Barriers To Diabetes Management: Patient and Provider Factors
1. The document discusses barriers to diabetes management from patient and provider perspectives based on a review of 80 articles. Key patient barriers included adherence, attitudes/beliefs, knowledge, culture/language, financial resources, and comorbidities. Provider barriers included beliefs/attitudes/knowledge and communication.
2. The study evaluated risk factors and prevalence of diabetic foot ulcers (DFU) among diabetes patients in Indonesia. The prevalence of DFU risk factors was 55.4% and of DFU was 12%. Risk of DFU increased with age and was associated with religion, education level, diabetes therapy, and HbA1c. Clinical risk factors included foot deformities and blood flow issues.
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Barriers To Diabetes Management: Patient and Provider Factors
1. The document discusses barriers to diabetes management from patient and provider perspectives based on a review of 80 articles. Key patient barriers included adherence, attitudes/beliefs, knowledge, culture/language, financial resources, and comorbidities. Provider barriers included beliefs/attitudes/knowledge and communication.
2. The study evaluated risk factors and prevalence of diabetic foot ulcers (DFU) among diabetes patients in Indonesia. The prevalence of DFU risk factors was 55.4% and of DFU was 12%. Risk of DFU increased with age and was associated with religion, education level, diabetes therapy, and HbA1c. Clinical risk factors included foot deformities and blood flow issues.
3. The
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Illness Perception and foot care in Indonesia
No. Authors, Title Note
year and type 1 Nam, et. al., Barriers to diabetes Purpose: The purpose of this systematic review is to summarize existing knowledge regarding various 2011 management: Patient barriers of diabetes management from the perspectives of both patients and clinicians. Review and provider factors Method: searched article in PubMed, CINAHL, ERIC, and PsycINFO regarding barrier of diabetes management in English published (1990-2009) found 80 articles to review. Result: 1. Patient Factor - Adherence frequency medication, route of medications, disease understanding - Attitude and beliefs: positive attitude + belief in benefit of medicationgood adherence - Knowledge can increases disease understanding, but many patients did know why they perform self management. - Culture/ethnicity/languageinfluence beliefs, attitude, knowledge, behavioraffected self management. e.g.: traditional Mexican American beliefs that insulin is harmful not take insulin; Latinos beliefs family needs are the most importantsupport patient adhering to treatment; Chinese culture beliefs that freedom to enjoy food means have high quality of life not adhere in dietary treatment; African American have deep spiritualityenhance self management. - Financial resourcesinconsistent take treatment - Co morbiditiesmore depressivebarrier to self management - Social supportencourage to self management 2. Health care factor - Beliefs, attitude and knowledge - Communications between health care provider and patient - Health care system Note: Different culture has difference beliefs that will affect patients’ attitude, knowledge and behavior toward any kind of self-management among diabetes patients. 2 Yusuf et al., Prevalence and Risk Purpose: This epidemiology study is to evaluate prevalence, associated factors for presence of risk and 2016 Factor of Diabetic Foot DFU among T2DM patients in Makassar, eastern Indonesia. Original Ulcers in a Regional Method: Strengthening the reporting of observational studies in epidemiology was used, sample size 288, articles setting in outpatient endocrine clinic, Wahidin Sudirohusodo hospital. Hospital, Eastern Result: prevalence of DFU risk factor is 55,4%, prevalence of DFU is 12%. According to the demographic Indonesia data, age was associated with presence of DFU risk, in the other hand, religion, education, DM therapy, high HbA1C were associated with presence of DFU. Meanwhile, based on the clinical foot assessment, foot deformity, ABI were associated with DFU risk, but only dry skin was associated with presence of DFU. Note: Almost every person in Indonesia have a religion which religion associated with presence of DFU. But, deeply spiritual beliefs (belief DM is a disease or temptation from God) has less presence of DFU. 3 Harvey & The importance of Purpose: this study aimed to summarize the current status of health belief models developed to explain Lawson, health belief models in patient behavior and implications for the behavioral management of diabetic patients and design of 2009 determining self‐care future interventional studies. Review behaviour in diabetes Method: review 108 articles Article Result: knowledge is cognitive aspect of the patient but self-care is often not optimal. Perceiving benefit of the treatment were influence the preventive self-care behavior. Intention of behavior depends on individual’s attitude to the behavior and individual’s perception of social pressure to perform treatment and social norm. Illness representation models using approaches focus on individual ideas and beliefs about the illness to explain cognitive and emotional process influence individual to adopt behavior in treatment regimen. Note: illness will stimulate individual to generate cognitive and emotional representation based on cultural, social, personality, experience, and education that will influence individual to adopt behavior plan or coping strategy as a solution of their problem, then individual will appraise the behavior. After that individual will decide to perform the behavior or not. 4 Abubakari, Associations between Purpose: Using Leventhal’s Common-sense self-regulation model, this study investigated associations et. al, 2011 knowledge, illness between illness perceptions, self-management and metaboliccontrol outcomes for diabetes among Original perceptions, self‐ European and African-origin patients with type 2 diabetes Article management and Method: Participants (359) in this study were recruited consecutively from diabetes and retinal screening metabolic control of clinics in the London boroughs of Brent and Hackney, UK with inclusion criteria were adult, type 2 DM, type 2 diabetes among white British, black-Caribbean or black-African, spoken English. Instrument using IPQ-R to measure self- African and European‐ regulatory models, Brief DKT to measure specific knowledge and SDSCA to measure the self management origin patients activity. Data analysis using hierarchical multiple regression for determine the multivariate relationship Result: high knowledge about diabetes did not associated with any self-management among white-British but correlated with poor dietary on black-Caribbean and black-African. Illness perception has been related to adherence of treatment and self-management especially for blood glucose control and take medication on diabetes patients. Some domain of illness perception such as consequences, personal control was associated with less frequent in foot management among Black-Caribbean patients but not on White-British and Black-African patients. On the other hand, high perceptions of personal control were associated with frequent in foot management among Black-Caribbean patients but not on White-British and Black-African patients. Causal perceptions were associated with foot management among Black- Caribbean and White-British patients but not on Black-African patients Note: Purpose: Method: Result: Note: Purpose: Method: Result: Note:
Experiences of Adolescents Living with Type 1 Diabetes Mellitus whilst Negotiating with the Society: Submitted as part of the MSc degree in diabetes University of Surrey, Roehampton, 2003