Self-management Of Type Research Articles

Self-management of type 2 diabetes mellitus among older adults in an Ecuadorian community

Introduction: Diabetes mellitus is a chronic disease affecting millions of people worldwide. It is characterized by the body's inability to effectively regulate blood glucose levels, which leads to chronic hyperglycemia. Objective: To describe the self-control of type 2 diabetes mellitus in older adults in an Ecuadorian community. Methods: Quantitative, non-experimental, field, descriptive, and transversal approach. The “Diabetes Self-Management Questionnaire (DSMQ)” questionnaire was used and applied to 42 older adults. Results: 31% of the participants indicated that the control of blood sugar levels is applied to some extent in attending appointments with medical doctors, 52.4% said that this statement applies to a considerable degree when taking medication for diabetes, 61.9% of the participants indicated that it applies to a significant degree, in turn, in terms of the tendency to "binge eat", approximately 26.2% stated that this statement applies to some extent, the tendency to skip the planned physical activity, 54.8% said that this premise applies to a considerable degree, concerning the Perception of their diabetes self-control, approximately 35.7% indicated that it is applied to a certain extent. Conclusion: Improve self-control practices by favoring the reduction of complications related to the pathology, promoting autonomy and informed decision-making, and contributing to active aging and health in the population

Exploring the Experiences of Type 2 Diabetes Self-Management in Middle-Aged and Older Adults

Objectives: Type 2 diabetes continues to be a health challenge for older adults. The self-management of Type 2 diabetes which involves preventing complications associated with the illness consists of regularly monitoring one’s blood sugar, adhering to a recommended medication plan, adopting a healthy lifestyle,

Developing Self-Management in Type 1 Diabetes at Secondary Schools: Who Is Responsible? A Qualitative Study.

Occupational therapists have the proven capacity to improve outcomes for young adults who are self-managing Type 1 diabetes (T1D). There is insufficient understanding of adolescents' experiences of developing responsibility for diabetes self-management (DSM). To investigate adolescents' perceptions of sharing responsibility for T1D management at school. This study had a descriptive qualitative design and used semistructured interviews and thematic analysis. It is the second phase of a mixed-methods study with a sequential explanatory design that investigated mechanisms of responsibility-sharing at school. Secondary school in Australia. Purposive sample of adolescents (age 15-16 yr) with T1D (N = 11). Adolescents approached the complex occupation of school-based DSM primarily in partnership with their parents, with each adolescent having unique responsibilities while sharing others. Health care professionals and teachers reportedly had minimal involvement. Adolescents described owning most DSM tasks, with their perceptions of building independence limiting the sharing of this responsibility. A heightened sense of risk meant that adolescents were likely to communicate with others in cases of errant blood glucose readings. Current processes commonly resulted in reduced school participation. Adolescents valued working responsively and interdependently with their parents to manage T1D at school, which aligns with the occupational therapy model of co-occupation. Effective responsibility-sharing depends on clear, frequent, autonomy-supportive, team-based communications. Our results showed that patterns of communication for determining school-based DSM processes were fragmented and risk focused, with limited adolescent involvement, resulting in strategies that led to students at times being excluded from school activities. Plain-Language Summary: This is the first study to use an occupational lens to examine the way in which adolescents share their responsibility for diabetes care at school. Diabetes self-management in secondary schools occurs more often when adolescents work interdependently with their parents to manage their diabetes. Adolescent involvement in formal school processes and a clearer allocation of team roles and responsibilities would better support health-promoting habits and school participation.

