Perceptions of Diabetes Self-Care Management Among Older Singaporeans With Type 2 Diabetes: A Qualitative Study

Tan, Cherry Chay Lee; Cheng, Karis Kin Fong; Sum, Chee Fang; Shew, Jasmine Sew Hong; Holydard, Eleanor; Wang, Wenru

doi:10.1097/jnr.0000000000000226

Cited by 20 publications

(21 citation statements)

References 3 publications

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“…Patients' healthcare knowledge is related to positive integrated experiences for diabetes treatment, and integrated care can improve the medical relationship of patients and staff and diabetes care knowledge. These results are also similar to those of prospective studies by Alrahbi and Alghenaimi (), Mastellos et al () and Tan et al (), who found that diabetic patients who follow the treatment method attain good treatment results, have high self‐efficacy and believe that the assistance of healthcare providers is helpful for them to better control their diabetes in daily life. Alrahbi and Alghenaimi found that the support and planning of healthcare providers, family members and friends can affect the self‐management of diabetic patients.…”

Section: Discussionsupporting

confidence: 89%

“…To attain good treatment outcomes, diabetic patients need to follow prescribed treatment methods and to have high self-efficacy. Self-management is the key component of disease control and complication prevention (Albargawi, Snethen, Gannass, & Kelber, 2017;Lin et al, 2017;Tan et al, 2017). Self-management refers to the integration of health-related knowledge and disease management (Grady & Gough, 2014).…”

Section: The Implications Of This Papermentioning

confidence: 99%

“…To achieve effective self-management, specific self-care behaviours must be performed on a continuous basis (American Diabetes Association, 2016). Age, gender, education level, financial status, physical function, duration of illness (Alrahbi, 2014;D'Souza et al, 2017;Hara et al, 2014;Keke et al, 2017;Tan et al, 2017), adequate information about diabetes care, support networks (Kurnia, Amatayakul, & Karuncharernpanit, 2017) and an integrated care experience (D'Souza et al, 2017;Veldman, Reijneveld, Lahr, Uittenbroek, & Wynia, 2017) are important factors that influence self-management.…”

Section: The Implications Of This Papermentioning

confidence: 99%

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Predictors for self‐management in older adults with type 2 diabetic nephropathy

Lee

Tung²,

Tsay

et al. 2020

Journal of Clinical Nursing

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Aim and Objectives To investigate factors related to self‐management and predictors of self‐management in older adult patients with type 2 diabetic nephropathy. Background Diabetic patients suffer many comorbidities during their lifetime, and the process of self‐management is complex. Self‐management and an integrated care experience are extremely important for older adults with diabetic nephropathy. Design A cross‐sectional correlation design was adopted. Methods A total of 123 older patients were enrolled in the study from June 2016 to November 2017. Data collection involved a demographic questionnaire, the Patients' Experience of Integrated Care Questionnaire and the Partners in Health Scale to measure the integrated care experience and self‐management. Data analysis included descriptive statistics, independent t tests, Pearson product‐moment correlation and multiple linear regression. The methods are consistent with the STROBE criteria (Data S1). Results The results showed that the majority of the sample was female (56.9%). The average age was 77 years old. Stepwise regression analysis showed that re‐admission during the past year (p < .001), physical function (p < .001) and integrated care experience (p < .001) are predictors of self‐management in older adult patients with type 2 diabetic nephropathy and explained 42.8% of the variation in self‐management behaviour. Conclusion The results can be used to enhance the awareness of clinicians of the importance of an integrated care experience and self‐management among older patients with type 2 diabetic nephropathy. Clinicians also should pay attention to physical function and the integrated care experience to promote self‐management. Relevance to Clinical Practice Studies on the integrated care experience and self‐management of diabetic neuropathy in older adults are limited in Taiwan. The results of this study provide valuable information to support the importance of integrated care among this specific population.

