scholarly journals The Self-Care of Users Bearing Diabetes Mellitus: Socio- Demographic, Clinical and Therapeutic Profiles / Autocuidado de Usuários com Diabetes Mellitus: Perfil Sociodemográfico, Clínico e Terapêutico

2018 ◽  
Vol 10 (3) ◽  
pp. 720
Author(s):  
Emmanuela Mota Santos ◽  
Valesca Patriota Souza ◽  
Isla Amaral Gonzaga ◽  
Ellen Barbosa Santos
Keyword(s):  
Diabetes Mellitus ◽  
Self Care ◽  
The Self

Objetivo: Descrever o perfil sociodemográfico clínico e terapêutico e as atividades de autocuidado de usuários com diabetes mellitus em um serviço de atenção básica à saúde. Métodos: Estudo transversal, de caráter descritivo, com abordagem quantitativa, desenvolvido em uma Unidade Básica de Saúde, entre outubro de 2015 e outubro de 2016, em uma área urbana do Munícipio de Vitória de Santo Antão, Pernambuco, Brasil, com 164 usuários com diabetes mellitus. Os dados foram obtidos mediante entrevista, utilizando-se dois questionários estruturados e as variáveis foram analisadas através do Statiscal Package for Social Scicenses (SPSS). Resultados: Os resultados apontam para uma situação sociodemográfica, clínica e terapêutica, caracterizada pela prevalência de usuários com média de idade de ± 59,66 anos, uma maior prevalência do sexo feminino (53,7%) e monitorização da glicemia capilar satisfatória (87,8%). Com relação às atividades de autocuidado, percebe-se uma maior pontuação para as práticas medicamentosas. Conclusões: Diante dos resultados obtidos, conclui-se ser necessário o fornecimento de programas de educação por uma equipe multiprofissional, direcionados aos usuários com diabetes mellitus com o intuito de atender à complexidade do cuidado.

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.

Further Evidence of Psychometric Performance of the Self-care of Diabetes Inventory in Adults With Type 1 and Type 2 Diabetes

2021 ◽  
Author(s):  
Maddalena De Maria ◽  
Diletta Fabrizi ◽  
Michela Luciani ◽  
Rosario Caruso ◽  
Stefania Di Mauro ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Self Efficacy ◽  
Care Management ◽  
High Reliability ◽  
Self Care ◽  
The Self ◽  
Cross Sectional

Abstract Background The Self-care of Diabetes Inventory (SCODI) is a theory-based tool that measures self-care, a key strategy in the appropriate treatment of diabetes. However, despite the clinical differences between people with Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM), the psychometric properties of the SCODI were only tested in mixed samples. Purpose This study aims to test the psychometric performances of the SCODI in two separate groups of adults with T1DM and T2DM. Methods This is a secondary analysis from two previous multicentre cross-sectional observational studies involving patients with T1DM (n = 181) and T2DM (n = 540). We tested dimensionality with confirmatory factor analysis and reliability with a multidimensional model-based coefficient for every scale of the SCODI: self-care maintenance, self-care monitoring, self-care management, and self-care self-efficacy. Results We found that the SCODI showed the same dimensionality, with minimal variation in factor loadings for each factor and each scale among T1DM and T2DM groups. High reliability for each scale in both groups was also found (self-care maintenance: T1DM = 0.86, T2DM = 0.83; self-care monitoring: T1DM = 0.84, T2DM = 1.00; self-care management: T1DM = 0.87, T2DM = 0.86; self-care self-efficacy: T1DM = 0.88; T2DM = 0.86). Conclusion The SCODI can be used for measuring self-care in people with T1DM, T2DM, or mixed groups using identical scoring procedures. Considering the well-known differences between Type 1 and Type 2 diabetes diseases and patients’ characteristics, our results support the generalizability of the self-care theory on which the instrument is based.

scholarly journals Evaluation of Self-Care Activities and Quality of Life in Patients With Type 2 Diabetes Mellitus Treated With Metformin Using the 2D Matrix Code of Outer Drug Packages as Patient Identifier: Protocol for the DePRO Proof-of-Concept Observational Study (Preprint)

