Download or read book An Ethnographic Investigation of Self management of Type 2 Diabetes Mellitus in Chinese People in China and Wales written by Peng Zhao and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book An Ethnographic Investigation of Self management of Type 2 Diabetes Mellitus in Chinese People in China and Wales written by Zhao Peng and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Understanding the Factors Influencing Diabetes Self management in Chinese People with Type 2 Diabetes Using Structural Equation Modeling written by and published by . This book was released on 2005 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: It China, more than 20 million people were diagnosed with diabetes in 2000 and it was estimated there would be 42.3 million people with diabetes by 2030 (Wild, Roglic, Green, Sicree, & King, 2004). Diabetes mellitus self-management (DMSM) is considered the cornerstone for controlling diabetes and preventing diabetic complications. To develop effective interventions to promote DMSM in China, it is critical to identify the factors influencing DMSM relevant to this population. The purposes of this study were to test a hypothesized model describing the effects of individual and environmental factors on DMSM in patients with type 2 diabetes in China, and to test if the estimated effects are the same between two subgroups, patients treated with insulin vs. patients treated without insulin. The individual factors included diabetes knowledge, beliefs of treatment effectiveness, and diabetes self-efficacy. Environmental factors included social support from family members and provider-patient communication. Methods: A cross-sectional survey research design was used in this study. The study was conducted at a major hospital in Beijing China. A convenience sample of 201 Chinese adult patients with type 2 diabetes mellitus who attended the outpatient department of the Endocrinology unit at the hospital from September 2004 to November 2004 was obtained for this study. Data were collected using a self-reported questionnaire. Structural equation modeling (SEM) analysis was conducted to test the hypothesized model, and examine and explore the relationships between and among the individual and environmental factors and DMSM. Findings: The initial hypothesized model did not fit the observed data. Based on statistical findings and theoretical soundness, the model was modified. The final model had a good fit to the data. The key findings were that belief in treatment effectiveness and diabetes self-efficacy were key proximal factors affecting DMSM. Knowledge and the environmental factors indirectly affected DMSM through belief in treatment effectiveness and self-efficacy. The findings based on the multi-group SEM analysis indicated that patient-provider communication was a more important factor affecting DMSM for the insulin-treated subgroup, while family support was more important for the non-insulin treated subgroup. Conclusions: The good fit of the final model indicated that significant determinants of DMSM described in American studies were also important predictors of DMSM in Chinese with diabetes. The model illustrated that individual and environmental factors affected DMSM both directly and indirectly. Understanding the complex relationships between and among the individual and environmental factors and DMSM helps the practitioner to design intervention programs promoting DMSM using a more comprehensive approach. The practitioner should also be aware of the differences between the subgroups when developing intervention programs.
Download or read book Evidence based Clinical Chinese Medicine Volume 21 Type 2 Diabetes Mellitus written by Yuan Ming Di and published by World Scientific. This book was released on 2023-02-17 with total page 357 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes mellitus is a chronic progressive disease characterised by hyperglycaemia. It affects many people around the world and creates burden for the individual as well as the economy. Chinese medicine can be used to support the management of Type 2 diabetes mellitus symptoms. Chapter 1 of the book summarises the conventional understanding of Type 2 diabetes mellitus, including aetiology, diagnosis and current available treatments.This book uses the 'whole evidence' approach to give an overview of the available evidence for Chinese medicine treatment for Type 2 diabetes mellitus, from classical literature to clinical evidence. Evidence from clinical studies are evaluated using high-quality and rigorous scientific methodology. Clinical trial literature of Chinese medicine treatments for Type 2 diabetes mellitus are described, with treatment modalities including Chinese herbal medicine, acupuncture and other Chinese medicine therapies. The findings are analysed and potential implications for clinical practice and research are explored. Experimental studies that describe the potential mechanisms of action of key herbs are summarised. Current evidence of Chinese medicine for Type 2 diabetes mellitus is synthesised in the final chapter, and suggestions for contemporary clinical practice and future research are also offered.Targeted at clinicians and students of Chinese and integrative medicine, this book is a convenient reference that provides comprehensive synthesis of both classical and contemporary knowledge, which can support and be incorporated into their clinical practice.
