Relationships Between Demographic Characteristics, Functional Status And Quality of Life of Stroke Survivors in West Sumatra, Indonesia

Stroke is one of non-communicable disease that causes long term disability, which can affect the quality of life among stroke survivors. The purpose of this study was to investigate the relationships between demographic characteristics, functional status and quality of life among stroke survivors.The design for this study was a descriptive design which involving 138 participants selected by simple random sampling at National Stroke Center Hospital Bukittinggi, West Sumatra, Indonesia. Each participant was interviewed according to structured questionnaires consisting of the demographic information, stroke specific quality of life (SS-QOL), and functional status. Data were analyzed by using Pearson Product-Moment Correlation Coefficient, Spearman Rank Correlation Coefficient, and Point Biserial Correlation Coefficient. A significance level was established at p < 0.05. Main results found that the stroke survivors had a good quality of life (M=3.55, SD=0.64). 43.5 % of participants were independent in activities daily living (Mdn=18.00), they were independent in mobility and transfer (Mdn=3.00). Functional status was statistically has a positive correlation with the quality of life (r=-0.670, p<0.001). However, age, gender, occupation, education, and duration of stroke were not statistically associated with the quality of life. In conclusion, independent in functional status could influence the quality of life of stroke survivors. Therefore, this study can be as a reference for nurses to promote and maintain the functional status focused on mobility and transferring to enhance the independence in activity daily living and the quality of life of stroke survivors in Bukittinggi.

Factors Influencing Diabetes Self-Management Behaviors among Patients with T2DM in Rural Thailand

Factors Influencing Diabetes Self-Management Behaviors among Patients with T2DM in Rural Thailand Boontuan Wattanakul, PhD, RN Department of Biobehavioral Health Science University of Illinois at Chicago Chicago, Illinois (2012) Dissertation Chairperson: Lauretta T. Quinn, PhD, RN, FAAN Diabetes self-management strategies help individuals maintain optimal blood glucose levels and postpone complications of diabetes. These include insulin and medication adjustments; blood glucose monitoring; alterations in the timing, frequency, and content of meals; changes in exercise patterns; and foot care. This exploratory study conducted in 197 Thai adults (30-79) with type 2 diabetes mellitus (T2DM) in rural Thailand explored relationships of patients with T2DM self-management behaviors and cultural belief of Buddhist values, psychosocial factors (social support) and social cognitive factors (self-efficacy, general diabetes knowledge, risk perception of developing complications), and optimal glycemic control (A1C). Participants completed the following self-report surveys: Summary of Diabetes Self-Care Activities (SDSCA), brief Chronic Illness Resources Survey (CIRS), Risk Perception Survey for Diabetes (RPS-DM), Buddhist Value Survey, Diabetes Self-Efficacy (DSE), Diabetes Knowledge Questionnaires (Thai), and personal factors. Subjects had capillary blood taken for A1C measurement. Self-management behaviors were moderate by self-report. Risk knowledge related to developing diabetes complications was high. Scores on optimistic bias, personal control, worry of developing DM complications were higher than scores on personal disease risk. Social support, self-efficacy, diabetes knowledge, and Buddhist values were moderate to high. Optimal glycemic control rate was low (20.3%). Self-management behaviors were significantly positively associated with perceived social support, diabetes self-efficacy, general diabetes knowledge, and Buddhist values, but negatively significantly related to risk perception. Buddhist values, diabetes self-efficacy, and risk perception accounted for approximately 21% of the variance in self-management behavior. Duration of diabetes and age explained 6% of the variance in A1C. Findings from this study support the relationship between self-management behaviors and Buddhist values, self-efficacy, and risk perception. Self-management programs designed to improve diabetes self-management skills should consider including strategies of Buddhist teachings and practices, self-efficacy, and understanding of risk perception for developing complications

The Effect of Exercise Consultation Program on Exercise Behavioral Change and Self-efficacy in Patients with Type 2 Diabetes

The objective of this study was to determine the effect of exercise consultation program on exercise behavioral change and self efficacy to regulate exercise in patients with type 2 diabetes

INCREASING SELF-EFFICACY TO REGULATE EXERCISE IN ADULT PATIENTS WITH TYPE 2 DIABETES MELLITUS

Background: Self-efficacy has been described as dominan factor associated with physical exercise in adult patients with type 2 diabetes mellitus, but to improve self-efficacy to regulate exercise of adult patients with type 2 diabetes mellitus is a challenge for health workers. Objective: This study was to determine the effect of exercise consultation program on self-efficacy to regulate exercise adults’ patients of type 2 diabetes mellitus. Methods: A quasi-experimental study with two comparison groups was purposively designed for pre-test and post-test procedures. Sixty-one patients of type 2 diabetes mellitus were allocated into the experimental group (31 patients) and the control group (29 patients). While the experimental group received the exercise consultation for 12 weeks and routine care, the control group received routine care only. Comparative assessments on differences in self-efficacy to regulate exercise were examined both within and between groups using paired or unpaired t-test. Results: After receiving exercise consultation program, self-efficacy to regulate exercise significantly increased within the experimental group (p < .05), but there was no significant change with in the control group. Between groups, there was a significant difference self-efficacy to regulate exercise in adult patients with type 2 diabetes mellitus (p < .05). Conclusion: The exercise consultation program could increase self-efficacy to promote the physical exercise among adults patients of type 2 diabetes mellitus