The relationship between self-efficacy in blood sugar management and self-management in type 2 diabetes patients at Subang General Hospital

Background: Type 2 diabetes mellitus requires effective self-management to prevent complications and maintain a healthy quality of life. Self-efficacy, or a patient’s belief in their ability to manage their condition, is recognized as a key factor influencing diabetes self-management. However, the strength and nature of this relationship remain understudied in the local context of patients receiving care at Subang General Hospital. Purpose: This study aims to investigate the relationship between self-efficacy in blood sugar management and self-management in type 2 diabetes patients at Subang General Hospital. Methods: A quantitative correlational study with a cross-sectional design was conducted. Consecutive sampling was used to recruit 40 respondents. Data were collected using two standardized tools: the Diabetes Management Self-Efficacy Scale (DMSES) and the Diabetes Self-Management Questionnaire (DSMQ). The relationship between self-efficacy and self-management was analyzed using the Spearman-Rho statistical test. Results: Among the respondents, 80% (n=32) demonstrated high levels of self-efficacy, while 67.5% (n=27) exhibited good self-management practices. The statistical analysis revealed a significant positive correlation between self-efficacy and self-management (p=0.003). Conclusion: The findings indicate a significant relationship between self-efficacy and self-management in patients with type 2 diabetes mellitus. These results underscore the importance of enhancing self-efficacy as part of diabetes education and management strategies to improve patient outcomes. Future research should explore interventions that specifically target improving self-efficacy to optimize self-management behaviors.

Identification of challenges and leveraging mHealth technology, with need-based solutions to empower self-management in type 2 diabetes: a qualitative study

IntroductionEffective diabetes management relies mainly on an individual’s ability to perform self-care tasks. However, this process is influenced by a complex interplay of factors. This study explores the multifaceted influences on Diabetes Self-Management (DSM), examining both factors influencing and affecting DSM. Understanding these influences is crucial for developing targeted Digital Health Interventions that empower individuals with diabetes to achieve successful self-management.ObjectivesTo identify problems faced by Type 2 Diabetes Mellitus (T2DM) individuals in self-managing diabetes and leveraging mHealth technology, with need-based solutions to Empower Self-Management in T2DM.MethodologyIn-depth semi-structured interviews were conducted among ten patients with T2DM visiting the outpatient department of a tertiary care hospital in coastal Karnataka. Additionally, six healthcare professionals (HCPs) working closely with T2DM patients were interviewed to understand their perspectives on using mHealth to manage T2DM effectively. The themes for the solutions described were analyzed using ATLAS-TI software.ResultsOur research examined certain factors that might have influenced effective diabetes self-management and investigated patient perspectives on using digital health solutions in diabetes self-management. This study found that technology skills, duration of diabetes, knowledge, and personal beliefs were all significant factors affecting self-management in participants with T2DM. Additionally, socioeconomic factors were also seen to influence effective diabetes self-management. The Google search engine was used by 50% of the participants interviewed to learn about T2DM. Diet management through Google searches was used by a minority (30%) of the patients. None of the participants had previously used any mobile health applications (mHealth apps) to manage T2DM. 20% of the participants expressed limited knowledge about using smartphones or wearables to track health parameters. The study also identified potential non-technological barriers to mHealth adoption. To address these concerns, researchers used an empathy map to develop solutions that promote mHealth use.ConclusionSeveral challenges and need-based mHealth solutions were identified to empower diabetes self-management education among T2DM patients. Implementing need-based mHealth solutions such as data tracking, personalized feedback, and access to educational resources can lead to better disease control and a higher quality of life for those with T2DM. Further research and development in mHealth interventions, and collaborative efforts among healthcare providers, patients, and technology developers, hold a promising future for the healthcare sector in providing efficient, effective, and accessible care.

Pain and Cognition of Breast Cancer Survivors Treated with Chemotherapy: The Mediating Role of Depression