2020 ◽  
Author(s):  
Christian Mueller ◽  
Isabel Schauerte ◽  
Stephan Martin
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Data Collection ◽  
Treatment Satisfaction ◽  
Self Care ◽  
The Self ◽  
Digital Data ◽  
Psychological State

BACKGROUND Diabetes mellitus (DM) is one of the most common noncommunicable diseases. DM has a substantial negative impact on patients’ quality of life, which is measured using a variety of diabetes-specific measures covering multiple aspects of patients’ psychological state, behavior, and treatment satisfaction. A fully digital data collection system, including patient identification, would represent a substantial advance in how these patient-reported outcome (PRO) data are measured. Within the European Union, one way to identify patients without the involvement of health care professionals is to use the unique 2D matrix codes on the packaging of prescription medication—for example, metformin, the recommended initial treatment for patients with type 2 DM (T2DM). OBJECTIVE In the DePRO study we aim to (1) describe the self-care activities of patients with T2DM using metformin-containing medication; (2) describe the self-reported health status (eg, presence of diabetes complications and quality of life) of these patients; (3) describe associations between self-care activities and demographics and disease characteristics; and (4) assess the usability of the my ePRO app. METHODS DePRO is an observational, multicenter, cross-sectional, digital, patient-driven study conducted in Germany. Patients with a prescription for a metformin-containing medication will be given a postcard by their pharmacist, which will include a download link for the my ePRO app. In total, 12 diabetes-focused pharmacies, selected to represent urban and rural areas, will be recruited. Participants will use their own mobile device (bring your own device) to download the my ePRO app and access the DePRO study, for which they can register using the 2D matrix code on their medication. An electronic informed consent form will be displayed to the patients and only after giving consent will patients be able to complete the study questionnaires. The PRO instruments used in the study are the Summary of Diabetes Self-Care Activities Scale, the Diabetes Treatment Satisfaction Questionnaire, and the 5 level, 5-dimension EuroQol Questionnaire. Patients will also be asked to complete a questionnaire with items addressing demographics, patient characteristics, disease history, complications, and concomitant medications. Data will be transferred to the study database by the app upon completion of each questionnaire. Statistical analyses of primary and secondary endpoints will be exploratory and descriptive. RESULTS Enrollment began in June 2020. The estimated study completion date is December 31, 2020, and the planned sample size is 300 patients. CONCLUSIONS The DePRO study uses completely digital data collection, including authentication of eligible patients and completion of the study questionnaires. Therefore, the design of the DePRO study represents a substantial advance in the evaluation of the digital capturing of PRO data. CLINICALTRIAL ClinicalTrials.gov NCT04383041; https://clinicaltrials.gov/ct2/show/NCT04383041 INTERNATIONAL REGISTERED REPORT PRR1-10.2196/21727

scholarly journals Diabetic Foot and Self-awareness of This Entity

2019 ◽  
pp. 1-5
Author(s):  
Irma Aide Barranco-Cuevas ◽  
Alexa Itaí Bello-Mora ◽  
Juvencio Reyes-Bello ◽  
Miguel Ángel Jacinto-López ◽  
Álvaro José Montiel-Jarquín ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Self Care ◽  
Cross Sectional Study ◽  
The Self ◽  
Diabetic Patients ◽  
Self Awareness ◽  
Cross Sectional ◽  
A Value ◽  
Level Of Knowledge

Aims: To determine the relationship between the diabetic foot stages and the self-awareness about self-care of the feet in patients attending first level medical facility. Study Design: This is a descriptive, cross sectional study. Place and Duration of Study: This study was conducted in Unit Number 57 of the Family Medicine in the Mexican Institute of Social Security in Puebla, Mexico between January and June of 2017. Methodology: We included 360 patients whom we surveyed to correlate between the level of knowledge about self-care of the feet in diabetic patients and its stages. We used a questionnaire in which the variables included gender, age, level of education, occupation, marital status, number of years since they were diagnosed with diabetes mellitus type 2, stage of the diabetic foot and level of knowledge related to this entity. Descriptive statistics and X2 were used. Results: We included 360 patients who met the inclusion criteria. Their average age was 55.75 years, the average number of years with the diagnosis of diabetes mellitus was 6.07. There was a significant statistic association between the level of knowledge and the stage of the diabetic foot P = .049 a value of P= .05 was considered statistically significant. Conclusion: There is an association between the stage of the diabetic foot and the knowledge about the self-care of the feet among patients.

