scholarly journals Exploring the Relationship of Health Beliefs and Self-Care Behaviors Related to Diabetic Foot Ulcers of Type II Diabetes Mellitus Patients: A Cross-Sectional Study

2021 ◽  
Vol 18 (13) ◽  
pp. 7207
Author(s):  
Meng-Chien Tsai ◽  
Hsiao-Ling Chuang ◽  
Cheng-Yi Huang ◽  
Shu-Hsin Lee ◽  
Wen-Chun Liao ◽  
...  
Keyword(s):  
Health Beliefs ◽  
Diabetic Foot ◽  
Self Care ◽  
Health Belief ◽  
Living Alone ◽  
School Level ◽  
High School Level ◽  
Cross Sectional ◽  
The Relationship ◽  
Care Behavior

Objective: Diabetic foot ulcers are an invasive complication of diabetes and are increasing. This study investigates the relationship between health beliefs and foot self-care behaviors, among people with type II diabetes. Methods: A cross-sectional design was adopted, and 98 patients were recruited from outpatient clinics of the endocrine department. The questionnaires of Demographic, Diabetes Foot Ulcer Health Belief Scale (Health Beliefs, DFUHBS), and Diabetes Foot Self-Care Behavior Scale (Self Care, DFSBS) were used to collect data. Results: Among the subjects living alone or who had diabetes less than ten years, the score of DFSBS was significantly lower than among those living with families or who had diabetes for ten years or more. The frequency of performing diabetes foot self-care behavior, among males was lower than among females significantly. Although there was no significant difference in the Health Belief total score, there were differences in the benefit subscale. Those who had junior high school level or less or had diabetes less than ten years, their score was significantly lower than those with senior high school level or more or had diabetes ten years or more. In a multivariable regression model, living with family, diabetes duration, and health beliefs explained 42.9% of the variance of diabetic-foot self-care behaviors. Conclusions: Living alone, shorter duration of diabetes, male gender, and lower health belief scores predict less adequate diabetic foot self-care behavior. Health care providers should assess these factors when designing individual care plans.

scholarly journals Constructs of health belief and disabling distal upper limb pain

2016 ◽  
Vol 13 (1) ◽  
pp. 91-97 ◽  
Author(s):  
Daniel Whibley ◽  
Ross MacDonald ◽  
Gary J. Macfarlane ◽  
Gareth T. Jones
Keyword(s):  
Health Beliefs ◽  
Upper Limb ◽  
Health Belief ◽  
Cross Sectional Study ◽  
Pain Severity ◽  
Clinical Population ◽  
Sectional Study ◽  
Cross Sectional ◽  
Arm Pain ◽  
The Relationship

AbstractBackgroundMusculoskeletal pain in the distal upper limb is common and is a cause of disability and healthcare consultation. At the time of presentation individuals reporting similar pain severities may report different levels of related disability. The biopsychosocial model proposes that health beliefs may help explain this difference. The aim of this cross-sectional study was to identify underlying constructs of health belief in those referred to physiotherapy with pain in the distal upper limb and investigate whether these constructs moderated the relationship between pain severity and extent of disability.MethodHealth beliefs were assessed using an instrument included in a questionnaire completed before randomisation to the Arm Pain Trial (ISRCTN79085082). Ordinal responses to statements about health beliefs were used to generate a polychoric correlation matrix. The output from this matrix was then used for Exploratory Factor Analysis to determine underlying constructs. The moderating influence of the identified health belief constructs was then tested using interaction terms in linear regression models.Results476 trial participants contributed data, age range 18–85 (mean 48.8, SD 13.7), 54% female. Five health belief constructs were identified: beliefs about hereditary factors, beliefs about movement and pain, beliefs about locus of control, beliefs about the role of lifecourse/lifestyle factors, and beliefs about prognosis. The only health belief construct found to moderate the pain-disability relationship was beliefs about prognosis, with greater pessimism resulting in higher levels of disability at mild-to-moderate levels of pain severity (B –0.17,95% CI –0.30, –0.036).ConclusionThis exploratory cross-sectional study identified five constructs of health belief from responses to a previously used set of statements investigating fear avoidance and illness beliefs in a clinical population with pain in the distal upper limb. Of these constructs, beliefs about prognosis were found to moderate the relationship between pain and disability.ImplicationsAt the time of referral to physiotherapy it may be beneficial to assess patients’ perception of prognosis. For those with higher than expected disability for the presenting level of pain, and pessimism about prognosis, focused reassurance may play an important part in initial consultation. Longitudinal study is required to support the findings from this study and investigate whether a causal relationship exists. Future investigations should confirm the health belief constructs proposed.

scholarly journals Relationship Between Fundamental Daily Living Habits and Health Literacy Exhibited by Self-Care Behavior in Sixth-Grade Students of Japanese Elementary Schools

