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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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0% found this document useful (0 votes)
52 views

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

Uploaded by

Sofyan Indrayana
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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 medicationgood adherence
- Knowledge can increases disease understanding, but many patients did know why they
perform self management.
- Culture/ethnicity/languageinfluence beliefs, attitude, knowledge, behavioraffected self
management. e.g.: traditional Mexican American beliefs that insulin is harmful not take insulin;
Latinos beliefs family needs are the most importantsupport 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 spiritualityenhance self management.
- Financial resourcesinconsistent take treatment
- Co morbiditiesmore depressivebarrier to self management
- Social supportencourage 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:
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