Development of an eHealth Nursing Intervention on Self-Care to Prevent Diabetic Foot in Rural Mexico: A Pilot Test

2021 ◽  
Author(s):  
Edgar Mauricio Ramírez-Pérez ◽  
Maricarmen Moreno-Tochihuitl ◽  
María del Rosario Ricardez-Ramírez ◽  
Lorraine Block ◽  
Laura-María Peltonen ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Diabetic Foot ◽  
Self Care ◽  
Nursing Intervention ◽  
Communicable Diseases ◽  
Pilot Test ◽  
Common Complication ◽  
Rural Mexico ◽  
Ehealth Intervention

Diabetic foot affects nearly 6% of people living with Type 2 diabetes (T2D). It is also the most common complication of T2D and is associated with infection, ulceration. eHealth facilitation of Non-communicable diseases management has the potential to increase self-care and engage patients. The aim of this study is to develop an eHealth intervention to prevent diabetic foot.

scholarly journals Diabetic foot self-care: awareness and practice among type 2 diabetic patients in primary healthcare centers, Dubai Health Authority

2018 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Maira K. Mehmood ◽  
Almas Z. Parkar ◽  
Nayab T. Mustafa ◽  
Sarah S. Mustafa ◽  
Momina A. Makin ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Primary Healthcare ◽  
Health Authority ◽  
Diabetic Foot ◽  
Self Care ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Cumulative Score ◽  
Primary Healthcare Centers

Background: Diabetic foot disease is the most common complication of diabetes mellitus. With appropriate management, approximately 49-85% of diabetic foot complications can be prevented. This study was carried out due to lack of population-based studies on foot self-care in the U.A.E. The aim of this study is to assess the awareness and practice of foot self-care in patients with type 2 diabetes and study the factors affecting foot self-care.Methods: A cross-sectional study was conducted amongst patients of type-2 diabetes attending the diabetic clinics in primary healthcare centers under Dubai Health Authority. 488 participants were interviewed on a pre-tested structured questionnaire. The cumulative score of awareness and practice was classified into poor (<50 percentile), average (50-75 percentile) and good (>75 percentile).Results: 47% participants had an overall poor awareness and 46% had an overall poor practice of foot self-care. Compliance of medications to avoid complications had the highest awareness (83%) and practice (91%). Avoiding moisturizing between toes had the least awareness (40%) and practice (38%). Awareness was better in 59% of UAE nationals and 74% of postgraduates. Practice was better in 60% of males and 73% of participants with uncontrolled HbA1c. Participants who received prior information had better awareness (55%). Participants receiving information from Dubai Diabetes Centre (DDC) had better awareness (66%) and practice of foot self-care (66%).Conclusions: Almost half of the diabetic patients attending primary healthcare centers in Dubai have limited awareness and practice regarding diabetic foot self-care.

scholarly journals Predictors of Adherence Toward Specific Domains of Diabetic Self-Care Among Type-2 Diabetes Patients

2020 ◽  
Vol 13 ◽  
pp. 117955142098190
Author(s):  
Girma Degefa ◽  
Kindie Wubshet ◽  
Sisay Tesfaye ◽  
Agete Tadewos Hirigo
Keyword(s):  
Type 2 Diabetes ◽  
Physical Exercise ◽  
Diabetic Foot ◽  
Self Care ◽  
Healthy Diet ◽  
Care Practice ◽  
Foot Care ◽  
Male Sex ◽  
Care Practices

Background: Adequate knowledge, awareness, and adherence to diabetic self-care practices are vital tools to protect patients from risks of disease complications, developing comorbidity and mortality. Therefore, this study aimed to assess specific domains of diabetic self-care practice and associated factors among patients with type-2diabetes in Hawassa University Comprehensive Specialized Hospital, Sidama regional state. Materials and methods: A hospital-based cross-sectional study design was conducted on 217 patients with type 2 diabetes from January 01 to April 30, 2020. A structured questionnaire and the Summary of Diabetes Self-Care Activities (SDSCA) tool were used to collect relevant data through interviewer administration. Statistical analysis was done using SPSS version 23. Results: A total of 207 patients with type-2 diabetes were participated in the study with a 95% response rate. Overall 47.8% (95%CI: 41.2-55) of patients adhered to diabetic self-care practice. Concerning the specific domain of self-care practice, 54.6%, 39.1%, 28%, and 65.2% of patients adhered to a healthy diet, physical exercise, self-monitoring blood glucose (SMBG), and diabetic foot care practices, respectively. Besides, all patients received at least 80% of the prescribed doses and frequency of anti-diabetic agents and 60.4% had good glycemic control. Receipt of advice from treating physicians and having no familial history of diabetes were significantly associated with adherence toward eating a healthy diet, diabetic foot care, and SMBG. While male sex was associated with adherence toward healthy diet management. Moreover, having glucometer, age, male sex, diabetes duration ⩾ 5 years, and anti-diabetic treatment modality were associated with adherence toward SMBG. Conclusion: This study indicates 52.2%, 72%, and 60.1% of diabetes patients did not adhere to diabetic self-care, SMBG, and physical exercise, respectively. Improving awareness and regular diabetic education is imperative to scale up patients’ adherence toward diabetic self-care practice.

