Self-care activities among patients with diabetes attending a tertiary care hospital in Mangalore Karnataka, India

Rajasekharan, D; Kulkarni, M.S.; Unnikrishnan, Bhaskaran; Kumar, Nithin; Holla, Ramesh; Thapar, Rekha

doi:10.4103/2141-9248.149791

Cited by 67 publications

(59 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In regard to medication, 60.5% use oral antidiabetic agents daily and 66.9% received insulin shots daily. 24 The results found in this study and reported by both Brazilian and international studies reinforce the need for patients to adhere to the three pillars of DM treatment, i.e., healthy diet, the practice of exercises, and medication, to achieve good glycemic control. 8,11,24 An individual with DM may adhere to one self-care activity but not to others, as reported in the aforementioned studies, however, the literature presents DM treatment as a tripod composed of medication, exercise and healthy diet, on which success depends.…”

supporting

confidence: 79%

“…One Indian study reports findings similar to those found in this study because it was conducted in a THC unit where 76.6% of the participants monitored their blood glucose daily. 24 The item Inspect shoes for foreign objects, which is from the Foot Care domain, presented a difference; that is, a greater frequency was found in the THC unit, probably due to education regarding diabetes mellitus that the unit implements and due to the contact the unit maintains with those who have ulcers.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Adherence to diabetes mellitus care at three levels of health care

et al. 2017

View full text Add to dashboard Cite

Adherence to diabetes mellitus care at three levels of health careAdesão ao cuidado em diabetes mellitus nos três níveis de atenção à saúde La adhesión a la atención en la diabetes mellitus en tres niveles de atención de la salud AbstrActObjective: To evaluate adherence to self-care among people with diabetes mellitus cared for at the three levels of health care.Method: Quantitative, descriptive, cross-sectional study addressing a sample of 143 people from a city in the interior of São Paulo, Brazil from primary (45), secondary (48) and tertiary (50) units. Adherence to self-care was assessed using the "The Summary of Diabetes Self-Care Activities Measure" and "Measurement of Treatment Adherence". Results: Adherence to exercises, blood glucose monitoring, shoe inspection, and the use of insulin differed between units; better results were obtained for those in resumen Objetivo: Evaluar la adherencia al cuidado de personas con diabetes mellitus asistidas en tres niveles de atención a la salud.Método: Estudio cuantitativo, descriptivo, transversal, muestra de 143 personas de un municipio de São Paulo, provenientes de unidad atención primaria (45), secundaria (48) y terciaria (50). Se evaluó la adherencia utilizando el "Cuestionario de Actividades de Autocuidado con la Diabetes" y la "Prueba de Medición de Adherencia al Tratamiento". Resultados: La adherencia a la actividad física, monitoreo de la glucosa capilar, inspección del calzado y uso de insulina difirieron entre las unidades; mejores resultados en la atención terciaria. Conclusión: Se necesita una mayor inversión en el tratamiento precoz para mejorar la adherencia a los cuidados personales. Implicaciones para la práctica: Fue posible identificar el perfil de la adhesión al cuidado a la enfermedad, y subsidiar la planificación de las intervenciones de enfermería en la atención en diabetes mellitus.

show abstract

supporting

confidence: 79%

mentioning

confidence: 99%

Adherence to diabetes mellitus care at three levels of health care

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Age has been shown elsewhere as being a positive predictor of good dietary self-care, which has been suggested to be a result of better disease management practices over time. For instance, Rajasekharan et al found that patients who had diabetes for >10 years had better eating plans, and less high fat food within their diet [17]. Married patients had lower scores for good diet outcomes in this analysis.…”

Section: Discussionmentioning

confidence: 66%

Self-Care Activities among Patients with Type 2 Diabetes in Morocco: Prevalence and Determinants