Download or read book The Effect of a Health Literacy Oriented Program on Physical Activity Among Chinese Patients with Type 2 Diabetes Mellitus written by Huen-Sum Lam and published by Open Dissertation Press. This book was released on 2017-01-27 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "The Effect of a Health Literacy Oriented Program on Physical Activity Among Chinese Patients With Type 2 Diabetes Mellitus" by Huen-sum, Lam, 林絢琛, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Physical inactivity has been widely regarded as a leading cause of non-communicable chronic diseases such as type 2 diabetes mellitus (T2DM) and hypertension. Physical activity (PA) has been shown to be the most effective self-care behaviour in alleviating T2DM, an incurable chronic disease. Previous behavioural modification programs intended to encourage and maintain PA behaviour among middle-aged and older patients with T2DM have had inconsistent results. PA has remained as a recommended diabetes self-care behaviour with the lowest compliance rate in many regions of the world. This thesis proposes a program focusing on health literacy (HL) as a means to nurture T2DM patients' ability to navigate, read, understand, process, comprehend and act on health information, and thereby modify PA behaviour. This approach is proposed for three reasons: (1) the flood of available health information of varying quality affects patients' decision making with regard to self-care behaviour; (2) the high prevalence of low HL in the US, Europe, and Asia affects the comprehension of self-care behaviour programs; (3) because 50% of older T2DM patients are impaired cognitively due to the impact of aging and hence have difficulty in carrying out suitable self-care behaviour without proper guidance. All of these factors can influence the effectiveness of PA behavioural modification programs designed to help middle-aged and older T2DM patients make self-care decisions based on sound health information according to their level of HL. This thesis reviews existing HL-oriented programs and models and validates the instrument used to examine the effects of a culture-, language-, disease- and age-specific, theory-based, HL-oriented program on PA behaviour among middle-aged and older patients with T2DM. In the study, 324 middle-aged and older Chinese T2DM patients recruited from two hospital diabetes centres in Hong Kong were divided randomly into intervention and control groups. The intervention group participated in an HL-oriented program on PA behaviour. The program significantly improved the mean of PA behaviour of patients in the intervention group from a sedentary level (under 1,000 average Metabolic Equivalents/minutes/week; 4463 mean number of steps per week) to an internationally acceptable standard (over 2,000 average METs-minutes/week; 7459 mean number of steps per week), and this improvement was maintained at three- and six-month follow-ups. The PA behaviour of the control group actually subsided. This study showed that a program addressing and nurturing patients' ability to explore, understand and manage health information on T2DM and PA was effective in improving the PA behaviour of middle-aged and older adults with T2DM. This thesis is the first study to use objective measurements to evaluate the effect of a culture-, language-, disease- and age-specific, theory-based, HL-oriented program on PA behaviour. It extends the generalizability of culture and language-sensitive HL oriented programming from the United States (where previous HL studies were conducted) to China. The study can serve as a model for future investigations of self-care behaviour among patients with different chronic illnesses in various regions of China. DOI: 10.5353/th_b5334852 Subjects: Self care, health Exercise therapy Diabetics - Care
Download or read book A Manual for Management of Diabetes Mellitus written by Juliana C. N. Chan and published by Chinese University Press. This book was released on 2006 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: This manual combines the latest local and international guidelines for managments of diabetes and consists of data based on local research, with an aim to provide a quick reference to all health care personnel involved in the mangement of diabetes mellitus with emphasis upon Type 2 diabetes. It covers all important and pratical aspects of the subject in a language which should be understandable to all medical workers and medical undergraduates. Most of the references are up-to-date. As for useful drugs, a selection is listed so physicians can use those which are most familiar or cost-effective. There is enough pathophysiology to make the text more easily understood.
