Patient perspective on barriers in type 2 diabetes self‐management: A qualitative study

Tuobenyiere, Justin; Mensah, Gwendolyn Patience; Korsah, Kwadwo Ameyaw

doi:10.1002/nop2.1956

Cited by 4 publications

(2 citation statements)

References 49 publications

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“…Consistent self-care among individuals living with diabetes presents notable challenges, reflecting varied adherence levels to medication and care recommendations (34). Barriers to effective self-management are likely to include limited knowledge about diabetes dietary strategies, financial constraints, treatment non-compliance, restricted access to glucometers, inadequate social support, and prolonged waiting times at healthcare facilities (43). Stigma is also a known challenge in the control of diabetes (44).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of diabetes and associated risk factors in Ga Mashie, Accra, Ghana – the CARE Diabetes community-based survey

Grijalva-Eternod,

Sedzro,

Adjaye-Gbewonyo

et al. 2024

Preprint

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Background Globally, diabetes affects 537 million individuals aged 20-79, significantly undermining their quality of life and economic stability, with the greatest impact in low- and middle-income countries. This study aims to deepen understanding of the diabetes burden in Ga Mashie, an urban-poor area in Accra, Ghana. Methods We conducted a cluster survey of adults over 25 years in 80 enumeration areas within Ga Mashie, targeting 959 eligible households based on the 2021 census. Household-level data included household membership and structure, water and sanitation, cooking infrastructure, and asset ownership. Individual-level data encompassed demographics, lifestyle behaviours, and biometric measurements. Diabetes was identified through random blood glucose levels ≥11.1 mmol/L or a prior diagnosis, with obesity defined as a body mass index >30 kg/m2 and central obesity as a waist circumference-to-height ratio >0.5. We derived weighted prevalence estimates and compared these estimates by age, sex, and wealth, using unadjusted odds-ratios (OR). Results The survey, achieving a 67% response rate, covered 854 individuals from 644 households. It unveiled a notable prevalence of non-communicable disease risk factors: 47.2% for alcohol consumption (95% CI: 43.7-50.8), 73.3% for insufficient physical activity (95% CI: 69.1-77.1), 28.9% for unhealthy snack consumption (95% CI: 24.5-33.7), 35.1% for obesity (95% CI: 31.3-39.1), and 74.5% for central obesity (95% CI: 70.8-77.9). Diabetes affected 8.2% of the population aged ≥25 (95% CI: 6.4-10.5), with disparities evident across age, wealth, and sex (2.66 greater odds in females for diabetes [95% CI: 1.38-5.12]). Conclusion Diabetes and its risk factors are highly prevalent in Ga Mashie, with significant demographic disparities underscoring the need for targeted interventions. The study highlights the critical challenge diabetes poses in urban-poor contexts, emphasizing the necessity for tailored health initiatives to mitigate this burden.

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Section: Discussionmentioning

confidence: 99%

Prevalence of diabetes and associated risk factors in Ga Mashie, Accra, Ghana – the CARE Diabetes community-based survey

Grijalva-Eternod,

Sedzro,

Adjaye-Gbewonyo

et al. 2024

Preprint

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“…Appropriate dietary management can also help patients control their weight, which is an important factor in the management of Diabetes Mellitus (Tuobenyiere et al, 2023). Knowledge of how to monitor blood sugar regularly helps patients understand their body's response to food and physical activity.…”

Section: Relationship Between Knowledge Level and Adherence To Diabet...mentioning

confidence: 99%

Relationship between Knowledge Level and Compliance with Dietary in Elderly Patients with Diabetes Mellitus in Karang Rejo Village, Langkat Regency

Tinah,

Triwibowo

2024

Contagion

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<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>Elderly refers to a more advanced phase of a physiological process marked by a decline in the body's capacity to adjust to external pressures. One contributing factor to the rise in Diabetes Mellitus is a deficiency of understanding, which can subsequently influence the adoption of harmful behaviors. Health providers propose dietary behavior as a means to normalize blood sugar levels in elderly individuals with Diabetes Mellitus. The objective of this The aim of this research is to examine the relationship between levels of knowledge and adherence to dietary recommendations among elderly adults diagnosed with diabetes mellitus who live in Karang Rejo Village, Langkat Regency. In this study, a quantitative approach is employed, utilizing a cross-sectional research design. The present investigation was carried out at Karang Rejo Village, located in the Langkat Regency, spanning from February to October 2023. The research sample consisted of 780 older individuals diagnosed with Diabetes Mellitus, residing in Karang Rejo Village, Langkat Regency. The study utilizes a basic random sampling technique to ensure that each participant has an equal probability of being chosen for the sample, without considering their individual features. Consequently, the sample size for this study consisted of 42 old individuals. The primary instrument employed for data collection in this study was a questionnaire. The present study employed bivariate analysis chi-square test for data analysis, and utilized software help in the form of SPSS version 20 for data processing. The findings indicated a statistically significant correlation (p-value = 0.001) between the extent of knowledge and adherence to dietary recommendations among older individuals diagnosed with diabetes mellitus residing in Karang Rejo Village, Langkat Regency. There is an aspiration for the senior population to enhance their knowledge and engage with information sourced from health centers and various social media platforms.</em></p><p><em> </em></p></td></tr></tbody></table></div><strong><em>Keywords: Compliance, Dietary, Elderly, Knowledge</em></strong>

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Patient safety initiatives and practices in Nigerian healthcare settings: A comprehensive analysis of current knowledge, challenges, and barriers

Tamuno-opubo,

Uthman,

Ojuope

et al. 2024

GJHSR

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The imperative of patient safety in healthcare takes a central stage, more so in the context of Nigeria. This review aims to provide a comprehensive understanding of the patient safety landscape in Nigeria, drawing on 12 empirical studies. This study aims to elucidate the multifarious challenges and barriers health-care professionals encounter in Nigeria concerning patient safety. Concurrently, it delves into the prevailing patient safety culture and the factors shaping it. This study used secondary data to conduct a systematic review of existing literature; 12 studies, spanning from 2015 to 2022, were meticulously examined. These explorations cover a broad spectrum of patient safety aspects in Nigeria, focusing particularly on the insights of nurses and doctors. Through the use of thematic analysis, the studies’ synthesis illuminates a significant gap between the envisioned safety protocols and their on-ground realization. Exacerbating this challenge is the acute lack of resources, which invariably hampers the quality of care. In addition, barriers to effective communication and inadequate reporting mechanisms emerge as significant obstacles. The deficiencies in consistent training and education are also prominent, which stand as potential vulnerabilities in the system. The palpable need for heightened awareness, emphasis on recurrent training initiatives, and strict adherence to established safety guidelines are amplifying these concerns. It was, thus, concluded that the healthcare trajectory in Nigeria, as informed by this review, underscores a pressing need for systemic interventions to elevate patient safety standards. Such a transformative journey demands the concerted efforts of all stakeholders, fostering an environment that prioritizes patient safety and enhances the overall trust in Nigeria’s healthcare system.

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Patient perspective on barriers in type 2 diabetes self‐management: A qualitative study

Cited by 4 publications

References 49 publications

Prevalence of diabetes and associated risk factors in Ga Mashie, Accra, Ghana – the CARE Diabetes community-based survey

Prevalence of diabetes and associated risk factors in Ga Mashie, Accra, Ghana – the CARE Diabetes community-based survey

Relationship between Knowledge Level and Compliance with Dietary in Elderly Patients with Diabetes Mellitus in Karang Rejo Village, Langkat Regency

Patient safety initiatives and practices in Nigerian healthcare settings: A comprehensive analysis of current knowledge, challenges, and barriers

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