A study on diabetes-related self-care plan and its determinants among diabetes patients in a Warangal region, Telangana, India

Abstract The prevalence of epidemiological diseases, including diabetes, has continued to increase because of the adaption of Western culture and the lack of self-care activities among patients with diabetes. Therefore, in this cross-sectional study, we aimed to assess self-care plans and determinants among diabetes outpatients in Warangal. We conducted a prospective observational study among diabetes outpatient clinic in Warangal, India over 6 months from October 2019 to March 2020. We used the expanded Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. A P value of less than < 0.05 was considered statistically significant. Respondents (mean age, 52.3 (standard deviation (SD), 11.01) years) had an overall SDSCA score of 49.18 ± 3.57 (SD). Mean scores for the diet, physical activity, foot care, medication adherence, and blood sugar testing scales were 12.79 (SD, 1.61), 10.24 (SD, 1.77), 15.67 (SD, 1.5), 5.66 (SD, 1.17), and 4.80 (SD, 0.68), respectively. Patients' age, education, disease duration and hemoglobin A1C (HbA1C) levels of <7.5% (P < 0.001)) had significantly higher mean scores for blood sugar testing, diet, physical activity, and adherence (P < 0.001). The employment status is associated with all the domains of Summary of Diabetes Self-Care Activities (P < 0.001). Taken together, our results revealed that patients with diabetes in Warangal had poor self-care planning, highlighting the need for strengthening initiatives that generate awareness regarding diabetes and improving related self-care practices

A ética do cuidado de si como criação de possíveis no trabalho em Saúde / The ethics of self-care as a way of creating potential tools for work in Health / La ética del cuidado de sí como creación de posibles instrumentos en el trabajo en Salud

O objetivo deste artigo é contribuir para a discussão das práticas de produção do cuidado pautadas pelo desafio de se deslocarem da hegemonia dos referenciais prescritivos e homogeneizantes no campo da Saúde, isto é, daqueles que submetem os processos de experimentação de uma vida a uma ideia geral e abstrata de vida, buscando enquadrar a experiência dos sujeitos em verdades que ditam maneiras de viver baseadas em concepções moralizantes e despotencializadoras. Nosso esforço será o de pensar, a partir da filosofia de Michael Foucault, um modo de estar em meio aos processos de produção do cuidado calcados por uma perspectiva ética em favor da vida em seu sentido mais amplo, norteados por aquilo que o filósofo denominou de uma "ética do cuidado de si".(AU)

The objective of this paper is to contribute to the discussion about practices in the offer of care, guided by the challenge of escaping from the hegemony of prescriptive and homogenizing references in the field of Health, specifically those references that subsume processes of experimentation of a life in to a general and abstract notion of life. This is done with the aim of fitting subjects' experiences into truths that prescribe ways of living that are based on moralizing and undermining conceptions. Based on the work of the philosopher Michael Foucault, the focus of the paper will be on thinking about a way of being in the midst of health care work, grounded in an ethical viewpoint that supports the notion of life in its broadest sense, guided by what Foucault called the "ethics of self-care".(AU)

El objetivo de este artículo es contribuir con la discusión de las prácticas de producción del cuidado, regidas por el desafío de su desplazamiento de la hegemonía de los factores referenciales prescriptivos homogenizados en el campo de la Salud, es decir, de aquellos que someten los procesos de experimentación de una vida a una idea general y abstracta de la vida, buscando encuadrar la experiencia de los sujetos en verdades que dictan formas de vivir basadas en concepciones moralizantes y despotencializadoras. Nuestro esfuerzo será el de pensar, a partir de la filosofía de Michael Foucault, un modo de estar en el medio de los procesos de producción del cuidado basados en una perspectiva ética a favor de la vida en su sentido más amplio, norteados por aquello que el filósofo denominó de una "ética del cuidado de sí".(AU)