scholarly journals Functional capacity and self-care in older adults with diabetes mellitus

Aquichan ◽  
2020 ◽  
Vol 20 (3) ◽  
pp. 1-11
Author(s):  
Mateus Carneiro Vicente ◽  
Cleane Rosa Ribeiro da Silva ◽  
Cláudia Jeane Lopes Pimenta ◽  
Thaíse Alves Bezerra ◽  
Hannah Karolyne Vieira de Lucena ◽  
...  
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Older Adults ◽  
Functional Capacity ◽  
Statistical Significance ◽  
Self Care ◽  
Functional Independence ◽  
Cross Sectional ◽  
Mean Values ◽  
Care Practices

Objective: To correlate functional capacity and self-care in older adults with diabetes. Method: A cross-sectional and quantitative study, carried out with 189 older adults with diabetes mellitus treated at an endocrinology outpatient clinic. The structured instrument to obtain sociodemographic and clinical data, the Barthel Index, and the Diabetes Self-Care Activities Questionnaire were used. Data was analyzed with descriptive and inferential statistics. Results: Most of the older adults were independent and had high mean values of adherence to self-care. There was a positive correlation with statistical significance between functional capacity and the domains of self-care activities related to physical activity and care with the feet. Conclusions: Functional capacity showed a positive relationship with items related to physical activity and care with the feet. Functional independence in the older adult can influence adherence to self-care practices facing diabetes mellitus.

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 Diabetes self-care practices and resilience in the Brazilian COVID-19 pandemic: results of a web survey: DIABETESvid

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Bárbara Aparecida Binhardi ◽  
Carla Regina de Souza Teixeira ◽  
Bianca de Almeida-Pititto ◽  
Francisco Barbosa-Junior ◽  
Laercio Joel Franco ◽  
...  
Keyword(s):  
Physical Activity ◽  
Great Part ◽  
Self Care ◽  
Healthcare Services ◽  
Survey Study ◽  
Web Survey ◽  
Eastern Region ◽  
Cross Sectional ◽  
Social Distancing ◽  
Care Practices

Abstract Background The world guidance on the measures of social distancing for prevention of COVID-19 has changed the daily habits of great part of the population, and this could influence the care and resilience with diabetes during situations of adversity. This study aimed at assessing the characteristics of diabetic individuals and self-care practices and resilience with diabetes in the context of the COVID-19 pandemic in Brazil. Methods This is a cross-sectional web survey study carried out among adults with diabetes, in which a structured 43-item questionnaire was conducted on the REDCap plataform, including the Diabetes Self-Care Activities Questionnaire and Connor-Davidson Resilience Scale, to measure socio-demographic and clinical characteristics. The web survey was disseminated through the main social media and data were collected from September 1st to October 19th, 2020. Data analysis was performed according to type of diabetes mellitus (DM) and at a significance level of 5% (p < 0.05). Results Of the 1633 participants, 67.5% were women, 43.2% aged between 35 and 59 years old, 68.0% lived in the south-eastern region of Brazil, 57.1% had a high education level, 49% reported to have DM1 and 140 participants reported to have had COVID-19. Diabetes care mostly involved the use of medications (93%), whereas the least used ones were physical activity (24.6%) and examination of the shoes (35.7%). About 40% of the participants reported to be followed up by telemedicine, 61.5% monitored the glycaemic levels, 61.2% followed a healthy diet and 43.4% left home only to go to the supermarket and drugstore. The mean resilience was 25.4 (SD = 7.7). Conclusions In Brazil, individuals with diabetes followed social distancing and maintained their medication treatment for DM. However, practice of physical activity and foot examination was little followed by the participants, who also had a low level of resilience. These findings showed the importance of patient follow-up in the healthcare services, meaning that telemedicine should be improved and support provided for adaptation in view of the therapeutic setbacks.

