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.

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 known type 2 diabetic patients in Haldwani, India: a community based cross-sectional study

2019 ◽  
Vol 6 (4) ◽  
pp. 1740 ◽  
Author(s):  
Neha Goyal ◽  
Sudhir Kumar Gupta
Keyword(s):  
Self Care ◽  
Cross Sectional Study ◽  
Blood Glucose Monitoring ◽  
Care Practice ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Care Practices

Background: The prevalence of diabetes worldwide is expected to rise to 9.9% by 2045 and with this rising prevalence raises the need for good self-care practices by patients themselves, which play a key role in effective management and prevention of complications.Methods: Present community-based cross-sectional study was conducted among 168 type 2 diabetes mellitus patients by interviewing them using a structured questionnaire assessing their self-care practices using summary of diabetes self-care activities (SDSCA) scale. Different domains were diet, exercise, blood glucose monitoring, medication compliance, foot care and smoking and responses were graded according to number of days in previous week a particular self-care activity of a domain was followed. Data analysis was done with help of SPSS version 21.Results: Mean age of diabetic patients in this study subjects was 54.37±13.24 years. 43.45% respondents have poor self-care practice scores. Bivariate analysis showed that self-care practices were significantly poorer among the diabetic patients less than 60 years of age, residing in rural area, either illiterate or studied till primary/intermediate, had diabetes for less than a year and were taking treatment from public health facilities. Poor self-care practices were insignificantly related with gender, marital status, occupation, monthly family income, type of family, food habits, hypertension as comorbidity, family history, BMI and mode of diagnosis. Multivariate analysis indicates that age, education and duration of diabetes are significant predictors for self-care practices.Conclusions: Self-care practices among diabetic patients were poor among 43.45% patients and there is a need for improving them across all assessed domains. 

scholarly journals Perceived self-efficacy and self-care practices among diabetic patients in a Tertiary Hospital, Nepal

2021 ◽  
Vol 5 (1) ◽  
pp. 25-32
Author(s):  
N. Dwa ◽  
B. Panthee
Keyword(s):  
Self Efficacy ◽  
Self Care ◽  
Public Health Problem ◽  
Care Practice ◽  
Diabetic Patients ◽  
Major Public Health Problem ◽  
Foot Care ◽  
Cross Sectional ◽  
Quality Life ◽  
Care Practices

Background: Diabetes Mellitus (DM) is a major public health problem worldwide and Nepal is not an exception. Complications of DM are in rise which results in major disabilities and poor quality of life. But evidences show that adoption of self-care practices can prevent those complications leading a healthy and quality life. Self-care practice is closely related to self-efficacy. Thus, present study aimed to assess perceived self-efficacy and self-care practices and to examine relationship between perceived self-efficacy and self-care practice of patients with Diabetes. Methods: This analytical cross-sectional study conducted in Patan Hospital among 100 patients was reviewed and approved by Institutional Review Committee. Samples were selected purposively and data was collected by face to face interview technique. Diabetes Self-Efficacy Scale and self-care practice questionnaire was used to measure self-efficacy and self-care practice, respectively. Results: Fifty nine percent and 81% of participants had moderate level of perceived self-efficacy and good self-care practice, respectively. There was significant moderate positive (r=0.62, p<0.001) correlation between perceived self-efficacy and self-care practice even after controlling the variables (e.g. age, gender and participation in educational program regarding self-care). Conclusion: The self-efficacy of participants was moderate and self-care practice was good. However, self-care practice was very low on foot care and exercise. The significant positive relationship between perceived self-efficacy and self-care practice highlights the need for conducting educational activities for patients with DM to increase self-efficacy thereby increasing self-care practice.  

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 A STUDY ON KNOWLEDGE, ATTITUDES, AND PRACTICES FOR THE PREVENTION OF DIABETIC FOOT IN RURAL TERTIARY CARE TEACHING HOSPITAL

2017 ◽  
Vol 9 (9) ◽  
pp. 138
Author(s):  
Gopal Teli ◽  
B. G. Ponnappa
Keyword(s):  
Diabetic Foot ◽  
Tertiary Care ◽  
Self Care ◽  
Research Centre ◽  
Care Practice ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
The Mean

