Experience of diabetes patients in preventing its complications
DOI:
https://doi.org/10.53713/nhsj.v5i3.497Keywords:
DM complications;, Diabetes self-care;, Behavior change;, QualitativeAbstract
It is necessary to explore the experience of diabetes patients in preventing its complications since Indonesia has many cultural beliefs and practices that influence the prevention of DM complications. A limited number of studies have discussed it. The study aimed to explore the experiences of diabetes patients in preventing its complications. A descriptive qualitative study was conducted in Indonesia between December 2022 and April 2023. Fifteen participants with DM were included. Purposive sampling was used, and data were collected through in-depth interviews, observations, and the writing of field notes. The data were analyzed by thematic analysis using NVivo 12 software. Four themes emerged from the data analysis: (1) inadequate self-care practice related to misconception about DM and its complications; (2) self-awareness, intention, and motivation as basic to change the behaviors; (3) optimal holistic support is needed from family and health workers; (4) inadequate of education program provided by health workers to prevent DM complications. This is the first study to display that cultural beliefs and knowledge strongly influenced the experience of preventing DM complications. Internal and external environments also contributed to the experience of preventing DM complications. This study offers new insights for nurses in Indonesia and will assist them in designing a nursing intervention involving cultural aspects for diabetic patients.
References
Alkaff, F. F., Illavi, F., Salamah, S., Setiyawati, W., Ramadhani, R., Purwantini, E., & Tahapary, D. L. (2021). The Impact of the Indonesian Chronic Disease Management Program (PROLANIS) on Metabolic Control and Renal Function of Type 2 Diabetes Mellitus Patients in Primary Care Setting. Journal of primary care & community health, 12, 2150132720984409. https://doi.org/10.1177/2150132720984409
Alrasheeday, A. M., Alshammari, H. S., Alshammari, B., Alkubati, S. A., Llego, J. H., Alshammari, A. D., … Alshammari, F. (2024). Perceived Barriers to Healthy Lifestyle Adherence and Associated Factors Among Patients with Type 2 Diabetes Mellitus: Implications for Improved Self-Care. Patient Preference and Adherence, 18, 2425–2439. https://doi.org/10.2147/PPA.S432806
Carden, J., Passmore, J., & Jones, R. J. (2022). Exploring the role of self-awareness in coach development: A grounded theory study. International Journal of Training and Development, 26(2), 343-363. https://doi.org/10.1111/ijtd.12261
Christian, A. & Nagar, K. (2021). Understanding Patients Experiences Living with Diabetes Mellitus: A Qualitative Study, Gujarat, India. Journal of Pharmaceutical Research International, 33, 464–471. https://doi.org/10.9734/jpri/2021/v33i58A34139
Dailah, H. G. (2023). The Influence of Nurse-Led Interventions on Diseases Management in Patients with Diabetes Mellitus: A Narrative Review. Healthcare, 12(3), 352. https://doi.org/10.3390/healthcare12030352
Dilworth, L., Facey, A., & Omoruyi, F. (2020). Diabetes Mellitus and Its Metabolic Complications: The Role of Adipose Tissues. International Journal of Molecular Sciences, 22(14), 7644. https://doi.org/10.3390/ijms22147644
English K. (2022). Guidance on Providing Patient-Centered Care. Seminars in hearing, 43(2), 99–109. https://doi.org/10.1055/s-0042-1748834
Frisch, N. C. & Rabinowitsch, D. (2019). What’s in a Definition? Holistic Nursing, Integrative Health Care, and Integrative Nursing: Report of an Integrated Literature Review. Journal of Holistic Nursing, 37(3), 260–272. https://doi.org/10.1177/0898010119860685
Garg, P., & Duggal, N. (2022). Type 2 diabetes mellitus, its impact on quality of life and how the disease can be managed-a review. Obesity Medicine, 35, 100459. https://doi.org/10.1016/j.obmed.2022.100459
