Inadequate Self-Care Behaviors among Malaysian Diabetic Patients: The Need for Action by Hospital Pharmacists

Ang, Ju-Ying; Leo, Jie-Shi; George, Doris; Chan, Huan‐Keat

doi:10.5530/jppcm.2018.2.14

Cited by 6 publications

(13 citation statements)

References 18 publications

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“…The results also corroborate those of Nejaddadgar et al, 23 (63.6%), and Totesora et al, 24 (51.5%) of patients, had a low score on self-care; however, the rate of inadequate DSM was much higher (90.1%) in the current study. However, the results are contrary to the findings of Ang et al, 25 which showed that inadequate self-care behavior was seen in only 15.5% of patients with T2DM.…”

Section: Discussioncontrasting

confidence: 96%

“…In the present study, the overall mean DSMQ score was also classified as sub-optimal (5.04 ± 0.86). It was noticed that, compared with another study, the measured self-care behavior using DSMQ in Malaysia 25 (DSMQ "Sum Scale" 7.48), the findings in the present study showed a lower mean score in DSMQ and its subscales. Whereas, a study by Bukhsh et al 26 reported a lower DSMQ "Sum Scale" (3.96) compared to the present study.…”

Section: Results Characteristics Of the T2dm Patientscontrasting

confidence: 71%

“…The challenges facing diabetes self-care in Saudi Arabia include lack of specially trained personnel to provide psychological support and counselling for patients with diabetes, lack of knowledge on diabetes, ignorance and wrong beliefs (namely, only a health care professional can administer insulin and monitor blood glucose levels; diabetics cannot lead a normal social life), food and dietary factors (namely, non-healthy eating habits), and gender-related problems (namely, multiple pregnancies in women, restricted access to sport activities and Gymnasiums due to cultural barriers). 30 Ang et al 25 observed that inadequate self-care behaviors were significantly associated with the disease duration, with poor DSM behaviors observed in patients with disease duration between 6 to 10 years. In this study, long history of DM (>5 years) was significantly associated with having inadequate self-care behavior.…”

Section: Results Characteristics Of the T2dm Patientsmentioning

confidence: 99%

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Frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus in Najran, Saudi Arabia

Al-Qahtani

2020

SMJ

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To investigate the frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus (T2DM). Methods: A cross-sectional study was conducted on a sample of 355 patients with T2DM, using multistage cluster sampling, attending the Najran University Original Article Hospital and Primary health care centres in Najran, Saudi Arabia, from January to May 2019. The assessment of self-care behaviors was conducted using the 16-item diabetes self-management questionnaire (DSMQ). Results: The majority (85.1%) of the patients with T2DM were uncontrolled, 42% were obese, and 5.9% were morbidly obese. Based on DSMQ criteria, the majority of patients (90.1%) had poor self-care behaviors. The mean sum of DSMQ was 5.04 out of 10. Among the DSMQ subscales, health care use had the highest mean score of 5.63, followed by glucose management with a score of 5.12, while dietary control had lower mean scores of 4.96 and physical activity had 4.46, all were inadequate. Being married (OR=2.178, p=0.035) and having DM for more than 5 years (OR=2.711, p<0.006) were the significant independent factors associated with poor self-care behavior. Conclusion: Inadequate self-care behavior is widely prevalent in Najran city, Saudi Arabia. All the DSMQ subscales were poorly managed by most of the diabetic patients. Furthermore, being married and having a longer DM duration are the significant independent factors associated with poor self-care behaviors.

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Section: Discussioncontrasting

confidence: 96%

Section: Results Characteristics Of the T2dm Patientscontrasting

confidence: 71%

Section: Results Characteristics Of the T2dm Patientsmentioning

confidence: 99%

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Frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus in Najran, Saudi Arabia

Al-Qahtani

2020

SMJ

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“…Responden durasi DM <5 tahun sebesar 53,9% dan >10 tahun sebesar 14,8% hasil ini mirip dengan penelitian sebelumnya 15,16,18,20 dan sedikit berbeda dengan beberapa penelitian lain dimana di dominasi responden dengan durasi DM 5-10 tahun 22 dan >10 tahun 13,23 . Responden dengan komplikasi pada penelitian ini sebesar 4,3% dan tanpa komplikasi sebesar 95,7% (tabel 1), berbeda dengan penelitian Gao dkk dimana responden sebanyak 69,8% mempunyai komplikasi 8 Rata-rata kadar glukosa puasa responden adalah 156,87 mg/dL (tabel II) yang menunjukkan bahwa kadar glukosa puasa belum terkontrol dengam optimal, hasil ini mirip dengan penelitian sebelumnya 25,26 .…”

Section: Sosiodemografi Respondenunclassified

“…Nilai self-care diperoleh dengan menjumlahkan total poin pertanyaan dan ditransformasikan kedalam bentuk skala 0-10 (nilai yang didapat / maksimum nilai teori * 10) dimana semakin tinggi nilai maka mengindikasikan semakin efektif self-care 9 . Tingkat self-care dibagi menjadi 2 kelompok, yaitu tingkat self-care buruk ≤6 dan 6-10 tingkat self-care baik 13 .…”

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Pengaruh Self-Care terhadap Kadar Glukosa Darah Puasa Pasien Diabetes Melitus Tipe-2

Ramadhani

Fidiawan

Andayani

et al. 2019

J. Manaj. dan Pelayanan Farm.

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Diabetes Mellitus (DM) is a chronic hyperglycemic condition which may affect all aspects of life of the sufferer, and it can be life threatening. This problem can be minimized by doing self-care. Self-care has an influence on glycemic control, prevention of complications due to uncontrolled blood glucose and improving the quality of life for people with diabetes mellitus. This study aimed to determine the effect of self-care on fasting blood glucose of type 2 diabetics. This type of research was observational with cross-sectional design. The inclusion criteria for the study were patients with a diagnosis of diabetes mellitus aged > 18-year-old, treatment at a health center >8 weeks, had records of the last blood glucose fasting ≤1 month before the interview, while the exclusion criteria were patients who refused to participate and patients who could not communicate. Self-care measurement uses the Diabetes Self-Care Management Question (DSMQ) instrument. The number of respondents from this study was 115 people where 79,1% of respondents had a good level of self-care and 47% of respondents with fasting glucose levels that had not been achieved. The data were analyzed using Chi-square test. From this study, it was found that self-care had an effect on fasting blood glucose (OR=3,349, P<0,05). The lowest value of self-care in this study is the domain of physical activity and health-care, therefore patient motivation needs to be improved by exercise and routine check-up because self-care is one of the important factors that could control blood glucose levels.

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Facilitators of and barriers to the use of a computer-based self-monitoring system by type 2 diabetic and/or hypertensive patients

Yan,

Or,

Xie

et al. 2023

International Journal of Industrial Ergonomics

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Inadequate Self-Care Behaviors among Malaysian Diabetic Patients: The Need for Action by Hospital Pharmacists

Cited by 6 publications

References 18 publications

Frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus in Najran, Saudi Arabia

Frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus in Najran, Saudi Arabia

Pengaruh Self-Care terhadap Kadar Glukosa Darah Puasa Pasien Diabetes Melitus Tipe-2

Facilitators of and barriers to the use of a computer-based self-monitoring system by type 2 diabetic and/or hypertensive patients

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