Perception of social support by individuals with diabetes mellitus and foot ulcers

Figueira, Ana Laura Galhardo; Boas, Lilian Cristiane Gomes Villas; Freitas, Maria Cristina Foss de; Foss, Milton César; Pace, Ana Emília

doi:10.1590/s0103-21002012000800004

Cited by 8 publications

(20 citation statements)

References 24 publications

(23 reference statements)

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“… 3 , 4 , 5 , 6 , 7 Social support helps with diabetes control and provides support for the necessary physical and dietary changes. 8 Family support has been identified as the main source of support 9 and plays an essential role in lifestyle changes and diabetes management. 6 Because of the chronic nature of diabetes, patients make regular visits to health care providers and this can result in these health care providers also becoming part of their social support network.…”

Section: Introductionmentioning

confidence: 99%

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Social support and coping in adults with type 2 diabetes

Ramkisson

Pillay

Sibanda

2017

Afr. j. prim. health care fam. med.

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BackgroundThe diagnosis of diabetes has been described as a lifelong psychological burden on the patient and his or her family. Social support plays a pivotal role in patients with diabetes and is important in enabling them to cope effectively with the disease. There is a dearth of research on social support and coping in patients with diabetes in South Africa.ObjectivesThe aim of this study was to explore whether patients with poor perceived social support have lower levels of well-being and coping than patients with good social support.MethodA cross-sectional study was conducted at both public and private facilities on the north coast of KwaZulu-Natal, South Africa. The Diabetes Care Profile (DCP), the General Health Questionnaire (GHQ), the Social Support Questionnaire (SSQ) and the WHO-5 Well-being Index (WHO-5) were administered to 401 participants.ResultsThe findings indicate that there is an inverse relationship between social support and coping, which suggests that an increase in social support is associated with a decrease in emotional distress. There was a small positive correlation between the SSQ and the WHO-5, which suggests participants who had good support endorsed better levels of well-being. Although participants indicated that they were satisfied with their level of support, they had poor coping as indicated by the high mean score on the GHQ and the high HbA1c level. There was a small positive correlation between GHQ and HbA1c. There was no association between social support and HbA1c.ConclusionSocial support is important in helping the patient with diabetes cope with the disease and to improve adherence to treatment. Health care providers should take cognisance of psychosocial factors in the treatment regime of the patient. Family members should be educated about diabetes, the importance of adherence and long-term complications of the disease.

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Section: Introductionmentioning

confidence: 99%

“… 6 Because of the chronic nature of diabetes, patients make regular visits to health care providers and this can result in these health care providers also becoming part of their social support network. 8 , 9 …”

Section: Introductionmentioning

confidence: 99%

Social support and coping in adults with type 2 diabetes

Ramkisson

Pillay

Sibanda

2017

Afr. j. prim. health care fam. med.

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“…However, studies concerning large values indicate a tendency toward better acceptance of the disease. (1,2,18,19) We infer that no definite tendency exists in the studied sample, but there was statistically significant improvement after the educational intervention in groups with a cognitive-behavioral approach.…”

Section: Discussionmentioning

confidence: 67%

“…(1,18) In assessment of reliability by Pearson's correlation coefficient, we observed a statistically significant correlation from weak to moderate among items, except between items 1 and 3, 1 and 4, 1 and 7, 4 and 6, and 6 and 7. A possible reason for lack of significant correlation between items 4 and 6 and between 6 and 7 can be the inverse analysis of item 6, which was worded differently than the other items.…”

Section: Discussionmentioning

confidence: 72%

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Adaptação psicológica e aceitação do diabetesmellitus tipo 2

et al. 2015

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Conflicts of interest: none reported. Study makes up the project entitled Impact of a care program for people with diabetes mellitus focused on educational interventions in the family and social support. AbstractObjective: To evaluate individuals' psychological adaptation to type 2 diabetes mellitus throughout acceptance of the disease and its relation with perceived stress and values of glycated hemoglobin (A 1c ) before and after group educational intervention. Methods: Quasi-experimental study developed at outpatient unit that included 77 participants who fulfilled inclusion criteria. The study instruments were a questionnaire that obtained sociodemographic variables and the Acceptance of Disease Scale and Perceived Stress Scale, both applied during interviews before and after group education intervention using Diabetes Conversations Maps. Results: Interviewed patients showed improvements in the acceptance of the disease after educational intervention. We observed an inverse relation between acceptance of the disease, perceived stress, and the mean glycated hemoglobin (A 1c ) value before and after the intervention. Conclusion: Acceptance of type 2 diabetes can improve after a group educational intervention. A high score for acceptance of the disease was related to a low score for perceived stress and lower mean glycated hemoglobin (A 1c ) value. ResumoObjetivo: Avaliar a adaptação psicológica de pessoas com diabetes mellitus tipo 2 através da aceitação da doença e sua relação com o estresse percebido e valores de hemoglobina glicada A 1c , antes e após intervenções educativas em grupo. Métodos: Estudo quase-experimental desenvolvido em unidade ambulatorial, e incluiu 77 pessoas que atenderam aos critérios de inclusão. Os instrumentos de pesquisa foram: questionário com variáveis sociodemográficas, Escala de Aceitação da Doença e Escala de Estresse Percebido, que foram aplicados por entrevistas antes e após intervenções educativas em grupo, utilizando Mapas de Conversação em Diabetes. Resultados: Os pacientes entrevistados apresentaram melhora da aceitação da doença após as intervenções. Verificou-se relação inversa entre a aceitação da doença, o estresse percebido e a média de hemoglobina glicada A 1c , antes e após as intervenções. Conclusão: A aceitação da doença pode melhorar após intervenções educativas em grupo. Maiores escores de aceitação da doença foram relacionados a menores escores de estresse percebido e a menores médias de hemoglobina glicada A 1c .Clinical Trials registry number: NCT01387633

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Social participation of people with chronic wounds: A systematic review

Klein

Andrees

Kirsten

et al. 2020

International Wound Journal

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Living with chronic ulcers can be burdensome and restrictive, with regard to not only physical and psychological but also social well‐being. This review aims to analyse social participation in patients with chronic wounds and to compare results across different wound types. A search string was applied in several electronic databases. Results were screened according to predefined inclusion and exclusion criteria. Data of eligible articles were extracted and synthesised narratively. The search revealed 42 eligible publications. Only minor differences across different ulcer types could be detected. Overall, family members were the main social contacts for patients; they often provided wound care and emotional support. Patients had few non‐family relations, but those existing were often very close. Patients felt guilty as their condition imposed burden on family and friends, as well. A close relationship with nurses was described. Restrictions were caused by direct and indirect consequences of the wound. Overall, social support and social connections were reduced in wound patients. Inconsistent results were found regarding social isolation. In summary, people with chronic wounds experience impairments in all aspects of social participation. Therefore, social participation deserves increased attention in routine care both as a trigger of burden and as an outcome of therapy.

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Perception of social support by individuals with diabetes mellitus and foot ulcers

Cited by 8 publications

References 24 publications

Social support and coping in adults with type 2 diabetes

Social support and coping in adults with type 2 diabetes

Adaptação psicológica e aceitação do diabetesmellitus tipo 2

Social participation of people with chronic wounds: A systematic review

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