Self-Care Practices Among Of Diabetic Patients in a Rural Area of Karnataka

Vidya KR; Samyuktha  balaji; Swamy  RM; Lohit K

doi:10.5455/njcm.20210619120028

Authors

Vidya KR Shri Atal Bihari Vajpayee Medical College & Research Institute, Bengaluru, Karnataka
Samyuktha balaji Sri Siddhartha Medical College, Tumkur
Swamy RM Sri Siddhartha Medical College, Tumkur
Lohit K Sri Siddhartha Institute of Medical Sciences and Research Center, T. Begur

DOI:

https://doi.org/10.5455/njcm.20210619120028

Keywords:

Self care, Diabetes, SDSCA

Abstract

Introduction: Diabetes mellitus causing a significant public health problem by increasing its burden globally. It is also considered a disease of poor lifestyle. The risk of these complications can be minimized by maintaining a good glycaemic control. The patients with good diabetes self-care behaviours can attain an excellent glycaemic control and lowering the micro and macro vascular complications

Methods: A community based cross-sectional study was conducted in a rural area of Bengaluru. Diabetic patients aged 20 years and above residing in the same area for more than 6 months were included. Multistage sampling technique used to select samples. The semi structured questionnaire from The Summary of Diabetes Self-care Activities (SDSCA) Measure was used.

Results: A total of 169 diabetic patients were included in the study. Healthy diet was consumed by 71.6% and regular physical activities for at least 30 min a day was followed by 16.6%. Weight monitoring was done by 49.1% subjects. Regular foot examination by the doctor was observed among 42.6% and 46.7% were using covered shoes.

Conclusion: Diabetic patient in rural Bangalore follow good self-care behavior regarding diet, foot care and eye examination but very poor in exercise and glycemic/ HbA1c monitoring.

References

International Diabetes federation. Diabetes atlas, Diabetes facts and figures. 9th edition;2019 https://www.idf.org/ aboutdiabetes/what-is-diabetes/facts-figures.html adherence to drugs

Ramachandran A, Snehalatha C, Latha E, Vijay V,Vishwanathan M. Rising prevalence of NIDDM in an urban population in India. Diabetologia. 1997[Cited 2021 Feb 10]; 40: 232–237. Available from: https://doi.org/10.1007/s001250050668

Consultation IDF. Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia . WHO; 2013. Available from: www.who.int/diabetes/.../Definition and diagnosis of diab...

Cooper HC, Booth K, Gill G. Patients’ perspectives on diabetes health care education. Health Educ Res. 2003[Cited on 2020 Dec 28]; 18(2):191 206. Available from: https://doi.org/10. 1093/her/18.2.191

Sasi Sekhar TVD, Kodali M, Burra KC, Muppala BS, Gutta P, Bethanbhatla MK. Self care activities, diabetic distress and other factors which affected the Glycaemic control in a tertiary care teaching hospital in South India. J Clin Diagnostic Res. 2013[Cited on 2021 jan 21];7(5):857–60. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3681055/

Li R, Yuan L, Guo X-H, Lou Q-Q, Zhao F, Shen L, et al. The current status of foot self-care knowledge, behaviours, and analysis of influencing factors in patients with type 2 diabetes mellitus in China. Int J Nurs Sci . Elsevier Ltd; 2014[Cited on 2021 feb 10];1(3):266–71. Available from: http://linkinghub. elsevier.com/retrieve/pii/S2352013214000738

Turner RC, Millns H, Neil HA, Stratton IM, Manley SE, Matthews DR, Holman RR. Risk factors for coronary artery disease in non-insulin dependent diabetes mellitus: United Kingdom Prospective Diabetes Study (UKPDS: 23). BMJ 1998; 316 (7134): 823-828

The Diabetes Control and Complications Trial Research Group: The effect of intensive treatment of diabetes on the development and progression of longterm complications in insulin-dependent diabetes mellitus. N Engl J Med 329: 1993; 977–986.

Gopichandran V, Lyndon S, Angel MK, Manayalil BP, Blessy KR, Alex RG, et al. Diabetes self-care activities: A community-based survey in urban Southern India. Natl Med J India 2012[Cited on 2021 feb 10];25(1):14-7. Available from: https://pubmed. ncbi.nlm.nih.gov/22680314/

Deborah J D, sarah E H, russell E G. The Summary of Diabetes Self-Care Activities Measure. Diabetes care. 2000[Cited on 2020dec 24];23(7): 943-50 Available from: https://pubmed. ncbi.nlm.nih.gov/10895844/

Mukhopadhyay P, Paul B, Das D, Sengupta N, Majumder R. Perceptions and practices of type 2 diabetics: A cross-sectional study in a tertiary care hospital in Kolkata. Int J Diabetes Dev Ctries. 2010;30(3):143-9.