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Section: Discussionsupporting

confidence: 89%

Section: The Implications Of This Papermentioning

confidence: 99%

Section: The Implications Of This Papermentioning

confidence: 99%

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Predictors for self‐management in older adults with type 2 diabetic nephropathy

Lee

Tung²,

Tsay

et al. 2020

Journal of Clinical Nursing

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“…The current study has been evidenced that good social support improves good self-care practice; the same finding revealed in the United States (US) [42]. The inspiration of DM patients to self-care practice is seen to be improved by self-confidence, the presence of family support, and positive changes in relationships; besides, having better social support contribute to individual self-efficacy, which has a crucial role on self-care behaviors, that leading to increased self-care activities and bring better health outcomes (39). In addition, social interaction and support could enhance the self-esteem and promotes self-caring ability of DM patients (40); interaction with other individuals could allow them to explain the problems that they are experiencing and possible measures and ideas could be raised and shared and , good social support could promote different dimensions of health such as mental, social and emotional health, as a result, victims may take care of themselves and practice anything that could bring wellness.…”

Section: Discussionsupporting

confidence: 52%

Diabetics’ self-care practice and its determinants among Adult diabetic patients in Ethiopia: A systematic review and meta-analysis.

Yehualashet¹,

Takele²,

Tegegne³

et al. 2019

Preprint

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Background: Appropriate diabetic self-care is indispensable to prevent and limit diabetic associated short and long term complications including death. Therefore, this comprehensive systematic review and meta-analysis were aimed at exploring and determining the pooled national percentage of diabetic self-care and its determinants among adult diabetic patients in Ethiopian.Methods: Different electronic databases including PubMed/Medline and search engines such as Google scholar were used to retrieve published studies. The Joanna Briggs Institute (JBI) quality appraisal checklists were used to appraise the quality of studies. Data were extracted using excel spreadsheets and analyses were done by STATA 14. Heterogeneity among studies was diagnosed using the I2. The DerSimonian and Laird random-effects model was employed for substantial heterogeneity (I2>50%).Sensitivity and subgroup analyses were carried out. The funnel plot and Egger's regression test was used to identify publication bias. Moreover, the nonparametric trim and fill analysis was done for findings with significant Egger's test (p<0.05) and asymmetric distribution of studies in the funnel plot. The pooled estimate of diabetic self-care and odds ratio was reported based on the 95% CI.Results: Well over half of the Ethiopian diabetic patients have good self-care 54.04% (47.07-61.01, I2 =97.3, P<0.001). Subgroup analysis showed that the highest and the lowest pooled estimate of selfcare was detected in Southern Nations Nationalities and Peoples and Hareri region with 81.96% and 44.53% respectively. Being knowledgeable about diabetes mellitus 2.69%, having good social support 2.25%, owning private glucometer 3.04%, and being urban residents 3.26% have promoted diabetic victims to apply self-care practice.Conclusions: Despite the life-threatening complications of diabetes mellitus, the percentage of patients applying self-care has remained low in Ethiopia, depicting the high proportion of diabetic patients are prone to develop long and short term life-threatening consequences of diabetes mellitus. Therefore, improving the client's awareness about the disease and counseling clients about the significance of social support are believed to be possible strategies to improve self-care practice and policymakers are strongly recommended to combat diabetic associated complications to attain sustainable development goal 3.4 aims to reduce premature death.

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“…Studies in developed countries such as the United States, Canada, the United Kingdom, and Singapore have found that common barriers to self-management include poor communication between patients and healthcare providers, limited accessibility to healthcare facilities, lack of family support, inadequate disease knowledge and limited disease treatment methods, lack of motivation for change, physical and cognitive disorders, limited access to diabetes education, and financial barriers. [25][26][27][28][29][30][31][32] Evidently, factors that hinder diabetes self-management are complex and multifaceted. However, the barriers to diabetes self-management for patients with diabetes recovering from COVID-19 during their isolation are not precisely known.…”

Section: Introductionmentioning

confidence: 99%

<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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Perceptions of Diabetes Self-Care Management Among Older Singaporeans With Type 2 Diabetes: A Qualitative Study

Cited by 20 publications

References 3 publications

Predictors for self‐management in older adults with type 2 diabetic nephropathy

Predictors for self‐management in older adults with type 2 diabetic nephropathy

Diabetics’ self-care practice and its determinants among Adult diabetic patients in Ethiopia: A systematic review and meta-analysis.

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

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