SELF-CARE PRACTICES AMONG DIABETES PATIENTS IN SOME COMMUNES OF THUA THIEN HUE PROVINCE

2017 ◽  
pp. 56-62
Author(s):  
Thi Kieu Mi Nguyen ◽  
Ho Thi Quynh Anh Le ◽  
Minh Tam Nguyen
Keyword(s):  
Diabetes Mellitus ◽  
Self Care ◽  
Key Words Diabetes Mellitus ◽  
Key Words Diabetes ◽  
Foot Care ◽  
Cross Sectional ◽  
Glucose Testing ◽  
District Hospitals ◽  
Care Practices ◽  
Diabetes Patients

Objectives: Diabetes mellitus (DM) is a chronic disease with severe complications and high mortality. In Vietnam, the incidence of DM is rapidly increasing at alarming rates and has almost doubled within the last 10 years. Self-care has been explored in the literature as an important construct to achieve good metabolic control and well management of DM. This study aimed to investigate the self-care practices of individuals with DM. Methods: A cross-sectional study is conducted with 513 patients diagnosed DM in the 4 district hospitals of Thua Thien Hue provinces. The Vietnamese version of the Summary of Diabetes Self-care Activities (SDSCA) was used. Results: The specific self-care dimensions reported more desirable were following a healthy diet (57.1%) and medication adherence (93.2%). The proportion of people with frequent behaviors towards blood glucose testing, foot care, and physical activities were very low, with 0.4%, 33.9%, and 31.6% respectively. 32.4% of diabetes patients having good adherence to the overall of self-care activities. Conclusion: The results show a big gap in specific self-care activities among patients with DM. It is strongly recommended to enhance the awareness and practice of self-care activities among diabetes patients by developing effective education strategies and activities of diabetes patient groups. Key words: Diabetes mellitus type 2, self-care behaviors, self-managment

scholarly journals Factors Influencing Adherence to Self-Care Practices Among Diabetes Patients in a Selected Tertiary Hospital, Osun State

2021 ◽  
pp. 214-229
Author(s):  
Arogundade, Toliah Abiodun ◽  
Salawu, Rasidi Akinade
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Reliability Index ◽  
Self Care ◽  
Glucose Testing ◽  
Factors Influencing ◽  
Blood Glucose Testing ◽  
Care Practices ◽  
High Level ◽  
Diabetes Patients

Aims: Diabetes is a chronic non-communicable disease with many irreversible complications that can be prevented by strict adherence to self-care practice. This study aims to investigate the factors influencing adherence to self-care practices among diabetes patients Study Design: This study adopted a descriptive research design carried out among diabetes patients attending outpatient endocrinology clinic of Obafemi Awolowo University Teaching Hospital, Ile-Ife, Osun State between July and September 2021. Methodology: Sample size was calculated using Cochran formula and total number of sample used were two hundred and eight (208) diabetes patients. Samples were selected using convenient sampling technique. A self-developed structured Questionnaire on knowledge of diabetes and factors influencing adherence to diabetes self-care practices with reliability index of 0.858 and 0.863 respectively. Two (2) adapted questionnaire; Diabetes self-care practices by Schmitt et al (2013) and Level of adherence to self-care practices scale by Morisky et al. (1986) with reliability index of 0.731 and 0.851 respectively were also used for data collection. Data collected were analyzed using descriptive statistics of frequency, percentage, mean and standard deviation while inferential statistics of Pearson product moment correlation and regression were used to test stated hypotheses at 0.05 level of significance. Results: The result from the study revealed good knowledge of diabetes mellitus and diabetes self-care practices among the respondents. The results also revealed high level of adherence to diabetes medication, diet, physical activity, blood glucose testing, follow-up and foot care. Factors influencing the level of adherence with diabetes self-care practices include cost of treatment, longer year of being diagnosed, good relationship between healthcare team, level of education, good family and social support. There is also a significant relationship between knowledge of diabetes mellitus and adherence with physical activity (r = 0.210; P = 0.02) and blood glucose testing (r = 0.203; P = 0.003). However, there is no significant relationship between knowledge of self-care practices and adherence to self-care practices; socio-demographic characteristics of age (r = -0.040; P = 0.568), education (r = 0.112; P = 0.107) and adherence to self-care practices. Conclusion: The study concluded that there was high level of knowledge about diabetes and diabetes self-care practices as well as adherence to diabetes self-care practices, therefore, health care providers should continue to monitor self-care practices among diabetes patients to achieve positive health outcome and reduce morbidity and mortality associated with diabetes mellitus.

scholarly journals Self-care among patients enrolled in a self-monitoring blood glucose program

2014 ◽  
Vol 35 (4) ◽  
pp. 42-48 ◽  
Author(s):  
Vivian Saraiva Veras ◽  
Manoel Antônio dos Santos ◽  
Flavia Fernanda Luchetti Rodrigues ◽  
Clarissa Cordeiro Alves Arrelias ◽  
Tatiane Aparecida Martins Pedersoli ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Glucose Monitoring ◽  
Self Care ◽  
Blood Glucose Monitoring ◽  
Foot Care ◽  
Cross Sectional ◽  
Self Monitoring ◽  
Glucose Testing ◽  
Patients With Diabetes

