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.

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

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 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 The Model of Self Care Behaviour and the Relationship with Quality Of Life, Metabolic Control and Lipid Control of Type 2 Diabetes Mellitus Patients in Binjai City, Indonesia

2018 ◽  
Vol 6 (9) ◽  
pp. 1762-1767 ◽  
Author(s):  
Rina Amelia
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Metabolic Control ◽  
Self Care ◽  
The Self ◽  
Lipid Control ◽  
Diabetes Patients

BACKGROUND: Diabetes is a type of chronic disease with exceptional medical care for a patient's lifetime, which ultimately requires lifestyle and behavioural adjustments to prevent complications to death. Patients with good self-care behaviour will cause diabetes to be controlled to avoid complications to death and make patients have a better quality of life. AIM: This study aims (1) to determine the model of self-care behaviour in Type 2 diabetes patients in Binjai City (2) to analyse the effect of self-care behaviour on quality of life, metabolic control and lipid control of Type 2 diabetes patients in Binjai City. METHODS: This type of research is survey-based and explanatory using a cross-sectional approach. The study population was Type 2 Diabetes Mellitus (T2DM) patients who remained patients in 8 primary health centres in Binjai City. The consecutive sampling yielded a sample size of 115 people. Data analysis method uses descriptive statistics and Structural Equation Modeling (SEM) using SPSS and Amos 16.0. RESULTS: The results showed that all factors that build T2DM patient self-care behaviour were able to be predictors that shape the patient's self-care behaviour. The self-care behaviour model consists of knowledge, attitudes, communication, financing, family support, motivation, and self-efficacy. Motivation is the most significant predictor of its contribution to the self-care behaviour of Type 2 diabetes patients. Self-care behaviour was also known to be significantly related to the quality of life, metabolic control and lipid control of T2DM patients (p < 0.05). CONCLUSION: Self-care behaviour in T2DM patients can have a substantial and significant impact on quality of life, metabolic control and lipid control possessed by Type 2 Diabetes patients.

scholarly journals Self-care adherence and affective disorders in Barbadian adults with type 2 diabetes

2021 ◽  
Vol 9 (1) ◽  
pp. 62-72
Author(s):  
Allison DaSantos ◽  
◽  
Carlisle Goddard ◽  
Dalip Ragoobirsingh ◽  
◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Diabetes Management ◽  
Behavioral Problem ◽  
Self Care ◽  
Self Report ◽  
Diabetes Distress ◽  
Glucose Testing ◽  
Blood Glucose Testing ◽  
Distress Scale

<abstract><sec> <title>Purpose</title> <p>Diabetes management requires adherence to complicated self-care behaviors. Therefore, the emotional state of the individual living with diabetes, is likely to affect their ability to comply with recommendations. This study explored the relationship of self-care adherence to diabetes distress and depression in Barbadian adults with type 2 diabetes.</p> </sec><sec> <title>Methods</title> <p>Adults aged 20 to 80 years, with type 2 diabetes, completed self-report questionnaires comprised of a profile section consisting of demographic and clinical characteristics; and standardized questionnaires comprising, The Diabetes Distress Scale (DDS), The Patient Health Questionnaire (PQH-9), and the Summary of Diabetes Self-care Activities Scale (SDSCA). Additionally biological measures (BP and HbA1c) were collected.</p> </sec><sec> <title>Results</title> <p>For the 509 participants there were no differences in adherence for males (30.8%) and females (69.2%), high diabetes distress and depression were associated with low adherence. General diet was negatively associated with BP and HbA1c; while HbA1c was positively correlated with blood glucose testing.</p> </sec><sec> <title>Conclusion</title> <p>Self-care non-adherence is more than a behavioral problem; it is a multidimensional phenomenon inclusive of demographic factors, condition or disease factors, psychological and social factors.</p> </sec></abstract>

Factors influencing patients' hypertension self-management and sustainable self-care practices: a qualitative study

Public Health ◽  
2019 ◽  
Vol 173 ◽  
pp. 5-8
Author(s):  
H. M. Yatim ◽  
Y.Y. Wong ◽  
C.F. Neoh ◽  
S.H. Lim ◽  
M.A. Hassali ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Self Care ◽  
Self Management ◽  
Factors Influencing ◽  
Care Practices

Self-care experiences of older patients with diabetes mellitus: A qualitative systematic literature review

2019 ◽  
Vol 40 (2) ◽  
pp. 64-72
Author(s):  
Sandra Pennbrant ◽  
Ann Berg ◽  
Leone Fohlin Johansson
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Older Patients ◽  
Self Care ◽  
Glucose Testing ◽  
Dietary Requirements ◽  
Patients With Diabetes ◽  
Blood Glucose Testing ◽  
Care Support

Diabetes is a growing health problem and risk increases with age. Self-care is an important part of treatment. The aim of this qualitative systematic literature review was to investigate how older patients with diabetes experience self-care. A systematic literature review relating to older patients, diabetes and self-care was conducted. Systematic searches were carried out in the CINAHL, PubMed/MEDLINE and PsycINFO databases. The results show that older patients with diabetes are mainly concerned with the issues of blood glucose testing, dietary requirements, information about diabetes, motivation and support. To support safe self-care for older patients with diabetes, nurses need opportunities to increase their knowledge and reflection about diabetes and safe self-care support. Further research is needed to identify how nurses can promote older patients’ self-care and quality of life in the context of a person-centred approach.

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