Cardiovascular self‐management support program for preventing cardiovascular complication behaviors and clinical outcomes in the elderly with poorly controlled type 2 diabetes mellitus in Indonesia: A pilot study

Hisni, Dayan; Rukmaini, Rukmaini; Saryono, Saryono; Chinnawong, Tippamas; Thaniwattananon, Ploenpit

doi:10.1111/jjns.12208

Cited by 7 publications

(14 citation statements)

References 29 publications

(28 reference statements)

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“…The result of this study was also supported by a study done by Hisni et al (2018), which stated that most patients had type 2 DM for >5 years (66.7%) for macrovascular complications. Factor which significantly associated with complications of peripheral neuropathy, retinopathy, and diabetic foot was a longer duration of diabetes (p<0.001).…”

Section: The Effect Of the Duration Of Illnesssupporting

confidence: 80%

“…The average of HbA1c for patients with macrovascular disease was 9.44% (SD= 2.02) compared to 9.18% (SD= 2.04) for those without macrovascular disease (p= 0.11). Hisni et al (2018) on the result of his study showed that after getting self-management support, the experimental group participants showed significant differences in fasting blood sugar, total cholesterol, HDL cholesterol, systolic blood pressure, and diastolic blood pressure before and after receiving the program, on the prevention of cardiovascular complications behavior in older people with uncontrolled type 2 DM. The result of this study was also supported by a study done by Selim (2017) which stated that blood samples of cholesterol, LDL, HDL, trigliserid affected the incidence of type 2 DM complications retinopathy (OR= 1.17; 95% CI= 0.73 to 1.87, diabetic foot ulcers (OR= 2.32, 95% CI= 1.14 to 4.01), and coronary arteries (OR= 1.03; 95% CI= 0.64 to 1.66).…”

Section: The Effect Of Blood Samples On the Macrovascular And Microvascular Complications In Patients Withmentioning

confidence: 99%

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Predictors of Macro and Microvascular Complication in Type 2 Diabetes Mellitus Patients at Dr. Moewardi Hospital, Surakarta

2018

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Background: Type 2 Diabetes Mellitus (Type 2 DM) is one of the major causes of morbidity and mortality worldwide. Morbidity and mortality due to diabetes are associated with the development of various microvascular complications (retinopathy, nephropathy, and neuropathy) and macrovascular complications (coronary heart disease, stroke, and peripheral vascular disease). This study aimed to examine the determinants of biopsychosocial macro and microvascular complications in patients with type 2 DM at Dr. Moewardi Surakarta. Subjects and Method: This was an analytic observational with a case-control design. The study was conducted at Dr. Moewardi, Surakarta, Central Java, from January to March 2018. A sample of 75 Type 2 DM cases with complication and 75 Type 2 DM cases without complication was selected for this study by fixed disease sampling. The dependent variables were macro and microvascular complications. The independent variables were body mass index (BMI), blood pressure, quality of life, depression, duration of disease, physical activity, diet, medication adherence, health financing, and routine blood sample. Clinical data were taken from medical record. The data of other variables were collected by a set of pre-tested questionnaire. Logistic regression was employed for data analysis. Results: The risk of macro and microvascular complications in type 2 DM patients increased with high BMI (OR= 22.00; 95% CI= 7.50 to 64.52, p<0.001), poor quality of life (OR= 7.06; CI 95%= 3.51 to 14.16, p<0.001), depression (OR= 3.30; 95% CI= 1.39 to 7.79, p= 0.007), longer duration of disease (OR= 9.71; 95% CI= 2.79 to 33.71, p<0.001), lack of physical activity (OR= 8.16; 95% CI= 1.23 to 53.93, p=0.029), poor diet (OR= 3.58; 95% CI= 1.39 to 9.18, p=0.008), poor medication adherence (OR= 4.54; 95% CI= 1.71 to 12.05, p=0.002), and irregular blood sample control (OR= 5.80; 95% CI= 1.97 to 14.65, p=0.001). Conclusion:The risk of macro and microvascular complications in patients with type 2 DM is determined by BMI, quality of life, depression, duration of disease, physical activity, diet, medication adherence, and blood sample control.