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 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 Functional capacity assessment of long-lived older adults from Amazonas

2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 49-55 ◽  
Author(s):  
Daiane de Souza Fernandes ◽  
Lucia Hisako Takase Gonçalves ◽  
Angela Maria Rodrigues Ferreira ◽  
Maria Izabel Penha de Oliveira Santos
Keyword(s):  
Older Adults ◽  
Functional Capacity ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
High Energy ◽  
Capacity Assessment ◽  
Cognitive Screening ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

ABSTRACT Objective: To evaluate the functional capacity of long-lived older adults from Amazonas. Method: A cross-sectional epidemiological study was carried out with 116 older adults aged 80 years or older, registered in a primary health care unit in Belém, in the state of Pará, Brazil. The Functional Independence Measure (FIM) was used for functional capacity assessment and the Mini-Mental State Examination (MMSE) for cognitive screening. Univariate and bivariate analyses were carried out, in addition to the Pearson’s chi-square test. Results: The older adults presented modified independence in the self-care, sphincter control and locomotion dimensions, and needed supervision for mobility/transfers. In mobility, men presented complete independence. Modified independence was found in the 80-89 age group. It was observed that, the lower the education level, the worse the cognitive performance. Conclusion: In spite of their advanced age, long-lived older adults still present functional capacity for activities of daily living, even though they required supervision for high energy expenditure tasks, such as mobility and transfers.

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.

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 Abdominal obesity and healthcare costs related to hypertension and diabetes in older adults

2017 ◽  
Vol 30 (2) ◽  
pp. 209-218 ◽  
Author(s):  
Denise Rodrigues BUENO ◽  
Maria de Fátima Nunes MARUCCI ◽  
Luiza Antoniazzi GOUVEIA ◽  
Yeda Aparecida de Oliveira DUARTE ◽  
Maria Lúcia LEBRÃO
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Older Adults ◽  
Waist Circumference ◽  
Healthcare Costs ◽  
Hospital Admissions ◽  
Abdominal Fat ◽  
Outpatient Services ◽  
Cross Sectional ◽  
High Waist Circumference

ABSTRACT Objective: To analyze the association between excess abdominal fat and healthcare costs related to hypertension and diabetes Mellitus in older adults. Methods: These cross-sectional analyses are part of the Health, Wellbeing and Aging Study conducted in São Paulo, Brazil, with 806 older adults with self-reported hypertension and diabetes Mellitus. The study included the annual costs with medicines, hospital admissions, and outpatient services for hypertension and diabetes Mellitus control. Excess abdominal fat was diagnosed based on waist circumference. Level of physical activity, age, and gender were considered covariates. The sample was divided into two groups according to waist circumference. Multiple logistic regression analyzed the associations between annual costs and waist circumference. Results: The cost of services and hospitalizations (R$551.05; 95%CI=418.27-683.83) and total costs (R$817.77; 95%CI=669.21-966.33) were higher in the excess abdominal fat group. Older adults with high waist circumference had higher odds of increasing annual costs due to medicines (OR=2.6; 95%CI=1.13-3.77), regardless of gender, age, and level of physical activity. Conclusion: Healthcare costs for treating hypertension and diabetes Mellitus in older adults are higher in the presence of excess abdominal fat.

scholarly journals Self-care activities and their relationship to metabolic and clinical control of people with diabetes Mellitus

2015 ◽  
Vol 24 (3) ◽  
pp. 697-705 ◽  
Author(s):  
Anna Claudia Martins Coelho ◽  
Lilian Cristiane Gomes Villas Boas ◽  
Daniele dos Santos Gomides ◽  
Maria Cristina Foss-Freitas ◽  
Ana Emilia Pace
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Glucose Monitoring ◽  
Self Care ◽  
Disease Diagnosis ◽  
Cross Sectional Study ◽  
Blood Glucose Monitoring ◽  
Foot Care ◽  
Cross Sectional ◽  
Clinical Control

Cross-sectional study with the aim to evaluate self-care in people with type 2 diabetes mellitus and verify its relationship with sociodemographic and clinical characteristics. The sample included 218 patients under outpatient follow-up. Self-care activities were evaluated by means of a questionnaire that was previously translated and validated for Brazil. The questionnaire items that reached the highest means were related to drug therapy, whereas those with the lowest means were related to the practice of physical activity. Age correlated inversely with physical activity and foot care, and elapsed time since the disease diagnosis showed a direct correlation with blood glucose monitoring. Data showed that self-care activities related to behavioral changes are the ones that require greater investments to achieve its goals, and age and time since diagnosis should be considered in the planning of nursing care for people with diabetes mellitus.

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