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Status of self care in diabetics coming to a tertiary care hospital.
India (MSAI) - Sumandeep Vidhyapeet, Vadodara
Dr. Aarti Muley
Dr. Aarti Muley
Type of Research Project
- Basic science
What is the background of the project?
Diabetes is a global problem with ever increasing complications.Over 30 million have now been diagnosed with diabetes in India. The CPR (Crude prevalence rate) in the urban areas of India is thought to be 9 per cent. In rural areas, the prevalence is approximately 3 per cent of the total population.The population of India is now more than 1000 million: this helps to give an idea of the scale of the problem.The estimate of the actual number of diabetics in India is around 40 million.This means that India actually has the highest number of diabetics of any one country in the entire world. IGT (Impaired Glucose Tolerance) is also a mounting problem in India. The prevalence of IGT(Impaired Glucose Tolerance) is thought to be around 8.7 per cent in urban areas and 7.9 per cent in rural areas, although this estimate may be too high. It is thought that around 35 per cent of IGT sufferers go on to develop type 2 diabetes, so India is genuinely facing a healthcare crisis. In India, the type of diabetes differs considerably from that in the Western world. Type 1 is considerably more rare, and only about 1/3 of type II diabetics are overweight or obese. Diabetes is also beginning to appear much earlier in life in India, meaning that chronic long-term complications are becoming more common. The implications for the Indian healthcare system are enormous. Self care of diabetes is essential for control of disease and improvement of quality of patients' life. There is enough evidence showing that good self-care with health education can significantly improve blood sugar control and reduce complications and hospitalizations due to diabetes. Studies have also reported that lack of self care can nullify the benefits of good adherence to drugs.
What is the aim of the project?
To assess the self care practices amongst diabetics and factors which affect self-care practice
What techniques and methods are used?
This will be a cross sectional study. All patients diagnosed with type 2 diabetes mellitus and > 18 years of age coming to Out patient department (OPD) or admitted in ward of Department of Medicine will be included after obtaining informed written consent This will be done by the history taking method. Summary of Diabetes self-care activities (SDSCA) (Revised Version) questionnaire on diabetes mellitus will be used to assess the status of self care amongst the participants. The Summary of Diabetes self-care activities (SDSCA) measure is a brief self-report questionnaire of diabetes self-management that includes items assessing the general diet, specific diet, exercise, blood-glucose testing, foot care, and addiction in patients of diabetes. The patient will be asked similar questions which relate to self care. The data collected will be analysed to identify the area of lacunae which affect self care which will have a statistical approach Giving suggestions regarding areas to be focused on while providing health education to these patients.
What is the role of the student?
- If the project is clinical
- the student will be allowed to work with patients
- The tasks of the student will be performed on his/her own
- The tasks will be done under supervision
What are the tasks expected to be accomplished by the student?
● The student is expected to make rapport with the patient with the help of the host, and get the correct information from the patient in the most unbiased way possible. ● The student is also expected to analyse the information that is the brief history and symptoms of the patient ,pathophysiology of the disease. ● On the basis of the data collected and the evidemces, the student is expected to analyse it thoroughly and make a statistical report which clearly demonstrates the relationship between diabetes and self care and diabetes among the individuals. ● The student in the end will be asked to present the observations and findings in front of the faculty and students. ● The student may be asked to make power point presentations of the observed data. ● The student is expected to know the background about diabetes, especially the pathological manifestation of the disease for better analysis and interpretation of the data collected.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
Will be taught about complications of diabetes and what kind of self care is expected from these patients and what impact does it make if proper self care is done
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a scientific report - The student’s name will be mentioned in a future publication
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
Basic Knowledge of Diabetes and Good Communication Skills
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts: - Medical students
- Zahirah Tharek; Anis Safura Ramli; David Leonard Whitford et al. Relationship between self-efficacy; self-care behaviour and glycaemic control among patients with type 2 diabetes mellitus in the Malaysian primary care setting. BMC Family Practice (2018) 19:39. https://doi.org/10.1186/s12875-018-0725-6
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