Adarmouch¹,

Sebbani²,

Amine³

2020

OJEpi

View full text Add to dashboard Cite

Background: Self-care is an important, though often neglected, area of type 2 diabetes management in lower and middle income countries (LMICs). In Morocco, whilst the evolution of the disease is increasing rapidly, evidence documenting disease self-care patterns remains scarce. Objectives: To estimate the prevalence of self-care activities among patients with type 2 diabetes in Morocco, and to identify the factors associated with good self-care practices. Methods: We performed a secondary analysis of data of 406 patients aged 30 years old and over, diagnosed with type 2 diabetes mellitus for at least 6 months. Self-care activities were assessed using the Moroccan version of the Summary of diabetes self-care activities. Studied factors included socio-demographics, disease features and healthcare use. Unadjusted and adjusted odds ratios were calculated using logistic regression. Results: Mean age was 55.8 ± 11.6 years old. Females represented 68.7% of the respondents. Mean estimates of the frequency of self-care practices exceeded 3.5 days per week for diet, exercise and foot-care; of these, good dietary behavior was the most prevalent (63.6%). In multivariate analysis, females displayed better dietary behavior (OR = 1.81 [1.27-2.58]), and less frequent foot care (OR = 1.81 [1.27-2.58]) than males. Lower levels of exercise were associated with being female (0.42 [0.26-0.68]), and belonging to the higher income category (0.55 [0.34-0.88]). Residents in rural areas also reported better exercise practices (1.72 [1.07-2.78]). Conclusion: This study draws attention to self-care practices and their determinants in the Moroccan context. Such findings should help in the design, implementation, and evaluation of self-management interventions for people with type 2 diabetes.

show abstract

“…This result is in line with other earlier related studies at 91.7% in Addis Ababa and 95% in South India and higher than studies at 70.4% in Harar and 63.7% in Mangalore Karnataka. 7 , 32 - 34 This variability may be due to variations between studies in the concept of adherence to the drug. Therefore, methodologies will vary between studies, leading to data variation, and socio-demographic and economic characteristics of the participants in the research may contribute to this variation.…”

Section: Discussionmentioning

confidence: 99%

<p>Predictors of Diabetes Self-Care Practice Among Patients with Type 2 Diabetes in Public Hospitals in Northeastern Ethiopia: A Facility-Based Cross-Sectional Study</p>

Gulente¹,

Yesuf²,

Yazie³

et al. 2020

DMSO

View full text Add to dashboard Cite

Objective Even though life-threatening complications in type 2 diabetes mellitus (T2DM) minimize through self-care practice, extensive studies in northeast Ethiopia have been scarce about self-care practice and predictors. This study aimed to assess diabetes self-care predictors among patients with T2DM patients at Dubti and Assaita hospitals in northeastern Ethiopia. Methods A facility-based cross-sectional study was conducted among 403 patients with T2DM who followed-up in northeastern Ethiopia’s Dubti and Assaita hospitals. Data were analyzed using SPSS version-22.0 after the data were entered, sorted and cleaned. Multiple stepwise backward logistic regression analysis was done for a P value of <0.25 to identify the independent predictors of self-care practice. Results In the present study, males comprised 62% of the sex category. Overall, 63.8% of the study participants had adequate self-care practice, while 36.2% had inadequate self-care practice. Being younger age (AOR 2.27, 95% CI 1.27–4.07, P= 0.005), monthly income status with low (AOR 3.08, 95% CI 1.08–8.78, P= 0.04), average (AOR 2.43, 95% CI 1.15–5.09, P= 0.02) and high (AOR 2.68, 95% CI 1.03–6.99, P= 0.04), treated with oral hypoglycemic agents (OHA) (AOR 0.22, 95% CI 0.05–0.95, P = 0.04) and insulin (AOR 0.18, 95% CI 0.04–0.75, P= 0.01), having social support (AOR 3.09, 95% CI 1.76–5.4, P ≤ 0.01) and diabetic education from health professionals (AOR 5.53, 95% CI 1.92–15.93, P= 0.001) and media (AOR 2.63, 95% CI 1.47–4.7, P = 0.001) were the independent predictors of self-care practice. Conclusion In this study, the practice of self-care found to be sub-optimal among patients with T2DM. Independent predictors of self-care practice were age, monthly income, treatment regimen, social support, and diabetic education. Therefore, a suitable approach should be built to improve self-care practice with diabetes.

show abstract

Self-care activities among patients with diabetes attending a tertiary care hospital in Mangalore Karnataka, India

Cited by 67 publications

References 9 publications

Adherence to diabetes mellitus care at three levels of health care

Adherence to diabetes mellitus care at three levels of health care

Self-Care Activities among Patients with Type 2 Diabetes in Morocco: Prevalence and Determinants

<p>Predictors of Diabetes Self-Care Practice Among Patients with Type 2 Diabetes in Public Hospitals in Northeastern Ethiopia: A Facility-Based Cross-Sectional Study</p>

Contact Info

Product

Resources

About