A Social-Ecological Approach to Determine Barriers of DMSM Practice For Patients with Type 2 Diabetes Mellitus: A literature review

  • Andi Mayasari Usman
  • Rian Adi Pamungkas Mahidol University
Keywords: Type 2 diabetes, Barriers, self-management

Abstract

Diabetes mellitus is one of the global problems the world. Since the complexity of the patient’s tasks is required in the diabetes care, the consistency to engage this various health behavior for addressing the glycemic control target is difficult to achieve. Failure management may reflect by patient, family, inadequate intervention strategies by health care provider as well as organization factor. Three databases used such as PubMed, MIDLINE, and CINAHL to address patient’s barriers, family’s barriers, and provider’s barriers as well as organization barriers for diabetes management. Patient’s attitudes and belief, knowledge, culture, and ethnicity, self-efficacy, financial resources and economic status, lack of Social Support Perceived, and lack of time may influence the diabetes self-management. Family factors lead to patients’ diabetes self-management such as lack of knowledge and skill to support patients in diabetes management and quality of the relationship between patients-family. Health care providers factors included beliefs, attitudes, knowledge and skill and patient–family-provider interaction and communication. Other factors lead to diabetes self-management and health care provider performance to provide the intervention from organization level such as integrated health system sufficiency health insurance to support resources. A deeper understanding of the barriers in diabetes management is necessary to improve the diabetes care and quality of health care services for patients with diabetes. Further research needs to consider these barriers before designing the effective, sensitive interventions and problem solving for diabetes care

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References

Pamungkas RA, Chinnawong T, Kritpracha C. The effect of dietary and exercise self-management support program on dietary behavior, exercise behavior, and clinical outcomes in Muslim patients with poorly controlled type 2 DM in a community setting in Indonesia. Nurse Media Journal of Nursing. 2015;5(1):1-14.

American Diabetes Association. Standards of medical care in diabetes--2014. Diabetes Care. 2014;37 Suppl 1:S14-80.

Khan NA, Wang H, Anand S, Jin Y, Campbell NR, Pilote L, et al. Ethnicity and sex affect diabetes incidence and outcomes. Diabetes Care. 2011;34(1):96-101.

Long AN, Dagogo-Jack S. Comorbidities of diabetes and hypertension: mechanisms and approach to target organ protection. J Clin Hypertens (Greenwich). 2011;13(4):244-51.

Handelsman Y MJ, Blonde L, Grunberger G, Bloomgarden ZT, Bray GA, et al. Task Force for Developing Diabetes Comprehensive Care Plan. American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice for developing a diabetes mellitus comprehensive care plan. Endocr Pract. 2011;17(2):1-53.

Macisaac RJ JG. Intensive glucose control and cardiovascular outcomes in type 2 diabetes. Heart Lung Circ. 2011;20(10):647–54.

Pamungkas RA, Chamroonsawasdi K, Vatanasomboon P. A Systematic Review: Family Support Integrated with Diabetes Self-Management among Uncontrolled Type II Diabetes Mellitus Patients. Behavioral sciences. 2017;7(3).

Singh H, Cinnirella M, C B. Support systems for and barriers to diabetes management in South Asians and Whites in the UK: qualitative study of patients’ perspectives. BMJ Open 2012;2:2-7.

Onwudiwe NC, Mullins CD, Winston RA, Shaya FT, Pradel FG, Laird A, Saunders E. Barriers to self-management of diabetes: a qualitative study among low-income minority diabetics. Ethn Dis. 2011;21(1):27-32.

Elliott DJ RE, Sanford M, Herrman JW, Riesenberg LA. Systemic barriers to diabetes management in primary care: a qualitative analysis of delaware physicians American Journal of Medical Quality. 2011;26(4):284 – 90

Yee LM McGuire JM, Taylor SM, Niznik CM, Simon MA. Social and environmental barriers to nutrition therapy for diabetes management among underserved pregnant women: A qualitative analysis. J Nutr Educ Behav. 2016;48(3):170-80.

Moonaghi HK, Areshtanab HN, Jouybari L, MA B, H M. Facilitators and barriers of adaptation to diabetes: experiences of Iranian patients. Journal of Diabetes & Metabolic Disorders. 2014;13(17):1-7.

Fritz H, DiZazzo-Miller R, Bertran EA, Pociask FD, Tarakji S, Arnetz J, et al. Diabetes self-management among Arab Americans: patient and provider perspectives. BMC international health and human rights. 2016;16(1):22.

Tiedt JA Sloan RS. Perceived unsatisfactory care as a barrier to diabetes self-management for Coeur d'Alene tribal members with type 2 diabetes. J Transcult Nurs. 2015;26(3):287-93.

Published
2018-10-26