scholarly journals Understanding Patients Experiences Living with Diabetes Mellitus: A Qualitative Study, Gujarat, India

2021 ◽  
pp. 464-471
Author(s):  
Angel Christian ◽  
Kailash Nagar
Keyword(s):  
Diabetes Mellitus ◽  
Life Style ◽  
Family Income ◽  
Communicable Disease ◽  
International Diabetes Federation ◽  
Sampling Technique ◽  
Structured Interview ◽  
Social Dimension ◽  
Work Place ◽  
Long Term Treatment

Introduction: Diabetes mellitus is leading health problem in India. India is experiencing the burden of communicable disease as well as non-communicable disease. It is believed due to unhealthy life style and faulty food habits. The International Diabetes Federation estimated that 72.9 million adults in India were living with diabetes in last four years. The study overviews the different factors like personal, familial, social, and financial affecting the life style and management of the disease.  Thus, diabetes mellitus affects all the dimensions of health of an individual. The aims of the study to assess quality of life and experiences faced by the patients who are suffering from diabetes mellitus and how the progressive stage of the diseases altered the all the dimensions. Objectives: To explore the lived in experiences of diabetes mellitus patients. To explore the various dimensions of the lived in experiences of diabetes mellitus patients. Materials and Methods: A qualitative, exploratory and descriptive design was used to explore and describe the experiences lived by participants suffering from diabetes in the selected areas of Kheda district Gujarat. The investigator used the phenomenological approach of the qualitative paradigm. The study conducted among 10 samples who are suffering from Diabetes Mellitus more than 07 years, sampling technique used was non-probability. Semi structured interview questions were used to conduct the detail history from the participants, where investigator has attain at least 6 to 8 sitting, (duration 30-45 Min.) with each participants. The investigator used local language for the interview and recorded in mobile, later all the recorded session has been verbatim according to the themes and sub-themes. Results: The study resulted in the extraction of six themes, which reflect the experiences of the study participants. The themes are: 1) lived time; 2) lived body; 3) lived relationship; 4) lived economical; 5) lived vocational and 6) lived spiritual. It was found that diabetes still causes participants to suffer from fear, depression and anxiety along with they hate to have modification in dietary pattern in which they cannot have sweets and sweet products. Although emotional support was provided by the family members and friends. Participant’s absence from work in their early diagnosis was due to both their health conditions and emotional embarrassment. There are evidences that diabetes has psychological damage to patient’s life and so they feel more anxious and fatigue. Conclusion: The study attempted to explore the lived in experiences of Diabetes Mellitus Patients and it was found that DM has affected all the dimensions of health especially in physical, psychological and economical dimensions. 1) In Physical dimension the patients were having common complaints of giddiness, weakness and headache which was leading them to certain problems. 2) In psychological dimension the patients were having more anxiety, fear regarding the disease and long term treatment along with depression. 3) In economical dimension some patients were having good family income so there were no issues related to expenses on diet and medication 4) In social dimension all the participants were having good relation with their everyone. 5) In vocational dimension all were having difficulty at work place to concentrate in their work but after starting the treatment their health was improved so later they continued their work properly. 6) In spiritual dimension only two participants were not having belief in God rest all were having faith in God and prayed daily.

scholarly journals Understanding Patients Experiences Living with Diabetes Mellitus: A Qualitative Study, Gujarat, India

2021 ◽  
Author(s):  
Angel Christian ◽  
Kailash Nagar
Keyword(s):  
Diabetes Mellitus ◽  
Life Style ◽  
Family Income ◽  
Communicable Disease ◽  
International Diabetes Federation ◽  
Structured Interview ◽  
Social Dimension ◽  
Work Place ◽  
List Type ◽  
Long Term Treatment