ObjectivesWhile chemotherapy is the primary contributor to cancer-related cognitive impairment (CRCI), interindividual differences in CRCI are not well-understood. Studies suggest that breast cancer (BC) survivors who are in pain are more likely to experience depression, which in turn contributes to CRCI, although this hypothesis is not yet tested. Therefore, this study aimed to investigate the relationship between pain and CRCI among BC survivors and the mediation effect of depression on this relationship. MethodsAs a secondary analysis of a descriptive cross-sectional study investigating fatigue and preferred types of fatigue self-management in BC survivors recruited from five tertiary hospitals in South Korea; of the 229 participants, data on 186 who received chemotherapy were analyzed. Study participants were aged between 20 and 69 years, diagnosed with stage I to III, and treated with chemotherapy and/or radiation therapy. Measurement was done with Korean versions of the Cognitive Failure Questionnaire (to assess CRCI), Brief Pain Inventory (for pain severity and interference on daily functioning), and C-ESD (for depression). To assess bivariate relationships between pain, depression, and CRCI, Pearson correlation was used. A mediation analysis was used to examine the effect of depression on CRCI. ResultsSignificant associations were found among pain, depression, and CRCI (all P < 0.01). Furthermore, a mediation effect of depression was found on the association between pain and CRCI (severity, β = 1.26, SE = 0.38, 95% confidence intervals [0.60, 2.08]; interference, β = 1.53, SE = 0.32, 95% confidence intervals [0.95, 2.20]). ConclusionFindings indicate that among BC survivors, those with higher pain tend to show higher depression and consequently had lower cognitive function. Implication for Nursing PracticeOncology nurses may need to identify BC survivors with higher pain, and screening those survivors could be a strategy to identify those at higher risk for CRCI. Also, nurses should focus on managing depression to prevent and/or treat CRCI in BC survivors.

New educational approaches to the patient. A scoping review of systematic reviews.

New educational approaches are emerging to assist healthcare professionals in better personalizing patient's educational pathways. Specifically, "gamification" - the incorporation of game elements into non-game contexts - appears to be a novel and affordable approach. This scoping review aims to explore and map the literature that evaluates the efficacy of gamification in healthcare contexts. A scoping review of reviews was conducted in MEDLINE, CINAHL, and PsycINFO using the JBI Manual for Evidence Synthesis guidelines and the PRISMA ScR checklist. A total of four systematic reviews and four meta-analyses were included. It appears that gamification, when used in conjunction with other conventional educational tools, improves physical activity, facilitates better self-management of type 2 diabetes, improves cognitive functions, and improves the quality of life, particularly among specific groups like the elderly. Gamification is an innovative educational approach that could be useful in patient's educational pathways. However, it seems that gamification is effective only in particular subgroups, and therefore the generalization of the results should also be assessed with caution due to the high risk of bias in the included studies and the small sample sizes considered. More randomized controlled trials and meta-analysis studies should be conducted to better understand the role and efficacy of gamification in patient education.

Implementation of the Plate Meal Method towards Self-Management of Type 2 Diabetes Mellitus Patients

Implementation of the Plate Meal Method towards Self-Management of Type 2 Diabetes Mellitus Patients

Self-Management of Type 2 Diabetes

Topic to be searched: Self-Management Education Program’s Impact on Glycaemic Control in type 2 diabetes mellitus Rationale for topic: According to the Royal College of Nursing(2022), more than 3.8 million individuals across the UK have been diagnosed with diabetes mellitus. Also, approximately one million of the population have the condition, but are not aware. Thus, I wanted to explore the impact of diabetes self-management education program in enhancing patient’s self-care behaviours like controlling glycaemic.

Experiences and Views of Young People and Health Care Professionals of Using Social Media to Self-Manage Type 1 Diabetes Mellitus: Thematic Synthesis of Qualitative Studies.

Social media have shown the potential to support type 1 diabetes self-management by providing informational, emotional, and peer-to-peer support. However, the perceptions of young people and health care professionals' (HCPs) toward the use of social media for type 1 diabetes self-management have not been systematically reviewed. The aim of this study is to explore and summarize the experiences and views of young people with type 1 diabetes and their HCPs on using social media for self-management across qualitative findings. We searched MEDLINE, Embase, PsycINFO, and CINAHL from 2012 to 2023 using Medical Subject Heading terms and text words related to type 1 diabetes and social media. We screened and selected the studies according to the inclusion and exclusion criteria. We quality appraised and characterized the included studies and conducted a thematic synthesis. We included 11 studies in our synthesis. A total of 9 of them were qualitative and 2 were mixed methods studies. Ten focused on young people with type 1 diabetes and 1 on HCPs. All used content analysis and were of moderate to high quality. Thirteen descriptive themes were yielded by our thematic synthesis, contributing to five analytic themes: (1) differences in how young people interact with social media, (2) characteristics of social media platforms that influence their use and uptake for type 1 diabetes self-management, (3) social media as a source of information, (4) impact on young people's coping and emotional well-being, and (5) impact on support from and relationships with HCPs and services. The synthesis suggests that we should consider leveraging social media's peer support capabilities to augment the traditional services for young people with type 1 diabetes. However, the patients may have privacy concerns about HCPs' involvement in their online activities. This warrants an update of existing guidelines to help young people use social media safely for self-managing their diabetes.

