Healthy Coping, Negative Emotions, and Diabetes Management

Fisher, Edwin B.; Thorpe, Carolyn T.; DeVellis, Brenda M.; DeVellis, Robert F.

doi:10.1177/0145721707309808

Cited by 192 publications

(158 citation statements)

References 159 publications

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“…Similar study conducted in North West Ethiopia showed that Self-reported adherence to medication measure by MMAS-8 scale was low for 25.4% [49]. Study conducted in Kenyata National Hospital on 171 type 2 diabetes patients; showed that Most patients, 127 (74.3% [53,54].…”

Section: Idf Atlasmentioning

confidence: 87%

Levels and Predictors of Adherence to Self-care Behaviour among Adult Type 2 Diabetics at Arba Minch General Hospital, Southern Ethiopia

M¹,

Tesfahun²,

Lamessa³

2016

J Diabetes Metab

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Background: Diabetes self-care behaviour adherence is considered to be the cornerstone in diabetes care. Hence, the success of long-term maintenance therapy for diabetes depends largely on the patients' adherence with self-care behaviour. and data were collected by using interviewer administered questionnaires. The data were entered into EPI-DATA version 3.1, and analysed by Statistical Package for Social Science (SPSS) version 20.0. Descriptive statistics were used for most variables; a bivariate analysis was employed to determine the presence of association between adherence to self-care behaviour with other variables at P-value less than 0.05. Multi-variable logistic regression was performed to identify independent predictors of glycaemic control and self-care behaviour adherence. Results:One hundred ninty four type 2 diabetics were participated in this study and 99 (51.0%) were Females. Mean age of participants was 50.3(±13.2) years, and 41.2% had good self-care behaviour adherence. Above one half (57.2%) had diabetes duration less than five years, with mean duration of diabetes 5.02 ± 3.8 years. Conclusion:In our study area adherence to self-care behaviour of the study subjects were low. So strategies that can improve these discrepancies like provision of diabetes self-care education and counselling especially on importance of self-monitoring of blood glucose, physical activity and problem solving should be considered by responsible bodies.

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Section: Idf Atlasmentioning

confidence: 87%

Levels and Predictors of Adherence to Self-care Behaviour among Adult Type 2 Diabetics at Arba Minch General Hospital, Southern Ethiopia

M¹,

Tesfahun²,

Lamessa³

2016

J Diabetes Metab

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“…Regardless of type, hyperglycemia resulting from impaired insulinmediated glucose metabolism is a hallmark of diabetes mellitus. Sustained hyperglycemia, a critical component of this life-long disease, damages vasculature throughout the body resulting in many chronic devastating macrovascular and microvascular complications thus negatively impacting patient quality of life [4]. Although heart disease, stroke, and peripheral arterial disease occur in the general population, these macrovascular complications are more likely to occur in diabetic patients [5].…”

Section: Introductionmentioning

confidence: 99%

Oxidative stress and diabetic retinopathy: Pathophysiological mechanisms and treatment perspectives

Madsen–Bouterse

Kowluru

2008

Rev Endocr Metab Disord

261

184

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Retinopathy is one of the most severe ocular complications of diabetes and is a leading cause of acquired blindness in young adults. The cellular components of the retina are highly coordinated but very susceptible to the hyperglycemic environment. The microvasculature of the retina responds to hyperglycemic milieu through a number of biochemical changes, including increased oxidative stress and polyol pathway, PKC activation and advanced glycation end product formation. Oxidative stress is considered as one of the crucial contributors in the pathogenesis of diabetic retinopathy, but oxidative stress appears to be highly interrelated with other biochemical imbalances that lead to structural and functional changes and accelerated loss of capillary cells in the retinal microvasculature and, ultimately, pathological evidence of the disease. One such potential connection that links oxidative stress to metabolic alterations is gyceraldehyde-3-phosphate dehydrogenase whose activity is impaired in diabetes, and that results in activation of other major pathways implicated in the pathogenesis of diabetic retinopathy. Alterations associated with oxidative stress offer many potential therapeutic targets making this an area of great interest to the development of safe and effective treatments for diabetic retinopathy. Animal models of diabetic retinopathy have shown beneficial effects of antioxidants on the development of retinopathy, but clinical trials (though very limited in numbers) have provided somewhat ambiguous results. Although antioxidants are being used for other chronic diseases, controlled clinical trials are warranted to investigate potential beneficial effects of antioxidants in the development of retinopathy in diabetic patients.

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“…are not self-sustaining, need to be adjusted with modifications in one's condition; that is, initial benefits of DSME intervention may fade by the time of follow-up [46]. In addition, the lifelong and progressive nature of diabetes means that effective diabetes self-management interventions must provide ongoing follow-up booster sessions and supporting activities [47].…”

Section: Preference For Intervention Dosementioning

confidence: 99%

Preferences of Persons with Type 2 Diabetes for Diabetes Self-Management Education Interventions: An Exploration

Fan¹,

Sidani²

2017

Health

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Objectives: Treatment preferences affect treatment engagement, adherence and outcomes. There is limited knowledge of patients' preferences for Diabetes Self-Management Education (DSME). This study explored the preferences of Canadians with diabetes for components, mode and dose for implementing DSME interventions. Methods: A cross-sectional design was used. Adults with diabetes completed a questionnaire to assess participants' preferences for components (i.e. content), mode (i.e. teaching strategies, delivering formats) and dose (i.e. number and length of sessions) of DSME. Descriptive statistics were used to analyze the data. Results: Participants (n = 100) were middle-aged men and women, who had diabetes for 6.1 years and previously received (95.0%) DSME. They indicated preference for DSME to include a combination of educational, behavioral and psychological components; to be delivered in individual, face-to-face sessions (4 sessions, 60 minutes each, given monthly) that allowed discussion with one diabetes educator to develop and carry out a care plan. Conclusions: Diabetes educators may consider eliciting patient's preferences and tailoring DSME to fit patients' preferences. Delivering interventions that are consistent with patients' preferences increases their motivation to engage in intervention, satisfaction and adherence to treatment and achievement of desired outcomes.

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Healthy Coping, Negative Emotions, and Diabetes Management

Cited by 192 publications

References 159 publications

Levels and Predictors of Adherence to Self-care Behaviour among Adult Type 2 Diabetics at Arba Minch General Hospital, Southern Ethiopia

Levels and Predictors of Adherence to Self-care Behaviour among Adult Type 2 Diabetics at Arba Minch General Hospital, Southern Ethiopia

Oxidative stress and diabetic retinopathy: Pathophysiological mechanisms and treatment perspectives

Preferences of Persons with Type 2 Diabetes for Diabetes Self-Management Education Interventions: An Exploration

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