Overcoming barriers to self-management: The person-centred diabetes foot behavioural agreement.

Bullen, Benjamin; Young, Matthew J.; McArdle, Carla; Ellis, Mairghread Jh

doi:10.1016/j.foot.2019.01.004

Cited by 18 publications

(32 citation statements)

References 47 publications

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“…Healthcare providers play a unique role in delivering person-centered diabetes self-management education, supporting interventions, and assisting patients to undertake protective self-care behaviors. 58 Other qualitative studies have reported similar findings whereby patients with limited resources were particularly challenged when seeking medical services or obtaining care and support. 59 , 60 Apart from the scarcity of guidance from healthcare providers, the participants also identified the lack of family support as another barrier to diabetes self-management.…”

Section: Discussionmentioning

confidence: 68%

<p>Barriers to Self-Management of Type 2 Diabetes During COVID-19 Medical Isolation: A Qualitative Study</p>

Shi¹,

Zhu²,

Li³

et al. 2020

DMSO

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Purpose: Diabetes self-management behaviors are necessary to obtain optimum glycemic control, reduce the risk of complications, and improve health outcomes. The COVID-19 pandemic imposes an additional struggle for self-management by diabetes patients. Although previous studies have reported socio-demographic, behavioral, psychological, and cultural barriers to diabetes self-management, little is known about perceived barriers to diabetes self-management among patients during isolation following their recovery from COVID-19. The purpose of this study was to explore perceived barriers among type 2 diabetes patients during isolation following their recovery from COVID-19. Patients and Methods: A qualitative, exploratory, and descriptive research design was utilized. Semi-structured telephonic interviews were conducted with 12 patients with diabetes who had been discharged from one COVID-19 designated hospital and underwent isolation in the designated facilities in Wuhan City, Hubei Province, China. Data were analyzed using Colaizzi's seven steps. Results: Barriers to diabetes self-management identified by patients with diabetes during isolation were categorized into five major themes: inadequate knowledge and behavioral beliefs, shortage of resources, suffering from health problems, negative emotions, and lack of support. Conclusion: Perceived barriers to diabetes self-management described by diabetes patients indicated a lack of environmental resources and support strategies to meet their needs. Efforts to remove barriers are important in assisting patients with diabetes to improve their quality of life and health outcomes.

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Section: Discussionmentioning

confidence: 68%

<p>Barriers to Self-Management of Type 2 Diabetes During COVID-19 Medical Isolation: A Qualitative Study</p>

Shi¹,

Zhu²,

Li³

et al. 2020

DMSO

View full text Add to dashboard Cite

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“… 3 More than 95% of diabetes management is self‐care. 4 , 5 Segall and Goldstein described self‐care as comprising behavioural practices such as health maintenance, disease prevention, assessment of symptoms, self‐diagnosis, self‐treatment (non‐medication treatments and self‐medication), self‐referral, consultation with non‐medical (alternative) care practitioners, and the use of specialised medical care. 6 Self‐management has been identified as the cornerstone of diabetes care and an essential part of successfully preventing or delaying diabetes complications.…”

Section: Introductionmentioning

confidence: 99%

“When nothing happens, nobody is afraid!” beliefs and perceptions around self‐care and health‐seeking behaviours: Voices of patients living with diabetic lower extremity amputation in primary care

Zhu

Lee²,

Chew³

et al. 2021

International Wound Journal

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Self-management and self-care are the cornerstone of diabetes care and an essential part of successfully preventing or delaying diabetes complications. Yet, despite being armed with the required information and guidance for self-management, self-care and adherence to foot self-care recommendations and compliance to medication among patients with diabetic foot ulcer and diabetic lower extremity amputations remain low and suboptimal. This study reveals in-depth account of nine such patients' beliefs and perceptions around their illness, their self-care, and their health-seeking behaviours. Patients living with diabetic lower extremity amputation displayed profound lack of knowledge of self-care of diabetes and foot and passive health-related behaviours. The overarching sense that "when nothing happens, nobody is afraid," points to a lack of motivation in taking charge of one's own health, whether this is with reference to treatment or care adherence, following recommended self-care advice, or seeking timely treatment. The Health Beliefs Model provides the theoretical framework for probing into the factors for the participants' suboptimal self-care and passive health-seeking behaviours. Two themes emerged from data analysis: profound knowledge deficit and passive healthrelated behaviours. The beliefs and perceptions around self-care and healthseeking behaviours for patients with lower extremity amputation are interpreted as the "ignorant self" with passive health-seeking behaviours. Patients with diabetes and diabetic foot diseases may benefit from personalized education, motivational interviewing, and family support.