Download or read book EVIDENCE BASED CLINICAL CHINESE MEDICINE VOLUME21 written by YUAN MING. SUN DI (LU.) and published by World Scientific. This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book An Investigation of Barriers to Optimal Care in Type 2 Diabetes Mellitus written by Sandra P. Y. Pun and published by . This book was released on 2010 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes Mellitus (DM) is a global health problem with a rapidly increasing prevalence. Despite the provision of comprehensive diabetes management programmes, patients are often not able to achieve the desired outcomes. The aims of the study were to investigate factors affecting self-care behaviours of patients with Type 2 DM among Hong Kong Chinese people and to explore barriers to self-care and strategies to overcome barriers from patients' and nurses' perspectives. The conceptual framework was developed from the Health Belief Model and the Theory of Planned Behaviour. A sequential explanatory mixed methods design was adopted. Structured questionnaires were used to investigate key variables for predicting self-care for 183 patients with Type 2 DM. Subsequently, 22 patients and 17 nurses were selected for focus group interviews. The quantitative findings showed that both attitudes and modifying factors (knowledge, demographics, socio-economic factors, insulin therapy) had a significant effect on self- care behaviours. They showed that older patients, those of lower socio-economic status, being treated with insulin, having better knowledge about DM, and with positive attitudes reported better adherence to self-care. The qualitative findings indicated that the patients and nurses perceived barriers to self-care were consistent including physical, psychological, socio-economic, environmental and cultural factors. The focus group interviews revealed that nurses understood most of the barriers to self- care perceived by their patients. The Diabetes Self-care Model was developed in the study to inform and guide healthcare professionals when designing diabetes management programmes by addressing key variables affecting self-care behaviours and patient outcomes. The unique position of nurses and their understanding of patients' needs are essential for improving patient outcomes. Therefore, the roles of nurses should be reinforced and further developed to address the needs of the patients through improving the effectiveness of diabetes management programmes and patient empowerment.
Download or read book The Impact of Illness Perception Diabetes Management Self efficacy and Emotional Distress on Type 2 Diabetes Self management Among Americans with Chinese Backgrounds written by Ya-Ching Huang and published by . This book was released on 2018 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: This descriptive correlational study explored the relationships of diabetes illness perception (consequences, personal control, treatment control, and cause), emotional distress (diabetes distress and depressive symptoms), and diabetes management self-efficacy with diabetes self-management activities; the mediator effects of diabetes management self-efficacy on the relationship between diabetes illness perception (consequences, personal control, treatment control, and cause) and self-management activities; and the moderator effects of emotional distress (diabetes distress and depressive symptoms) on the relationship between diabetes illness perception and self-management activities among Americans with Chinese backgrounds. The conceptual framework was based on an adaptation of Leventhal’s Common- Sense Model of self-regulation. A hundred and fifty-three survey participants with Type 2 diabetes were recruited from Chinese speaking communities in three major metropolitan areas in Texas. Participants average age was 69.1 years old, female (52.3%), and had at least a high school education. Their average acculturation score was 14.82 ± 7.66 (relatively low). The average number of comorbidities was 1.30 ± 1.27; participants were diagnosed with T2DM for an average of 13.43 ± 10.20 years; 14.4% were prescribed insulin. A mean item score for diabetes self-management self-efficacy was 7.4 out of 10. Diabetes distress mean score was 2.36, indicating a moderate level of distress. The average score of depressive symptoms was 11.25, and 24.8% of the participants met the clinical definition of depression. Participants performed diabetes management activities about 4.3 days out of the preceding 7 days. The significant bivariate correlations among variables included older age, longer years of diabetes, insulin usage, lower acculturation level; and participants with higher self-efficacy were more likely to report having better self-management activities. Neither illness perceptions nor emotional distress were found to be significant predictors of diabetes self-management in hierarchical multiple models. However, age, duration of diabetes, and self-efficacy were shown to significantly predict self-management. Self-efficacy also significantly mediated the relationship between illness perceptions and self-management activities; and the relationship between emotional distress and self-management activities. These findings contribute to our understanding of the factors that facilitate patients of Chinese American backgrounds to perform self-management activities on a daily basis
Download or read book Self management of Type 2 Diabetes Among Mainland Chinese Immigrants in Canada A Qualitative Study written by Youyou (Esther) Huang and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Patient Knowledge Perceived Self efficacy and Self management Among Patients with Type II Diabetes Mellitus written by Razel Bacuetes Milo and published by . This book was released on 2017 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States (U.S.), Type 2 Diabetes Mellitus (T2DM) has reached epidemic portions with a prevalence of approximately 29.1 million people and is the seventh-leading cause of death (Centers for Disease Control and Prevention [CDC], 2014; Healthy People 2020, n.d.). The U.S. spends an estimated $245 billion in direct and indirect medical costs. The indirect costs include disability and lost productivity (CDC, 2014). Previous studies focusing on diabetes education acknowledge the significance of self-management activities in managing T2DM. Extant studies examining self-management and treatment outcomes for persons with T2DM have paid limited attention to the relationship between patients' disease perceptions, diabetes knowledge, self-efficacy, self-management practices, and glycemic control. The purpose of this investigation was to identify factors and outcomes associated with healthy diabetes self-management practices among a cohort of individuals with T2DM residing in southern California. Nola Pender's Health Promotion Model (Pender et al., 2015) guided the study. Specific aims include: 1) Provide conceptual clarity for the phenomenon of perception through a concept analysis using Walker and Avant (2011) methodology, 2) Identify factors and outcomes associated with diabetes self-management through a systematic review of the literature, and 3) Examine relationships among perceived self-efficacy, specific patient characteristics, diabetic knowledge, self-management practices, and HbA1C values among a sample of individuals with T2DM living in southern California. The research aims provided the structure to generate new scientific data and evidence towards the improvement of self-management practices and those characteristics leading to improved HbA1C outcomes.
