Promoting Participation in Self Care Management among Patients with Diabetes Mellitus: An Application of Peplau's Theory of Interpersonal Relationships

2017 ◽  
Vol 9 (4) ◽  
pp. 129
Author(s):  
Sandra Fernandes ◽  
Shobha Naidu
2020 ◽  
Vol 16 (6) ◽  
pp. 598-607 ◽  
Author(s):  
Rebeca Barbosa da Rocha ◽  
Cristiano Sales Silva ◽  
Vinícius Saura Cardoso

Background: Self-care is essential for the prevention of complications in patients with diabetes, but several authors report that even with health education programs, the incidence of complications in patients with diabetes continues to increase. Objective: We aimed to examine adherence to self-care strategies and the repercussions of adherence on the clinical profiles of individuals with type 2 diabetes. Methods: We performed a systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. We searched for related studies in 4 databases: PubMed, Web of Science, Scopus, and Latin American and Caribbean Health Science Literature (LILACS). We included observational studies in English and Portuguese that evaluated the effects of selfcare in individuals with type 2 diabetes. Results: The search resulted in the identification of 615 articles, of which 34 met all the inclusion criteria. General self-care was considered unsatisfactory. Physical exercise was classified as the self-care activity that was performed less frequently by individuals with type 2 diabetes mellitus; adherence to medication was the most frequent behavior among volunteers. Conclusion: The studies indicated poor adherence of the population to good self-care practices, reflected by the increase in complications related to DM.


2019 ◽  
pp. 28
Author(s):  
Maraeh Angela Mancha ◽  
B.R.G. Marie ◽  
E.C. Ela Shyr ◽  
Racquel Tayor ◽  
Cruz ◽  
...  

Background: The purpose of the study is to determine the effectiveness of web-based self-care management program for type 2 diabetes mellitus through sharing evidenced-based information about Diabetes through the use of a web-based module. Materials and methods: The study used the quasi-experimental pre and posttest design to determine the effectiveness of a web-based self-care management program in the management of patients with type 2 Diabetes mellitus (DM). The study was conducted in three phases and acquired 30 purposively selected type 2 DM adult patients. The study used a web-based self-care management program that included basic information about Type 2 Diabetes mellitus using three designed modules specifically for diet, exercise and drug management. Results: The patient status during the pre and post-intervention phase is an FBS reading of 152 mg/dl or diabetes stage to pre-diabetes stage (119 mg/dl), normal BMI (22), low risk for obesity WHR and barely satisfactory to satisfactory level of knowledge to diabetes and DM management. There is very significant difference (p=<000) in the pre and post FBS reading of patients and the level of knowledge to diabetes and DM management after the web based DSME while there is no significant difference in the BMI and WHR. There is very significant difference (p=<000) in the RBS readings of the patients during the 1st, 2nd and 3rd phases of the intervention of .web based DSME (p=<000) post hoc analysis with Wilcoxon Signed Rank Test revealed that there is very significant difference (p=<000) between groups. Conclusion: The use of web-based self-care management program is effective in improving FBS/RBS and level of knowledge to diabetes and DM management of patients with type 2 diabetes mellitus but needed longer intervention to improve BMI and WHR .Nurses as part of the DSME group and as health educator may use technology in giving health education to patients to improve patients self-management to diabetes.


2020 ◽  
Vol 3 (1) ◽  
pp. 54-65
Author(s):  
Lola Despitasari

Diabetes Mellitus tipe 2 merupakan hasil dari kegagalan atau penolakan tubuh mnggunakan zat insulin (resistensi insulin). Pada orang dengan diabetes tipe 2 diperlukan self care management untuk mengelola penyakitnya. Diabetes knowledge, self efficacy, self care agency merupakan faktor internal yang mempengaruhi self care management. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor internal yang mempengaruhi self care management pada pasien diabetes mellitus tipe 2 di poli klinik khusus penyakit dalam RSUP. Dr. M. Djamil Padang. Jenis penelitian ini bersifat deskriptif analitik melalui pendekatan cross sectional. Penelitian ini  dilakukan di Poli Klinik Khusus Penyakit Dalam RSUP Dr. M. Djamil Padang. Sampel berjumlah 60 orang dengan teknik accidental sampling, dan instrumen penelitian menggunakan kuesioner SDSCA, ASAS-R, DMSES, dan kuesioner diabetes knowledge. Analisis data bivariat menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa 56.7% responden memiliki self care management yang kurang baik, 50% responden dengan self care agency kurang baik, 46.7% responden dengan self efficacy kurang baik, dan 61.7% responden dengan diabetes knowledge kurang baik. Terdapat hubungan antara self care agency, self efficacy, dan diabetes knowledge dengan self care management dengan nilai p value (≤ 0.05). Terdapat hubungan antara self care agency, self efficacy, dan diabetes knowledge dengan self care management di poli klinik khusus penyakit dalam RSUP Dr. M. Djamil Padang. Disarankan kepada pasien diabetes mellitus tipe 2 untuk meningkatkan self care agency, self efficacy, dan diabetes knowledge nya. Kata Kunci : Diabetes mellitus tipe 2, self care management, self care agency, self efficacy, diabetes knowledge


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