Diabetes self care activities among adults 20 years and above residing in a resettlement colony in East Delhi

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dc.contributor.authorMohandas, Aen_US
dc.contributor.authorBhasin, S Ken_US
dc.contributor.authorUpadhyay, Men_US
dc.contributor.authorMadhu, S Ven_US
dc.date.accessioned2020-04-10T03:44:01Z
dc.date.available2020-04-10T03:44:01Z
dc.date.issued2018-06
dc.description.abstractBackground: Self-care activities are the cornerstone of diabetes care that ensures patients participation to achieve optimal glycemic control and to prevent complications. Objective: The aim of this study is to find the level of self-care activities among diabetics aged ?20 years residing in a resettlement colony in East Delhi and its association with sociodemographic factors, disease, and treatment profile. Methods: Using cross-sectional survey, 168 known diabetic patients were selected from Nand Nagri, a resettlement colony in East Delhi. Data were collected using Hindi translation of revised version-Summary of Diabetic Self Care Activities along with a pretested semi-open-ended questionnaire. Self-care was assessed on six parameters as follows: (a) general diet, (b) specific diet, (c) exercise, (d) blood sugar testing, (e) foot-care, and (f) smoking. The study period was from November 2014 to April 2016. Results: Nearly 35.1% of respondents belonged to 60� years age group. About 52.4% of respondents were female. Fifty-two diabetics (31%) reported having practised diet control on all 7 days in the past 1 week. Nearly 39.3% of patients did not perform any physical activity. The blood test was not practised by 92.3% of respondents. Foot-care was practised by only 19% of patients. There was a significant association between general diet among diabetics with family support (P = 0.020), place of diagnosis (P = 0.033), and treatment funds (P = 0.017). The exercise score among diabetics who were below the poverty line was higher than those above poverty line (P = 0.029). Younger age (P = 0.005) and treatment with insulin (P = 0.008) were positively associated with blood glucose testing. The foot-care practice was better in patients aware of complications and foot-care practices (P < 0.001). Conclusion: Self-care activities among diabetic patients were very poor. Self-management educational programs at hospitals along with information, education, and communication activities at the community level and one-to-one counseling are recommended.en_US
dc.identifier.affiliationsAssistant Professor, Department of Community Medicine, Government Medical College, Kozhikode, Kerala, Indiaen_US
dc.identifier.affiliationsProfessor, Department of Community Medicine, University College of Medical Sciences and GTB Hospital, New Delhi, Indiaen_US
dc.identifier.affiliationsAssociate Professor, Department of Community Medicine, University College of Medical Sciences and GTB Hospital, New Delhi, Indiaen_US
dc.identifier.affiliationsDirector Professor, Department of Medicine, UCMS and GTB Hospital, New Delhi, Indiaen_US
dc.identifier.citationMohandas A, Bhasin S K, Upadhyay M, Madhu S V. Diabetes self care activities among adults 20 years and above residing in a resettlement colony in East Delhi. Indian Journal of Public Health. 2018 Jun; 62(2): 104-110en_US
dc.identifier.issn0019-557X
dc.identifier.issn2229-7693
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/198057
dc.languageenen_US
dc.publisherIndian Public Health Associationen_US
dc.relation.issuenumber2en_US
dc.relation.volume62en_US
dc.source.urihttps://dx.doi.org/10.4103/ijph.IJPH_249_17en_US
dc.subjectDiabetes self-careen_US
dc.subjectfoot careen_US
dc.subjectself-management of diabetesen_US
dc.subjectself-monitoring of blood glucoseen_US
dc.titleDiabetes self care activities among adults 20 years and above residing in a resettlement colony in East Delhien_US
dc.typeJournal Articleen_US
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