Self-care Activities among Diabetic patients in rural areas of Trichy District, Tamil Nadu
Journal Title: National Journal of Research in Community Medicine - Year 2017, Vol 6, Issue 0
Abstract
Background: Self-care practice is the key aspect of diabetes Management. Objectives: To assess the level of self-care practice and to find out the factors associated with self-care practice among rural diabetes patients in Trichy district. To correlate the self-care practice level with random blood sugar of DM patients. Methodology: A cross-sectional study was conducted among 160 Diabetes patients in OPD of rural health centres,Sangenthi and Pullambadi during Dec 2016. A pretested semi-structured Questionnaire was adopted from Summary of Diabetes Self-care Activities (SDSCA) and Morisky adherence Scale. Data were entered in Microsoft Excel and Analysed by using SPSS Version 20. Chi-square test and Spearman correlation test were applied. Results: Out of 160 samples, 83 were males and 77 were females with mean age of 57.5 years. Almost half of them were in the age group of46 -60 years (52.5%), studied upto 10th standard (59.4%) and Socio-economic class of 4 (47%). Almost 60% were obese based on BMI (≥25). Around 40% of subjectswere having adequate self-care practice (Score≥10). Self –care practice includes eating habits, physical activity, Adherence to medications, Foot care, Fundus careand investigations like Blood sugar, Lipid profile, ECG. Upper and Upper Middle class subjects were having more adequate self-care practice compare to Lower and Lower middle class (X2 =9.6, P =0.008). Only 36% subjects were control in blood sugar level (GRBS≤180mg/dl). Negative correlation was found between self-care activity score and Blood sugar level (r=-0.382, p=<0.001). ↑↑ Self-care activity - ↓↓GRBS level.Adequate Self-care activity was significantly associated with Glycaemic Control (p=0.011). Conclusion: Only 40% were adequate level of self-care and significant association was found on glycaemic control. Thus there is a need of health education among diabetes patients in regarding self-care and their good practice.
Authors and Affiliations
Veerakumar A M, Shanmugapriya D, Soorya Narayanan B, Subashini S
Keywords
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