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“…Perilaku perawatan kaki dapat membantu mengurangi masalah kaki (Lutfi, et al 2014) 49% hingga 85% (Amiga KS et al, 2011). Namun, sulit untuk membuat pasien mempertahankan kebiasaan perawatan kaki setiap hari (Bullen, et al 2019). Sebuah penelitian yang dilakukan peneliti sebelumnya melaporkan bahwa mayoritas pasien dengan diabetes memiliki pengetahuan dan praktik yang buruk terkait dengan perawatan kaki yang tepat (Gatt, et al 2008).…”

Section: Pendahuluanunclassified

“…Para lansia kurang percaya diri dalam melindungi dan memeriksa kaki mereka setiap hari terhadap munculnya gangguan seperti kemerahan, luka, kulit melepuh dan kering. Hambatan melakukan perawatan ini mungkin karena kondisi lansia seperti gangguan penglihatan dan memiliki penyakit medis lainnya yang membatasi kemampuan mereka untuk memeriksa dan melindungi kaki mereka dengan baik (Bullen B, 2019).…”

Section: Pembahasan Tingkat Self-efficacy Kaki Lansia Dengan Diabetesunclassified

“…Konsisten dengan penelitian sebelumnya yang melaporkan bahwa setengah dari responden memeriksakan kakinya (Gatt S, 2008). Namun, sebuah penelitian lain di lain tempat menemukan bahwa tingkat pemeriksaan kaki yang cenderung rendah (Bullen B, 2019). Pemeriksaan harian bagian bawah kaki dan sela-sela jari kaki menjadi penting untuk mengidentifikasi masalah kaki seperti luka,lecet, kapalan, kulit pecah-pecah, dan infeksi kulit lainnya.…”

Section: Tingkat Perilaku Perawatan Kaki Lansia Dengan Diabetesunclassified

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Foot Self Efficacy dan Foot Self Care Behaviour pada Lansia dengan Diabetes Melitus

Salam¹,

Hamim²

2019

JI-KES

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AbstrakLansia dengan diabetes adalah kelompok khusus yang memiliki resiko tinggi komplikasipada kakinya. Self-efficacymenjadi salah satu determinan faktor utama untuk meningkatkan perilaku perawatan kaki. Penelitian ini bertujuan untuk mengidentifikasi tingkat efikasi diri kaki (Foot Self Efficacy) dan perilaku perawatan kaki (Foot Crae Behaviour) dan hubungannya dengan karakteristik demografis pada lansia dengan diabetes.Studi cross-sectional digunakandi Desa Karangren Kecamatan Krejengan Probolinggo dari Mei hingga Juni 2019. Kriteria khusus dipilih untuk berpartisipasi dalam penelitian ini. Para responden diwawancarai menggunakan seperangkat kuesioner yang telah divalidasi. Statistik deskriptif dan inferensial (regresi linier berganda) digunakan untuk menjawab hipotesis penelitiandengan bantuanSPSS 19. Hasil penelitian menyebutkan rata-ratafoot self-efficacysebesar 29,79 dengan standar deviasi 8,26 danrata-ratafoot care behavior sebesar 28,72 dengan SD 6,33. Terdapat hubungan positif dan signifikan antara foot self-efficacy (β = 0,43, p <0,001), tingkat pendidikan (β = 0,43, p <0,001), dan jenis kelamin (β = 0,31, p <0,001) dengan perilaku perawatan kaki. Program edukasi self-efficacydapat menjadi pertimbangan yang krusial untuk meningkatkan perilaku perawatan kaki. Lansia dengan diabetes harus diajari pemeriksaan kaki secara mandiri.Perawatan kaki diabetes yang tepat dan berkelanjutan dapat secara signifikan mencegah terjadinya komplikasi pada kaki lebih lanju yang berefek pada peningkatan kualitas hidup. Kata kunci: diabetes, lansia, efikasi diri, perilaku perawatan diri, kaki AbstractThe elderly with diabetes is a special group that has a high risk of complications in the legs. Self-efficacy is one of the main determinants of improving foot care behavior.The essential aims of this study were to identify the level of self-efficacy and foot care behavior and its relationship to demographic characteristics in elderly patients with diabetes. The cross-sectional study has been done in Karangren Village, Krejengan Probolinggo district from May to June 2019. Specific criteria were chosen to participate in this study. The respondents interviewed used a set of validated questionnaires. Descriptive and inferential statistics (multiple linear regression) were used to answer the research hypothesisby SPSS 19. The results mentioned that the average foot self-efficacy was 29.79, with a standard deviation of 8.26, and the normal foot care behavior was 28.72, with an SD of 6.33. There is a significant relationship between foot self-efficacy (β = 0.43, p <0.001), level of education (β = 0.43, p <0.001), and gender (β = 0.31, p <0.001) with foot care behavior. The self-efficacy education program can be a crucial considerateness for improving foot care behavior.Elderly with diabetes must be taught foot examinations independently. Appropriate and ongoing diabetes foot care can significantly prevent diabetic foot complications, which affect improving the quality of life. Keywords: diabetes, elderly, self-efficacy, self-care behavior, feet

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Overcoming barriers to self-management: The person-centred diabetes foot behavioural agreement.

Abstract:  98% of diabetes management is self-care  Effective self-foot care can prevent diabetes foot disease  Self-foot care requires functional, interactive and critical health literacy skills  Behavioural agreements delineate, prescribe and support individual responsibilities

Cited by 18 publications

References 47 publications

<p>Barriers to Self-Management of Type 2 Diabetes During COVID-19 Medical Isolation: A Qualitative Study</p>

<p>Barriers to Self-Management of Type 2 Diabetes During COVID-19 Medical Isolation: A Qualitative Study</p>

“When nothing happens, nobody is afraid!” beliefs and perceptions around self‐care and health‐seeking behaviours: Voices of patients living with diabetic lower extremity amputation in primary care

Foot Self Efficacy dan Foot Self Care Behaviour pada Lansia dengan Diabetes Melitus

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