scholarly journals Diabetes Mellitus, Diabetes Self Management Education (DSME), and Self Care Diabetik

2018 ◽  
Author(s):  
ANDI AKIFA SUDIRMAN
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Management Education ◽  
Self Care ◽  
Nursing Intervention ◽  
Self Management ◽  
Group Method ◽  
Control Group

Diabetes Self Management Education (DSME) which integrates the four pillars of Diabetes Mellitus Management independently emphasize the behavioral interventions which help people with diabetes to change their lifestyles in terms of diabetic self care. The implementation of DSME related to the continual education covers the basic concepts of DSME itself, diet time arrangement, physical activity, foot care and exercises for people with diabetes. The objective of this research was to find out the effectiveness of Diabetes Self Management Education (DSME) group method on the type 2 Diabetes Mellitus Outpatient at Public Health Center Gorontalo Regency. The design of this research was Quasi Experimental Design with Pre-Test and Post Test. The samples were taken by using cluster sampling technique. The number of samples were 24 which was divided into two groups, 12 people of control group and 12 people of intervention group. The data were analized by using paired t test. The result of this research showed that there were significant differences of diabetic self care in type 2 Diabetes Mellitus patients after the implementation of Diabetes Self Management Education (DSME) group method with p value = 0,00. In conclusion, the program of DSME that related to diabetic self care can be applied systematically and sustainably as the nursing intervention to patients by using proper media and method of education. By applying the method and media properly, people with diabetes can control and prevent the type 2 Diabetes Mellitus complication.

scholarly journals DETERMINAN AKTIVITAS SELF-CARE PADA PASIEN DM TIPE 2 DI RSUD LABUANG BAJI

2020 ◽  
Vol 2 (2) ◽  
pp. 8-17
Author(s):  
Natalia Paskawati Adimuntja
Keyword(s):  
Type 2 Diabetes ◽  
Self Care ◽  
Sampling Technique ◽  
Communicable Diseases ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Dm Type 2

Epidemiological transitions are characterized by increasing non-communicable diseases in the community. One of the non-communicable diseases that are found is Diabetes Mellitus (DM) type 2 disease. The purpose of this research is to know the determinant of self-care diabetes activity in patients with type 2 diabetes at the Labuang Baji Hospital in Makassar City. The research design is cross-sectional study. The population is all patients with type 2 diabetes DM treatment in 2016. Sampling is done by probability sampling technique with simple random sampling method and the number of sample 136 people. The results showed that respondents with self-care activities were less than 35 people (25.7%) and respondents with good self-care activities as many as 101 people (74.3%). The result of bivariate analysis (chi-square) showed that significant factor was correlated with self-care activity of DM type 2 patients with p-value

Level and Predictors of Diabetic Foot Self-Care and Clinical Monitoring in Type 2 Diabetes Patients: The ABCD Cohort Study

2014 ◽  
Vol 38 (5) ◽  
pp. S55
Author(s):  
Fatima Al Sayah ◽  
Sumit R. Majumdar ◽  
Weiyu Qiu ◽  
Allison Soprovich ◽  
Jeffrey A. Johnson
Keyword(s):  
Type 2 Diabetes ◽  
Cohort Study ◽  
Diabetic Foot ◽  
Self Care ◽  
Clinical Monitoring ◽  
Diabetes Patients

588-P: Vitamin D Status in a Bulgarian Population with Type 2 Diabetes and Diabetic Foot Ulcers

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 588-P
Author(s):  
ANI S. TODOROVA ◽  
RUMYANA DIMOVA ◽  
NEVENA CHAKAROVA ◽  
MINA SERDAROVA ◽  
GRETA GROZEVA-DAMYANOVA ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Vitamin D ◽  
Diabetic Foot ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Vitamin D Status ◽  
Bulgarian Population
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