Control and adherence: Living with diabetes in Bangkok, Thailand

Naemiratch, Bhensri; Manderson, Lenore Hilda

doi:10.1016/j.socscimed.2006.03.006

Cited by 39 publications

(48 citation statements)

References 15 publications

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“…Physicians advise adults living with type 2 diabetes to control blood sugar levels by controlling diet, maintaining regular exercise, and complying with medication. The extent to which individuals are able to adhere to such recommendations varies (15).…”

Section: Discussionmentioning

confidence: 99%

Compliance to Diabetes Self-Management in Rural El-Mina, Egypt

Mahfouz

Awadalla²

2011

Cent Eur J Public Health

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SUMMARYBackground: Diabetes is a serious public health problem that threatens the quality of life of patiens with diabetes, the success of long-term maintenance therapy for diabetes depends largely on the patients' compliance with a therapeutic plan.Aim of this study: to assess compliance of diabetic patients to diabetes self-Management in rural El Minia, and to determine the associated factors related to it.Subjects and Method: Cross sectional analytic study. Rural adults identified as having previously diagnosed diabetes were recruited to participate in this study. A total of 206 rural community diabetics were randomly chosen and subjected to interview questionnaire on history of diabetes, type of medication, self-management of diabetes as glucose examination, dietary modification, and eye examination.Results: Mean age of participants was 54±6.3 years and mean duration of diabetes was 12±8 years. Nearly one third of the patients used insulin and more than half used oral hypoglycemic. The results of this study revealed that good adherence to diabetes self-management was reported among 41.7% of adult diabetic patients who show good adherence to diet instructions, but only 21.4% to blood glucose test. There was no gender difference regarding self care of diabetes. Younger age group had more glycemic control than older age; longer duration of diabetes was significantly associated with poor glycemic control.Conclusion: Compliance to self-management of diabetes is suboptimal among rural adult community diabetic.

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Section: Discussionmentioning

confidence: 99%

Compliance to Diabetes Self-Management in Rural El-Mina, Egypt

Mahfouz

Awadalla²

2011

Cent Eur J Public Health

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“…Em geral, as análises sobre pacientes adotaram, pelo menos, um dos seguintes recortes: a) étnico/racial (Cabassa et al, 2008;Struthers et al, 2008;Polzer, Miles, 2007;Naemiratch, Manderson, 2006;Chesla, Chun, 2005;Lawton et al, 2005;Arcury, et al, 2004;Aikins, 2002;Egede, 2002;Daaleman, Cobb, Frey, 2001 Alguns estudos sobre pacientes os selecionaram segundo características clínicas, enfocando pacientes não insulino-dependentes (Schoenberg, Amey, Coward, 1998) ou com um determinado nível de controle glicêmico (Garcia et al, 2007;Zoffmann, Kirkevold, 2005;Savoca, Miller, Quandt, 2004), ou ainda segundo a sua vulnerabilidade (Ciechanowski, Katon, 2006;Williams, 2002). Dois estudos privilegiaram o recorte etário (Mulvaney et al, 2006;Schoenberg, Amey, Coward, 1998) e um, o fato de o paciente ser portador de necessidades especiais (Williams, 2002).…”

Section: Meta-análise De Dadosunclassified

“…Explorando o conceito de reconstrução narrativa (Williams, 2002) e o de trajetória, alguns estudos (Lawton, Peel, Parry, 2008;Garcia et al, 2007;Naemiratch, Manderson, 2006;Thorne, Paterson, Russell, 2003) mostram como o cuidado é ressignificado ao longo do processo de adoecimento e do itinerário terapêutico, sem que se possam identificar relações aprioristicamente determinadas entre concepções etiológicas, reações ao diagnóstico e organização do cuidado. Ao colocar a experiência de adoecimento e de cuidado em uma perspectiva temporal, esses estudos mostram a relevância de se compreender a trajetória de pessoas que convivem com e a partir do diabetes.…”

Section: Processo De Adoecimento Crônico Vivenciado Por Diabéticosunclassified

Evidence produced by qualitative investigations on type 2 diabetes: a review of the literature

Castellanos

Barros

Spadacio

et al. 2011

Interface (Botucatu)

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Type 2 diabetes has a major impact on patients lives and the healthcare network. Given the growth in qualitative information on diabetes, it becomes important to systematize this knowledge. A meta-study on diabetes was conducted through analysis on 42 articles that were made in journals at the periodicals portal of the Coordination Office for Advancement of Higher-level Personnel (Capes). We found that the studies reviewed had a good theoretical basis, which included: care management, health-disease concepts, professional-patient relationships, professional practices and treatment compliance. The articles clearly described the methodological procedures used. The use of interviews and focal groups for data gathering predominated, and it was sought to explore different views of the individuals investigated. It was reaffirmed that it was important for health professionals and managers to implement healthcare policies, programs and models that are appropriate for the specific features of chronic illness, guided by comprehensive care and co-responsibility.

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“…In Thai, diabetes is referred to in both medical and lay terminology as baowan (Naemiratch & Manderson 2006). The diagnosis of diabetes occurred in one of two ways.…”

Section: Diagnosis and Pathophysiologymentioning

confidence: 99%

“…Complications such as hypoglycaemia which can cause short-or longer term incapacity, and problems related to hyperglycaemia such as renal failure, amputations from infected wounds, blindness and impotence, make diabetes visible (Naemiratch & Manderson 2006). People with visible diabetes perceived themselves to be ill and perceived diabetes to be severe because of their loss of ability to work.…”

Section: The Course Of Illnessmentioning

confidence: 99%

Lay Explanations of Type 2 Diabetes in Bangkok, Thailand

Naemiratch¹,

Manderson²

2007

Anthropology & Medicine

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The increasing incidence of and mortality associated with type 2 diabetes in Thailand, and the lack of knowledge of lay understandings of diabetes, are the starting points of this paper. Ethnographic research was undertaken in an inner zone district of Bangkok, with participant observation, interviews and case studies conducted with individuals who had lived with type 2 diabetes for at least three years. Culturally specific explanations exist for the aetiology, pathology and course of illness, and responses to biomedical treatment. The notion of kam -the negative effects of past behaviour-underpinned participants' explanations of the cause of diabetes. The presentation and development of the disease derive from Thai traditional medical theory, but its management, aimed at controlling blood glucose levels and preventing complications, involves both cosmopolitan and traditional medicines. This syncretic approach to cause, diagnosis and management suggests the value of a more comprehensive approach in health education, diagnosis and treatment.

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Control and adherence: Living with diabetes in Bangkok, Thailand

Cited by 39 publications

References 15 publications

Compliance to Diabetes Self-Management in Rural El-Mina, Egypt

Compliance to Diabetes Self-Management in Rural El-Mina, Egypt

Evidence produced by qualitative investigations on type 2 diabetes: a review of the literature

Lay Explanations of Type 2 Diabetes in Bangkok, Thailand

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