2021 ◽  
Author(s):  
Naoko Tsukamoto ◽  
Aya Watanabe ◽  
Yukiko Katagiri ◽  
Mikiko Kudo ◽  
Yuka Funaki ◽  
...  
Keyword(s):  
Elementary Schools ◽  
Health Literacy ◽  
Daily Living ◽  
Self Care ◽  
Sixth Grade ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sixth Grade Students ◽  
The Relationship ◽  
Care Behavior

Abstract Background: The purpose of this study is to elucidate the relationship between fundamental daily living habits and health literacy exhibited by self-care behaviour in sixth-grade students in Japanese elementary schools by verifying the association of actual status of fundamental daily living habits with awareness of behavioural and health contingencies and healthy behavioural choices.Methods: In this study, a cross-sectional survey was undertaken with 287 sixth-grade students in Japanese elementary school. The questionnaire consisted of three elements of status of basic lifestyle habits, behavioural and health contingencies, and healthy behavioural choices.Results: These results indicate that while fundamental daily living habits are formed by including behavioural and health contingencies, the association of awareness of contingencies and behavioural choices with their actual status is not clear. It is found that during childhood, there is a risk of interruption in the awareness about the acquired behaviours and health contingencies, and it is evident that sustaining such awareness is necessary.Conclusions: This study makes a significant contribution to the literature because there are very few studies on children’s fundamental daily living habits from a health literacy viewpoint and it is not clear whether the fundamental daily living habits are associated with self-care ability as health literacy.

scholarly journals The relationship between health literacy and self-care behaviors in patients referred to Babol rural health center with type 2 diabetes

2020 ◽  
Keyword(s):  
Health Literacy ◽  
Health Center ◽  
Rural Health ◽  
Disease Duration ◽  
Self Care ◽  
Significant Relation ◽  
Cross Sectional ◽  
Rural Health Center ◽  
The Relationship ◽  
Care Behavior

Background and Purpose: Diabetes mellitus is an important health problem that leads to severe complication and death, health literacy (HL) is capacity of individual to obtain process and understand basic health information and services needed to make proper health decision that leads to empowering in self-care behavior. The purpose of this study was to determine the relationship between health literacy and self-care in patient with typ2 diabetes. Material and Method: This study was a cross sectional study conducted in 2017 on 390 patients with type2 diabetes referred to Babol rural health center. Data were collected using health literacy for Iranian Adults (HELIA) and Summary of Diabetes Self-Care Activities (SDSCA). Result: The result of study showed that mean average of HL was 48.56±16.31 and 55.9percent of patient had inadequate HL. The mean average of self-care in one week was 50.77±15.18. There was no significance association between HL and self-care behavior. HL was significant relation by sex, age, marriage, education, job, economic status and disease duration (p<0.05). Also there were significant relation between self-care behavior with number of family, education and disease duration. Conclusion: Considering that over 50% of patients have inadequate HL and demographic factor play an important role in HL and self-care behavior, it’s suggested that health care provider addressed this factor in order to designing appropriate program.

scholarly journals Self-care behavior and associated factors among patients with Type 2 Diabetes in Hossana, Southern Ethiopia: The Health Belief Model Perspective

2021 ◽  
Author(s):  
Ravi Prakash ◽  
Lonsako Abute ◽  
Belay Erchafo ◽  
Tegegn Tadesse ◽  
Tirulo Kedir ◽  
...  
Keyword(s):  
Health Belief Model ◽  
Self Care ◽  
Health Belief ◽  
Southern Ethiopia ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Perceived Severity ◽  
Care Practices ◽  
Belief Model ◽  
Care Behavior

Abstract Background Diabetes a chronic disease requires lifelong medical treatments and life-style adjustment. Hence, it requires dedication towards self-care behavior in multiple domains. We aimed to identify determinants of self-care behavior among patients with diabetes through Health Belief Model Perspective. Methods A cross-sectional study was conducted on 276 patients with simple random sampling technique. The level of self-care behavior on diabetic patients was measured using parameters of physical exercise, diet, medication and blood glucose. Bivariate and multivariable logistic regression analyses were conducted. Results Approximately, 119 (43.1%) of them practiced recommended self-care practices. Patients with more information performed 3 times more self-care (OR-3.07;95%CI 0.19–7.9) than less informed patients. Individuals with high income performed two times more self-care than less income (OR-2.42;95%CI 1.04–17.95). High perceived severity was 8 times more likely to performed for self-care than less perceived severity (OR-8.3,95%CI1.19-16.25). Conclusion Status of self-care practices on diabetic patients is lower than studies in other areas. Training should be focused on perceived severity of diabetes and how to overcome perceived barriers for self-care by increasing the frequency and reach out message on diabetes.