ABSTRACTIntroductionDiabetes mellitus is leading health problem in India. India is experiencing the burden of communicable disease as well as non-communicable disease. It is believed due to unhealthy life style and faulty food habits. The International Diabetes Federation estimated that 72.9 million adults in India were living with diabetes in last four years. The study overviews the different factors like personal, familial, social, and financial affecting the life style and management of the disease. Thus, diabetes mellitus affects all the dimensions of health of an individual. The aims of the study to assess quality of life and experiences faced by the patients who are suffering from diabetes mellitus and how the progressive stage of the diseases altered the all the dimensions.ObjectivesTo explore the lived in experiences of diabetes mellitus patients.To explore the various dimensions of the lived in experiences of diabetes mellitus patients.Materials and MethodsA qualitative, exploratory and descriptive design was used to explore and describe the experiences lived by participants suffering from diabetes in the selected areas of Kheda district Gujarat. The investigator used the phenomenological approach of the qualitative paradigm. The study conducted among 10 samples who are suffering from Diabetes Mellitus more than 07 years, sampling technique used was non-probability. Semi structured interview questions were used to conduct the detail history from the participants, where investigator has attain at least 6-8 sitting, (duration 30-45 Min.) with each participants.The investigator used local language for the interview and recorded in mobile, later all the recorded session has been verbatimaccording to the themes and sub-themes.ResultsThe study resulted in the extraction of six themes, which reflect the experiences of the study participants. The themes are: 1) lived time; 2) lived body; 3) lived relationship; 4) lived economical; 5) lived vocational and 6) lived spiritual. It was found that diabetes still causes participants to suffer from fear, depression and anxiety along with they hate to have modification in dietary pattern in which they cannot have sweets and sweet products. Although emotional support was provided by the family members and friends. Participant’s absence from work in their early diagnosis was due to both their health conditions and emotional embarrassment. There are evidences that diabetes has psychological damage to patient’s life and so they feel more anxious and fatigue.ConclusionThe study attempted to explore the lived in experiences of Diabetes Mellitus Patients and it was found that DM has affected all the dimensions of health especially in physical, psychological and economical dimensions. 1) In Physical dimension the patients were having common complaints of giddiness, weakness and headache which was leading them to certain problems. 2) In psychological dimension the patients were having more anxiety, fear regarding the disease and long term treatment along with depression. 3) In economical dimension some patients were having good family income so there were no issues related to expenses on diet and medication 4) In social dimension all the participants were having good relation with their everyone. 5) In vocational dimension all were having difficulty at work place to concentrate in their work but after starting the treatment their health was improved so later they continued their work properly. 6) In spiritual dimension only two participants were not having belief in God rest all were having faith in God and prayed daily.

scholarly journals Increasing Knowledge, Attitudes, Skills, and Glucose Control in Type-2 Diabetic Patients through EMAS Interventions

2019 ◽  
Vol 9 (2) ◽  
pp. 141-150
Author(s):  
Arief Andriyanto ◽  
Etty Rekawati ◽  
Dwi Cahya Rahmadiyah
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Glucose Control ◽  
Communicable Disease ◽  
Sampling Technique ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Management Interventions ◽  
Quasi Experimental

Background: Diabetes Mellitus (DM) is a chronic and non-communicable disease that has serious impacts. Previous studies have focused on a single intervention in the management of DM. Therefore, EMAS (education, nutrition management, physical activities, and stress management) interventions are proposed to convey the pillars of diabetes mellitus as endorsed by the Indonesian Ministry of Health.Purpose: This study aimed to analyze the effects of EMAS interventions on the knowledge, attitudes, skills, and glucose control in patients with type-2 DM.Methods: This study used a pretest-posttest quasi-experimental design without control groups. The samples were 86 diabetic patients recruited using a purposive sampling technique. The EMAS interventions were conducted for six months and eight sessions (October 2018 to March 2019). The EuroQoLfive-dimensional (EQ-5D) questionnaire was used to collect the data, and the paired t-test was used for data analysis.  Results: The results showed that there were significant differences in the knowledge, attitudes, skills (p=0.001), and glucose control (p=0.04) of type 2 diabetes mellitus after the implementation of EMAS interventions. Conclusion: EMAS interventions significantly increased the knowledge, attitudes, and skills in patients with type 2 diabetes to behave healthier to control their blood sugar. Community nurses can use EMAS intervention for the management of DM among diabetic patients.