Hisni, D., Soewondo, P., Dahlia, D., Haryati, T.S., & Ayubi, D. (2023). The effectiveness of self-management program to prevent diabetic nephropathy progression: a literature review. Central European Journal of Nursing and Midwifery, 14(2), 896-904. https://doi.org/10.15452/CEJNM.2022.13.0013
Jiang, L. et al. (2021). The role of health beliefs in affecting patients’ chronic diabetic complication screening: a path analysis based on the health belief model. Journal of Clinical Nursing, 30(19–20), 2948–2959. https://doi.org/10.1111/jocn.15802
Juanamasta, I. G., Aungsuroch, Y., Gunawan, J., Suniyadewi, N. W., & Nopita Wati, N. M. (2021). Holistic Care Management of Diabetes Mellitus: An Integrative Review. International journal of preventive medicine, 12, 69. https://doi.org/10.4103/ijpvm.IJPVM_402_20
Mangoulia, P., Milionis, C., Vlachou, E., & Ilias, I. (2023). The Interrelationship between Diabetes Mellitus and Emotional Well-Being: Current Concepts and Future Prospects. Healthcare, 12(14), 1457. https://doi.org/10.3390/healthcare12141457
Mao, Q. Q., Xu, X. Y., Cao, S. Y., Gan, R. Y., Corke, H., Beta, T., & Li, H. B. (2019). Bioactive Compounds and Bioactivities of Ginger (Zingiber officinale Roscoe). Foods (Basel, Switzerland), 8(6), 185. https://doi.org/10.3390/foods8060185
Primanda, Y. & Herviani, L. (2021). Nurse empowerment needs in diabetes self-management. Enfermería Clínica, 31, 526–530. doi: https://doi.org/10.1016/j.enfcli.2021.07.001
Raghavan, S., Vassy, J. L., Ho, Y. L., Song, R. J., Gagnon, D. R., Cho, K., Wilson, P. W. F., & Phillips, L. S. (2019). Diabetes Mellitus-Related All-Cause and Cardiovascular Mortality in a National Cohort of Adults. Journal of the American Heart Association, 8(4), e011295. https://doi.org/10.1161/JAHA.118.011295
Rajkumar, E., Kruthika, G. T., Padiri, R. A., Lakshmi, R., Daniel, M., John, R., & Abraham, J. (2023). Understanding Self-Care Behaviours among Type II Diabetes Patients: A Behaviour Change Models’ Perspective. Current diabetes reviews, 19(4), 107-119. https://doi.org/10.2174/1573399818666220519142118
Salihu, K. (2023). Nursing care for diabetes mellitus. International Journal Of Endocrinology (Ukraine), 19(7), 485–491. https://doi.org/10.22141/2224-0721.19.7.2023.1324
Salsabila, Z. & Sjaaf, A. C. (2022). The Analysis of Diabetes Self-Management Implementation on Type 2 Diabetes Mellitus Patients: a Protocol for Systematic Review and Meta-Analysis. Jurnal Ekonomi Kesehatan Indonesia, 7(2), 133. https://doi.org/10.7454/eki.v7i2.6100.
Sari, Y., Yusuf, S., Haryanto, Kusumawardani, L. H., Sumeru, A., Sutrisna, E., & Saryono (2022). The cultural beliefs and practices of diabetes self-management in Javanese diabetic patients: An ethnographic study. Heliyon, 8(2), e08873. https://doi.org/10.1016/j.heliyon.2022.e08873
Tomic, D., Shaw, J. E. & Magliano, D. J. (2022). The burden and risks of emerging complications of diabetes mellitus. Nature Reviews Endocrinology, 18(9), 525–539. https://doi.org/10.1038/s41574-022-00690-7
Wong, H. et al. (2019). The Effects of Mental Stress on Non-insulin-dependent Diabetes: Determining the Relationship Between Catecholamine and Adrenergic Signals from Stress, Anxiety, and Depression on the Physiological Changes in the Pancreatic Hormone Secretion. Cureus, 11(8), 7–12. https://doi.org/10.7759/cureus.5474.
Yedjou, C. G., Grigsby, J., Mbemi, A., Nelson, D., Mildort, B., Latinwo, L., & Tchounwou, P. B. (2023). The Management of Diabetes Mellitus Using Medicinal Plants and Vitamins. International journal of molecular sciences, 24(10), 9085. https://doi.org/10.3390/ijms24109085
Yuliastuti, C., Astuti, N. M. ., Winarno, D. D. ., Sari, M. A., & John, N. (2022). Family Support Related to Quality of Life in Diabetes Mellitus Patients with Ulcer . The Malaysian Journal of Nursing (MJN), 14(2), 96-100. https://doi.org/10.31674/mjn.2022.v14i02.016
Zhang, M., Zhang, C., Chen, C., Liu, L., Liang, Y., Hong, Y., Chen, Y., & Shi, Y. (2023). The experience of diabetic retinopathy patients during hospital-to-home full-cycle care: A qualitative study. BMC nursing, 22(1), 58. https://doi.org/10.1186/s12912-023-01206-y
