Factors Related to Diabetes Self-Care Management Behaviors Among Patients with Type II Diabetes in Palestine

Abstract

This study aims to assess factors related to self-care management through conducting a cross-sectional study. A personal interview using structured questionnaires together with a medical records review sought information about socio-demographic, clinical characteristics, healthcare system factors, and self-care management. Univariate and multivariate analyses were carried-out by SPSS v16. Three hundred and thirty patients were recruited. The mean ± standard deviation age of participants was 60±9.7 years, 51.2% were male, 88.5% had additional chronic diseases, and 46.1% were obese. The multivariate analysis showed that being married, overweight, and obese were significantly related to decreased odds of follow diabetic meal plan, increased diabetes duration was significantly related to increased odds of follow diabetic meal plan. Increased number of additional chronic diseases was significantly related to decreased odds of physical exercise participation. Being married and not receiving insulin treatment were significantly related to decreased odds of self-blood glucose monitoring. Female participants were significantly related to decreased odds of medication adherence, and increased diabetes duration was significantly related to increased odds of medication adherence. Further investigation and improvement of inappropriate self-care management, and educational programmes would be of great benefit in achieving self-care management improvement.

Holistic self-management behavior among urban patients with type 2 diabetes

“…Another study in rural India found that 50.5% of T2DM patients had poor self-care practices [16]. Other studies in different countries also had similar results, for example, Palestine (48%) [17], Iran (63.6%) [18] and Kenya (59%) [19]. Various factors have been determined, which can be related to poor self-care practices, including older age, male, low education, higher Int J Public Health Sci ISSN: 2252-8806  duration of diabetes, or weak social support [11]- [19].…”

The Analysis of Diabetes Self-Management Implementation on Type 2 Diabetes Mellitus Patients: A Protocol for Systematic Review and Meta-Analysis

“…The self-management of DM optimizes metabolic control, prevents acute and chronic complications of DM, and optimizes quality of life (Gnanaselvam, Prathapan and Indrakumar, 2013). Ideally, diabetes self-care management is consistent and proportionate to the extent possible and consistent with the patient lifestyle, so that the patient can adhere to a self-care management (Salem et al, 2017). A key goal of diabetes self-management is the control of Hemoglobin A1c (HbA1c), which is a measure of average blood glucose over several months.…”

The Self-Management-Based care interventions on quality of life in type 2 Diabetes Mellitus patients: An integrative review

“…Diabetes mellitus (DM) is a chronic noncommunicable (Mosleh et al, 2017) metabolic disease caused by a disturbance in the hormone insulin that functions to maintain the body's homeostasis by decreasing blood sugar levels (American Diabetes Association, 2017). Type 2 diabetes mellitus is one of the most common types of diabetes experienced by the population (Joyce & Jane, 2014).…”