scholarly journals A study to assess the knowledge of mothers on home based neonatal care at selected area of rural Bangalore

2017 ◽  
Vol 4 (5) ◽  
pp. 1695
Author(s):  
Mohini H. ◽  
Sumanth Shetty B.
Keyword(s):  
Family Income ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Structured Interview ◽  
Neonatal Care ◽  
P Value ◽  
Future Health ◽  
New Born ◽  
Home Based ◽  
Source Of Information

Background: The new born signifies the beginning of life and provides a foundation for future health of the nation.  New born care is strongly influenced by women’s social status, health status, home care practices for mother and new born care services. Therefore, the present study has been designed to assess the Knowledge of mothers on home based neonatal care especially among rural mothers.Methods: After the institutional ethical clearance, five hundred mothers having infants belong to Rural Bangalore were selected by a purposive sampling technique. The structured interview schedule containing demographic variables, knowledge of mothers on home based neonatal care with 27 MCQs having four answers was used. The data collected was analysed using SPSS and minitab. The p value less than 0.05 were considered as the level of significance.Results: Mother’s education, occupation, source of information has highly significant relationship with their knowledge (p=0.01). However, religion and family income of the mothers are not associated with their knowledge (p>0.05). The mother’s knowledge, education, occupation, source of information and dietary pattern have significantly associated with their knowledge on home based neonatal care (p<0.05). Conclusion: 64.6% had moderate, 21.8% had inadequate and 14.2% had adequate knowledge on home based neonatal care.  The aspect wise mean knowledge score ranged between 55.3% and 65.3%. Though majority had moderate knowledge on neonatal care, mothers need a regular follow up care in the area of practicing neonatal care.

scholarly journals Prevalence of metabolic syndrome in type 2 diabetes mellitus patients using NCEP/ATP III and IDF criteria in Nepal

2012 ◽  
Vol 1 (2) ◽  
pp. 79-83 ◽  
Author(s):  
S Bhattarai ◽  
SC Kohli ◽  
S Sapkota
Keyword(s):  
Diabetes Mellitus ◽  
Metabolic Syndrome ◽  
Life Style ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
International Diabetes Federation ◽  
Atherosclerotic Cardiovascular Disease ◽  
Susceptible Population ◽  
High Prevalence ◽  
Diabetes Patients

Background: With increasing trends towards sedentary life style, obesity, diabetes mellitus, hypertension, and dyslipidaemia, the prevalence of metabolic syndrome (MetS) is rising in our country. In view of importance of diagnosis of MetS in day to day medical practice for early institution of life style therapies to reduce the atherosclerotic cardiovascular disease risk in susceptible population like in diabetes mellitus, this study has been undertaken to study the prevalence of metabolic syndrome in Nepalese diabetes by applying National Cholesterol Education Programme/Adult Treatment panel (NCEP/ATP) III and International Diabetes Federation (IDF) criteria. Methods: This is a hospital based cross sectional study conducted in diabetes patients aged between 25-75 years of age presenting to Manipal Teaching Hospital, Pokhara. Different components of MetS were studied in diabetes subjects and prevalence of metabolic syndrome was obtained by applying NCEP/ATP III and IDF criteria respectively. The data were collected as per preformed proforma and results analyzed by SPSS-16 software. Results: The prevalence of metabolic syndrome in diabetes patients as per NCEP/ATP III and IDF criteria were 71% and 82% respectively. A higher number of cases with metabolic syndrome were detected using IDF criteria as opposed to NCEP/ATP III criteria in diabetes patients. Nepalese diabetes subjects showed high prevalence of abdominal obesity followed by hypertension. Conclusions: The results of the present study show high prevalence of Mets in Nepalese diabetes patients and more number of cases can be diagnosed by applying IDF criteria as compared to NCEP/ATP III criteria. DOI: http://dx.doi.org/10.3126/njms.v1i2.6604 Nepal Journal of Medical Sciences. 2012;1(2): 78-83

scholarly journals Knowledge and Practice on Prevention of Complications of Diabetes Mellitus among Patients with Diabetes in a Tertiary Hospital