This cross-sectional study checks specific self-care activities of patients with diabetes mellitus enrolled in a self-monitoring blood glucose program from August to December 2012 in two Primary Health Care units in the interior of São Paulo, Brazil. The sample was composed of 74 female and male individuals, aged 18 years old or older. The Summary of Diabetes Self-Care Activities Questionnaire was used. It contains six dimensions: general diet, specific diet, physical activity, blood glucose monitoring, foot care, medication usage, plus three items about smoking. Eight out of the 15 self-care activities were within desirable levels, namely: healthy diet, not eating sweets, blood glucose testing and as frequently as recommended, drying between toes after washing feet, and taking medications (three items). The results enabled the identification of gaps in specific self-care activities among patients with diabetes mellitus.

scholarly journals Patients’ awareness and extent of self-reported foot care practices in diabetes population

2019 ◽  
Vol 5 (9) ◽  
pp. 246
Author(s):  
Mohammed Assen Seid ◽  
Eden Zenebe Worku ◽  
Habtamu Bulbula Mideksa
Keyword(s):  
Self Care ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Care Practice ◽  
P Value ◽  
Binary Logistic Regression Analysis ◽  
Foot Care ◽  
Cross Sectional ◽  
Care Practices ◽  
Diabetes Patients

<p class="abstract"><strong>Background:</strong> Diabetic foot ulcer is a serious complication of diabetes which results lower extremity amputation. Proper preventative measures, appropriate foot self-care and management of foot ulcer will reduce, delay or prevent the incidence of infection, gangrene, and amputation. This study was intended to assess diabetes patients’ awareness and extent of foot care practice at University of Gondar referral Hospital.</p><p class="abstract"><strong>Methods:</strong> An institutional based cross-sectional study was conducted from March to June 2018. A total of 372 diabetes patients were included in this study. Data were collected through face to face interview using structured questionnaires. The data were analyzed using SPSS version 20. Binary logistic regression analysis was conducted. A p value &lt;0.05 was consisdered statitisticaly significant.  </p><p class="abstract"><strong>Results:</strong> Of all participants more than half 197 (53%) were male. The age range of participants was 18-90 years. Majority, 65.6 % (with 95% CI 60.8-70.2) of diabetes patients had good foot self-care practice. Poor foot self-care practice was significantly associated with having poor level of awareness about foot care (AOR 12.55, 95% CI, 6.49- 24.28) and having no previous information about foot ulcer (AOR 7.03, 95% CI, 2.11-23.46).</p><p class="abstract"><strong>Conclusions:</strong> Generally, in this hospital most of the study participants had good awareness and practices towards foot self-care. However, selectively majority of patients had poor foot self-care practice regarding; drying of their feet after every wash, change the socks/stockings/ used regularly, and avoid wearing of slippers with no fastening. Foot self-care practices were positively associated with having good awareness about foot care and having previous information about foot ulcer.</p>

Self-Care Practices Among Adult Type 2 Diabetes Patients With and Without Peripheral Neuropathy: A Cross-Sectional Study at Tertiary Healthcare Settings in Ethiopia

2021 ◽  
pp. 084456212110206
Author(s):  
Mezgebu Gode ◽  
Fekadu Aga ◽  
Aklil Hailu
Keyword(s):  
Social Support ◽  
Peripheral Neuropathy ◽  
Self Care ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Cross Sectional ◽  
Glucose Testing ◽  
Blood Glucose Testing ◽  
Care Practices

Background Type 2 diabetes mellitus (T2D) has become a global health challenge. Diabetic peripheral neuropathy (DPN) is one of the common comorbidities of T2D that may affect the ability to perform diabetes self-care. Purpose To compare self-care practices between adult T2D patients with and without comorbid DPN and identify factors predicting self-care practices. Methods In this cross-sectional study, conducted at tertiary hospitals in Ethiopia, a total of 216 (108 with DNP and 108 without DNP) participants completed an interviewer-administered questionnaire including measures of diabetes self-care practices, self-evaluated peripheral neuropathy, self-efficacy, diabetes knowledge, and social support. Results Adult T2D patients with comorbid DPN had lower dietary (P< 0.001), exercise (P< 0.001), blood glucose testing (P = 0.001), and foot (P = 0.007) self-care practice than those without DPN. Social support is a significant predictor of dietary self-care in both groups while predicting foot self-care and blood glucose testing in those with comorbid DPN. Moreover, occupation, education, and having a glucometer are significant predictors of diabetes self-care practice in both groups. Conclusion This study found that adult T2D patients with comorbid DPN have poorer diabetes self-care practice than those without comorbid DPN. Interventions should focus on addressing social support and access to a glucometer in order to improve diabetes self-care practices in adult T2D patients with comorbid DPN.