Age Differences in Lay Conceptions of Health and Self-Care Responses to Illness

1987 ◽  
Vol 6 (1) ◽  
pp. 47-65 ◽  
Author(s):  
Alexander Segall
Keyword(s):  
Health Care ◽  
Health Beliefs ◽  
Older Persons ◽  
Explanatory Power ◽  
Self Care ◽  
Cross Sectional ◽  
Beliefs And Practices ◽  
Lay Conceptions ◽  
Health Care Beliefs ◽  
The Relationship

AbstractThis paper explores lay health care beliefs and practices. More specifically, the research tests the hypothesis that traditional “popular” health beliefs and self care practices are most likely to be found among older persons. Data were obtained through personal interviews with a randomly selected cross-sectional sample of 524 residents of Winnipeg, Canada. Statistical analysis was intended to assess the relationship between age and lay health care beliefs and practices, and to evaluate the relative explanatory power of age compared to other sociodemographic factors; self-reported health status; and medical care contact. The results suggest that the relationship between age and lay conceptions of health and self-care responses to illness is a rather complex one. Furthermore, respondents' age alone explained little of the variance in any of the dependent measures. Finally, this study revealed that although lay self-care beliefs and behaviour exist, they are not limited to older persons.

scholarly journals A STUDY ON KNOWLEDGE, ATTITUDES, AND PRACTICES FOR THE PREVENTION OF DIABETIC FOOT IN RURAL TERTIARY CARE TEACHING HOSPITAL

2017 ◽  
Vol 9 (9) ◽  
pp. 138
Author(s):  
Gopal Teli ◽  
B. G. Ponnappa
Keyword(s):  
Diabetic Foot ◽  
Tertiary Care ◽  
Self Care ◽  
Research Centre ◽  
Care Practice ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
The Mean

Objective: To assess the knowledge, attitude, and practice of diabetic patients regarding care of their own feet.Methods: This is a cross-sectional study conducted in the inpatient department of surgery at Adichunchanagiri hospital and research centre, B. G. Nagara, Karnataka, India from 1st Nov. 2016 to 31st Dec. 2016. The relation between gender and knowledge, attitude and practices of people with diabetes patients were compared by using the Chi-square test at 95% confidence interval at p<0.05.Results: Out of 51 patients, 72.54% were male and 27.46% female and 45.1% of the patients were in the age range 61-80 y. The mean SD of the age was 60.49±14.02. The mean SD of body weight of the patient was 66.17±8.54. The majority of the patients 45.1% were farmers and 41.7% were illiterate. Most of them did not know the practice of correct foot hygiene (39.22%) and what abnormalities observe in their feet (66.67%). We found that 90.2% patients were engaged in foot self-care practice and more than half of them (54.1%) always inspected their footwear before using it. Interestingly, more women were involved in foot care (100%) as compared to men (86.46%) but statistically not significant (p=0.147).Conclusion: We found that patients were not having sufficient knowledge about the correct hygiene of the foot, what abnormalities to observe in their feet and about ideal footwear. Even though females were showing interest towards self-care examination and foot care practice, it is essential that all the diabetic patients must be educated about the knowledge, attitude and foot self-care practice to prevent diabetic foot related complications.

Relationship between self-care and comprehensive understanding of heart failure and its signs and symptoms

2017 ◽  
Vol 17 (6) ◽  
pp. 496-504 ◽  
Author(s):  
Kyoung Suk Lee ◽  
Debra K Moser ◽  
Kathleen Dracup
Keyword(s):  
Heart Failure ◽  
Confidence Interval ◽  
Self Care ◽  
Signs And Symptoms ◽  
Comprehensive Understanding ◽  
Behavior Scale ◽  
Heart Failure Exacerbation ◽  
The Relationship ◽  
Different Levels ◽  
Care Behavior

Background: Although incomplete understanding of heart failure and its signs and symptoms appears to be a barrier to successful self-care, there are few studies examining the relationship between self-care and levels of comprehensive understanding of heart failure and its signs and symptoms. Aim: To determine whether incomplete understanding of heart failure and its signs and symptoms is associated with self-care in heart failure patients who were recently discharged from the hospital due to heart failure exacerbation. Methods: Patients completed the nine-item European Heart Failure Self-care Behavior scale and questionnaire to assess knowledge of heart failure and its signs and symptoms. Three groups were formed by their different levels of understanding of heart failure and its signs and symptoms. Multivariable linear regression was used to determine whether these three levels of understanding groups predicted self-care after controlling for demographic and clinical variables. Results: Of 571 patients 22.1%, 40.1% and 37.8% had poor, moderate, and complete understanding, respectively. Compared with patients in the poor understanding group, patients in complete and moderate understanding groups were more likely to have better adherence to self-care activities (standardized β = −0.14, 95% confidence interval −3.41, −0.47; standardized β = −0.19, 95% confidence interval −4.26, −1.23, respectively). Conclusions: Fewer than half of the patients had a comprehensive understanding of heart failure and its signs and symptoms, which was associated with poor self-care. Our study suggests that patient education should include contents to promote comprehensive understanding of heart failure and its symptoms, as well as the importance of self-care behaviors.

