Patients’ and Nurses’ Perceptions of Diabetes Self-Management in Oman: A Qualitative Study

Mahrouqi, Abdullah Salim Al; Mallinson, R. Kevin; Oh, Kyeung Mi; Weinstein, Ali A.

doi:10.3390/ijerph19116929

Cited by 9 publications

(2 citation statements)

References 23 publications

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“…Patient-centeredness is characterized by utilization of a bio-psycho-social perspective, which means focusing on patients and honoring their preferences as a holistic being, rather than adopting a biomedical perspective that focuses on the disease ( 14 ). The shift from a biomedical model to a patient-centered care model may necessitate more effective patient engagement, collaboration on an individual care plan, and motivation of patients to adopt self-management behaviors ( 15 ). Therefore, PCC is characterized as a care that is tailored to the patients' specific needs, values, and preferences ( 16 ).…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of patient-centered care vs. usual care in type 2 diabetes self-management: A systematic review and meta-analysis

Asmat

Dhamani²,

Gul³

et al. 2022

Front. Public Health

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BackgroundPatient-centered care in diabetes self-management might be a significant factor in improving health outcomes of adults with type 2 diabetes, yet the supporting evidence is inadequate. This review aimed at assessing the effectiveness of patient-centered self-management care interventions on glycemic control (HbA1c) and self-care behaviors compared with usual care.MethodsCINAHL, PubMed, Cochrane Library, Google Scholar, and the HEC Digital Library were searched for studies in English language that assessed patient-centered self-management educational and/or behavioral interventions in adults aged 18 years or older with type 2 diabetes from 2005 to 2020. Interventional studies with at least 3 months of follow-up and reporting on self-care outcomes such as glycemic control (HbA1c) and self-care behaviors including diet control, physical activity, foot care, and medication adherence were included.ResultsOf 168 identified records, 24 were found eligible comprising 20 RCTs and four QESs with total 4,083 participants. The meta-analysis involved 19 RCTs that provided enough information for a pooled estimate of HbA1c. Compared with the control group, patient-centered self-management interventions significantly lowered HbA1c, −0.56 (95% CI −0.79, −0.32). Stratified analysis for HbA1c with respect to various aspects of intervention showed larger effects in interventions employing both educational and behavioral components, −0.66 (95% CI −0.97, −0.34); spanned over shorter (<03 months) duration, −0.85 (95% CI −1.28, −0.43); administered by nurses, −0.80 (95% CI −1.44, −0.16); and delivered in community settings −0.70 (95% CI −1.14, −0.26).ConclusionThis systematic review provided evidence supporting the effectiveness of patient-centered self-management care interventions in improving glycemic control and self-care behaviors in adults with type 2 diabetes and identified key features of intervention contributing toward success.

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Section: Introductionmentioning

confidence: 99%

The effectiveness of patient-centered care vs. usual care in type 2 diabetes self-management: A systematic review and meta-analysis

Asmat

Dhamani²,

Gul³

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…A study from UK has shown that people with diabetes have been disproportionately affected by COVID-19, with growing evidence of higher mortality and morbidity 25 . Literature has reported geriatric age, diabetes mellitus, hypertension and obesity significantly increase the risk of hospitalization and death in COVID-19 patients 26,27 .…”

Section: Discussionmentioning

confidence: 99%

Glycemic Control in Diabetic Patients During COVID-19 Pandemic, A Study from North Al-Batinah, Oman

Jahan,

Anwar,

Al Shibli

et al. 2023

Trends Med. Res

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Background and Objective:The prevalence of diabetes is persistently rising. Diabetics are prone to infections that can affect glycemic control. Recent COVID-19 pandemic coupled with the increased global burden of diabetes. The current study was done to find the glycemic control of diabetic patients during COVID-19 pandemic. Materials and Methods: A retrospective cross-sectional observational study was conducted wherein the clinical and laboratory parameters were extracted from the computerized databases using a predesigned questionnaire. The HbA1C lab values were checked for the registered participants from 2018 to 2021. The chi-square test was used to compare the frequency of uncontrolled and controlled diabetes covariates. Paired t-test was used to compare mean HbA1c values. Results: A total of 314 diabetic patients were studied, 66.66% were females, 58.6% were more than 60 years and 33.1% were 45-60 years. A statistically significant difference (p<0.05) was found between liver disease patients in uncontrolled (25%) and controlled diabetes (64.4%). The study showed that control of diabetes worsened with the advent of COVID. Uncontrolled diabetes was 63.4% in 2018 before COVID-19 started and subsequently increased from 2019 (64.6%) to 2020 (69.7%) to 2021 (70.4%). There was a significant mean difference in HbA1c readings between 2018-2020 (p<0.05); 2019-2020 (p<0.01) and 2019-2021 (p<0.01). Conclusion: The current study showed that during COVID the control of diabetes declined as evidenced by HbA1c values of 7.8 pre-COVID to 8.1 post-COVID suggesting that during COVID, patients did not get optimal care and could not visit hospitals often for advice which led to uncontrolled diabetes. This suggested COVID-19 affected HbA1c status supporting the hypothesis towards uncontrolled diabetes.

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Long‐Term Effects of an Automated Personalized Self‐Care Program for Patients With Type 2 Diabetes

Lee,

Park,

Lee

et al. 2024

Nursing & Health Sciences

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Elevated glycated hemoglobin (HbA1c) levels and longer disease duration increase the risk of complications in type 2 diabetes mellitus (T2DM), highlighting the need for continuous management. This study evaluated the 18‐month effects of the Automated Personalized Self‐Care (APSC) program on self‐care self‐efficacy, diabetes self‐care, and complication risk indices in T2DM patients through a randomized controlled trial. Participants aged 40–69 years were assigned to either an intervention group using the APSC mobile app, which provided personalized goals, automated feedback, and monthly support, or a comparison group. The final analysis included 43 engaged participants from the intervention group and 78 from the comparison group. Data were collected at baseline, 6, 12, and 18 months using structured questionnaires and medical record reviews and analyzed using generalized estimating equations. Significant effects were observed for self‐care self‐efficacy, diabetes self‐care activities, vegetable intake, HbA1c, and total cholesterol levels. The APSC program showed potential to improve long‐term self‐care and reduce complication risk in T2DM patients. Further research with a larger samples and strategies to promote long‐term engagement is needed for its integration into routine diabetes care.Trial Registration: Clinical Research Information Service: KCT0007672

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Patients’ and Nurses’ Perceptions of Diabetes Self-Management in Oman: A Qualitative Study

Cited by 9 publications

References 23 publications

The effectiveness of patient-centered care vs. usual care in type 2 diabetes self-management: A systematic review and meta-analysis

The effectiveness of patient-centered care vs. usual care in type 2 diabetes self-management: A systematic review and meta-analysis

Glycemic Control in Diabetic Patients During COVID-19 Pandemic, A Study from North Al-Batinah, Oman

Long‐Term Effects of an Automated Personalized Self‐Care Program for Patients With Type 2 Diabetes

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