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https://hdl.handle.net/2440/53480
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Type: | Journal article |
Title: | Self-care practices of Malaysian adults with diabetes and sub-optimal glycaemic control |
Author: | Tan, M. Magarey, J. |
Citation: | Patient Education and Counseling, 2008; 72(2):252-267 |
Publisher: | Elsevier Sci Ireland Ltd |
Issue Date: | 2008 |
ISSN: | 0738-3991 1873-5134 |
Statement of Responsibility: | Ming Yeong Tan and Judy Magarey |
Abstract: | Objective: To investigate the self-care practices of Malaysian adults with diabetes and sub-optimal glycaemic control. Methods: Using a one-to-one interviewing approach, data were collected from 126 diabetic adults from four settings. A 75-item questionnaire was used to assess diabetes-related knowledge and self-care practices regarding, diet, medication, physical activity and self-monitoring of blood glucose (SMBG). Results: Most subjects had received advice on the importance of self-care in the management of their diabetes and recognised its importance. Sixty-seven subjects (53%) scored below 50% in their diabetes-related knowledge. Subjects who consumed more meals per day (80%), or who did not include their regular sweetened food intakes in their daily meal plan (80%), or who were inactive in daily life (54%), had higher mean fasting blood glucose levels (p = 0.04). Subjects with medication non-adherence (46%) also tended to have higher fasting blood glucose levels. Only 15% of the subjects practiced SMBG. Predictors of knowledge deficit and poor self-care were low level of education (p = <0.01), older subjects (p = 0.04) and Type 2 diabetes subjects on oral anti-hyperglycaemic medication (p = <0.01). Conclusion: There were diabetes-related knowledge deficits and inadequate self-care practices among the majority of diabetic patients with sub-optimal glycaemic control. |
Keywords: | Diabetes Sub-optimal glycaemic control Self-care Diet and medication intake Physical activity Self-monitoring of blood glucose |
DOI: | 10.1016/j.pec.2008.03.017 |
Published version: | http://dx.doi.org/10.1016/j.pec.2008.03.017 |
Appears in Collections: | Aurora harvest 5 Nursing publications |
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