Self-care practices among type II diabetics in rural area of Kancheepuram district, Tamil Nadu.
Footcare
overweight
rural
self-care
type 2 diabetes
Journal
Journal of family medicine and primary care
ISSN: 2249-4863
Titre abrégé: J Family Med Prim Care
Pays: India
ID NLM: 101610082
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
07
03
2020
revised:
28
03
2020
accepted:
22
04
2020
entrez:
28
9
2020
pubmed:
29
9
2020
medline:
29
9
2020
Statut:
epublish
Résumé
Type 2 diabetes mellitus is one of the most prevalent noncommunicable diseases in India. The acute and chronic complications of diabetes impact the physical, mental, and social well-being of the patients, thereby, placing a major burden on the health care system. Studies have shown that adequate self-care practices among the patients will facilitate good glycemic control and prevent complications. To study the patterns of self-care practice among diabetic patients and the factors associated with them. This descriptive cross-sectional study was carried out among 250 diabetics in the rural field practice area of a Tertiary Medical College and Hospital in Chennai. The participants were interviewed on their diabetic status and various components of self-care practices adopted from The Summary of Diabetes Self-care Activities (SDSCA) Measure. Adherence to medication was assessed by using Morisky Medication Adherence Scale-4 (MMAS-4). Our study observed that the overall prevalence of good self-care practices was very low (5.6%). Moderate self-care practices were prevalent in 42% of the study participants whereas the majority (52.4%) of the study population had poor self-care practices. In our study, the association between self-care activity with educational status and occupation was found to be statistically significant. Adherence was high for blood sugar testing (75.2%) and medication (70.4%) in the study population whereas adherence for foot care was poor (17.6%). Our study emphasized on the need for knowledge and awareness to be provided in rural areas regarding diabetes care management and self-care practices. Structured programs need to be planned to improve the attitude and practices of diabetic patients to promote better compliance towards diet, exercise, adherence to drugs, and appropriate foot care.
Identifiants
pubmed: 32984148
doi: 10.4103/jfmpc.jfmpc_356_20
pii: JFMPC-9-2912
pmc: PMC7491818
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2912-2918Informations de copyright
Copyright: © 2020 Journal of Family Medicine and Primary Care.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
Diabetes Care. 2000 Jul;23(7):943-50
pubmed: 10895844
J Clin Diagn Res. 2013 May;7(5):857-60
pubmed: 23814728
J Diabetes Metab Disord. 2013 Mar 05;12(1):14
pubmed: 23497559
Diabetes Educ. 2008 Mar-Apr;34(2):266-76
pubmed: 18375776
Diabetes Care. 2006 Jul;29(7):1717-8
pubmed: 16801618
Med Care. 1986 Jan;24(1):67-74
pubmed: 3945130
Diabetes Care. 1994 Jun;17 Suppl 1:1-4
pubmed: 8088217
Diabetes Care. 2003 Mar;26(3):732-7
pubmed: 12610030
Diabetes Care. 2009 Jan;32 Suppl 1:S13-61
pubmed: 19118286
Natl Med J India. 2012 Jan-Feb;25(1):14-7
pubmed: 22680314
BMC Res Notes. 2019 Apr 8;12(1):212
pubmed: 30961663
Ann Med Health Sci Res. 2015 Jan-Feb;5(1):59-64
pubmed: 25745579
Rev Esc Enferm USP. 2013 Apr;47(2):415-20
pubmed: 23743909