2019 ◽  
Vol 41 (2) ◽  
pp. 50-55
Author(s):  
Om K Acharya ◽  
Takma KC ◽  
Krishna D Shrestha
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Complications ◽  
Sampling Technique ◽  
Structured Interview ◽  
University Teaching ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Complications Of Diabetes ◽  
Adequate Knowledge ◽  
Knowledge And Practice

Introduction: Diabetes is a major contributing factor for overall health status, morbidity, mortality and quality of life. Adequate knowledge and sufficient practice can prevent many possible diabetic complications. Hence, the objective of this study was to find out the knowledge and practice regarding prevention of complications of diabetes among diabetic patients. Methods: A descriptive, cross sectional design was carried out in Tribhuvan University Teaching Hospital Kathmandu (TUTH). A total 124 diabetic patients who came for follow-up in endocrine Out Patient Department were selected through purposive sampling technique by using pre-tested structured interview schedule during four weeks. Data was analyzed by using the descriptive and inferential statistics with the help of Statistical Package of Social Science (SPSS) version 16. Results: The study findings showed that 24.2% respondents had adequate knowledge about complications. More than half of the respondents had sufficient practice (52.4%) regarding prevention of diabetic complications. Association between knowledge and selected variables showed that sex and education level tends to be significantly associated and regarding practice, area of residence and duration of illness were significantly associated (p<0.05). There was a statistically significant (p<0.001) and average positive relationship (r=0.605) was found between knowledge and practice. Conclusion: The study concluded that though only few respondents had adequate knowledge, more than half of the respondents had sufficient practice regarding preventing complications. This finding suggests awareness program regarding prevention of complications of diabetes mellitus should be launched periodically to increase knowledge and sufficient practice on prevention of diabetic complications.

The Role of Socio-Economic Status in Adoption of Coping Strategies Among Adolescents Against Domestic Violence

2016 ◽  
Vol 32 (18) ◽  
pp. 2862-2881 ◽  
Author(s):  
Saeed Ahmad ◽  
Sayyeda Maida Ishtiaq ◽  
Mudasir Mustafa
Keyword(s):  
Domestic Violence ◽  
Coping Strategies ◽  
Family Income ◽  
Economic Status ◽  
Social Institutions ◽  
Sampling Technique ◽  
Structured Interview ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Socio Economic Status

In the current study, researchers explored different types of coping strategies such as problem-focused coping, emotion-focused coping, and non-constructive coping of adolescents witnessing and experiencing domestic violence. Furthermore, they tried to find out the association of socio-economic status with coping strategies against domestic violence in family sphere. A cross-sectional survey was conducted with 210 adolescents of both sexes, aged 13 to 18 years in Hafizabad city using multistage sampling technique. Multivariate analysis was used to find out the association between adolescents’ resistance and resilience strategies against domestic violence. The information was collected through a structured interview schedule. This study revealed that age, gender, parents’ education, and family income were major factors that influenced the adoption of coping strategy among adolescents. Overall, the study suggested that adolescents were being victimized of various forms of domestic violence frequently in Pakistan, which needs to be addressed on immediate basis through policies and programs by integrating the social institutions of family and education. Findings of the study can enable parents to nurture and support the developmental needs of children in their care. It can help youth in defending themselves from extreme violent behavior adopters and preventing them from becoming the perpetrators of the domestic violence.

scholarly journals Risk Factors for Pneumonia in Children under 5 Years in a Teaching Hospital in Nepal