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Section: The Effect Of the Duration Of Illnesssupporting

confidence: 80%

Section: The Effect Of Blood Samples On the Macrovascular And Microvascular Complications In Patients Withmentioning

confidence: 99%

Predictors of Macro and Microvascular Complication in Type 2 Diabetes Mellitus Patients at Dr. Moewardi Hospital, Surakarta

2018

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“…Studies have shown that persons living with type II diabetes with good self-management practices can reach and sustain glycaemic control and prevent frequent complications, while those that are lax in self-care often develop complications ( Karthik et al., 2020 ; Oluma et al., 2021 ). Self-management support in persons diagnosed with type II diabetes could also improve clinical outcomes, such as fasting plasma glucose, lipid profiles, and blood pressure ( Hisni et al., 2019 ). The leading self-management practices include a healthy diet, physical activity, self-monitoring of blood glucose, adherence to medicine, problem-solving, healthy coping mechanisms, and reducing risk behaviors ( Almutairi et al., 2020 ; Karthik et al., 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Self-management practices for preventing complications of type II diabetes mellitus in low and middle-income countries: A scoping review

Maina

Reid

2023

International Journal of Nursing Studies Advances

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“…Dado este escenario, se requieren protocolos más estrictos para tamizar poblaciones en riesgo con el propósito de descartar complicaciones a corto y mediano plazo, además de enfatizar su calidad de prevenibles. En la medida que las estrategias de diagnóstico oportuno se implementen de forma articulada entre los sectores involucrados, el impacto en los distintos niveles de prevención (primario, secundario y terciario) moldeará un perfil epidemiológico con menor carga de estas enfermedades [28][29][30][31] . Estimación de riesgo cardiovascular ateroesclerótico en pacientes adultos F.I.…”

Section: Discussionunclassified

Estimación de riesgo cardiovascular ateroesclerótico en pacientes adultos sin sospecha de cifras tensionales elevadas

et al. 2021

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Introducción: Las enfermedades cardiovasculares representan la primera causa de muerte en el mundo. La estimación del Riesgo Cardiovascular (RCV) podría disminuir la carga de la enfermedad y mejorar la calidad de vida de los pacientes. Objetivo: Estimar el RCV en pacientes sin sospecha de cifras tensionales elevadas en una Clínica de Medicina Familiar en la Ciudad de México. Métodos: Estudio transversal descriptivo, participaron 101 pacientes de sexo masculino y femenino, de 40 a 69 años, sin diagnóstico previo de Hipertensión Arterial (HTA), pero que presentaron cifras tensionales altas al momento del estudio. Para diagnosticar HTA se utilizaron los criterios de la Asociación Americana del Corazón-2017. El RCV se evaluó con el ASCVD-Risk Estimator Plus. Resultados: En la muestra la HTA estuvo presente en el 55.4 %, 44.6 % manifestaron presión arterial elevada. Respecto al RCV, 54.4 % presentaron bajo riesgo, 11.8 % riesgo límite, 25.7 % intermedio y 7.9 % alto. Los factores de RCV con mayor prevalencia fueron diabetes mellitus tipo 2 (DM2), sobrepeso, obesidad y elevación de cifras tensionales. Discusión: Un porcentaje importante de participantes presentó RCV en sus diferentes categorías. Se requiere ser más estrictos en los parámetros utilizados para definir la HTA; pues sin intervenciones oportunas las enfermedades cardiovasculares continuarán incrementándose. Conclusión: Cerca de la mitad de los casos presentaron un RCV de límite a alto. Existió alta prevalencia de factores de riesgo individuales como DM2, HTA y dislipidemia. Se deben fortalecer búsquedas intencionadas de pacientes con características similares a las de este estudio para prevenir el desarrollo de enfermedades cardiovasculares.

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Cardiovascular self‐management support program for preventing cardiovascular complication behaviors and clinical outcomes in the elderly with poorly controlled type 2 diabetes mellitus in Indonesia: A pilot study

Abstract: This study revealed that a cardiovascular self-management support program that applies the 5A's self-management support program is feasible for implementation.

Cited by 7 publications

References 29 publications

Predictors of Macro and Microvascular Complication in Type 2 Diabetes Mellitus Patients at Dr. Moewardi Hospital, Surakarta

Predictors of Macro and Microvascular Complication in Type 2 Diabetes Mellitus Patients at Dr. Moewardi Hospital, Surakarta

Self-management practices for preventing complications of type II diabetes mellitus in low and middle-income countries: A scoping review

Estimación de riesgo cardiovascular ateroesclerótico en pacientes adultos sin sospecha de cifras tensionales elevadas

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