclusions. People are inclined to rely on simple strategies that limit search when making food choices. The ability of patients and families regarding food ingredients to maintain blood sugar stability is the concern of nurses in providing nutritional education. Food labels can (and to some extent do) provide a wide variety of desirable information, ranging from food content to production details, the food’s carbon footprint, and its origins.

scholarly journals Effects of Family Empowerment on Increasing Family Support in Patients with Type-2 Diabetes Mellitus

2019 ◽  
Vol 9 (1) ◽  
pp. 58
Author(s):  
Iskim Luthfa ◽  
Iwan Ardian
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Family Support ◽  
Intervention Group ◽  
Control Group ◽  
Family Empowerment ◽  
Significant Difference ◽  
The Family

Background: Patients with type-2 Diabetes Mellitus (DM) need support from their families to perform self-care to prevent complications; however, not all families have effective support. Family empowerment is a family-based strategic intervention which can improve family support to those patients.Purpose: This study aimed to determine the effects of family empowerment on increasing family support in patients with type 2 DM.Methods: This study used a quasi-experiment with non-equivalent control group design. Forty-six respondents were recruited using a consecutive sampling technique and assigned to the control and intervention groups. Respondents in the intervention group were given family empowerment intervention by visiting their homes four times, for 120 minutes each. In contrast, the control group was given the intervention of standard booklets. The Hensarling Diabetes Family Support Scale (HDFSS) was used to observe the family support on both groups. Data were analyzed by independent t-test.Results: Results showed that there was a significant difference between the intervention and the control group with t=7.86 and p-value of 0.00. There were mean differences of 2.29 and 0.28 between the intervention and the control group, respectively.Conclusion: Family empowerment affected family support in patients with type-2 DM. Based on this study, it is recommended that the health workers advocate and encourage the family in the planning management of patients with diabetes mellitus.

Family physicians clinical aptitude for the nutritional management of type 2 diabetes mellitus in Guadalajara, Mexico

2008 ◽  
Vol 12 (2) ◽  
pp. 156-160
Author(s):  
C. E. Cabrera-Pivaral ◽  
E. A. Gutierrez Roman ◽  
G. Gonzalez-Perez ◽  
F. Gonzalez Reyes ◽  
F. Valadez Toscano ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Family Physicians ◽  
Nutritional Management

scholarly journals Analysis of the Sociodemographic and Psychological Factors of the Family Caregivers’ Self-Management Capabilities for Type 2 Diabetes Mellitus

Jurnal NERS ◽  
2020 ◽  
Vol 14 (2) ◽  
pp. 215
Author(s):  
Rondhianto Rondhianto ◽  
Nursalam Nursalam ◽  
Kusnanto Kusnanto ◽  
Soenarnatalina Melaniani ◽  
Ahsan Ahsan
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Family Support ◽  
Family Caregivers ◽  
Self Management ◽  
Factors Associated ◽  
The Family

Introduction: The successful management of Type 2 diabetes mellitus is determined by the role of the family in self-management as a family caregiver. Many factors influence the capability of the family caregivers to carry out diabetes self-management. The purpose of this study was to analyze the factors that influence the family caregiver capability of performing diabetes self-management in people with Type 2 diabetes mellitus.Methods: The study design was an analytical observation using a cross-sectional approach. The sample was 220 family caregivers of people with Type 2 diabetes mellitus in Jember Regency, East Java Province, Indonesia. The multistage random sampling technique was used as the sampling technique. The research instrument was a questionnaire. The questionnaires used in this study were the Diabetes Management Self Efficacy Scale, the Spoken Knowledge in Low Literacy Patients with Diabetes Questionnaire, the Motives for Caregiving Scale, the Spirituality Index of Well-Being, the Sense of Coherence Scale, the Coping Scale, the Hensarling Diabetes Family Support Scale, and the Family Caregiver's Perception of the Role of the Nurse Questionnaire. The data analysis was performed using the Pearson correlation test, the Spearman rank test, and the multiple linear regression test.Results: The results of the Pearson correlation test and Spearman rank test showed that the sociodemographic factors associated with diabetes self management were age (p=0.000), gender (p=0.016), education (p=0.000), income (p=0.000), and kinship (p=0.000). The psychosocial factors associated with diabetes self management were diabetes knowledge (p=0.000), motivation (p=0.000), coping skills (p=0.000), spirituality (p=0.000), family coherence (p=0.000), family support (p=0.000) and the role of the nurses (p=0.000). The multiple linear regression test showed that the factors associated with diabetes self management were diabetes knowledge (β=0.047), motivation (β=0.094), coping (β=0.188), spirituality (β= -0.082), family coherence (β= −0.043), family support (β= 0.296) and the role of the nurses (β= 0.512).Conclusion: Efforts to increase the family caregiver’s capabilities in terms of diabetes self-management should pay attention to the socio-demographic and psychosocial factors to prevent complications and to improve the health status, and quality of life of people with Type 2 diabetes mellitus.

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