A survey on patients' characteristics, perception of family support and diabetes self‐management among type 2 diabetes patients in South‐West Nigeria

Ojewale, Lucia Yetunde; Oluwatosin, Abimbola; Fasanmade, Adesoji Adedipe; Odusan, Olatunde

doi:10.1002/nop2.236

Cited by 16 publications

(20 citation statements)

References 32 publications

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“…Age, gender and disease duration were not associated with the self-efficacy of the participants in the present study. This is unlike what was reported by some past authors, [15], [17], [24], [27].…”

Section: Discussioncontrasting

confidence: 99%

“…The diabetes self-efficacy and associated factors were examined among diabetes patients attending the medical outpatient unit of a teaching hospital in southwest Nigeria. The mean age of the patients was 59 years, showing a preponderance of diabetes in older people as previously highlighted [17].…”

Section: Discussionsupporting

confidence: 69%

“…Self-efficacy which has been defined as a core belief related to an individual's own perceived ability to undertake or maintain certain actions to achieve desired outcomes, [22], was found to be high as more than half of the participants had scores above the average. Generally, participants in this study had better self-efficacy scores, when compared to those who participated in studies conducted in other countries, [17], [23]- [25]. On the other hand, the self-efficacy score is similar to that reported among patients in Malaysia [26].…”

Section: Discussionsupporting

confidence: 67%

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Diabetes Self-Efficacy and Associated Factors among People Living with Diabetes in Ibadan, Southwestern Nigeria

Ojewale

Okoye

Ani

2021

EJMED

Self Cite

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With the increasing prevalence of diabetes mellitus (DM) globally, including in Nigeria, self-care practices are universally recognized as imperative to keeping the illness under control and preventing complications. It is important to determine how competent patients feel about managing their diabetes; as well as their psychosocial adjustment. Self-efficacy measures these important aspects of diabetes care and act as a guide to health professionals on how best to tailor diabetes education and support. There is a dearth of studies on self-efficacy and associated influences, among people living with diabetes in Nigeria. Hence, this study was carried out to fill the lacunae. This descriptive study was carried out at the Out-patient Clinic of the University College Hospital (UCH), Ibadan, among 235 people receiving treatment for diabetes. A total sampling of all available patients who provided consent at the time of data collection was done. The instrument for data collection was a questionnaire consisting of a section on sociodemographic and clinical characteristics including fasting blood glucose; followed by a section on diabetes self-efficacy. Diabetes self-efficacy was measured using the validated and adapted Michigan Diabetes Empowerment scale (DES). Ethical approval was obtained from the University of Ibadan/University College Hospital Institutional Review Board (UI/UCH IRB). Data were entered into the Statistical Package for Social Sciences, version 20. Data were analysed using frequencies, percentages, mean, independent t-test and Pearson’s correlation at α 0.05. Participants were predominantly women (60.9%) and had a mean age of 59.3 ± 14.0 years. More than half of the participants (55%) had a high self-efficacy level. Educational level and having a family member who is a nurse or a doctor were significantly associated with high self-efficacy. Fasting blood glucose level was negatively correlated with self-efficacy and the domain of managing the psychological aspect of diabetes. A good percentage of people living with diabetes had high self-efficacy, which was influenced by educational level and having a health professional as a relative. Those with high self-efficacy had better glucose control. It is recommended that individually-tailored diabetes education be provided for people with poorly controlled glucose level.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 69%

Section: Discussionsupporting

confidence: 67%

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Diabetes Self-Efficacy and Associated Factors among People Living with Diabetes in Ibadan, Southwestern Nigeria

Ojewale

Okoye

Ani

2021

EJMED

Self Cite

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“…Family support received by the patients will increase patient compliance in their care at home [10], [31]. The assistance needed by diabetes mellitus patients at home includes diet [30], [32] assistance for daily activities, health care, financial support, attention, and problem solving [32] as well as in activities, blood glucose monitoring, and medication [33]. Diabetes mellitus patients who get support from their families feel better due to emotional and behavioral support [34].…”