scholarly journals Evaluation of Self-Care Activities and Quality of Life in Patients With Type 2 Diabetes Mellitus Treated With Metformin Using the 2D Matrix Code of Outer Drug Packages as Patient Identifier: Protocol for the DePRO Proof-of-Concept Observational Study

10.2196/21727 ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. e21727
Author(s):  
Christian Mueller ◽  
Isabel Schauerte ◽  
Stephan Martin
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Data Collection ◽  
Treatment Satisfaction ◽  
Self Care ◽  
The Self ◽  
Digital Data ◽  
Psychological State

Background Diabetes mellitus (DM) is one of the most common noncommunicable diseases. DM has a substantial negative impact on patients’ quality of life, which is measured using a variety of diabetes-specific measures covering multiple aspects of patients’ psychological state, behavior, and treatment satisfaction. A fully digital data collection system, including patient identification, would represent a substantial advance in how these patient-reported outcome (PRO) data are measured. Within the European Union, one way to identify patients without the involvement of health care professionals is to use the unique 2D matrix codes on the packaging of prescription medication—for example, metformin, the recommended initial treatment for patients with type 2 DM (T2DM). Objective In the DePRO study we aim to (1) describe the self-care activities of patients with T2DM using metformin-containing medication; (2) describe the self-reported health status (eg, presence of diabetes complications and quality of life) of these patients; (3) describe associations between self-care activities and demographics and disease characteristics; and (4) assess the usability of the my ePRO app. Methods DePRO is an observational, multicenter, cross-sectional, digital, patient-driven study conducted in Germany. Patients with a prescription for a metformin-containing medication will be given a postcard by their pharmacist, which will include a download link for the my ePRO app. In total, 12 diabetes-focused pharmacies, selected to represent urban and rural areas, will be recruited. Participants will use their own mobile device (bring your own device) to download the my ePRO app and access the DePRO study, for which they can register using the 2D matrix code on their medication. An electronic informed consent form will be displayed to the patients and only after giving consent will patients be able to complete the study questionnaires. The PRO instruments used in the study are the Summary of Diabetes Self-Care Activities Scale, the Diabetes Treatment Satisfaction Questionnaire, and the 5 level, 5-dimension EuroQol Questionnaire. Patients will also be asked to complete a questionnaire with items addressing demographics, patient characteristics, disease history, complications, and concomitant medications. Data will be transferred to the study database by the app upon completion of each questionnaire. Statistical analyses of primary and secondary endpoints will be exploratory and descriptive. Results Enrollment began in June 2020. The estimated study completion date is December 31, 2020, and the planned sample size is 300 patients. Conclusions The DePRO study uses completely digital data collection, including authentication of eligible patients and completion of the study questionnaires. Therefore, the design of the DePRO study represents a substantial advance in the evaluation of the digital capturing of PRO data. Trial Registration ClinicalTrials.gov NCT04383041; https://clinicaltrials.gov/ct2/show/NCT04383041 International Registered Report Identifier (IRRID) PRR1-10.2196/21727

scholarly journals Construction and validation of the Self-care Assessment Instrument for patients with type 2 diabetes mellitus

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Simonize Cunha Barreto de Mendonça ◽  
Maria Lúcia Zanetti ◽  
Namie Okino Sawada ◽  
Ikaro Daniel de Carvalho Barreto ◽  
Joseilze Santos de Andrade ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Content Validity ◽  
Self Care ◽  
The Self ◽  
Assessment Instrument ◽  
Care Assessment ◽  
Validity Indices

