SciELO - Scientific Electronic Library Online

 
vol.14 número1Informed consent in clinical trials: Perceptions and experiences of a sample of South African researchersComparison of three school feeding strategies for primary school chidren in an informal settlement in Gauteng, South Africa índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • En proceso de indezaciónSimilares en Google

Compartir


Health SA Gesondheid (Online)

versión On-line ISSN 1025-9848

Health SA Gesondheid (Online) vol.14 no.1 Cape Town  2009

 

ORIGINAL RESEARCH

 

Perception of seriousness and preventive health actions of patients with type 2 diabetes

 

 

Susanna C.D. Wright; Jacoba J.M. Jansen van Rensburg; Johanna E. Maree

School of Nursing Science, Tshwane University of Technology, South Africa

Correspondence

 

 


ABSTRACT

Diabetes mellitus is one of the most common chronic health conditions in the world. Though type 2 diabetes is a very serious condition, it is the complications that go with it that cause major morbidity and mortality. It is possible for a person with type 2 diabetes to lead a normal, happy life with the adequate treatment and motivation. The treatment involves increased physical activity, reducing weight if overweight, following a healthy diet and oral drugs or insulin injections. Patients deliver 95% of their care. According to the Health Promotion Model a nurse can support patients by focussing on the benefits of the treatment, teaching them to overcome management barriers and by giving positive feedback. The purpose of this study was to determine whether type 2 diabetes patients who were educated and counselled at a Centre for Diabetes in Limpopo Province, South Africa, perceive their condition as serious and change their lifestyle to prevent complications. The design was an exploratory, contextual, quantitative survey. A convenient sample (n=40) was chosen from patients attending the Centre for Diabetes. The data method was self-report using a pre-testing questionnaire and descriptive statistics to analyse the data. The results of the study indicate that though the majority of the groups' physical measurements were above normal (obesity 85%, hypertension 35%, HbA1c 65% and waist circumference 70%), they perceived the diabetes diagnosis as not serious (87.5%) and well controlled (87.5%). Solutions for educating individuals to change their lifestyles to prevent complications when they are feeling well have not yet been found.

Keywords: type 2 diabetes; perceptions; seriousness; change of lifestyle; Health Promotion Model


OPSOMMING

Diabetes mellitus is 'n algemene chroniese gesondheidstoestand. Alhoewel tipe 2-diabetes 'n ernstige toestand is, veroorsaak komplikasies die meeste morbiditeit en mortaliteit. Dit is moontlik vir 'n persoon met tipe 2-diabetes om 'n normale, gelukkige lewe te lei met die nodige behandeling en motivering. Behandeling behels verhoogde fisiese aktiwiteit, gewigsverlies, 'n gesonde dieet en orale medikasie of insulienbehandeling. Pasiënte is egter verantwoordelik vir 95% van hul behandeling. Volgens die Gesondheidsbevorderingsmodel kan 'n verpleegkundige 'n pasiënt ondersteun deur te fokus op die voordele van behandeling, voorligting om probleme te oorkom en deur positiewe terugvoering. Die doel van die studie was om te bepaal of die pasiënte met tipe 2-diabetes wat voorligting en berading by 'n Sentrum vir Diabetes in Limpopo Provinsie ontvang, hul toestand as ernstig beskou en of hulle hul lewenswyse verander ten einde komplikasies te voorkom. Die ontwerp was 'n ondersoekende kwantitatiewe opname. Die gerieflikheidsteekproef was veertig deelnemers (n=40). Die data-insamelingsmetode was self-rapportering deur middel van 'n vraelys en die data is met behulp van beskrywende en statistiese analise ontleed. Die resultate dui daarop dat die meerderheid van die groep se fisiese lesings hoër as normaal was (oorgewig 85%, hipertensie 35%, HbA1c 65% en middellyn 70%). Die meeste van die deelnemers (87.5%) het hul diagnose van tipe 2 diabetes as nie ernstig nie en goed gekontroleerd beskou. Die oplossing oor hoe om mense te leer om hul lewenswyse te verander om komplikasies te voorkom terwyl hulle op die oomblik nog goed voel, is nog nie bepaal nie.