scholarly journals Perawatan Diri Pada Pasien Gagal Jantung

2018 ◽  
Vol 4 (2) ◽  
Author(s):  
Dwi Prihatiningsih ◽  
Tiwi Sudyasih
Keyword(s):  
Heart Failure ◽  
Care Management ◽  
Financial Burden ◽  
Self Care ◽  
Chi Square ◽  
Cross Sectional ◽  
Low Frequencies ◽  
Heart Failure Patients ◽  
Failure Index ◽  
Care Behavior

ABSTRAKGagal jantung merupakan salah satu penyakit kardiovaskuler yang paling sering terjadi di seluruh dunia yang mengakibatkan tingginya angka mortalitas, morbiditas dan juga berdampak secara finansial terutama bagi lanjut usia. Rehospitalisasi merupakan masalah umum yang sering terjadi pada pasien gagal jantung yang sebagain besar disebabkan oleh keterlambatan dalam pengenalan gejala, pengobatan dan ketidakpatuhan diet serta kurangnya pengetahuan dan keterampilan dalam melakukan perawatan diri. Panduan penanganan gagal jantung menekankan pentingnya perilaku perawatan diri untuk menurunkan kekambuhan dan rehospitalisasi pada pasien gagal jantung. Penelitian ini bertujuan untuk menggambarkan perilaku perawatan diri pada pasien gagal jantung yang mengunjungi poliklinik jantung di RSUD Panembahan Senopati Bantul. Penelitian ini merupakan penelitian deskriptif quantitatif dengan menggunakan pendekatan cross sectional. Sampel berjumlah 74 responden yang merupakan pasien rawat jalan di poliklinik jantung pada bulan Juni hingga Juli 2018. Alat ukur yang digunakan adalah Self-Care of Heart Failure Index (SCHFI), (skor ≥70 poin=adekuat). Uji statistik chi-square digunakan untuk mengetahui hubungan antara factor sosiodemografi dengan perilaku perawatan diri pada pasien gagal jantung. Hasil penelitian ini menunjukkan bahwa perilaku perawatan diri pada sebagian besar responden masih belum adekuat dengan frekuensi perilaku perawatan diri adekuat yang masih rendah (pemeliharaan: 45±13.1 (7.7%), pengelolaan: 46±20.4 (13.0%) dan kepercayaan: 69±16.5 (38.5%)). Hanya satu faktor yaitu penyakit penyerta yang berhubungan dengan perilaku perawatan diri pada pasien gagal jantung pada dimensi kepercayaan diri. Hasil penelitian ini menunjukkan bahwa sebagian besar responden memiliki perilaku perawatan diri yang tidak adekuat seperti juga pada negara-negara lainnya sehingga diperlukan upaya untuk meningkatkan perilaku perawatan diri pada pasien gagal jantung. ABSTRACTHeart failure (HF) is one of the most prevalent cardiovascular diseases in the world which associated with significant mortality, morbidity, and huge financial burden, particularly among aging population. Rehospitalization remain a concern in the care of the heart failure patient which largerly associated with delay in symptoms recognition, treatment, diet non-compliance and also lack of knowledge and skills in heart failure self-care. Guideline on HF emphasize the important of self care in preventing symptoms and hospital readmission. This study aims to describe self-care behavior in a sample of heart failure patients. This is a descriptive cross-sectional study with non-probabilistic sample of 74 in an out-patient heart clinic from June-July 2018. Self-care was measured using the Self-Care of Heart Failure Index (SCHFI), (scores ≥70 points=adequate self-care). Chi-square test was conducted to test whether participant’s characteristics associated with self-care behavior among heart failure patients in three scales. The result shows that self-care was inadequate in most scales (self-care maintenance: 43.4±11.8, self-care management: 49.4±18.5 and self-care confidence: 68,6±14.5. Low frequencies of participants with adequate self-care also observed in the study (self-care maintenance: 5.4%, self-care management: 15.4%) and self-care confidence: 36.5%)). In self-care confidence subscale, higher scores of the SCHFI were associated with no comorbid conditions (p=0.01). None of the sociodemographic and clinical characteristics of the sample were associated with increased self-care in other 2 sub-scales. In conclusion, study shows that self-care in HF is inadequate, interventions aimed at improving self-care espescially in self-care maintenance sub-scale are greatly needed. Additional studies are needed to determine the best approach for this. 

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