ABSTRACT Objective: to construct and validate the contents of the Self-care Assessment instrument for patients with type 2 diabetes mellitus. Method: methodological study, based on Orem's General Theory of Nursing. The empirical categories and the items of the instrument were elucidated through a focus group. The content validation process was performed by seven specialists and the semantic analysis by 14 patients. The Content Validity Indices of the items, ≥0.78, and of the scale, ≥0.90, were considered excellent. Results: the instrument contains 131 items in six dimensions corresponding to the health deviation self-care requisites. Regarding the maintenance, a Content Validity Index of 0.98 was obtained for the full set of items, and, regarding the relevance, Content Validity Indices ≥0.80 were obtained for the majority of the assessed psychometric criteria. Conclusion: the instrument showed evidence of content validity.

scholarly journals SUMMARY DIABETES SELF-CARE ACTIVITIES (SDSCA) AMONG ELDERLY POPULATION

2021 ◽  
pp. 90-93
Author(s):  
Harikrishna B N ◽  
Shruti Kardalkar ◽  
Pravin M Pisudde ◽  
Venkatesham Annimalla
Keyword(s):  
Diabetes Mellitus ◽  
Communicable Disease ◽  
Self Care ◽  
The Self ◽  
Age Group ◽  
Chi Square ◽  
Individual Level ◽  
Back Ground ◽  
Care Practices

Back ground: Diabetes mellitus (DM) is a chronic progressive metabolic disorder, most common non-communicable disease globally.The global prevalence of diabetes among adults over 18 years of age rose from 4.7% in 1980 to 8.5% in 2014. In 2016, diabetes was the direct cause of 1.6 million deaths. Objectives: To assess the self-care practices among elderly with type 2 diabetes mellitus and to know the factors influencing it. Methodology: A community based crosssectional study was conducted by selecting elderly through systematic random sampling; socio-demographic details and self-care practices were assessed by Summary Diabetes Self-Care Activities questionnaire (SDSCA).Data were entered in excel,descriptive statistics and chi-square were calculated.Results:177 elderly diabetics participated in the study. A majority of 49.71% were in the age group of 69-70years. 58.76% were females, 40.11% were literates, and 55.93% resided in joint families. The self-care practices were computed based on Summary Diabetes Self-Care Activities questionnaire (SDSCA) 72.88% had good and poor self-care practices.Significant factors were 60-69 years age group, male gender, literates and duration of diabetes (1-5years) (p<0.05).Conclusion: Diabetes and related complications impose a high-burden of catastrophic economic costs by increasing out of pocket expenditure.Self-care in diabetes plays a pivotal role in managing the disease, which has to be practiced more efficiently at individual level with the support from family and community so as to promote healthy ageing amid co-morbidities.

scholarly journals Self-care practices among type 2 diabetes mellitus patients in rural India

2020 ◽  
Vol 9 (11) ◽  
pp. 1688
Author(s):  
Richitha Shivananda ◽  
Madhav K. Savkar ◽  
Ravi Shankar Manchukonda ◽  
Raghavendra Srirangapura Krishnegowda
Keyword(s):  
Diabetes Mellitus ◽  
Rural Population ◽  
Indian Subcontinent ◽  
Self Care ◽  
The Self ◽  
Age And Gender ◽  
Type 2 Dm ◽  
Care Practices ◽  
And Gender

Background: The prevalence of diabetes mellitus (DM) has been increasing all over the world in past 30 years, particularly in the Indian subcontinent with an estimated 87% diabetic population within the age group 20-70 years. The increase in severity of diabetes every year has been linked to patient’s lack of knowledge and practice of self-care. Hence educating the population as well as assessing their self-care practices has become important.Methods: A cross-sectional study with 253 participants was done using the diabetic self-management questionnaire (DSMQ). Socio demographic details were also collected along with the questionnaire. The questionnaire was scored reversing the negatively worded questions (with a minimum score of 10 to maximum score of 34) and the p values and Pearson’s correlation was used to determine the significance of factors like age and gender with self-care practices.Results: Among 253 subjects, 117 (46.2%) participants felt that their self-care practices were poor to a ‘considerable extent’, hence the self-care practices of type 2 DM in rural population was poor and factors like age and gender didn’t show any significance in overall self-care of type 2 DM.Conclusions: The self-care practices of type 2 DM patients in rural area is poor. Age and gender had no significance in the self-care practices of type 2 DM patients. Hence awareness programs should be done in order to educate the rural population about the importance of self-care in dealing with the complications of diabetes.

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