Self-management practices for preventing complications of type II diabetes mellitus in low and middle-income countries: A scoping review

Maina, Pauline Muthoni; Reid, Marianne; Reid, Marianne

doi:10.1016/j.ijnsa.2023.100136

Cited by 3 publications

(2 citation statements)

References 48 publications

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“…According to the overall score’s categorization, over two-thirds of the study participants had unsatisfactory self-management behaviors. This finding is similar to several studies conducted among diabetes patients, indicating that self-management behaviors need to be specially addressed by policymakers [ 21 , 37 , 38 , 39 ].…”

Section: Discussionsupporting

confidence: 90%

Evaluation of Self-Management Behaviors and Its Correlation with the Metabolic Syndrome among the Type 2 Diabetes Mellitus Patients of Northern Saudi Arabia

Alsaidan,

Thirunavukkarasu,

Alhassan

et al. 2023

JCM

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Self-management behavior among diabetes patients is essential to monitor blood sugar levels, make necessary lifestyle changes, and help patients reduce their risk of complications from diabetes. We assessed the prevalence of metabolic syndrome (MS) and its association with self-management behavior and sociodemographic characteristics among 310 patients with type 2 diabetes mellitus (T2DM) attending different diabetes care centers in northern Saudi Arabia. We evaluated the self-management behaviors of patients with T2DM using a validated Arabic version of the Summary of Diabetes Self-Care Activities Scale. Regarding MS, we applied the National Cholesterol Education Program (NCEP) Adult Treatment Plan–3 (ATP–3) guidelines. A logistic regression analysis was used to identify the predictors of MS. We found that more than one-third (36.5%) of patients had MS according to the NCEP ATP-3 criteria. The prevalence of MS was significantly associated with unsatisfactory self-management behaviors. Regarding sociodemographic predictors for MS, we found a significant association between gender (ref: female: Adjusted OR (AOR) = 1.89, 95%CI = 1.17–2.95, p = 0.007) and body mass index (ref.: normal range: AOR = 2.98, 95%CI = 1.31–5.07, p = 0.003). Our findings suggest a tailor-made multifaceted intervention to improve the self-management behaviors of T2DM patients, which, in turn, can reduce MS.

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Section: Discussionsupporting

confidence: 90%

Evaluation of Self-Management Behaviors and Its Correlation with the Metabolic Syndrome among the Type 2 Diabetes Mellitus Patients of Northern Saudi Arabia

Alsaidan,

Thirunavukkarasu,

Alhassan

et al. 2023

JCM

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“…20,21 Self-care management reduces the complication risks among T2DM clients. 22 SCB required driving factors to perform effectively. The drivers include sufficient skills, reliability, and responsibility for their medical care.…”

Section: Discussionmentioning

confidence: 99%

Improving the self-care behavior of type 2 diabetes mellitus clients by combining the basic conditioning factors and self-care agency

Minarti,

Supriyanto,

Dinata

et al. 2023

PHPMA

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Background and purpose: Type 2 diabetes mellitus (T2DM) is a chronic disease that requires active participation of the person to perform self-care. Self-care behavior requires various drivers to perform effectively. This study aims to investigate how the basic conditioning factors (BCF) and self-care agency (SCA) improve the self-care behavior (SCB) of T2DM clients. Methods: This is a cross-sectional study that involved 195 T2DM clients who were selected through convenience sampling from three public health centers (PHCs) in Surabaya. Questionnaires were used to gather information on basic conditioning factors (i.e. developmental status, health services, sociocultural, family support, lifestyle, and environment) and self-care agency (diet, blood sugar monitoring, physical exercise, treatment, and foot care) For self-care behavior, we adopted the American Association of Diabetes Educators variables including healthy eating, being active, monitoring, taking medications, problem-solving, healthy coping, and reducing risks. We conducted the Structural Equation Modelling Smart PLS (SEM) Version 3.0 to analyze the interaction of sub-variables of BCF and SCA that improve the SCB. Results: The development status, health status, sociocultural, family, and lifestyle indirectly (where SCA becomes the intermediate factor) influence the improvement of SCB among T2DM clients. Lifestyle and environmental factors of SCA are the sub-variables that directly improve the SCB of T2DM clients. Conclusion: The study concludes that some sub-variables of basic conditioning factors and self-care agency are influential in improving the quality of self-care practice of T2DM sufferers. It is advised that empowering T2DM clients to perform effective self-care management requires drivers from BCF and SCA factors.

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Diabetes self-management and its influencing factors among adults with type 2 diabetes mellitus in rural Sri Lanka: A cross-sectional study

Premadasa,

Masingboon,

Samartkit

2024

Belitung Nurs J

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Background: Diabetes Self-Management (DSM) is pivotal in managing diabetes. However, poor engagement in DSM has been observed in rural Sri Lankan settings. Thus, identifying factors influencing DSM is crucial for nurses and other healthcare professionals. Objectives: This study aimed to describe DSM among adults with Type 2 Diabetes Mellitus (T2DM) in rural Sri Lanka and to examine whether perceived stress, health literacy, self-efficacy, and family support can predict DSM among adults with T2DM in rural Sri Lanka. Methods: This correlational predictive study used a simple random sampling technique to recruit 160 adults with T2DM from an outpatient clinic at a secondary care hospital in a rural area of Sri Lanka. Data were collected from March to April 2024 using socio-demographic and standardized questionnaires to examine predictive factors of DSM, including perceived stress, health literacy, self-efficacy, and family support. Data analysis was conducted using descriptive statistics and standard multiple linear regression analysis. Results: Approximately half of the participants had uncontrolled T2DM (Fasting Plasma Glucose (FPG) >126) and sub-optimal DSM. The analysis revealed that all variables could explain 39.3% of the variance in DSM among rural Sri Lankan adults with T2DM. However, DSM was significantly predicted by self-efficacy (β = 0.530, p = 0.001), harmful family involvement (β = -0.169, p = 0.038), and health literacy (β = -0.162, p = 0.020). Conclusion: The findings emphasized the need for further development of interventions to increase self-efficacy and reduce harmful family involvement to enhance DSM among adults with T2DM. Nurses and other healthcare providers should target family members’ engagement to improve self-efficacy among this population.

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Self-management practices for preventing complications of type II diabetes mellitus in low and middle-income countries: A scoping review

Cited by 3 publications

References 48 publications

Evaluation of Self-Management Behaviors and Its Correlation with the Metabolic Syndrome among the Type 2 Diabetes Mellitus Patients of Northern Saudi Arabia

Evaluation of Self-Management Behaviors and Its Correlation with the Metabolic Syndrome among the Type 2 Diabetes Mellitus Patients of Northern Saudi Arabia

Improving the self-care behavior of type 2 diabetes mellitus clients by combining the basic conditioning factors and self-care agency

Diabetes self-management and its influencing factors among adults with type 2 diabetes mellitus in rural Sri Lanka: A cross-sectional study

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