Diabetes self-management and its associated factors among patients with diabetes in central Vietnam: A cross-sectional study

Abstract

Objective Diabetes self-management (DSM) enables maintenance of optimal individualized glycemic control for patients with diabetes through comprehensive lifestyle, medication adherence, and self-monitoring glucose level. This study aimed to evaluate DSM and to find associated factors among Vietnamese diabetes patients by using the Vietnamese version of Diabetes Self-Management Instrument (DSMI). Methods A cross-sectional study was conducted at a single hospital in the central Vietnam. DSM was assessed using the DSMI. The participant’s socio-demographic and clinical features were obtained through face-to-face interviews and medical records. Multivariate linear regression was used to determine independent factors associated with total DSMI. Results The mean total DSM score based on DSMI self-administered questionnaire scores was 88.4 ± 22.1, with a range of 47 to 140. The mean self-integration, self-regulation, interaction with health professionals, self-monitoring blood glucose, and adherence to the prescribed regime were 24.8, 22.3, 21.6, 10.2, and 9.5, respectively. 48.1% of DM patients had good HbA1c control. Sex, educational status, BMI, waist circumference, medical nutrition therapy, and sufficient physical activities were factors independently predictive of DSMI total score. Conclusion This study emphasizes that the DSM situation is seen to be average among DM patients with mean DSMI score 88.4 ± 22.1 and sex, educational status, BMI, waist circumference, medical nutrition therapy, and sufficient physical activities were independently predictive factors of DSMI total score. This evidence suggests that there is a need to enhance the effectiveness of DSM education programs among diabetic patients.

Mediation Effect of Self-Efficacy Between Health Beliefs and Glycated Haemoglobin Levels in Elderly Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study

“…HbA1c levels than others, which may be because they have more free time and energy to self-manage diabetes and communicate with doctors. 33 The level of health beliefs of the study participants was low, which was lower than the findings of Noppamas et al 34 This may be due to the older age, long course of disease, lack of knowledge about the disease, and presence of other chronic comorbidities of the participants that affected their health beliefs to varying degrees. The study showed that health beliefs were significantly negatively associated with HbA1c levels and could be used as a negative predictor of HbA1c control, health beliefs may contribute to poor glycaemic control in patients through differences in perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action.…”

“… 32 In addition, retirees have lower HbA1c levels than others, which may be because they have more free time and energy to self-manage diabetes and communicate with doctors. 33 …”

“Obviously, Nothing's Gonna Happen in Five Minutes”: How Adolescents and Young Adults Infrastructure Resources to Learn Type 1 Diabetes Management

“…However, adolescents’ and young adults’ (AYAs’) self-management levels notably lag behind other age groups [ 20 ], resulting in severe consequences like hypoglycemia and diabetic ketoacidosis (DKA), a critical and acute complication in which the body produces an overabundance of blood acids (ketones) and often results in hospitalization [ 23 ]. Hence, swiftly and effectively performing, adapting, and adjusting daily self-care practices [ 34 , 54 ], referred to as T1D self-management routines , are imperative for optimal glycemic control (i.e., maintaining blood glucose levels within the targeted range).…”

Influence Self Monitoring Blood Glucose (SMBG) and Diabetes Self Management Education (DSME) on the Stability of Blood Glucose Levels

“…Healthy selfmanagement behaviors in DM patients include Copyright © Author, 2023. Nursing Journal of Respati Yogyakarta, p-ISSN: 2088-8872; e-ISSN: 2541-2728 following a healthy diet, increasing physical activity, using DM drugs and drugs in special circumstances safely and regularly, and monitoring Blood glucose levels (Nguyen et al, 2022). Diabetes Mellitus sufferers are at high risk of experiencing complications in the form of hypoglycemia, hyperglycemia, ketoacidosis, and neuropathy which increases the risk of gangrenous wounds that lead to amputation, retinopathy which has the potential to cause blindness, nephropathy, which can lead to kidney failure (Balaji et al, 2019).…”