Download or read book The Treatment of Diabetes Mellitus with Chinese Medicine written by Bob Flaws and published by Blue Poppy Enterprises, Inc.. This book was released on 2002 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Treatment of Diabetes Mellitus with Chinese Medicine is a textbook and a clinical manual on the Chinese medical treatment of diabetes mellitus (DM) and its many complications. Each facet of this complex condition is discussed in terms of its Western medical definition, epidemiology, etiology, pathophysiology, diagnosis, current standards of care, complications, and treatment plans. This text outlines goals of therapeutic care, general considerations, diet & exercise, patient education, blood glucose monitoring and much more. This text discusses: * Gestational Diabetes * Diabetic Ketoacidosis * Diabetic Hypertension * Diabetic Hyperlipoproteinemia * Diabetic Retinopathy * Diabetic Neuropathy * Common opportunistic infections in patients with diabetes * Patient adherence and practitioner monitoring * Appendix of Chinese medicinals, and Western pharmaceuticals.
Download or read book Effects of Self Management Education on Diabetic Control Among Patients with Type 2 Diabetes written by Min Yan and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Effects of Self-management Education on Diabetic Control Among Patients With Type 2 Diabetes: a Systematic Review" by Min, Yan, 严敏, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Objective: To systematically review the effect of self-management education on diabetic control in type 2 diabetes Research design and methods: PubMed was searched for English-language articles published between 2010 and 2013. All the studies were original articles selected manually and used randomized control trials generating results of self-management education in people with type 2 diabetes referring to diabetic control. Relevant data were divided and tabulated into factors of population characteristics, interventions and outcomes. Interventions were classified into three sections as collaborative information intervention, lifestyle intervention, and skills teaching intervention based on the patterns of education. Outcomes were categorized into glycemic control, cardiovascular disease (CVD) risk factors and nephropathy risk factors. Results: A total of 24 studies were identified of initial 41 articles for this review. Effects of self-management education on glycemic control were demonstrated to be positive both in short-term (10 months) follow-up, but more positive effects in short-term follow-up. The same effectiveness happens to CVD risk factors, including lipids, weight and blood pressure. On the other hand, with short-term follow-up, teaching skills intervention of self-management education is more effective than collaborative information intervention and lifestyle intervention on reducing glycemic control and CVD risk factors. Also with long-term follow-up, teaching skills intervention of self-management education had more effectiveness than collaborative information intervention and lifestyle intervention on reducing glycemic control. However, few studies including CVD risk factors in the long-term follow-up, so it is difficult to evaluate the effectiveness of on CVD risk factors with long-term follow-up. Conclusions: Evidences supports the positive effectiveness of self-management education with collaborative information intervention, lifestyle intervention and skills teaching intervention among type 2 diabetes patients on diabetic control, in both short-term follow-up and long-term follow-up, but short-term follow-up is more effective than long-term follow-up. Further research is needed to develop self-management interventions to maintain long-term follow-up effects on glycemic control, CVD risk factors and other diabetes complications. DOI: 10.5353/th_b5098975 Subjects: Non-insulin-dependent diabetes - Treatment
Download or read book The Perceptions and Practices of Older Chinese Migrants with Type 2 Diabetes Living in New Zealand written by Dazhi Jason Yu and published by . This book was released on 2015 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: This research portfolio sought to explore the health perceptions and practices of older Chinese migrants with Type 2 diabetes in New Zealand. A thorough literature review was conducted to explore the prevalence, incidence and issues relating to Chinese people with Type 2 diabetes living in New Zealand and overseas. A qualitative methodology - narrative inquiry - was used to capture the lived experiences of older Chinese migrants with Type 2 diabetes. Data was collected from in-depth interviews with ten participants who are living with Type 2 diabetes in New Zealand. The interview transcripts were analysed using a thematic analysis. Five core themes were revealed in the narratives of older Chinese migrants in relation to their experiences and views of living with Type 2 diabetes: 1) culturally