Objective: To assess the knowledge, attitude, and practice of diabetic patients regarding care of their own feet.Methods: This is a cross-sectional study conducted in the inpatient department of surgery at Adichunchanagiri hospital and research centre, B. G. Nagara, Karnataka, India from 1st Nov. 2016 to 31st Dec. 2016. The relation between gender and knowledge, attitude and practices of people with diabetes patients were compared by using the Chi-square test at 95% confidence interval at p<0.05.Results: Out of 51 patients, 72.54% were male and 27.46% female and 45.1% of the patients were in the age range 61-80 y. The mean SD of the age was 60.49±14.02. The mean SD of body weight of the patient was 66.17±8.54. The majority of the patients 45.1% were farmers and 41.7% were illiterate. Most of them did not know the practice of correct foot hygiene (39.22%) and what abnormalities observe in their feet (66.67%). We found that 90.2% patients were engaged in foot self-care practice and more than half of them (54.1%) always inspected their footwear before using it. Interestingly, more women were involved in foot care (100%) as compared to men (86.46%) but statistically not significant (p=0.147).Conclusion: We found that patients were not having sufficient knowledge about the correct hygiene of the foot, what abnormalities to observe in their feet and about ideal footwear. Even though females were showing interest towards self-care examination and foot care practice, it is essential that all the diabetic patients must be educated about the knowledge, attitude and foot self-care practice to prevent diabetic foot related complications.

scholarly journals KNOWLEDGE AND SELFCARE PRACTICES AMONG DIABETICS

2017 ◽  
Vol 10 (12) ◽  
pp. 234
Author(s):  
Sheeba S ◽  
Sneha Ak ◽  
Veena Biju
Keyword(s):  
Type 2 Diabetes ◽  
Survey Design ◽  
Medical Science ◽  
Self Care ◽  
Sampling Technique ◽  
Ideal Body Weight ◽  
Care Practice ◽  
Foot Care ◽  
Care Practices

Objective: The objectives of the study were to assess the knowledge and self-care practices among patients with type 2 diabetes mellitus.Methods: Quantitative approach with descriptive survey design and convenience sampling technique was used. The study was conducted among 100 patients with type 2 diabetes mellitus, from the Inpatient and Outpatient Department of Amrita Institute of Medical Science, Kochi. A structured knowledge questionnaire and structured practice assessment questionnaire were used to assess the knowledge and self-care practices of the subjects.Result: Result shows that 77% subjects had good knowledge regarding diabetes and majorityof the subjects had good level of self-care practices. 63% of subjects regularly monitoring blood glucose level, 72% following proper diet, 88% of subjects taking regular medication, 84% of subjects follow proper eye care, 79% of subjects follow proper foot care, 57% of subjects maintaining ideal body weight, and only 46% of subjects doing regular exercise. There was a positive relationship (r=0.09) between level of knowledge and self-care practice of the subjects and no significant association between knowledge level and selected sociodemographic variables.Conclusion: It is important that the patient should have adequate knowledge regarding diabetes and they should follow proper self-care practices to prevent further complications.

scholarly journals Diabetic Foot Care - A Public Health Problem

2011 ◽  
Vol 12 (2) ◽  
pp. 109-114 ◽  
Author(s):  
Jamil Ahmed Somroo ◽  
Anjum Hashmi ◽  
Zafar Iqbal ◽  
Aslam Ghori
Keyword(s):  
Diabetic Foot ◽  
Fungal Infections ◽  
Public Health Problem ◽  
Global Scale ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Foot Health ◽  
Care Practices

Background: Diabetes is global epidemic with devastating human, social and economic consequences. The disease claims as many lives per year as HIV/AIDS and places a severe burden on healthcare systems and economies everywhere, with the heaviest burden falling on low- and middle-income countries. Despite this, awareness of the global scale of the diabetes threat remains pitifully low, inappropriate diabetic foot care affects, feet health leading to callosities, cracks, fissures, fungal infections, ingrown toe nails and patients end up in ulcers and amputations. Objectives: To assess diabetic patients taking proper foot care according to International Guidelines and its impact on their foot health. Methods: A cross sectional study was conducted at outdoor patients department of Medicine, Liaquat University of Medical Sciences Hospital Hyderabad from 17th January 2008 to 16th January 2009. 100 diabetic patients were selected by non probability convenience sampling according to Performa having questions regarding diabetic foot care derived from American Diabetic Association Guidelines for Diabetic Foot care. Results: Diabetic patients taking proper foot care was only 6%. There were 45(45%) males and 55(55%) females. Mean age was 51.57+10.72 years. 38% patients knew about foot care. 17% used to inspect their feet daily, 20% washed their feet daily, while 73% washed their feet more than once. 23% patients dried their feet after every foot wash, 27% applied emollients, 25% checked shoes before wearing, 24% used to wear correct shoes, 8% used to wear cotton socks and 36% used to walk bare feet. Foot care practices on foot health has statistically highly significant association (p<0.01) e.g. number of foot washes with foot hygiene, fungal infections with proper foot drying, emollient application with skin texture, cracks and fissures. Associations of proper foot care were statistically significant with literacy status of patients and foot care teachings (p<0.05). Conclusion: Few diabetic patients are taking proper foot care. Proper Foot care practices were associated with provision of education of foot care and literacy status of patients. Community health education programs regarding diabetic foot care will likely to reduce diabetic foot complications. Keyword: Diabetes, Foot care education, Diabetic foot care, Diabetic foot, Ulceration; Prevention. DOI: http://dx.doi.org/10.3329/jom.v12i2.7604 JOM 2011; 12(2): 109-114