Uma Maheshwari R, Sowmiya KR, Kavin S. Self-care practices among type II diabetics attending primary health centre, Thiruvallur district, Tamil Nadu. Int J Community Med Public Health 2017[Cited on 2021 feb 10];4(8):2745-9. Available from: https://www.ijcmph.com/index.php/ijcmph/article/ view/1587

Gopichandran SV, Lyndon MK, Angel PB, Manayalil BP, Blessy KR, Alex RG, et al. Diabetes self-care activities: a community-based survey in urban southern India. Natl Med J India. 2012[Cited on 2021 feb 10];25(1):14-7. Available from: https://pubmed.ncbi.nlm.nih.gov/22680314/

Rajasekharan D, Kulkarni V, Unnikrishnan B, Kumar N, Holla R, Thapar R. Self-Care Activities Among Patients with Diabetes Attending a Tertiary Care Hospital in Mangalore Karnataka. India. Ann Med Health Sci Res. 2015[Cited on 2021 feb 10];5(1):59–64. Available from: https://pubmed.ncbi.nlm. nih.gov/25745579/

Lock K, Pomerleau J, Causer L, Altmann DR, McKee M. The global burden of disease attributable to low consumption of fruit and vegetables: Implications for the global strategy on diet. Bull World Health Organ. 2005[Cited on 2021 feb 10];83(2):100–8. Available from: https://pubmed.ncbi.nlm. nih.gov/15744402/

Anand SS, Hawkes C, de Souza RJ, Mente A, Dehghan M, Nugent R, et al,.Food Consumption and its Impact on Cardiovascular Disease: Importance of Solutions Focused on the Globalized Food System: A Report From the Workshop Convened by the World Heart Federation. J Am Coll Cardiol. 2015[Cited on 2021 feb 10];66(14):1590-1614. Available from: https:// pubmed.ncbi.nlm.nih.gov/26429085/

Guo XH, Yuan L, Lou QQ, Shen L, Sun ZL, Zhao F, et al. A nationwide survey of diabetes education, self-management and glycemic control in patients with type 2 diabetes in China. Chin Med J (Engl). 2012[Cited on 2021 feb 10];125(23):4175–80. Available from: https://pubmed.ncbi.nlm.nih.gov/ 23217382/

Kushwaha AS, Kumari S, Kushwaha N. Self care in diabetes: A study amongst diabetics in an urban community. Int J Community Med Public Health 2016[Cited on 2021 feb 10];3(1):293 8. Available from: https://ijcmph.com/ index.php/ijcmph/article/view/694

Rao NS, Krishna YB. Knowledge and practice among type 2 diabetes patients from a village in Guntur district of Andhra Pradesh. Int J Health Sci Res 2014[Cited on 2021 feb 10];4(10):6-12. Available from: https://www.researchgate. net/publication/306484502_Knowledge_and_Practice_Among_Type_2_Diabetes_Patients_from_a_Village_in_Guntur_District_of_Andhra_Pradesh

Raithatha SJ, Shankar SU, Dinesh K. Self-care practices among diabetic patients in Anand district of Gujarat. ISRN Family Med 2014;2014:743791. Available from: https://www.hindawi. com/journals/isrn/2014/743791/

Saeed N, Zafar J, Atta A. Frequency of patients with diabetes taking proper foot care according to international guidelines and its impact on their foot health. J Pak Med Assoc. 2010[Cited on 2021 feb 10];60(9):732–5. Available from: https://pubmed.ncbi.nlm.nih.gov/21381579/

Singh, Ravindra paul, Khobragade Megha K anil. A cross sectional study on knowledge, attitude and practice among diabetics about diabetes and its complications in central Delhi. MRIMS J Heal Sci. 2013[Cited on 2021 feb 10];1(2):44–7. Available from: https://mrimsjournal.com/article

Hawal NP, Shivaswamy MS, Kambar S, Patil S, Hiremath MB. Knowledge, attitude and behaviour regarding self-care practices among type 2 diabetes mellitus patients residing in an urban area of South India. 2012[Cited on 2021 feb 10];2(12):31–5. Available from: https://updatepublishing. com/journal/index.php/imrj/article/view/1652

Padma K, Bele DS, Bodhare TN, Valsangkar S. Evaluation of knowledge and self-care practices in diabetic patients and their role in disease management. Natl J Community Med. 2012[Cited on 2021 feb 10];3:3–6. Available from: https:// www.researchgate.net/publication/266502628_Evaluation_of_knowledge_and_self_care_practices_in_diabetic_patients_and_their_role_in_disease_management