unique perceptions and knowledge of diabetes; 2) lifestyle modification by incorporating Western diabetes regimens into Chinese lifestyle; 3) cultural needs including maintaining harmony and family roles; 4) their views and practice of Western and traditional Chinese medicines; and 5) their experiences of the healthcare service. These themes form a unique cultural framework for understanding the healthcare needs of older Chinese migrants with Type 2 diabetes. This study extends the existing knowledge and understanding of the risk factors related to health perceptions and behaviours pertinent to disease self-management. The cultural framework may enable diabetes care providers and educators to have a more holistic focus when planning care and education programs. To investigate how Chinese immigrants perceive the current diabetes education and health information, it is necessary to address their cultural needs.
Download or read book Diabetes Knowledge and Its Correlation with Self Efficacy Among T2DM Patients written by YU Xingfeng and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: The prevalence of diabetes mellitus (DM) has increased dramatically in the past decades and this trend is expected to be continued. The current adult DM population worldwide is about 420 million [1, 2]. Among all cases, Type 2 diabetes mellitus (T2DM) accounts for more than 90%.As individuals with DM spend most of their time in the community, the individuals take the main responsibility regarding their day-to-day disease management. Hence, diabetic individuals should have sufficient self-management skills. However, ample studies demonstrated that self-management among T2DM patients is suboptimal [3].The international institutions suggest that DM education, which can inevitably improve patientsu2019 DM knowledge, is an effective approach for improving patientsu2019 level of self-management [2]. Self efficacy plays an important role in the development of self-management behaviors as purported by theories and supported by empirical evidences [4, 5].Aim: To investigate the level of DM knowledge and to explore its correlation with self efficacy among T2DM patients.Methods: A cross-sectional study was conducted. One hundred and eighty T2DM patients were recruited from the Endocrinology Department of four university affiliated hospitals in China using convenience sampling.Eligible participants were administered with the self-designed demographic and clinical information sheet, the Chinese version Michigan Diabetes Knowledge Test (DKT-C), and the Chinese version Diabetes Management Self-Efficacy Scale (DMSES).Descriptive statistics were employed to summarize the participantsu2019 demographic and clinical characteristics, and scores of DKT-C and DMSES. Pearson correlation analysis or Spearman correlation analysis was used to examine the correlation between the scores of DKT-C and DMSES.Results: The means and standard deviations of age and DM duration of the participants were 56.5u00b112.1 and 7.6u00b17.3 years, respectively. Only around 21% of the participants had their HbA1c value under 7.0%.Participantsu2019 scores in the general test subscale and insulin use subscale of the DKT-C were 61.8u00b116.4 and 68.9u00b122.23, respectively. The percentage of correct responses among items varied considerably from 26.0% to 87.0%.The average total score of DMSES among participants was 138.9u00b144.4. Pearson correlation analysis showed a significant positive correlation between participantsu2019 score in the insulin use subscale and the total score of the DMSES (r = 0.20, p0.05). However, the correlation did not present between the score in the general test subscale and the total score of the DMSES (r = 0.16, p0.05).Discussion: This study showed that the DM knowledge among T2DM patients was limited, which is consistent with the findings of similar studies. This study also demonstrated that T2DM patientsu2019 score in the insulin use subscale of the DKT-C was positively correlated with the total score of the DMSES, indicating that patients with better insulin use-related knowledge tended to have high level of self efficacy. However, no correlation was found between the score in the general test subscale of the DKT-C and the total score of DMSES. The absence of such correlation may be caused by the fact that patientsu2019 disease knowledge does not always contribute to better self efficacy [6, 7]. As for the correlation between the score of the insulin use subscale and the total score of the DMSES, the significant correlation can be explained by the health belief of Chinese population. Chinese people tend to attribute the good control over diseases to medications rather than to lifestyles including healthy diet and exercises. Therefore, the transformation of insulin use-related knowledge into confidence in conducting proper self-management behaviors could be easier than the transformation of the general DM knowledge to self efficacy.