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 Knowledge on Hypertension and Self-Care Practice among Adult Hypertensive Patients at University of Gondar Comprehensive Specialized Hospital, Ethiopia, 2019

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Chanyalew Worku Kassahun ◽  
Ayele Asasahegn ◽  
Desalegn Hagos ◽  
Elshaday Ashenafi ◽  
Firegenet Tamene ◽  
...  
Keyword(s):  
Self Care ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Good Knowledge ◽  
Care Practice ◽  
Limited Information ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Specialized Hospital ◽  
Study Participants

Background. Patients with hypertension need to be aware of various aspects of hypertension and exercise self-care. But, there is limited information regarding this issue. Objective of the Study. This study was designed to assess knowledge on hypertension and self-care practice among adult hypertensive patients in the University of Gondar Comprehensive Specialized Hospital, Ethiopia. Materials and Methods. Descriptive cross-sectional study was conducted among 384 hypertensive patients from April to May 2019. The study participants were selected using a systematic random sampling technique. Data were collected using a pretested interviewer-administered questionnaire. Descriptive statistics such as percentage and frequency of patients’ knowledge on hypertension and their self-care practice were computed. Cross-tabulation was used to see the frequency and percentage of selected sociodemographic variables and knowledge level with self-care practice subscales. Finally, the results were summarized and presented in texts, figures, and tables. Results. Among the study participants, 215 (56%) and 228 (59.4%) had good knowledge and self-care practice towards hypertension, respectively. The participants who had good knowledge had good self-care practice frequency. Conclusions. In this study, knowledge on hypertension was low, while self-care practice was moderate on the self-care interventions. Hence, increasing patients’ awareness and intervention on medication adherence, low salt diet consumption, physical activity, weight management, cigarette smoking cessation, and alcohol consumption reduction is important.

scholarly journals Foot Care Practice and Associated Factors among Patients with Lymphoedema in Boreda District, Gamo Zone, SNNPR, Ethiopia, 2020. Implications for Elimination of Podoconiosis and Lymphatic Filariasis

2021 ◽  
Author(s):  
Chuchu Churko ◽  
Tsegaye Yohanes ◽  
Alemayehu Bekele Kassahun ◽  
Nathan Desalign ◽  
Gisila Endashaw ◽  
...  
Keyword(s):  
Lymphatic Filariasis ◽  
Associated Factors ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Care Practice ◽  
Foot Care ◽  
Cross Sectional ◽  
Negatively Associated

Abstract Background: Lymphatic filariasis is ranked as the second leading cause of disability world-wide. The current global programme to eliminate lymphatic filariasis is based on the interruption of transmission and the alleviation of disability and suffering. Objective: to assess foot care practice and associated factors among lymphoedema patients in Boreda district, Gamo zone Southern Ethiopia.Methods: a community based cross sectional study was employed from December 2020 to June 2021 in Boreda district. Simple random sampling technique was used for selecting participants. Pretested structured interviewer administered questionnaire was prepared in English and translated to local language. Findings: a total of 280 lymphedema patients were involved in this study. More than half 153 (54.6%) had poor practice towards foot care practice with 95% CI (48.7%, 60.4%). Patients who fetched 50 litres or below and wore shoes at the age above 20 years were negatively associated with foot care practice, (AOR=0.383, 95%CI: 0.155, 0.945) and (AOR=0.261, 95%CI: 0.107, 0.63), respectively. Patients who owned only one pair and two pairs were negatively associated with foot care practice (AOR=0.04, 95%CI: 0.009, 0.182) and (AOR=0.27, 95%CI: 0.087, 0.85), respectively. On the other hand, attending LMMDP service and frequency of adenolymphangitis once and twice or more per month were positively associated with foot care practice (AOR= 3.339, 95%CI: 1.53, 7.285) and (AOR=8.15, 95% CI: 3.157, 21.058) and (AOR=9.35, 95% CI: 3.118, 28.059), respectively.Conclusion: this study indicated foot care practice among lymphedema patients in Boreda district was poor. Number of litre of water fetched per day, age at which shoes first worn, number of shoes owned, attending LMMDP and frequency of adenolymphangitis were significantly associated with foot care practice. Standard foot care practice should be emphasized to control progression of lymphedema.

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