Efektivitas Penggunaan Teknologi Mobile Health dalam Peningkatan Self Management Pasien Diabetes Mellitus Tipe-2

This review aim to evaluate effectiveness of mobile health (mHealth) technology on self management of Type 2 Diabetes Mellitus (T2DM) patients based on evidence from various studies. The method employed in this review included a systematic search of articles from PubMed, Scopus, and Embased databases using the keywords “mobile health and diabetic”, mobile health and diabetes”, dan “mobile health and diabetes mellitus”. The analysis was conducted on 1,479 articles, from which 12 met the inclusion criteria. The findings of this review reveal that the utilization of mHealth whether in the form of application or text messages, has the potential to enhance self-management, particularly in diet regulation, physical activity, blood glucoseoo monitoring, medication adherence, and doctoro visits among T2DM patients. mHealth technolgy has proven effective in improving self-management T2DM patients. Keywords : Diabetes Mellitus, Mobile Health, Self Management, Smartphone.

The Indonesian Version of the Skills, Confidence, and Preparedness Index (SCPI) was tested for reliability and validity in type 2 diabetes patients

Although several diabetes self-care management tools have been created, very few provide preparation for diabetes self-care behavior management. Three essential components of diabetes self-care management are measured by the assessment tool "Skills, Confidence &amp; Preparedness Index (LMC) (SCPI)": Knowledge of skills, Confidence in one's ability to use skills, and Readiness to put skills into practice. This study aims to validate, translate, and adapt the SCPI for usage with Indonesian adults with type 2 diabetes. Methods: The American Academy of Orthopedic Surgeons Evidence Based Medicine Committee (AAOS) criteria for modifying the scale were adhered to in this study. Evaluate average variance, Cronbach alpha, and composite reliability to test validity and reliability. Specifically, determinant coefficient testing and model appropriateness testing are used to assess goodness of fit. Examine the valid R-squared statistical value for every relationship to determine the test. If the p-value is less than 0.05, then there is a direct and indirect association to be seen if the variable is significant Result: Cronbach's alpha &gt; 0.60 indicates strong internal consistency for the Indonesian SCPI version or I-SCPI. For every variable, the AVE value is larger than 0.50, while the CR value exceeds 0.70. This indicates that all legitimate indicators converge to form the variables for which they are intended. The R-Square values of 0.312 and 0.536 for the variables of preparedness and confidence are used to calculate the degree of good fit. This number indicates that the Preparedness variable is only partially explained by the Confidence and Preparedness variables (5.36%), with other variables accounting for the remaining 94.64%. Furthermore, the Skill/Knowledge, Confidence, and Preparedness factors account for only 3% of the variance in the Confidence variable, with the remaining 97% explained by variables outside the model. Conclusion: We developed an Indonesian version of SCPI through cross-cultural translation and adaption. The I-SCPI is reliable and valid for assessing the level of self-management in type 2 diabetes patients in Indonesia

Assessment of Health Education in The Prevention of Non-Communicable Chronic Disease Complications: Systematic Review