 

 

“Full text available only in PDF format”

 

 

References

Brink, H.I., 2001, Fundamentals of research methodology for health care professionals, Struik, Cape Town.         [ Links ]

Caballero, E., 2007, Ethnicity, metabolism and vascular function: The basics for clinical practice, viewed 29 June 2007, from http://www.medscape.com/viewarticle/557238.         [ Links ]

Casellini, C. & Vinik, A., 2007, 'Clinical manifestations and current treatment options for diabetic neuropathies', Endocrine Practice 13(5), 550-566.         [ Links ]

Clark, M., 2004, Understanding diabetes, Wiley & Sons, London.         [ Links ]

Denscombe, M. 2007. The good research guide for small-scale social research projects, 3rd edn., OpenUniversity Press, Berkshire.         [ Links ]

Distiller, L., 2006, Diabetes care for health professionals: Diagnosis, classification & pathophysiology of diabetes mellitus, Centre for Diabetes and Endocrinology, Johannesburg.         [ Links ]

Huang, E., Brown, S., Ewigman, B., Foley, E. & Meltzer, D., 2007, 'Patient perceptions of Quality of Life with diabetes-related complications and treatments', Diabetes Care 30(10), 2478-2483.         [ Links ]

Farmer, A.J., Prevost, A.T., Hardeman, W., Craven, A., Suton, S., Griffen, S.J. & Kinmonth, A., 2008, 'The support and advice medical trial group', BMC Family Practice 9, 20.         [ Links ]

Hurd, R.H., 2007, HbAlc, viewed 07 January 2008, from http://www.nlm.nih.gov/medlineplus/ency/article/003640.htm.         [ Links ]

Keogh, K.M., White, P., Smith, S.M., McGilloway, S., O'Dowd, T. & Gibney, T., 2007, 'Changing illness perceptions in patients with poorly controlled type 2 diabetes: A randomised controlled trial of a family-based intervention: Protocol and pilot study', BMC Family Practice 8, 36.         [ Links ]

Leventhal, H., Brissette, I., & Leventhal, E.A., 2003, 'The self-regulation of health and illness behaviour', in L. Cameron & H. Leventhal (eds.), The self-regulation of illness behaviour, Routledge, New York.         [ Links ]

Lindau, S.T., Tomori, C., Lyons, T., Lizbet, L., Bennett, C.L. & Garcia, P., 2002, 'The association of health literacy with cervical cancer prevention knowledge and health behaviours in a multiethnic cohort of women', American Journal of Obstetrics and Gynecology 186, 938-943.         [ Links ]

Lo Biondo-Wood, G. & Haber, J., 2006, Nursing research: Methods and critical appraisal for evidence-based practice, 6th edn., Mosby, St Louis.         [ Links ]

Pender, N.J., Murdaugh, C.L. & Parsons, M.A., 2002, Health promotion in nursing practice, 4th edn., Prentice Hall, New Jersey.         [ Links ]

Pignone, M., Dewalt, D.A., Sheridan, S., Berkman, N. & Lohr, K.N., 2005, 'Interventions to improve health outcomes for patients with low literacy: A systematic review', Journal of General Internal Medicine 20(2), 185-192.         [ Links ]

Polit, D.F. & Hungler, B.P., 1997, Essentials of nursing research: Methods, appraisal, and utilization, 4th edn., Lippincott, Philadelphia.         [ Links ]

Powell, C.K., Hill, E.G. & Clancy, D.E., 2007, 'The relationship between health literacy and diabetes knowledge and readiness to take health actions', Diabetes Education 33(1), 144-151.         [ Links ]

South African Department of Health, 2002, South Africa demographic and health survey 1998, viewed 16 March 2005, from http://www.doh.gov.za/facts/1998/sadhs98/.         [ Links ]

Tan, M.Y., 2004, The relationship of health beliefs and complication prevention behaviours of Chinese individuals with type 2 diabetes mellitus, viewed 20 May 2006, from http://www.sciencedirect.com/science.         [ Links ]

Van der Merwe, M.T., 2004, 'The importance and predictive value of BMI and waist circumference in the development of type 2 diabetes', South African Family Practice 46(6), 10-14.         [ Links ]

Visser, A. & Snoek, F., 2004, 'Perspectives on education and counseling for diabetes patients', Patient Education and Counseling 53, 251-255.         [ Links ]

Weiss, B.D., 2007, Health literacy and patient safety: Help patients understand, viewed 16 July 2009, from healthlitclinicians.pdf.         [ Links ]

World Health Organization, 1999, Guidelines for the management of hypertension, WHO, Geneva.         [ Links ]

 

 

Correspondence:
Susanna C.D. Wright
Adelaide Tambo School of Nursing Science
Private Bag x 680
Pretoria, 0001
South Africa
E-mail: wrightscd@tut.ac.za

Received: 14 Jan. 2008
Accepted: 13 May 2009
Published: 21 Aug. 2009

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License