"Even though Doctor has Advised to Practice Foot Care I have not Practiced Soaking Feet in Lukewarm Water so Far" Self-care Practices, Enablers, and Barriers: A Mixed Methods Study among Individuals with Diabetes from a Rural Area of South India.

IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Indian Journal of Community Medicine Pub Date : 2025-01-01 Epub Date: 2024-11-08 DOI:10.4103/ijcm.ijcm_769_23
Abhay S Nirgude, T M Revathi, Nagendra Navya, Poonam R Naik
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引用次数: 0

Abstract

Background: Self-efficacy is the ability by which a person confronts problems in day-to-day life with goal- centered attitude. The clinician plays a vital role in promoting self-care though a series of social, cultural and economic factors also contribute positively towards it. This study was conducted to assess the self-care practices among diabetic individuals aged 30 years and above and to understand its enablers and barriers.

Materials and methods: Explanatory mixed method study was conducted from August 2018 to October2020. Quantitative assessment was done wherein a questionnaire was administered to 297 study participants enrolled by simple random sampling followed by in-depth interviews by purposive sampling as qualitative component. Multivariate logistic regression analysis was used to study the relationship of independent variables with various domains of self- care practice. P value <0.05 was considered as statistically significant.

Results: Study found educational status, occupation and religion had a statistically significant association with self-care practices. Regular physical activity, good dietary practices and family support were a few enablers, whereas lack of awareness, time constraints, co-morbidities and environmental factors were some of the barriers to self-care practice.

Conclusions: In the present study, self-care practice in terms of diet and physical activity were found to be good whereas blood sugar level monitoring and foot care practices were poor.

“尽管医生建议练习足部护理,但到目前为止我还没有练习过用温水泡脚”自我护理实践、促进因素和障碍:一项来自印度南部农村地区糖尿病患者的混合方法研究。
背景:自我效能感是一个人以目标为中心的态度面对日常生活问题的能力。临床医生在促进自我保健方面发挥着至关重要的作用,尽管一系列社会、文化和经济因素也对其作出了积极的贡献。本研究旨在评估30岁及以上糖尿病患者的自我保健行为,并了解其促进因素和障碍。材料与方法:解释性混合法研究于2018年8月至2020年10月进行。定量评估采用简单随机抽样法对297名研究对象进行问卷调查,定性部分采用目的抽样法进行深度访谈。采用多元逻辑回归分析,研究自变量与各领域自我保健实践的关系。P值结果:研究发现教育程度、职业、宗教信仰与自我保健行为有显著相关。有规律的身体活动、良好的饮食习惯和家庭支持是一些促成因素,而缺乏意识、时间限制、合并症和环境因素是自我保健实践的一些障碍。结论:本研究发现,在饮食和身体活动方面的自我保健实践良好,而血糖水平监测和足部护理实践较差。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Indian Journal of Community Medicine
Indian Journal of Community Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.30
自引率
0.00%
发文量
85
审稿时长
49 weeks
期刊介绍: The Indian Journal of Community Medicine (IJCM, ISSN 0970-0218), is the official organ & the only official journal of the Indian Association of Preventive and Social Medicine (IAPSM). It is a peer-reviewed journal which is published Quarterly. The journal publishes original research articles, focusing on family health care, epidemiology, biostatistics, public health administration, health care delivery, national health problems, medical anthropology and social medicine, invited annotations and comments, invited papers on recent advances, clinical and epidemiological diagnosis and management; editorial correspondence and book reviews.
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