Informatics Publishing Limited

S. Jeeva ¹, Molly Babu ²

Affiliations
1 College of Nursing, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, IN
2 RAK College of Nursing, New Delhi, IN

Abstract

Objective: The objective of the study is to assess the self care practices of diabetic clients regarding management of type II diabetes mellitus. Methodology: A quantitative research approach involving descriptive survey design was adopted for this study. The study was conducted in selected urban area of Bangalore in the state of Karnataka. To achieve the objective of the study, a non-probability -purposive sampling was used to select a sample of 60 diabetic clients who had type II diabetes mellitus. The data was collected by using self care practice assessment questionnaire using interviewing technique. Instrument validity was determined through content validity, by a panel of experts. Reliability of the instrument was determined through the use of K-R21 formula which was found to be 0.82. Analysis of the data was performed by using descriptive statistics. Results: The results of the study showed that 32 (53.33%) of the diabetic clients had moderate level of self care practice followed by 28 (46.66%) with poor level of self care practice regarding management of diabetes mellitus. None of them had good self care practice that would have helped them to manage the disease effectively. Conclusion: The researcher concludes that most of the diabetic clients have inadequate self care practices regarding management of diabetes mellitus. Recommendation: Diabetes and its complications can largely be prevented if appropriate and timely measures are taken. Health education plays a very crucial role in prevention and control of diabetes and its complications. Importantly, repeated health education/reinforcement and motivation are bound to bring a positive change in self care practices with regard to diabetes control.

Keywords

Self-Care Practice, Diabetic Clients.

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Athar Javeth ¹, R. G. Mathur ², Molly Babu ²

Affiliations
1 Mother College of Nursing, Thrissur - 680012 Kerala, IN
2 Rajkumari Amrit Kaur College of Nursing, Lajpat Nagar, New Delhi - 110024, IN

Abstract

Background: Chemotherapy induced alopecia (hair loss) is a common side effect of the chemotherapy regimen. As hair is considered as an important aspect of human identity, loss of hair leads to development of stress and has negative consequences on various aspects of quality of life (QOL) and uses different coping strategies to deal with stress and improve the QOL. The aim of the study to assess the level of stress, coping strategies and QOL of female cancer patients due to chemotherapy induced alopecia and its relationship with each other and to determine association with selected demographic characteristics. Material and Methods: A correlational survey was carried out on 100 female cancer patients with chemotherapy induced alopecia who were admitted in the inpatient department of oncology. Structured rating scale and interview technique were used for assessing the level of stress, coping strategies and QOL of female cancer patients with chemotherapy induced alopecia. Results: The overall mean score of level of stress, coping strategies and QOL were 45.5±9.76, 41.32±5.89 and 42.49±7.38 respectively. Majority of patients (78%) had moderate level of stress, (94%) were using effective coping strategies and (83%) had good quality of life. Findings revealed that there was a significant negative correlation (r=-0.66) between level of stress and coping strategies, a significant high negative correlation (r=-0.91) between level of stress and quality of life at and a significant positive (r=+0.64) correlation between coping strategies and quality of life. There was a significant association between selected factors such as age (χ² = 36.08), education (χ² = 11.71), family support (χ² = 20.54), social support (χ² = 19.13) and marital status (χ2 = 17.29) and level of stress. Coping strategies were significantly associated with economic status (χ² = 10.38), frequency of chemotherapy (χ² =17.28) and cycles of chemotherapy (χ² = 12.72) and a significant association between the QOL and age(χ² = 12.49) and education (χ² = 9.68) at p<0.05 level. Conclusion: Majority of patients had moderate level of stress and were using effective coping strategies and had good quality of life. Health professionals must provide health teaching about the side effects to the patients who were receiving chemotherapy so that they can be prevented from psychological stressors and cope with the symptoms effectively and improve the quality of life. Self care guide prepared by the researcher help the patient to deal with the problems of the chemotherapy induced alopecia.

Keywords

Chemotherapy, Alopecia, Level of Stress, Coping Strategies, Quality of Life.

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S. Jeeva ¹, Molly Babu ²

Affiliations
1 College of Nursing, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, IN
2 RAK College of Nursing, New Delhi, IN

Abstract

Objectives: The objectives of the study are to assess knowledge of diabetic clients regarding self-care practices in management of Type II Diabetes mellitus and to determine the association between knowledge of diabetic clients with selected demographic characteristics. Methodology: A quantitative research approach involving descriptive survey design was adopted for this study. The study was conducted in selected rural community of Bangalore in the state of Karnataka. To achieve the objectives of the study, a non-probability -purposive sampling was used to select a sample of 70 diabetic clients who had type II diabetes mellitus who fulfil the inclusion criteria. The data was collected by using structured knowledge questionnaire using interviewing technique. Instrument validity was determined through content validity, by a panel of experts. Reliability of the instrument was determined through the use of test-retest method which was found to be 0.78. Analysis of the data was performed by using descriptive and inferential statistics. Results: The results of the study indicated that 33 (47.14%) of the diabetic clients had inadequate knowledge followed by 25 (35.72%) with average knowledge level, only 10 (14.28%) among the clients had adequate knowledge and only 2 (02.85%) had excellent knowledge regarding diabetes mellitus and its management through self-care and it was observed that there was no significant association between knowledge of diabetic clients and their sample characteristics. Conclusion: The researcher concludes that most of the diabetic clients have inadequate knowledge regarding self-care practices on management of diabetes mellitus. Recommendation: There is a need for health education on all aspect on diabetes like risk factors, complications, self-care and treatment for diabetic clients by medial Practioners at hospital as well as at community level.

Keywords

Knowledge, Self-Care, Diabetic Clients.

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