2015 ◽  
Vol 12 (4) ◽  
pp. 247-252 ◽  
Author(s):  
S Karki ◽  
AL Fitzpatrick ◽  
S Shrestha
Keyword(s):  
Risk Factors ◽  
Indoor Air Pollution ◽  
Family Income ◽  
Sampling Technique ◽  
Structured Interview ◽  
Case Control ◽  
Control Group ◽  
Respiratory Illnesses ◽  
Two Factors ◽  
Children Under 5

Background Pneumonia is a leading cause of mortality among children under-five years of age globally. The WHO (2014) has reported that indoor air pollution caused by cooking and heating with biomass fuel, living in crowed homes and parenting smoking are risk factors of pneumonia.Objectives The objective of the study was to identify the risk factors for pneumonia among children under-5 years of age.Methods A case control study was carried out among the mothers having under-5 years children who were admitted in the paediatric ward of Dhulikhel Hospital in 2012/13. A convenience sampling technique was used to select 50 children with pneumonia and 150 children with non-pneumonia diseases matched on age, sex and setting. A semi-structured interview consisting of questions related to risk factors for pneumonia was used to collect data from mothers of both cases and controls.Results Sex of the child did not differ by case/control group whereas the children with pneumonia were slightly older with 26% cases and 15% controls older than 3 years of age. Mother’s education was similar in both groups as was family income. Living in a household with a chulo with smoke increased the odds of having pneumonia significantly, with the risk almost 4 times greater if the chulo was located within the same building (OR: 3.76, 95% CI: 1.20-11.82, p=0.02). Children who had diarrhea in the past 3 months were protected from pneumonia (OR: 0.38, 95% CI: 0.18- 0.82, p=0.01). An increasing trend of pneumonia was observed among children of tobacco smoking parents with greater risk if both parents smoked; it was, however, not statically significant (OR: 2.21, 95% CI: 0.56-8.82, p=0.26).Conclusion The present study suggests that two factors related to smoke, presence of a smoky chulo in a household and both parents smoking, are modifiable risk factors related to pneumonia in young children. Reliable longitudinal studies, interventions, and programs to educate parents in prevention are important for reducing mortality and morbidities related to acute respiratory illnesses in Nepal.Kathmandu University Medical Journal Vol.12(4) 2014; 247-252

scholarly journals Prevalence of hypertension and its risk factors among school teachers in Dhaka, Bangladesh

2018 ◽  
Vol 6 (9) ◽  
pp. 2902 ◽  
Author(s):  
Ripon Barua ◽  
Monzurul Alam ◽  
Nadira Parvin ◽  
Rajib Chowdhury
Keyword(s):  
Risk Factors ◽  
Life Style ◽  
Family Income ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
School Teachers ◽  
Chi Square ◽  
Cross Sectional ◽  
Fresh Vegetables ◽  
Service Duration

Background: School teachers in urban area are experiencing sedentary life style behaviors. This study was aimed to determine the prevalence and risk factors of hypertension (HTN) among school teachers in Dhaka city.Methods: This cross-sectional study was carried out from May to October of 2017. Total 323 school teachers in Dhaka city aged between 25-59 years were enrolled using cluster random sampling technique. Data on socio-demographic profile, different risk factors, co-morbidities, family history and blood pressure (BP) were recorded. HTN was recorded according to pre-defined criteria. Factors associated with HTN analyzed by Chi-square test (χ2).Results: The prevalence of HTN among school teachers was 52%. The mean ± SD age was 46.5±7.8 years. Majority teachers (52%) were earning between 20,000 and 50,000 Bangladeshi Taka per month and about 61.6% had service duration >15 years. Development of HTN was significantly associated with age, monthly family income and service duration (p=0.001). Majority participants were female (65.6%) and female to male ratio was 1.9:1. Female teachers were more hypertensive compared to male (68% vs 32%). Taking extra salt (OR 1.977, 95% CI 1.269-3.079), low intake of fresh vegetables (OR 2.048, 95% CI 1.228-3.416), higher waist circumference (OR 1.990, 95% CI 1.006-3.933) and mental distress (OR 1.724, 95% CI 1.045-2.844) were found to be significantly associated with HTN.Conclusions:The prevalence of HTN was higher among the study participants. Building awareness by promoting healthy life style and behaviors for prevention and control of HTN should be given importance among teachers.  