Objective: To evaluate the effectiveness of health education in the prevention of non-communicable chronic diseases. Method: This is a systematic literature review, guided by the question "In patients with non-communicable chronic diseases (NCDs), does health education compared to conventional clinical practice contribute to the prevention of complications?". The selected articles were extracted from the following databases: Biblioteca Virtual em Saúde (BVS), National Library of Medicine (PUBMED), Scientific Electronic Library Online (Scielo), Regional Online Information System for Scientific Journals from Latin America, the Caribbean, Spain, and Portugal (Latindex), and Cochrane Library. Randomized clinical trials in English, Portuguese, and Spanish from the last 10 years with full-text availability were chosen as eligibility criteria, resulting in a final sample of 10 articles. Results: Positive findings were observed regarding the complications of non-communicable diseases, such as: improvement in quality of life and cardiac anxiety scores; reduction in anxiety and depression; increased therapeutic adherence, diabetic foot care, physical activity stimulation, adoption of healthy eating habits, blood glucose self-monitoring and health literacy improvement; reduction in systolic and diastolic blood pressure; improvement in self-management of Type 2 Diabetes Mellitus; overall prevention of NCDs; promotion of motivation for behavioral change in smoking patients, and improvement in renal function with a considerable decrease in serum creatinine and a stable glomerular filtration rate. Implementing educational programs can be helpful in enhancing the quality of life in chronic diseases. Conclusion: Despite the limitation resulting from the diversity of interventions, the consistency in results highlights the beneficial impact of educational approaches, calling for attention from healthcare professionals and public policymakers to expand the use of these strategies in the management of NCDs.

Nurse-Led Programs Focusing on Social Support for People with Type 2 Diabetes Mellitus: A Scoping Review

Introduction: Nurse-led programs have a determinant role in the engagement of individuals in the self-management of type 2 diabetes mellitus (T2DM), as they contribute to improving quality of life. Self-management assisted by social support is vital, especially as it describes the importance of nurses in promoting health for people with T2DM, as this intervention can help reduce the consequences and progression of the disease. Objective: To map programs focused on nurse-led social support for people with T2DM. Materials and Methods: This is a scoping review in line with the methodological guidelines of the Joanna Briggs Institute. The search descriptors used were “autocuidado” (self-care), “intervenção liderada por enfermeiro” (nurse-led intervention), and “diabetes mellitus tipo 2” (type 2 diabetes mellitus), with searches in the Web of Science, Medline, CINAHL, Capes Theses and Dissertations Catalog, Scopus, JBI Evidence Synthesis, PsycINFO, and the Portuguese Open Access Scientific Repositories databases conducted between February and March 2022. The eligibility criteria were studies published within the last 10 years, in English, Spanish, and Portuguese, covering the individual’s experience in programs focused on self-management through nurse-led social support. Results: A total of 12 studies were included, all of which were published in the United States, England, and Iran, focusing on social support for self-management in people with T2DM, and centered on care facilities for people with chronic diseases. It was found that most nurse-led programs have been implemented in developed countries and that their main characteristic is their emphasis on social cognitive theory. The population was characterized by being mostly women, aged over 22, with a low level of education. Conclusions: The study met the proposed objective by demonstrating that, despite the low implementation cost with high social and economic returns, the development of these programs is still scarce. The need for further studies focusing on emotional levels, such as depression and anxiety, is highlighted.

The Sukaribit Smartphone App for Better Self-Management of Type 2 Diabetes: Randomized Controlled Feasibility Study.

A new app, Sukaribit, was designed to enable contact between the caregiver and the patient with the intent to improve self-care and glycemic control (hemoglobin A1c [HbA1c]). This study investigated the feasibility of the study methodology and the intervention in preparation for a larger effectiveness study. Adults with type 2 diabetes were recruited in this randomized controlled feasibility study with a mixed methods design. The intervention group (n=28) tried Sukaribit for 2 months. They were encouraged to report blood glucose levels and medications, and they received feedback from a physician. The control group (n=31) received standard care. Both groups were evaluated with pre and postmeasurements of glycemic control (HbA1c), diabetes distress, physical activity, and self-care. Feasibility was evaluated against 5 progression criteria regarding recruitment, study methods, and active participation. Of the 5 progression criteria, only 2 were met or partially met. The recruitment process exceeded expectations, and data collection worked well for self-reported data but not for HbA1c measured with a home testing kit. The participants were less active than anticipated, and the effect sizes were small. Only the number of blood glucose tests per day was positively affected by the intervention, with 0.6 more tests per day in the intervention group. Recruitment of participants to a future fully powered study may work with minor adjustments. The collection of HbA1c using home testing constituted a major problem, and an alternative strategy is warranted. Finally, the app was not used as intended. In order to proceed with a larger study, the app and study procedures need improvement.

