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Self-care practices of Malaysian adults with diabetes and sub-optimal glycaemic control.
Patient Educ Couns. 2008 Aug; 72(2):252-67.PE

Abstract

OBJECTIVE

To investigate the self-care practices of Malaysian adults with diabetes and sub-optimal glycaemic control.

METHODS

Using a one-to-one interviewing approach, data were collected from 126 diabetic adults from four settings. A 75-item questionnaire was used to assess diabetes-related knowledge and self-care practices regarding, diet, medication, physical activity and self-monitoring of blood glucose (SMBG).

RESULTS

Most subjects had received advice on the importance of self-care in the management of their diabetes and recognised its importance. Sixty-seven subjects (53%) scored below 50% in their diabetes-related knowledge. Subjects who consumed more meals per day (80%), or who did not include their regular sweetened food intakes in their daily meal plan (80%), or who were inactive in daily life (54%), had higher mean fasting blood glucose levels (p=0.04). Subjects with medication non-adherence (46%) also tended to have higher fasting blood glucose levels. Only 15% of the subjects practiced SMBG. Predictors of knowledge deficit and poor self-care were low level of education (p = <0.01), older subjects (p=0.04) and Type 2 diabetes subjects on oral anti-hyperglycaemic medication (p = <0.01).

CONCLUSION

There were diabetes-related knowledge deficits and inadequate self-care practices among the majority of diabetic patients with sub-optimal glycaemic control.

PRACTICE IMPLICATIONS

This study should contribute to the development of effective education strategies to promote health for adults with sub-optimal diabetes control.

Authors+Show Affiliations

Discipline of Nursing, The University of Adelaide, Adelaide, Australia. mytan53@hotmail.comNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18467068

Citation

Tan, Ming Yeong, and Judy Magarey. "Self-care Practices of Malaysian Adults With Diabetes and Sub-optimal Glycaemic Control." Patient Education and Counseling, vol. 72, no. 2, 2008, pp. 252-67.
Tan MY, Magarey J. Self-care practices of Malaysian adults with diabetes and sub-optimal glycaemic control. Patient Educ Couns. 2008;72(2):252-67.
Tan, M. Y., & Magarey, J. (2008). Self-care practices of Malaysian adults with diabetes and sub-optimal glycaemic control. Patient Education and Counseling, 72(2), 252-67. https://doi.org/10.1016/j.pec.2008.03.017
Tan MY, Magarey J. Self-care Practices of Malaysian Adults With Diabetes and Sub-optimal Glycaemic Control. Patient Educ Couns. 2008;72(2):252-67. PubMed PMID: 18467068.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Self-care practices of Malaysian adults with diabetes and sub-optimal glycaemic control. AU - Tan,Ming Yeong, AU - Magarey,Judy, Y1 - 2008/05/07/ PY - 2007/08/20/received PY - 2008/01/24/revised PY - 2008/03/15/accepted PY - 2008/5/10/pubmed PY - 2008/10/18/medline PY - 2008/5/10/entrez SP - 252 EP - 67 JF - Patient education and counseling JO - Patient Educ Couns VL - 72 IS - 2 N2 - OBJECTIVE: To investigate the self-care practices of Malaysian adults with diabetes and sub-optimal glycaemic control. METHODS: Using a one-to-one interviewing approach, data were collected from 126 diabetic adults from four settings. A 75-item questionnaire was used to assess diabetes-related knowledge and self-care practices regarding, diet, medication, physical activity and self-monitoring of blood glucose (SMBG). RESULTS: Most subjects had received advice on the importance of self-care in the management of their diabetes and recognised its importance. Sixty-seven subjects (53%) scored below 50% in their diabetes-related knowledge. Subjects who consumed more meals per day (80%), or who did not include their regular sweetened food intakes in their daily meal plan (80%), or who were inactive in daily life (54%), had higher mean fasting blood glucose levels (p=0.04). Subjects with medication non-adherence (46%) also tended to have higher fasting blood glucose levels. Only 15% of the subjects practiced SMBG. Predictors of knowledge deficit and poor self-care were low level of education (p = <0.01), older subjects (p=0.04) and Type 2 diabetes subjects on oral anti-hyperglycaemic medication (p = <0.01). CONCLUSION: There were diabetes-related knowledge deficits and inadequate self-care practices among the majority of diabetic patients with sub-optimal glycaemic control. PRACTICE IMPLICATIONS: This study should contribute to the development of effective education strategies to promote health for adults with sub-optimal diabetes control. SN - 0738-3991 UR - https://www.unboundmedicine.com/medline/citation/18467068/Self_care_practices_of_Malaysian_adults_with_diabetes_and_sub_optimal_glycaemic_control_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0738-3991(08)00180-8 DB - PRIME DP - Unbound Medicine ER -