Patients’ and family members’ knowledge and views regarding diabetes mellitus and its treatment

Shilubane, Hilda N.; E, Potgieter

doi:10.4102/curationis.v30i2.1074

Cited by 25 publications

(34 citation statements)

References 8 publications

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“…Men focused on socio-economic factors, particularly the affordability of drugs, sexual function and lifestyle, while women valued well-being, support in daily life and household activities and had a higher risk awareness of DM. The indication of limited knowledge was in accordance with findings shown in previous investigations focusing on knowledge of DM in people in Cameroon and South Africa [12,13], and little understanding of the nature of DM, with reporting of a spectrum of different causes of DM in an investigation of the impact of the disease in Nigerians with DM [14], while in Ghanaians diagnosed with DM a blend of commonsense, scientized, and religious knowledge modalities that merged with biomedical goals, specifically drug and diet management [15]. …”

Section: Introductionsupporting

confidence: 92%

“…Thus, it is important is to organize health care in a way that elicits individual beliefs about health and illness in persons with DM and then supports and provides the individual with appropriate information to strengthen the patient's self-care capability to become an active participant and partner in diabetes care [13]. In a country and life situation with a highly strained economic situation, as for example in Zimbabwe today [20] and in many other developing countries, health care needs to switch from predominantly focusing on disease control and compliance with medication to a holistic attitude starting from an individual perspective but also considering social determinants of health [26,30] to promote health and prevent DM and complications related to DM [26] in order to decrease the burden of the disease in light of the overarching pandemic of DM [2,8].…”

Section: Discussionmentioning

confidence: 99%

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Zimbabwean diabetics' beliefs about health and illness: an interview study

Hjelm

Mufunda

2010

BMC Int Health Hum Rights

104

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BackgroundDiabetes mellitus (DM) is increasing globally, with the greatest increase in Africa and Asia. In Zimbabwe a threefold increase was shown in the 1990s. Health-related behaviour is important in maintaining health and is determined by individual beliefs about health and illness but has seen little study. The purpose of the study was to explore beliefs about health and illness that might affect self-care practice and health care seeking behaviour in persons diagnosed with DM, living in Zimbabwe.MethodsExploratory study. Consecutive sample from a diabetes clinic at a central hospital. Semi-structured interviews were held with 21 persons aged 19-65 years. Data were analysed using qualitative content analysis.ResultsHealth was described as freedom from disease and well-being, and individual factors such as compliance with advice received and drugs were considered important to promote health. A mixture of causes of DM, predominantly individual factors such as heredity, overweight and wrong diet in combination with supernatural factors such as fate, punishment from God and witchcraft were mentioned. Most respondents did not recognize the symptoms of DM when falling ill but related the problems to other diseases, e.g. HIV, malaria etc. Limited knowledge about DM and the body was indicated. Poor economy was mentioned as harmful to health and a consequence of DM because the need to buy expensive drugs, food and attend check-ups. Self-care was used to a limited extent but if used, a combination of individual measures, household remedies or herbs and religious acts such as prayers and holy water were frequently used, and in some cases health care professionals were consulted.ConclusionsLimited knowledge about DM, based on beliefs about health and illness including biomedical and traditional explanations related to the influence of supernatural forces, e.g. fate, God etc., were found, which affected patients' self-care and care-seeking behaviour. Strained economy was stated to be a factor of the utmost importance affecting the management of DM and thus health. To develop cost-effective and optimal diabetes care in a country with limited resources, not only educational efforts based on individual beliefs are needed but also considering systemic and structural conditions in order to promote health and to prevent costly consequences of DM.

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Section: Introductionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Zimbabwean diabetics' beliefs about health and illness: an interview study

Hjelm

Mufunda

2010

BMC Int Health Hum Rights

104

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“…There is opportunity for improvement, as only 32% reported that their family members were involved in the diabetes education consultation. This is supported by various studies showing that involvement of the family in patient care was strongly associated with diet, physical activity, and medication compliance [28,[31][32][33][34][35][36].…”

Section: Discussionsupporting

confidence: 49%

Physical Activity and Reported Barriers to Activity Among Type 2 Diabetic Patients in the United Arab Emirates

Al-Kaabi

Al-Maskari

Saadi³

et al. 2009

Rev Diabet Stud

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■ AbstractOBJECTIVES: This study was designed to assess the physical activity practice among type 2 diabetic patients in the United Arab Emirates (UAE). METHODS: This is a crosssectional study of type 2 diabetic patients who participated in the outpatient clinics in Al-Ain District, during 2006. The patients completed an interviewer-administered questionnaire, and measurements of blood pressure, body mass index, body fat, abdominal circumference, glycemic control (HbA1c), and fasting lipid profile. RESULTS: Of the 390 patients recruited, only 25% reported an increase in their physical activity levels following the diagnosis of diabetes, and only 3% reported physical activity levels that meet the recommended guidelines. More than half of the study subjects had uncontrolled hypertension (53%) and unacceptable lipid profiles; 71% had a high low-density lipoprotein (LDL), 73% had low high-density lipoprotein (HDL), and 59% had hypertriglyceridemia. Forty-four percent were obese and a further 34% were overweight. Abdominal obesity was also common (59%). Only 32% had an acceptable glycemic control. CONCLUSIONS: The physical activity practice of type 2 diabetic patients in the UAE is largely inadequate to meet the recommended level necessary to prevent or ameliorate diabetic complications. Interventions aiming at overcoming the barriers to physical activity are urgently needed.

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“…It is a significant public health concern because of the demands it places on health care services and individuals [2, 3]. The pandemic mainly affects developing countries, particularly in Africa [3, 4] and the predicted number of affected people will double to 438 million in 2030 [1].…”

Section: Introductionmentioning

confidence: 99%

Differences in Health and Illness Beliefs in Zimbabwean Men and Women with Diabetes

Mufunda¹,

Björn²,

Hjelm³

2012

Open Nurs J

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This study explored beliefs about health and illness that might affect self-care and health-seeking behaviours in Zimbabwean men and women with diabetes. Gender differences were indicated in a previous study but their extent has not been studied. The present study used a qualitative descriptive design with semi-structured interviews to gain a deeper understanding of the phenomena. The sample consisted of 21 participants, 11 females aged 19-61 years (Median 44 years) and 10 males aged 22-65 years (Median 52 years). Qualitative content analysis was used. Health was described as freedom from diseases and enjoying well-being. Both males and females displayed limited knowledge about diabetes and dissimilarities in health-seeking behaviours. Women, in contrast to men, were more active in self-care and used various measures besides drugs as they related to a higher extent the cause of diabetes to supernatural factors like gods and witches. They sought information from self-help groups and help from outside the professional health sector like healers in the folk sector. Prolonged economic disruption also had negative effects towards maintenance of healthy life-styles as both men and women struggled to get money for food and drugs. Thus, the study highlighted that knowledge about diabetes and its management are important for self-care. There is therefore need to develop acceptable and affordable gender- sensitive diabetes care programmes that enhance patient participation, empowerment and promotion of health.

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Patients’ and family members’ knowledge and views regarding diabetes mellitus and its treatment

Cited by 25 publications

References 8 publications

Zimbabwean diabetics' beliefs about health and illness: an interview study

Zimbabwean diabetics' beliefs about health and illness: an interview study

Physical Activity and Reported Barriers to Activity Among Type 2 Diabetic Patients in the United Arab Emirates

Differences in Health and Illness Beliefs in Zimbabwean Men and Women with Diabetes

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