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Association between family behaviors and self-care activities among type-II diabetes mellitus patients at a teaching hospital in Kathmandu, Nepal

Journal of Education and Health Promotion, 2022-01, Vol.11 (1), p.25-25 [Peer Reviewed Journal]

Copyright: © 2022 Journal of Education and Health Promotion. ;COPYRIGHT 2022 Medknow Publications and Media Pvt. Ltd. ;2022. This article is published under (http://creativecommons.org/licenses/by-nc-sa/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Copyright: © 2022 Journal of Education and Health Promotion 2022 ;ISSN: 2277-9531 ;EISSN: 2319-6440 ;DOI: 10.4103/jehp.jehp_25_21 ;PMID: 35281405

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  • Title:
    Association between family behaviors and self-care activities among type-II diabetes mellitus patients at a teaching hospital in Kathmandu, Nepal
  • Author: Kandel, Shashi ; Assanangkornchai, Sawitri ; Wichaidit, Wit
  • Subjects: Activities of daily living ; Behavior ; Blood sugar ; Diabetes ; Diabetes therapy ; Domestic relations ; Exercise ; family behaviors ; health behaviors ; nepal ; Original ; Patient compliance ; Patients ; Physical fitness ; Prognosis ; self-care activities ; Teaching hospitals ; Type 2 diabetes ; type-ii diabetes
  • Is Part Of: Journal of Education and Health Promotion, 2022-01, Vol.11 (1), p.25-25
  • Description: Self-care activities are associated with prognosis of type-II diabetes mellitus patients and include medication adherence, dietary adherence, physical activity, self-monitoring of blood glucose (SMBG), and appropriate foot care. The behaviors of a patient's family members can influence the patient's self-care activities, but little data exist on this association. The objective of this study was to assess the extent of the association between behaviors of family members of Type-II diabetes patients and the patients' self-care activities. We conducted a cross-sectional study at a teaching hospital in Kathmandu, Nepal, and interviewed 411 outpatients with Type-2 diabetes mellitus. We used exploratory factor analysis to group family members' behaviors into 3 domains ("authoritarian," "supportive," and "planning" behaviors) and graded the level of the behavior into 3 categories ("high" vs. "medium" vs. "low") according to its ranking distribution in each domain. We assessed the association between domains of family behavior and self-care activities using multivariate logistic regression with Bonferroni correction. High (vs. low) level of supportive behavior was associated with compliance to SMBG (58% vs. 11%; adjusted odds ratio [OR] =7.44; 95% confidence interval [CI] =2.41, 23.01). High (vs. low) level of planning behavior was associated with high level of foot care adherence (64% vs. 21%; adjusted OR = 6.03; 95% CI = 3.01, 12.11). We found associations between behaviors of diabetes patients' family members and the patients' own self-care behaviors. However, the incongruence between the family behavior measurement questions and the self-care of interest limited the implications of the findings.
  • Publisher: India: Medknow Publications and Media Pvt. Ltd
  • Language: English
  • Identifier: ISSN: 2277-9531
    EISSN: 2319-6440
    DOI: 10.4103/jehp.jehp_25_21
    PMID: 35281405
  • Source: GFMER Free Medical Journals
    PubMed Central
    Medknow Open Access Medical Journals
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals
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