Adherence to self‐care and glycaemic control among people with insulin‐dependent diabetes mellitus

Toljamo, Maisa; Hentinen, Maija

doi:10.1046/j.1365-2648.2001.01808.x

Cited by 105 publications

(95 citation statements)

References 29 publications

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“…This result is lower than study done in Iran 74% and Finland 81%; respondents adhered to the overall self care practice domains. The result of this study is lower than the other studies; this might be because of financial barrier, lack of awareness on the importance of the practices, socio-cultural variation and life style difference [Zahra et al (2011), Maisa et al, (2001]. A study done in Iran indicated that insulin therapy, high educational status, and duration of diabetes had positive effects on level of self-care practice.…”

Section: Discussioncontrasting

confidence: 51%

“…Another study in Finland revealed that poor metabolic control, smoking and living alone were associated with neglect of self care; but gender, co-morbidity and diabetic complication increase the risk, but had no significant association with adherence to or neglect of self-care practice. In contrary, this study showed that gender, age and diabetic complication had significant association on adherence condition to overall self-care practice domains [Zahra et al (2011), Maisa et al, (2001]. …”

Section: Discussionmentioning

confidence: 66%

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Adherence to Diabetes Self-Management Practices among Type Ii Diabetic Patients in Ethiopia; A Cross Sectional Study

Kalayou¹,

Kahsay²,

Gebru³

2013

GJMS

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Background: Diabetes is a group of metabolic disorders that affect the body's ability to process and use sugar (glucose) for energy. Type II diabetes mellitus resulting from the combination of resistance to insulin action and inadequate insulin secretion. The success of long-term maintenance therapy for diabetes depends largely on the patients' adherence with self managements practices. Objective: The aim of this study was to assess adherence to diabetes self management practices and its associated factors among type II diabetic patients in Ethiopia. Method: institutional based cross sectional study was employed and 320 study subjects were selected using systematic random sampling technique. And the data was collected using interviewer administered structured questionnaire; data was analyzed and cleaned using SPSS version 16. Scoring method was employed to classify patients' self-care management practices level. Conclusion: findings of this study showed that Almost half of the respondents were adhered to physical activity regimen, diabetes foot care and over all diabetes self managements practices. Marital status, level of education, monthly income, presence or absence of diabetes complication, age were the factors affecting to those diabetes self managements practices

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Section: Discussioncontrasting

confidence: 51%

Section: Discussionmentioning

confidence: 66%

Adherence to Diabetes Self-Management Practices among Type Ii Diabetic Patients in Ethiopia; A Cross Sectional Study

Kalayou¹,

Kahsay²,

Gebru³

2013

GJMS

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“…As could be expected, almost all participants inject insulin frequently. Many of them also follow dietary guidelines frequently and eat at regular times, as shown in several other studies [33,34]. Most people with DM2 do not test their blood glucose levels frequently, nor do they adjust their insulin dosages.…”

Section: Discussionmentioning

confidence: 93%

Frequency and perceived burden of diabetes self-management activities in employees with insulin-treated diabetes: relationships with health outcomes

Weijman

Ros

Rutten

et al. 2005

Diabetes Research and Clinical Practice

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We explored the relationship between frequency and perceived burden of different self-management activities and HbA 1c %, symptoms of diabetes, fatigue, depression, and quality of life in 292 employees between 30 and 60 years of age with insulin-treated diabetes. Participants completed questionnaires that assess self-management and health-related variables. t-Tests were performed for type 1 (DM1) and type 2 diabetes (DM2) separately to compare the mean health scores of individuals who frequently or infrequently perform self-management activities and who do or do not perceive this as a burden. Participants frequently perform their self-management activities, particularly injection of insulin (96.1%), following dietary guidelines (70.8%) and eating regularly (65.6%). Dietary self-management is most often seen as a burden (70.4%), while injecting insulin is seen as least burdensome (12.8%). The perceived burden of self-management is more strongly related to health than the frequency of self-management. Frequency of self-management especially relates to HbA 1c % in DM1. People with DM2 who frequently follow the dietary guidelines have more positive health outcomes. Participants who perceive dietary self-management and injecting insulin as a burden have more negative health outcomes. Because different relationships were found between frequency and perceived burden of self-management and health

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“…In asthma this would involve adjusting inhaler medication or commencing oral steroids (Lahdensuo et al, 1996). Diabetes also has a long history of self-management where patients are increasingly expected to adjust their insulin dosage (DAFNE Study Group, 2002, Toljamo andHentinen, 2001), but a newer area of self-management in the UK is in anticoagulation where some patients self-test and self-dose (Fitzmaurice and Machin, 2001). Thus, the key difference between self-care and self-management is that in the latter patients are undertaking tasks that are the traditional province of professionals such as prescribing drug dosages.…”

Section: Self-care and Self-management In Long-term Conditionsmentioning

confidence: 99%

Nurses’ responses to expert patients: The rhetoric and reality of self-management in long-term conditions: A grounded theory study

Wilson

Kendall

Brooks

2006

International Journal of Nursing Studies

104

113

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Adherence to self‐care and glycaemic control among people with insulin‐dependent diabetes mellitus

Abstract: The findings demonstrated that adherence to self-care does not always lead to good metabolic control, but neglect of self-care is likely to lead to poor metabolic control.

Cited by 105 publications

References 29 publications

Adherence to Diabetes Self-Management Practices among Type Ii Diabetic Patients in Ethiopia; A Cross Sectional Study

Adherence to Diabetes Self-Management Practices among Type Ii Diabetic Patients in Ethiopia; A Cross Sectional Study

Frequency and perceived burden of diabetes self-management activities in employees with insulin-treated diabetes: relationships with health outcomes

Nurses’ responses to expert patients: The rhetoric and reality of self-management in long-term conditions: A grounded theory study

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