Functional Health Literacy and Self-Care Behaviors Among Type 2 Diabetic Patients at a University Teaching Hospital in Kigali

Background Type 2 Diabetes Mellitus (T2DM) is a significant health burden in high-income countries and emerging in sub-Sahara African countries, including Rwanda. Prevention and treatment of T2DM are imperative and need to focus on functional health literacy and self-care practices among people with diabetes. Objective To determine if functional health literacy is associated with self-care behaviors among T2DM patients. Method This study was a descriptive cross-sectional design conducted at a University Teaching Hospital in Kigali. The sample comprised of 223 T2DM patients recruited from the university outpatient department. The questionnaire was developed from two studies. Descriptive statistics were used to analyse the data. Results Results indicated a low-level of functional health literacy, with a wide range of scores from 6.5% to 93.5%, and a mean of 51.66 (SD 15.77).The majority of 123 (55.3%) had inadequate functional health literacy and self-care behaviors. There was a strong association between functional health literacy and self-care behaviors (p < 0.001). Conclusion The level of functional health literacy among T2DM patients needs to be increased and patients should be highly encouraged to adhere to self-care behaviors. Future research could involve an interventional study to discover the best method to educate T2DM patients. Keywords: Type 2 diabetes mellitus; functional health literacy; self-care behaviors; patients T2DM; sub-Saharan Africa

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Experiences and challenges of adults living with type 2 diabetes mellitus presenting at the University Teaching Hospital in Lusaka, Zambia

BMJ Open Diabetes Research & Care ◽

10.1136/bmjdrc-2017-000497 ◽

2019 ◽

Vol 7 (1) ◽

pp. e000497

Author(s):

Kunda Faith Mwila ◽

Phoebe Albina Bwembya ◽

Choolwe Jacobs

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Teaching Hospital ◽

Treatment Guidelines ◽

Self Care ◽

Mental Illnesses ◽

University Teaching ◽

The University

ObjectiveThe study explored the experiences and challenges of adults living with type 2 diabetes mellitus (T2DM) presenting at the University Teaching Hospital (UTH) in Lusaka.Research designA qualitative descriptive study was conducted. The research relied on purposive sampling to select 28 participants for in-depth interviews. Participants were interviewed during clinical visits at UTH.ResultsViews from participants showed that some adults living with T2DM experienced physical and mental illnesses. Participants’ views reflected that their livelihood with T2DM was influenced by family support, poor or non-adherence to treatment guidelines and access to information, education and communication materials. The most important challenges reported were psychosocial and financial.ConclusionThe study concluded that some adults living with T2DM experience a lot of physical sicknesses and their challenges, especially of the psychosocial nature may require professional attention. However, particular attention should be paid to the patient’s self-care and psychosocial therapy. Self-care protocols should be tailored to complement the different types of patients with diabetes and improve their quality of life.Cite Now

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Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus

Patient Education and Counseling ◽

10.1016/j.pec.2015.08.021 ◽

2016 ◽

Vol 99 (2) ◽

pp. 287-294 ◽

Cited By ~ 64

Author(s):

Yau-Jiunn Lee ◽

Shyi-Jang Shin ◽

Ruey-Hsia Wang ◽

Kun-Der Lin ◽

Yu-Li Lee ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Health Literacy ◽

Glycemic Control ◽

Self Efficacy ◽

Self Care

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Literacy in health and self-care in people with type 2 diabetes mellitus

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2018-0291 ◽

2019 ◽

Vol 72 (3) ◽

pp. 700-706 ◽

Cited By ~ 1

Author(s):

Nádya dos Santos Moura ◽

Bárbara Brandão Lopes ◽

João Joadson Duarte Teixeira ◽

Mônica Oliveira Batista Oriá ◽

Neiva Francenely Cunha Vieira ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Self Care ◽

Family Health ◽

Educational Interventions ◽

Functional Health ◽

Before And After ◽

Quasi Experimental

ABSTRACT Objective: To evaluate the effect of educational intervention in the adherence to self-care activities and functional health literacy and numeracy in people with type 2 diabetes mellitus. Methods: This was a quasi-experimental study conducted in two units of the Brazilian Family Health Strategy, involving people with diabetes. Educational interventions occurred in three meetings, weekly, lasting 60 minutes on average. Data were collected using the Questionário de Autocuidado com o Diabetes, before and after the interventions. Results: 55 people participated in the study. After the interventions, the greatest difference for a better adherence to self-care was the item “inspecting the inside of the shoes before putting them on”, with 3.29 days in the week delta at analytical level. The worst was “taking insulin shots as recommended”, with 0.00 days a week delta at basic level. Conclusion: Educational interventions had a positive effect on adherence to self-care and functional literacy in health.

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Health literacy and adherence to drug treatment of type 2 diabetes mellitus

Escola Anna Nery ◽

10.1590/2177-9465-ean-2018-0325 ◽

2019 ◽

Vol 23 (2) ◽

Cited By ~ 4

Author(s):

Mariana Rodrigues da Rocha ◽

Sinderlândia Domingas dos Santos ◽

Karine Rafaela de Moura ◽

Lesliane de Sousa Carvalho ◽

Ionara Holanda de Moura ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Medication Adherence ◽

Health Literacy ◽

Drug Treatment ◽

Functional Health ◽

Cross Sectional ◽

Sociodemographic Variables

ABSTRACT Objective: To analyze the relationship between health literacy and medication adherence of patients with Type 2 Diabetes Mellitus. Method: Quantitative cross-sectional study developed in five Family Health Strategies in the city of Picos, Piauí. Participants comprised 78 users of health services. The “Short Test of Functional Health Literacy in Adults” and the “Treatment Adherence Measurement Test” forms were applied to obtain sociodemographic variables. Descriptive and inferential statistical analysis. Results: Regarding health literacy, 51.3% of the participants were considered inadequate, and 87.2% were adherent to the drug treatment. The average of health literacy varied according to the level of medication adherence and sociodemographic variables. Conclusion: Most patients reported to adhere to the medication. Implications for practice: This study identified the health literacy and medication adherence profile of the patients, thus subsidizing the planning of nursing interventions in the attention of diabetes mellitus.

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