Voices of Wisdom: Geriatric Interviews on Self-Management of Type 2 Diabetes in the United States-A Systematic Review and Metasynthesis.

This review is aimed at unraveling the intricacies of diabetic self-management among geriatric people, drawing on current insights and understanding the complex paths geriatric people navigate. A wide search was conducted in health-oriented databases, including CINAHL, Embase, PsycINFO, MEDLINE, PubMed, Web of Science, and Cochrane Library, while gray literature was excluded. The search combined keywords and subject headings, focusing on the geriatric population, diabetes, self-management, and qualitative research. A three-tiered screening process was employed, with titles and then abstracts initially reviewed. Full-text analysis followed, with disagreements resolved among reviewers. In total, there were 248 participants included across these eight studies. Positive attitudes and perceptions were found to play a significant role in optimizing diabetes self-care outcomes. Support from family and friends was identified as crucial for self-care, while healthcare professionals often lacked adequate support and encouragement. Participants emphasized the importance of listening to their bodies and acknowledging hidden issues. These themes collectively highlight the multifaceted aspects of diabetes self-care and the impact of various factors on the self-management experiences of geriatric individuals with diabetes. The goal of this review is not to objectify self-management as a treatment strategy but to emphasize the importance of cultivating positive attitudes, respecting individual values, and addressing cultural and ethnic differences in healthcare practices to enhance self-management in this population. By embracing cultural diversity, understanding barriers, and respecting individual values, healthcare professionals and policymakers can improve the quality of life for the geriatric population living with diabetes.

Impact of Gender on Patient Experiences of Self-Management in Type 2 Diabetes: A Qualitative Study.

This study aims to identify gender disparities in knowledge, attitudes and behaviors related to self-management and control of Type 2 diabetes Mellitus (T2DM) among primary care patients. The research was conducted across multiple Spanish cities. The study involved 8 Primary Care Centres located in four distinct regions of Spain: East (Barcelona), Centre (Madrid), North (Pamplona and Zumaia) and South (Vélez-Málaga and Málaga). A total of 111 individuals diagnosed with T2DM, comprising 52 women and 59 men, participated in 12 group discussions at these primary healthcare centers from February to June 2015. Participation was voluntary, and all participants provided informed consent by signing the consent form. A qualitative hermeneutic phenomenological study with a maximum variation sample was done. Participant profiles were defined based on gender, age, place of residence, type of treatment, years living with T2DM and the presence or absence of a cardiovascular event. Thematic analysis was used to analyze the data. Participants were aware that diabetes is a chronic condition, with varied levels of concern regarding the diagnosis. Participants' locus of control influenced their perception of the disease's cause, with women attributing it to stress and emotional situations, while men linked it to risky behaviors. Self-management strategies were shaped by beliefs about diabetes, with both genders facing challenges in implementing recommended practices. Gender differences were also evident in caregiving roles, with men receiving more family support for diet adherence, while women prioritized family needs over their self-care. Participants expressed satisfaction with professional-patient interactions but highlighted the need for more accessible information and specialist care, suggesting support groups for women and clear health guidelines for men. Gender differences significantly influence how patients perceive and manage type 2 diabetes, with women experiencing greater concern and care burden compared to men. Effective diabetes management requires tailored support that addresses these gender-specific challenges. Enhancing healthcare services with clear guidelines and support groups can improve self-management outcomes in both men and women.

