OBJECTIVES: 1)To know the diabetes patients perception of stress related to self administering insuline therapy. 2)Identify the injection technique currently being used in practice amongst Indian healthcare professionals and people living with diabetes compairasion with FIT. 3)To know and understand how diabetes patients explain these symptoms. 4)To study and understand the procedures and information given by health professionals to patient is helping them to coping with stress. 5)To aware the patients about insuline injection therapy in diabetes type 2 to safe practice and stay healthy. RATIONALE OF THE STUDY: RESEARCH PURPOSE OF STUDY: The research purpose of study this research was to examine the relationships between perceived stress …show more content…
and ways of coping of patients with Type 2 diabetes who began insulin therapy and received diabetes education guided by FIT (Forum for Injection Technique) India for the Subcutaneous Administration of Insulin in Adults with Type 2 Diabetes. The experience patients of diabetes type 2 of initiating insulin therapy when receiving the insuline injection therapy education. RESEARCH QUESTIONS: 1)The relationship between perceived stress and diabetes education guided by FIT for the administration of Insulin in Adults with Type 2 Diabetes who initiate insulin therapy? 2)What is the relationship between perceived stress in initiation of insulin therapy in adults with Type 2 diabetes and ways of coping in adult patients? 3)What is the experience of initiating insulin therapy when receiving information about injection guideline given by health professional diabetes education? 4)What is the level of understang of insuline injection therapy practice in diabetes type 2 patients? HYPOTHESES: 1)The best practice of insuline injection therapy guideline given by health professional to adults with type 2 diabetes will help decreasing perceived stress. 2)Type 2 diabetes patient with higher perceived stress will engage more frequentlyin ways of coping. 3)Type 2 diabetic patients with higher level of preceived stress wil have lower the confidence of the patients in administering the insuline andmanagement of diet. RESEARCH DESIGN: The study design is a cross-sectional survey on the effects of stress and coping styles in adults with type 2 diabetes who initiate insuline therapy and involves quantitative technique. Proper permission from the senior officials of the government hospital and private hospitals which provide special care for diabetes patients. The research study includes the interviews of the diabetic patients registered with the government hospital and private hospitals of the Mumbai area. UNIVERSE/POPULATION OF THE STUDY: The study population is from the age of 25 to 50 years of age and only type 2 diabetic patients which are initiate insuline injection therapy. The participants are diabetic type 2 patients both- male and female registered with the government hospital and private hospitals of the Mumbai area. UNIT OF ANALYSIS AND INFORMATION: SAMPLING METHOD AND SIZE: Purposive sampling technique using to select the Hospitals and convenient sampling technique using to select the sample.
Size-100 diabetic patients. METHODS AND TOOLS FOR DATA COLLECTION:QUESTIONNAIRE 1)Perceived Stress Scale (Cohen, Kamarck, & Mermelstein,1983). 2)Coping (ways of coping) was measured with the WAYS questionnaire (Folkman & Lazarus, 1988). 3)Questionnaire related to administering insuline and managing diet. 4)Diabetes Self-Management Questionnaire (DSMQ) (AndreasSchmitt,AnnikaGahr,Norbert Hermanns, Bernhard Kulzer,Jorg Huber and Thomas Haak 2013,Health and Quality of Life Outcomes). PLAN OF DATA ANALYSIS: Data entry with Statistical Package for Social Science (SPSS) software and Microsoft Excel software using to analyse the Perceived Stress Scale, WAYS questionnaire, DSMQ questionnaire. And Questionnaire related to administering insuline and managing diet. ETHICAL CONSIDERATION: 1)The written permission from the in- charge of Hospital and verbal consent from each concerning departmental heads for the purpose of interview with the patients to conduct this study. 2)Purpose and importance of the study explain to the individuals. Informed consent from patient. 3)Information about the study and consent form printed on two separate pages in english and hindi/marathi language. (most of people don't know
english). 4)Participation in the study is complete voluntarily and participant can withdraw from study at any stage of study. 5)Those respondents which are ready to participate in study should prefer convenient time and place for interview. 6)Confidentiality of the responses throughout the study and the collecting data is not shared with anyone.
