Davide Ausili1, Monica Bulgheroni2, Paola Ballatore3, Claudia Specchia4, Ajtena Ajdini5, Sabrina Bezze6, Stefania Di Mauro7, Stefano Genovese2. 1. Department of Medicine and Surgery, University of Milan-Bicocca, Via Cadore 48, 20900, Monza, Italy. davide.ausili@unimib.it. 2. Unit of Endocrinology, Diabetology and Metabolic Diseases, IRCCS MultiMedica, Sesto San Giovanni, Italy. 3. Medical Department, IRCCS San Raffaele, Milan, Italy. 4. IRCCS MultiMedica Sesto San Giovanni, University of Brescia, Brescia, Italy. 5. Medical Department, Hospital ASST Sette Laghi, Varese, Italy. 6. IRCCS MultiMedica, University of Milan-Bicocca, Sesto San Giovanni, Italy. 7. Department of Medicine and Surgery, University of Milan-Bicocca, Via Cadore 48, 20900, Monza, Italy.
Abstract
AIMS: To describe self-care of T2DM patients and to evaluate outcomes associated with self-care in T2DM patients. METHODS: A multicentre cross-sectional study was conducted on a sample of 302 randomly selected T2DM patients. Clinical and socio-demographic data were collected by medical records. The Summary of Diabetes Self-care Activities was used to measure self-care about diet, blood testing, exercise and foot care. The EQ-5D was used to measure perceived quality of life. Multiple regression models were used to evaluate the associations between self-care and body mass index (BMI), glycated haemoglobin (HbA1c), presence of diabetes complications and quality of life (QoL). RESULTS: Self-care was lower about exercise (median = 2.0) and foot care (median = 3.5) than about diet (median = 5.2) and blood testing (median = 4.5). HbA1c was associated with diet (p = 0.025), exercise (p = 0.017) and blood testing (p = 0.034). BMI was associated with exercise (p = 0.0071). Diabetes complications were associated with exercise (p = 0.031) and blood testing (p < 0.009). QoL was associated with exercise (p < 0.0001), blood testing (p = 0.032) and foot care (p = 0.013). CONCLUSIONS: Self-care influences both clinical outcomes and quality of life of T2DM patients. Although exercise is more frequently associated with positive outcomes, it is particularly poor in T2DM population. Blood testing and foot care should be performed to prevent complications and not only when a health problem is already occurred. Interventions aimed to improve exercise are recommended. Further research is needed to explore barriers to exercise.
AIMS: To describe self-care of T2DM patients and to evaluate outcomes associated with self-care in T2DM patients. METHODS: A multicentre cross-sectional study was conducted on a sample of 302 randomly selected T2DM patients. Clinical and socio-demographic data were collected by medical records. The Summary of Diabetes Self-care Activities was used to measure self-care about diet, blood testing, exercise and foot care. The EQ-5D was used to measure perceived quality of life. Multiple regression models were used to evaluate the associations between self-care and body mass index (BMI), glycated haemoglobin (HbA1c), presence of diabetes complications and quality of life (QoL). RESULTS: Self-care was lower about exercise (median = 2.0) and foot care (median = 3.5) than about diet (median = 5.2) and blood testing (median = 4.5). HbA1c was associated with diet (p = 0.025), exercise (p = 0.017) and blood testing (p = 0.034). BMI was associated with exercise (p = 0.0071). Diabetes complications were associated with exercise (p = 0.031) and blood testing (p < 0.009). QoL was associated with exercise (p < 0.0001), blood testing (p = 0.032) and foot care (p = 0.013). CONCLUSIONS: Self-care influences both clinical outcomes and quality of life of T2DM patients. Although exercise is more frequently associated with positive outcomes, it is particularly poor in T2DM population. Blood testing and foot care should be performed to prevent complications and not only when a health problem is already occurred. Interventions aimed to improve exercise are recommended. Further research is needed to explore barriers to exercise.
Authors: Renan L Monteiro; Jane S S P Ferreira; Érica Q Silva; Ronaldo H Cruvinel-Júnior; Jady L Veríssimo; Sicco A Bus; Isabel C N Sacco Journal: Sci Rep Date: 2022-05-09 Impact factor: 4.996
Authors: Kristen E Gray; Katherine D Hoerster; Leslie Taylor; James Krieger; Karin M Nelson Journal: Transl Behav Med Date: 2021-12-14 Impact factor: 3.626
Authors: Serenella Savini; Paolo Iovino; Dario Monaco; Roberta Marchini; Tiziana Di Giovanni; Giuseppe Donato; Ausilia Pulimeno; Carmela Matera; Giuseppe Quintavalle; Carlo Turci Journal: Int J Nurs Sci Date: 2021-05-12
Authors: Edward Zimbudzi; Clement Lo; Sanjeeva Ranasinha; Gregory Fulcher; Martin Gallagher; Stephen Jan; Peter G Kerr; Helena J Teede; Kevan R Polkinghorne; Grant Russell; Rowan G Walker; Sophia Zoungas Journal: Health Qual Life Outcomes Date: 2018-11-19 Impact factor: 3.186
Authors: Huong Thi Thu Nguyen; Mackenzie Pi Moir; Thanh Xuan Nguyen; Anh Phuong Vu; Long Hoang Luong; Tam Ngoc Nguyen; Long Hoang Nguyen; Bach Xuan Tran; Tung Thanh Tran; Carl A Latkin; Melvyn Wb Zhang; Roger Cm Ho; Huyen Thanh Thi Vu Journal: Patient Prefer Adherence Date: 2018-07-27 Impact factor: 2.711