scholarly journals BARRIERS TO PHYSICAL ACTIVITY IN RECENTLY DIAGNOSED TYPE 2 DIABETES MELLITUS PATIENTS: A QUALITATIVE STUDY

2020 ◽  
Vol 9 (2) ◽  
pp. 87-94
Author(s):  
Yulia Kurniawati ◽  
Ninuk Dian Kurniawati ◽  
Ririn Probowati

Background: Physical activity as one of diabetes management plays important role in maintaining glycemic control. Not all diabetics are doing adequate physical activity. Especially for recently diagnosed type 2 Diabetes Mellitus patients with the characteristic haven’t adopt diabetes management properly.Objectives: The aim of this study to reveal the barriers in physical activity that faced by recently diagnosed type 2 Diabetes Mellitus patients.Methods: Qualitative study with phenomenological approach was conducted in 10 recently diagnosed type 2 Diabetes Mellitus patients in Primary Health Care Kedungdoro and Asemrowo, Surabaya. The participants were selected based on inclusion criteria, namely patients aged 25-45 years old, under 6 months diagnosed, spoke in Indonesian or Javanese well. The exclusion criteria were patients with complication. Semi-structured in-depth interviews guided by interview guideline was conducted to obtain the information about barrier in physical activity. There were six questions in interview guideline. Then data from interview was analyzed by Colaizzi method.Results: Two themes were emerged as barriers in physical activity namely time expenditure and health literacy. Participants’ time expenditure refers to the limited time in doing physical activity, namely obligation to others and lack of spare time. Health literacy refers to the ability in searching and using health information. The barrier in health literacy aspect namely physical activity substitute and different information that got from others.Conclusion: The barriers of physical activity were problem in time flexibility, activity substitute, and need for straightening various information. Using media technology and involving family to promote and remind the physical activity can be suggested. Keywords: Barriers, Diabetes Mellitus Type 2, Recently Diagnosed, Physical Activity

2020 ◽  
Author(s):  
Jiong Tu ◽  
Yuyang Liu ◽  
Xueji Wu ◽  
Dong Xu ◽  
Jing Liao

Abstract Introduction Diabetes management permeates patients’ daily routines and interacts with their living context. Less is known about how older Chinese couples view their supportive roles and the allocation of the management responsibility between them. Objectives To explore dyadic appraisal, coping and the barriers to diabetes management shared by older Chinese couples. Methods A qualitative study of older couples where at least one partner had type 2 diabetes mellitus was implemented in four communities of Guangzhou, China. Four focus groups containing 11 couples, and ten in-depth interviews with individual couples were conducted sequentially. All of the data were coded with Nvivo 11 using thematic analysis. Results The majority of the older couples interviewed appraised diabetes as a shared problem, taking part in monitoring and altering each other’s health status and behaviour. Limited knowledge and a lack of accurate information about diabetes negatively impacted the patients’ self-management and their spouse’s ability to support them. A female dominated-care pattern was evident that female spouses, regardless of their health status, were actively involved in or fully responsible for managing their husband’s health. Older couples’ management practices were also shaped by family responsibilities and their living environment. Conclusions Our study provides first-hand evidence of older Chinese couples’ daily interactions and the main barriers to diabetes management. It is vital to provide health education directly to older couples to empower them to access adequate mutual support when managing chronic diseases.


2021 ◽  
Vol 6 (1) ◽  
pp. 279-288
Author(s):  
Nadia Amirudin ◽  
Albeny Joslyn Panting ◽  
Rosnani Kassim ◽  
Norbaidurah Ithnain

The use of herbal medicine (HM) and its products has significantly increased in the past decade. Type 2 Diabetes mellitus patients (T2DM) are always rendering herbal medicine as an alternative to the current option of treatment to manage their disease. This article is aimed to explore the extent of communication process of patients who disclose their HM usage to healthcare providers (HCPs) and HCP’s experiences in managing these patients. Purposive sampling method was applied in this qualitative study, which involved 28 respondents from four government clinics in Negeri Sembilan, Malaysia. A semi-structured interview was developed for the in-depth interview (IDI) and focus group interview (FGD). Both IDIs and FGDs were audio-recorded and conducted for approximately (40–60) minutes. The contents were transcribed verbatim and thematically analysed. The majority of T2DM patients did not reveal their HM usage due to fear of negative feedback, never been inquired by HCP and bad experiences after disclosure. Whereas, patients will disclose if they have a good rapport with HCPs and HCP asked patients courteously. However, HCPs reported that they did not discuss HM usage with patients due to limited knowledge, patients refuse to admit and time constraint to consult patients. Communication between T2DM patients and HCPs during consultation concerning the proper use of HM alongside modern medicine needs to be improved. Therefore, a better understanding factor of HM usage and its disclosure would make patients more open-minded to discuss and encourage HCPs to be attentive to avoid any potential adverse effects in HM usage.


Metabolism ◽  
2006 ◽  
Vol 55 (10) ◽  
pp. 1382-1387 ◽  
Author(s):  
Paul Araiza ◽  
Hilary Hewes ◽  
Carrie Gashetewa ◽  
Chantal A. Vella ◽  
Mark R. Burge

Gene ◽  
2014 ◽  
Vol 534 (2) ◽  
pp. 352-355 ◽  
Author(s):  
Linlin Li ◽  
Kaiping Gao ◽  
Jingzhi Zhao ◽  
Tianping Feng ◽  
Lei Yin ◽  
...  

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