A Study on Consumption Pattern of Various Types of Major Dry Fruits and Nuts in Coimbatore City

2021 ◽  
pp. 180-191
Author(s):  
D. Sivaselvan ◽  
T. Samsai ◽  
K. Mahendran ◽  
M. R. Duraisamy
Keyword(s):  
Tamil Nadu ◽  
Family Income ◽  
Sampling Technique ◽  
Total Sample ◽  
Structured Interview ◽  
Primary Data ◽  
Consumption Pattern ◽  
Exploratory Research ◽  
Interview Schedule ◽  
Chi Square

Aim: The purpose of the study was to find the consumption pattern of various types of major dry fruits and nuts in Coimbatore city of Tamil Nadu. Design of the Study: Analytical or diagnostic research and exploratory research design were used as the study aims to find the consumption pattern of major dry fruits and nuts in Coimbatore city. Survey was carried out through a well-structured interview schedule. Primary data was collected using interview schedule from the sample respondents. Methodology: The sampling technique used for data collection was the convenience sampling method. The sample respondents in this study were selected from different regions of Coimbatore city who had purchased major dry fruits and nuts in supermarkets, hypermarkets, retail stores and bakeries. Total sample size for the study was 150. Tools used for analysis were percentage analysis and chi-square test for consumption patterns of major dry fruits and nuts. Findings: Most of the sample respondents were highly aware about the health benefits and nutritional content of dry fruits and nuts. Age is significantly associated with purchasing frequency, consumption pattern of major dry fruits and nuts. Consumption pattern of major dry fruits and nuts varies according with the age of consumers. There is no significant association between gender and consumption pattern of major dry fruits and nuts. Family income was significantly associated with the quantity of consumption of major dry fruits and nuts like almond, pistachios, cashews and raisins.

scholarly journals Knowledge on practice of weaning among the mothers with infant below six months of age in Salem, Tamilnadu

2015 ◽  
Vol 11 (1) ◽  
pp. 12-16
Author(s):  
N Dhanasekaran
Keyword(s):  
Tamil Nadu ◽  
Child Nutrition ◽  
Family Income ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Structured Interview ◽  
Infant Mortality Rate ◽  
Feeding Practice ◽  
Cross Sectional Survey ◽  
Cross Sectional

Background & Objectives: Weaning is essential to child nutrition, which reduce infant mortality rate and related malnutrition with healthy feeding practice. Hence the mothers are expected to be knowledgeable on weaning.Objectives: To assess the knowledge on practice of weaning, to compare the knowledge on practice and to find out association between the knowledge scores of mothers with infant below 6 months with selected demographic variables.Materials and Methods: A descriptive design with cross sectional survey approach was undertaken to assess the knowledge on practice of weaning mothers with infant below 6 months of age in selected hospital, Salem, Tamil Nadu. Fifty mothers were selected by purposive sampling technique and data was collected by using structured interview schedule from 06/11/14 to 20/11/14.Results: Demographic characteristics reveal that highest percentage (84 %) of them belongs to the Hindu religion and had one child below the 6 months of the age. Comparisons of the knowledge score with demography highest mean and SD in relation to family income Rs 4001 - 6000 shows that (14.7 ± 1.16). The Overall Mean knowledge score was (11.5 ± 3.26)and (50 %) revealing average knowledge. However there was significant association between knowledge score and education & type of family (P = 0.0151 & P = 0.0091) revealing that maximum demographic variables do not affected the level of knowledge.Conclusion: The overall knowledge is average. However lowest percentage in the areas of “principles of feeding and storage” and “age of introducing on weaning” were attention seeking, implying the necessity to improve the knowledge in regard to prevent malnutrition.JCMS Nepal. 2015;11(1): 12-16

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