Self-Care Management Interventions for Type 2 Diabetes Mellitus in Saudi Arabia: A Systematic Review

Aim of the study: To assess the self-care management interventions for type 2 diabetes mellitus in Saudi Arabia through a systematic review. Methods: A systematic review was conducted by searching for articles from three online journal collection sites – PubMed Central (PMC), CINAHL Open Access and Directory of Open Access Journals (DOAJ). Other articles were obtained from the Google scholar and the Google advanced search engine. The resultant articles were subjected to a thorough scrutiny within the inclusion criteria and quality assessment. An abstraction table was then used to summarize the outcomes. Results: Initial search gave a yield of 2410 articles, which were finally reduced to nine articles. One type of intervention program was identified across the articles – the educational intervention. Across the studies, education program had a significant positive impact on patients’ self-management of type 2 diabetes mellitus and patients’ clinical outcomes, with notable impacts on self-care knowledge, behaviors and attitude towards desired practices. There was also a significant impact of the intervention programs on glycemic level and risks of cardiovascular diseases, such as lipid profile. However, the impact of the educational programs depended on smoking and marital status. Conclusion and Recommendations: educational programs are effective in improving the self-management of type 2 diabetes mellitus in Saudi Arabia. However, there is a need to focus on the large-scale application of the education, especially in the clinical setup to come up a sustainable culture of patients’ education.

Perception and Educational Needs in the Self-Management Type 2 Diabetes Mellitus Patients: A Phenomenological Study Based on Local Wisdom

Lack of knowledge, misperceptions, and the absence of a diabetes management culture pose challenges to providing social support, particularly within families. This is a qualitative phenomenological study aimed at identifying factors contributing to self-management, unearthing the influence of a patrilineal culture, and uncovering the educational needs for local wisdom-based diabetes mellitus self-management in type 2 patients. Data were collected through in-depth interviews and analyzed thematically. The study population consisted of type 2 diabetes mellitus patients living within patrilineal families. The sample size was 10 female individuals aged between 40 and 60 years. The duration of type 2 DM ranged from 6 to 15 years. Four themes emerged from the research: (1) Insufficiency in self-management, (2) Beliefs and perceptions about type 2 diabetes mellitus, (3) The influence of patrilineal families on self-management, and (4) The need for the development of educational programs for self-management type 2 DM management rooted in local culture. According to the results, people with Type 2 Diabetes Mellitus may not be capable of managing their health. Though there are many different opinions and views regarding Type 2 DM, there are frequently gaps in our knowledge. The management of diabetes is greatly impacted by patrilineal family systems. Participants express a significant need for educational programs that are culturally sensitive and improve their ability to control their diabetes.

Self-Management Social Support in Type 2 Diabetes Mellitus: A Concept Analysis

Aims. The aim of this concept analysis was to clarify the conceptual characteristics, antecedents, consequences, definition, and proper use of self-management social support in the context of type 2 diabetes. Background. Self-management social support has been found to be positively correlated with improved patient outcomes and a reduced occurrence of type 2 diabetes complications. In the context of type 2 diabetes, there is no uniform definition of the concept of self-management social support. In addition, the attributes of the concept and the antecedents, as well as the outcome consequences, should be identified. Design. A concept analysis. Methods. Walker and Avant’s (2019) framework for concept analysis. Results. Self-management social support could be defined as the presence of a supportive social network that exhibits supportive reinforcing behaviors that could facilitate positive behavioral change and promote disease self-management that leads to improved biobehavioral and psychosocial outcomes for patients. Conclusions. The findings suggest that self-management social support promotes self-efficacy, self-competence, and self-confidence in the self-management of type 2 diabetes. Patient characteristics, attributes of social support sources, patient-caregiver relationships, and disease severity should be taken into consideration when studying the relationship between social support and patients’ outcomes. Effective social support will lead to improvements in the biological, psychological, and social well-being of type 2 diabetes patients. Self-management social support should be preceded by the formulation of a supportive network that provides patients with active reinforcement. Implications. Self-management social support can promote self-efficacy, self-competence, and self-confidence in the self-management of type 2 diabetes and thereby improve health outcomes among type 2 diabetes patients.