American Journal of Public Health Research
ISSN (Print): 2327-669X ISSN (Online): 2327-6703 Website: http://www.sciepub.com/journal/ajphr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Public Health Research. 2015, 3(5A), 67-71
DOI: 10.12691/ajphr-3-5A-15
Open AccessResearch Article

A Self Care Management Awareness Study among Diabetes Mellitus Patients in Rural Nepal

Nitendra Chaurasia1, , Rimu Mishra1, Huang Ling2, Bijay Thapa1, Ava Pokhrel1, Surendra Kumar1 and Asis De3

1Department of Community Medicine, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal

2Department of Community Medicine & Public Health, Institute of Medicine, Mahrajgunj, Kathmandu, Nepal

3Department of Community Medicine, Manipal College of Medical Sciences Pokhara, Nepal

Pub. Date: October 28, 2015
(This article belongs to the Special Issue Health Scenario 2015; Millennium Development Goals)

Cite this paper:
Nitendra Chaurasia, Rimu Mishra, Huang Ling, Bijay Thapa, Ava Pokhrel, Surendra Kumar and Asis De. A Self Care Management Awareness Study among Diabetes Mellitus Patients in Rural Nepal. American Journal of Public Health Research. 2015; 3(5A):67-71. doi: 10.12691/ajphr-3-5A-15

Abstract

Diabetes has emerged as one of the world’s biggest health problem. Diabetes is traditionally known as a ‘‘silent disease,’’ exhibiting no symptoms until progression to target organ damage. Diabetes self-care is suboptimal across a continuum from home based activities example as healthy eating, exercise and medication adherence to use of preventive care. There is a need for assessment of patient’s knowledge regarding diabetes, its complications and self care which has a significant benefit with regard to patient’s compliance to the treatment and in decreasing complications associated with disease and its consequences. The study was conductedto know self care management of diabetes mellitus among diabetic patients from a cohort of 192 diabetic patients picked up by convenience sampling technique. Data were collected, by administering a structured validated questionnaire, during March 2014 during community diagnosis program. Out of 192 patients (aged ≥ 18 years), mean score of knowledge of self care was 5.406 ± 1.709. Among them, 61 (31.77%) had poor knowledge, 110 (57.29%) had average score and 21(10.93%) had good knowledge of diabetes mellitus. Most of diabetic patients knew that self care can decrease the complications. The most of them practiced self care (hand and foot care, physical activity, general health check up) but were irregular in day to day practices. More than two third subjects had uncontrolled blood sugar level.

Keywords:
diabetes mellitus self care management

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Pickup J, Williams G. Text book of Diabetes, 2nd edition, Blackwell Science KK, Kodemacho Nihombashi, Chuo- Ku, Tokyo 104, Japan. 1998, p. 11-21.
 
[2]  Report of WHO Consultation, Geneva 1999. Definition, classification and diagnosis of diabetes mellitus.
 
[3]  Unwin N, Marlin A. Report on Diabetes Action Now. 2004:49. [cited 11/11/08 14:54:43 PM] available from http://www.who.int/diabetes/actionnow/en/DAN booklet.pdf.
 
[4]  World health organization: Diabetes – Factsheet. 2012 http://www.who.int/medicentre/factsheet/fs312/en/index.html.
 
[5]  Raman Kutty, C.R. Soman, A. Joseph, et al., Type 2 diabetes in southern Kerala. Variation in prevalence among geographic divisions within a region, Natl. Med. J. India 2000; 13: 287-92.
 
[6]  A.Ramachandran, C. Snehalatha, A.D. Baskar, S. Mary, C.K. Kumar, S. Selvam, et al., Temporal changes in prevalence of diabetes and impaired glucose tolerance associated with lifestyle transition occurring in the rural population in India, Diabetologia 2004; 47:860-65.
 
[7]  Wild S,Rogalic G, Green A, Sicree R, King H: Global prevalence of diabetes: estimated for the year 2000 and projections for 2030. Diabetes care 2004, 27 (5):1047-1053.
 
[8]  Prasad BG. Changes proposed in Social classification of Indian families. J Indian Med Assoc 2007; 55:198-99.
 
[9]  Mehta RS, Karki P, Sharma SK. Risk Factors Associated Health Problems, Reasons for Admission and Knowledge Profile of Diabetes Patients Admitted in BPKIHS. Int J Diab Dev Ctries 2005; 25:70-4.
 
[10]  Deepa M, Deepa R, Shanthirani CS, et at. Awareness and Knowledge of diabetes in Chennai- The Chennai Urban Rural Epidemiology Study (Cure 9). J Assoc Physicians India 2005; 53:283-7.
 
[11]  Kamel HM , Ismail AM , Deib RA, Khattab SM. Predictors of self –care behavior in adults with type 2 diabetes mellitus in Abu Khalifa Village –Ismailia –Egypt. Suez Canal Univ Med J 2003;6: 185-95.
 
[12]  Kamel HM, Ismail AM, Deib RA, Khattab SM. Predictors of self –care behavior in adults with type 2 diabetes mellitus in Abu Khalifa Village –Ismailia –Egypt. Suez Canal Univ Med J 2003;6: 185-95.
 
[13]  Nagpal J, Bhartia A. Quality of diabetes care in the middle and High- income group popular- the Delhi Diabetes Community Survey. Diabetes care 2006; 29:2341-8.
 
[14]  Upadhyay K D, Palaian S, Shankar R, Mishra P.Knowledge, attitude and practice about diabetes among diabetes patients in Western Nepal.Rawal Med J . 2008; 33:8-11.
 
[15]  Bjork S, Kapur A, king H, Nair J, Ramachandran A. Global policy: aspect of diabetes in India. Health Policy 2003; 66:61-72.