scholarly journals RESILIENCE AND SELF-CARE IN PEOPLE WITH DIABETES MELLITUS

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.

scholarly journals Self-Care Practices among Diabetic Patients in Selected Sub-Metropolitan Cities of Nepal

2021 ◽  
pp. 1-9
Author(s):  
Supendra Karki ◽  
Srijana Pandey ◽  
Purusotam Raj Shedain
Keyword(s):  
Physical Activity ◽  
Blood Sugar ◽  
Self Care ◽  
Sampling Technique ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Metropolitan Cities ◽  
Care Practices ◽  
Specific Diet

Aims: Diabetes self-care requires a multipronged approach, wherein the diabetic patient has a significant role to play. This study was undertaken to explore self-care practices of diabetic patients residing in two sub-metropolitan cities of Nepal. Study Design: A cross-sectional comparative study. Place and Duration of Study: The study was carried out from March 2019 to June 2020. Methodology: An analytical cross-sectional study was done among 415 diabetic patients aged above 25 years. A simple random sampling technique was used to select the study participants. A structured questionnaire was adopted and making necessary contextual to collect the data. Descriptive statistics along with association between means, t-tests and ANOVA were calculated and a p < 0.05 was considered significant for data analysis. Results: Regarding the diabetes self-care activities in different domains with respect to sociodemographic independent variables, blood sugar testing and foot care was a statistically significant associated with education i.e.  (p= 0.018) and (p=0.003) simultaneously. The study also reveals that specific diet, physical activity/exercise and blood sugar testing are significantly associated with HbA1c of diabetic patients. i.e. (p=0.003), (p=0.004) and (p=0.037) respectively. Conclusion: The general awareness regarding both general and specific diet, physical activity/exercise, blood sugar testing, foot care and medications were poor in our study. More strategies need to be explored to make sure patients adhere to self-care activities.

scholarly journals Self-Care Practices among Diabetic Patients in Anand District of Gujarat

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Shyamsundar Jagdish Raithatha ◽  
Singh Uday Shankar ◽  
Kumar Dinesh
Keyword(s):  
Physical Activity ◽  
Problem Solving ◽  
Psychosocial Adjustment ◽  
Self Care ◽  
Diabetic Patients ◽  
Foot Care ◽  
Performance Score ◽  
Dietary Practices ◽  
Cross Sectional ◽  
Care Practices

Background. Diabetes care requires a multipronged approach, wherein the patient has an important role to play. This study was undertaken to explore self-care practices of diabetic patients residing in Anand district of Gujarat. Methods. A cross-sectional study, involving 100 diabetic patients, was conducted in 2009-2010. Self-care practices in seven domains of physical activity, dietary practices, medication taking, monitoring of glucose, problem solving, foot care, and psychosocial adjustment were assessed using scores assigned to participants’ responses. Results. The mean age was 60.9 (SD=12.2) years and 57% were males. Majority (92%) were Hindus and were consulting private medical practitioners (71%). “Medication taking” was the domain with the best performance score (88.1%) and “problem solving” the worst (11.0%). The “psychosocial adjustment” of the participants was satisfactory (82.5%). Overall mean performance percentage score was 54.41%. Males had better performance scores as compared to females in areas of “physical activity,” “dietary practices,” and “problem solving.” Housewives had poorer performance scores. Total mean performance score was similar for patients on treatment from specialists and general practitioners. Conclusion. A self-care education program designed for this region should address the lacunae identified in various domains with a special emphasis on females.

scholarly journals Perception of Self-care and Self-care Practice of Diabetic Patients Attending Selected Hospitals in Oyo State, Nigeria

2021 ◽  
Vol 1 (2) ◽  
pp. 50-59
Author(s):  
Aina M.A. ◽  
Agbede C.O.
Keyword(s):  
Glucose Monitoring ◽  
Self Care ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Perception Of Self ◽  
Care Practices

Patients with diabetes require continuous self-care practice as poor self-care results in complications. This study assessed the perception of self-care and self-care practice of diabetic patients attending selected hospitals in Oyo State, Nigeria. An institutional-based cross-sectional study was employed and a total of 120 diabetic patients were selected using a systematic random sampling technique. Pretested, structured, and interview administered questionnaires were used for data collection. The collected data were analysed using IBM SPSS version 23 to generate descriptive (Mean and standard deviation) and inferential (Chi-square and correlation) statistics. The respondents had a mean perception score of 30.68±7.56. Majority 113(94.2%) of the respondents had poor self-care practices. Respondents’ perception was significantly correlate with patient physical activity (r= 0.184; p=0.004); healthy eating (r=-0.24; p= 0.026); glucose monitoring (r=0.319; p=0.000); compliance with medication (r= 0.438; p = 0.00); risk reduction (r= 0.229; p=0.012) However, patient perception is not correlated with foot care (r= 0.052; p=0.575). Patient’s perception of diabetes is a key determinant of self-care. It is recommended that psycho cognitive interventions are developed to help patients practice the recommended self-care practices.

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