Section: Discussionmentioning

confidence: 99%

Family Support in Caring for Diabetes Mellitus Patient: Patient’s Perspective

Wulandari

Kusnanto²,

Wibisono³

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: Perspectives of diabetes mellitus patients on family support received during the treatment of their disease at home has high complexity. The family’s intention to help patients to take care of themselves at home can lead to misperceptions or is not well accepted by diabetes mellitus patients. AIM: The aim of the study was to explore the support provided by families in the care of diabetes mellitus patients at home based on the patient’s perspective. METHODS: A phenomenological study using semi-structured questions was chosen as a design in this study. A total of 19 participants were recruited using criteria including being diagnosed with diabetes mellitus for at least 1 year, outpatient, and willing to participate in the study. Data analysis used seven steps of descriptive phenomenological analysis from Colaizzi including data recognition, identification of significant statements, formulating meanings, grouping themes, developing complete descriptions, producing fundamental structures, and seeking verification of fundamental structures. RESULTS: This research shows that the support needed by participants comes from the nuclear family. The first theme identified is the family function as participants’ perceived support. The second theme identified is the family role as participants’ perceived support. The fourth third theme identified is perceptions of family support received. Moreover, the final theme found in this study is perception of spiritual support by the family. CONCLUSION: This research implies that diabetes mellitus patients need support from their families to accept the disease and eventually volunteer to carry out their disease care at home.

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“…Self‐care behaviors or self‐management behaviors were found to affect glycemic control in patients with T2DM (Cheng, Wang, Lim, & Wu, ). T2DM patients are often taught self‐care behaviors or self‐management behaviors including diet control, physical activity, self‐blood glucose monitoring, and medications to improve glycemic control (Ojewale, Oluwatosin, Fasanmade, & Odusan, ). Nevertheless, T2DM patients with poor glycemic control often suffer from different symptoms (Skelly, Carlson, Leeman, Soward, & Burns, ).…”

Section: Introductionmentioning

confidence: 99%

Effects of a Symptom Management Program for Patients With Type 2 Diabetes: Implications for Evidence‐Based Practice

Lin

Lee

Wang

2019

Worldviews Ev Based Nurs

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Background: Findings from previous studies examining the effectiveness of symptom management on patients with diabetes that were implemented in home settings were inconclusive. Exploring the effects of a diabetes symptom management program on patients with type 2 diabetes mellitus (T2DM) in clinical settings is useful for healthcare providers to improve their diabetes care.Aims: To examine the effects of a diabetes symptom management program (DSMP) on HbA1c levels, self-care behaviors, quality of life (QoL), and symptom severity in clinics in patients with T2DM.Methods: This study was a single-blind randomized controlled trial. The control group (n = 30) received usual care. The experimental group (n = 30) received DSMP and usual care. The primary outcome variable was HbA1c levels; the secondary outcome variables were self-care behaviors, QoL, and diabetes symptom severity. Outcome variables were measured at baseline (T0), 3 months (T1) and 6 months after the intervention (T2), and HbA1c levels were further collected at 9 months after the intervention (T3). Results:The decreasing levels of HbA1c from T0 to T2 and from T0 to T3 and for severity of diabetes symptoms from T0 to T2 in the experimental group were significantly better than those in the control group. The increasing levels of self-care behavior and QoL from T0 to T1 and from T0 to T2 in the experimental group were significantly higher than those in the control group.Linking Evidence to Action: DSMP implemented in the clinic setting has effects on improving HbA1c, self-care behaviors, QoL, and preventing worsening severity of diabetes symptoms for outpatients with T2DM. Healthcare providers could assess diabetes symptoms of patients with high HbA1c levels and provide symptom management care rather than merely providing education on improvement of self-care behaviors.

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A survey on patients' characteristics, perception of family support and diabetes self‐management among type 2 diabetes patients in South‐West Nigeria

Cited by 16 publications

References 32 publications

Diabetes Self-Efficacy and Associated Factors among People Living with Diabetes in Ibadan, Southwestern Nigeria

Diabetes Self-Efficacy and Associated Factors among People Living with Diabetes in Ibadan, Southwestern Nigeria

Family Support in Caring for Diabetes Mellitus Patient: Patient’s Perspective

Effects of a Symptom Management Program for Patients With Type 2 Diabetes: Implications for Evidence‐Based Practice

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