Self‐care activities among patients with type 2 diabetes mellitus: A cross‐sectional study

Abstract

Aims This study investigated self‐care activities and identified their related factors in Chinese patients with type 2 diabetes mellitus. Methods A cross‐sectional study was conducted in Guangzhou, China, between September 2016 and February 2017, involving 202 Chinese patients with type 2 diabetes mellitus. Measures included the Summary of Diabetes Self‐Care Activities Questionnaire and Revised Illness Perception Questionnaire. Results Self‐care activities in Chinese patients with type 2 diabetes mellitus were suboptimal overall. Foot care and blood sugar testing were the self‐care activities that were performed the least. One fifth of patients smoked. Some subscales of illness perceptions, receiving health education on diabetes, employment status, education level, body mass index, age and time since type 2 diabetes mellitus diagnosis, were related to self‐care activities in patients with type 2 diabetes mellitus. Conclusion Health‐care providers and nurses should encourage greater engagement in self‐care activities in patients with type 2 diabetes mellitus, especially foot care and blood sugar testing. Illness perceptions may be used as a framework to guide interventions.

Predictors of self-care behaviors and glycemic control among patients with type 2 diabetes mellitus

“…As the income level of households increased, it was noted that selfcare behaviors were significantly reduced and HbA1c levels were increased. Most of the previous studies reported significant differences among self-care behaviors, HbA1c status, and sociodemographic factors among patients with type 2 diabetes (29)(30)(31)(32)(33)(34)(35)(36)(37). A study in Northern Jordan demonstrated that HbA1c level is significantly related to household income, education levels, employment status, and disease duration (16).…”

“…In studies, the observed diabetes-related knowledge and self-care knowledge were associated with self-care behaviors ( 38 , 42 ). Patients who have better knowledge about the symptoms of diabetes are more successful in testing their blood sugar and exercising ( 34 , 44 ). Knowledge, attitudes, and behaviors to promote health-related behaviors and prevent diseases are related ( 41 ).…”

External validation of the risk prediction model for early diabetic kidney disease in Taiwan population: a retrospective cohort study

“…The late diagnosis may partially contribute to the high prevalence of DKD in Asia and Africa. In Asia, healthcare providers and nurses are not sufficiently educated about diabetes patients, about 50% lack understanding of diabetes complications,32 and self-care activities are suboptimal overall 33. Therefore, it is extremely significant to have an accurate prediction model that could assist clinicians in real-time evaluation of patient risk and implement primary and secondary preventive measures to delay progression of disease.…”

Exploration of the health needs of patients with poorly controlled type 2 diabetes using a user-centred co-production approach in the area of mHealth: an exploratory sequential mixed-method protocol

“…The Chinese version of SDSCA has an acceptable internal consistency, with Cronbach’s α range from 0.62 to 0.98. 30 …”

“…The Chinese version Open access of SDSCA has an acceptable internal consistency, with Cronbach's α range from 0.62 to 0.98. 30 The DES-SF measures the psychosocial empowerment of patients with diabetes. 31 The 8-item DES-SF employs the 5-point Likert scoring system.…”