Download or read book Self Management of Type 2 Diabetes in Appalachina Women written by and published by . This book was released on 2007 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Gender, minority, and regional-related disparities have been documented in diabetes management. Self-efficacy, the belief in one's ability to carry out the actions mandated by a task, has been identified as a key predictor in glycemic control; however, it has not been investigated in rural, female populations. This crosssectional, correlation investigation examined the relationships among self-efficacy, depression, and diabetes self-care management in women living in Appalachia with type 2 diabetes. Using Banduraâs Social Cognitive Theory, 85 women ages âÆ 21 with type 2 diabetes for a minimum of 6 months who were residents in Appalachia completed the 1) Diabetes Self-Efficacy Scale, 2) Beck Depression Inventory-II, 3)Summary of Diabetes Self-Care Activities, and a 4) Diabetes Health-Related Demographics tool. Descriptive statistics detailed the sample characteristics. ANOVA, chi-square, and independent ttests were computed for between group differences as they related to depression, various physiologic states, presence of self-efficacy sources, and glycosylated hemoglobin. Pearson correlation coefficients were used to describe the relationships between selfefficacy, depression, and self-care management. Multiple linear regression analyses examined prediction models for glucose control while controlling for potential confounders. Eighty-four Caucasian and one African-American enrolled in the study with a mean age of 61. The mean time since diabetes diagnosis was 7 years with a mean glycosylated hemoglobin value of 6.9% (SD=1.3). Higher self-efficacy scores were associated with a lower glycosylated hemoglobin (r-.30, p=.005) and ability to choose foods best to maintain a healthy eating plan(r-.415, p=.001). The sources of self-efficacy associated with enhanced self-care management were mastery experience and vicarious experience. There were no significant relationships between self-efficacy and depression or depression and glycosylated hemoglobin. The diabetes self-c.
Download or read book An investigation of type 2 diabetes self management in Taiwan written by Hsiu-Li Wu and published by . This book was released on 2009 with total page 666 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Taiwan, as in other countries, type 2 diabetes is a major public health problem. Taiwanese nurses are being called upon to play an increasingly large role in diabetes care, but little is known about the factors that contribute to good or poor diabetes self-management in the Taiwanese context. This study is an exploratory investigation of Taiwanese women's experiences of living with type 2 diabetes. Adopting an open-ended qualitative approach, the research aimed to discern personal characteristics, strategies, socio-cultural and health system factors that affected women's ability to manage their condition effectively. Thirty-eight women were interviewed. These included twenty women who were nominated by health professionals as being effective at diabetes self-management and eithteen who were considered to have difficulties, in controlling their HbA1c. Five senior diabetes nurses were also interviewed. Data was analysed thematically. The study found that for many women, their diabetes diagnosis was marked by profound shock and change in their sense of self. Learning to live with diabetes was an ongoing 'journey' in which women engaged in a range of strategies to acquire information and support, to gain a sense of control over their condition and to find a health care provider they could trust. The findings challenge the prevailing medical model that defines 'successful' self-management on the basis of clinical outcomes alone. Rather, self-management was found to be highly contingent upon individual life circumstances. From women's own perspectives, successful self-management involved coping with a context of severe social stigma and juggling their own self-care alongside maintenance of multiple social gender roles and financial responsibilities, often in the face of social or economic difficulties. The research points to a need for health professionals to adopt a non-judgemental, individualised and empowering philosophy in their approach to diabetes care whereby education and treatment is tailored to the specific and complex needs of individual patients.
