ABSTRACT
Diabetes mellitus is a category of hyperglycaemic metabolic disorders. It is linked with the failure of the synthesis of sugars, fat, and proteins, contributing to medical complications like thinning, macro-vascular, and neuropathic disorders. This study was planned to assess the self-care practices among type 2 diabetes patients at the tertiary care hospital of Wardha city. MethodsThis cross-sectional study was conducted in a tertiary care rural hospital in Wardha city. Sampling was done by convenient sampling method, and 105 participants were included in this study. Data was collected using a pre-designed and pre-tested questionnaire. ResultsMale were 62 (59.00 %) and females were 43 (41.00 %). Majority was more than 60 years of age (64.70 %). Participants had followed satisfactory self-care practices on diet. Most (61.53 %) of the participants who followed satisfactory self-care practice on exercise, were in the age group of 30 - 60 years. Significant association (p - 0.005) was observed between socio-economic status and self-care practice with regard to foot care. ConclusionsThis study shows that practices of self-care practices related to diabetic Mellitus in patients were relatively good but health functionaries working in the periphery should conduct regular information education and communication activities for better adoption of all the self-care activities of diabetes for all the seven days in a week for the reduction of diabetic complications.
ABSTRACT
Background: The prevalence of diabetes worldwide is expected to rise to 9.9% by 2045 and with this rising prevalence raises the need for good self-care practices by patients themselves, which play a key role in effective management and prevention of complications.Methods: Present community-based cross-sectional study was conducted among 168 type 2 diabetes mellitus patients by interviewing them using a structured questionnaire assessing their self-care practices using summary of diabetes self-care activities (SDSCA) scale. Different domains were diet, exercise, blood glucose monitoring, medication compliance, foot care and smoking and responses were graded according to number of days in previous week a particular self-care activity of a domain was followed. Data analysis was done with help of SPSS version 21.Results: Mean age of diabetic patients in this study subjects was 54.37±13.24 years. 43.45% respondents have poor self-care practice scores. Bivariate analysis showed that self-care practices were significantly poorer among the diabetic patients less than 60 years of age, residing in rural area, either illiterate or studied till primary/intermediate, had diabetes for less than a year and were taking treatment from public health facilities. Poor self-care practices were insignificantly related with gender, marital status, occupation, monthly family income, type of family, food habits, hypertension as comorbidity, family history, BMI and mode of diagnosis. Multivariate analysis indicates that age, education and duration of diabetes are significant predictors for self-care practices.Conclusions: Self-care practices among diabetic patients were poor among 43.45% patients and there is a need for improving them across all assessed domains.
ABSTRACT
Background: Self-care plays an important role in diabetes management. One of the instruments used to evaluate self-care in patients with diabetes is the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. A validated instrument in the Malay language is used to assess self-care practice among children and adolescents with diabetes in Malaysia. Objective: To translate and evaluate the psychometric properties of the revised version of the SDSCA questionnaire in the Malay language. Methods: Forward and backward translations were performed. An expert panel reviewed all versions for conceptual and content equivalence. The final version was administered to paediatric patients with diabetes between August 2006 and September 2007. Reliability was analysed using Cronbach’s alpha and validity was assessed using exploratory factor analysis. Results: A total of 117 patients aged 10–18 years were enrolled from nine hospitals. The reliability of overall core items was 0.735 (with item 4) while the reliabilities of the four domains were in the range of 0.539–0.838. As core item number 4 was found to be problematic and it was subtituted by item 5a (from the expanded SDSCA) to suit local dietary education and practice; and the reliabilities of the overall core item (0.782) and the four domains (0.620 – 0.838) improved. Factor loadings of all the items were greater than 0.4, loaded into the original domains, and accounted for 73% of the total variance. Conclusion: The Malay translation of the revised English SDSCA is reliable and valid as a guide for Malaysian children and adolescents suffering from diabetes.