Diabetes education is a structured education and self-management (at diagnosis and regularly reviewed and reinforced) to promote awareness. Diet and lifestyle, healthy diet, weight loss if the person is overweight, smoking cessation, regular physical exercise. Maximizing glucose control while minimizing adverse effects of treatment such as hypoglycemia. Reduction of other risk factors for complications of diabetes, including the early detection and management of hypertension, drug treatment to modify lipid levels and consideration of antiplatelet therapy with aspirin. Early intervention for complications of diabetes,, including cardiovascular disease, feet problems, eye problems, kidney problems and neuropathy.
Jones, F, Bright, J, Clow, A (2001). Stress: myth, theory and research. Essex: Pearson Education Limited. p. 12.
c) The research study will take place at a meeting room in Toronto General Hospital.
...revention through awareness and education is achieved via the work of government initiatives such as the National Diabetes Services Scheme and health campaigns including Measure Up. The NDSS also works to improve the self-management of diabetes. Physiotherapists also have a role in the management of diabetes through implementing exercise programs. An evidence-based approach was used to create the proposed exercise program that aimed to manage the high blood glucose levels associated with insulin resistance in type 2 diabetes (Sigal et al., 2007). It utilized both aerobic and resistance training in accordance with current knowledge of the most effective dosages for the population group. Physiotherapists must work alongside other healthcare professionals such as dietitians and general practitioners to provide optimal support and management for patients with diabetes.
Diabetes is a disease in which the body has a shortage of insulin, a decreased ability to use insulin, or both. People with this disease have to administer a synthetic insulin replacement into the body to regulate and stabilize their blood-sugar level. The traditional insulin delivery method is through injection by a needle and syringe. Determining when to introduce insulin into the body requires frequent blood tests (poking the finger). An alternative to this method uses a Continuous Glucose Monitor (CGM) with a wireless sensor attached to a wire inserted into body tissue to measure electrical elements of fluids.
People with Type 1 diabetes do nor produce enough insulin. So insulin needs to be injected into their bodies to control the level of g...
Diabetes is a metabolic disease, that causes a person to have high blood pressure. There are two kinds of diabetes, type 1 and type 2. Type 1 is the loss of insulin producing cells, leading to a deficiency of insulin. Type 2 diabetes is where the person is insulin resistant. Insulin is a peptide hormone, which causes cells to absorb the various glucose it requires. Type 2 diabetes is the most widespread endocrine disease worldwide. Metagenome wide associated study took on a study that was based on the determination of type 2 diabetes and relationship to gut microbial by using the deep shot gun sequencing of the gut microbial. The study consisted of 345 Chinese's individuals that were used to help find any relationships. 60000 type 2 diabetes associated markers were used and linked to type 2 diabetes. Gut microbes are living organisms that live in the gut and the digestive tract. Patients with type 2 diabetes were characterized by a moderate degree of gut microbial symbiosis. Symbiosis is a interaction between different microbial organisms, there are various types of symbiosis such as mutalistic, parasitic and communalistic. The abundance of butyrate producing bacteria as well as the opportunistic pathogens were determined as well. Enrichment of microbial functions due to sulphate reduction and oxidative stress resistance was found. Further studies were also performed with addition of individuals to the study. Gut microbial markers may be useful for classifying type 2 diabetes.
Type 1 diabetes is controlled with insulin injections several times a day or the use of an
This report is a mix of primary research (through surveys on diabetics and interviews with doctors and diabetic specialists) and secondary research (through the research of current and developing technology and treatment. Through this research I aim to raise awareness of new technology and treatment for diabetes which may not be filtering through to the public rapidly enough (perhaps as a result of monopolies held by certa...
Within 30 minutes of teaching lesson, the patient will be able to injection insulin properly. The patient will be able to perform self-monitoring of blood glucose using a blood gl...
In this case the printed questionnaire will be given to every patient enrolled in the study prior to an education intervention. The questionnaire will be sent to the patient three days post discharge from the hospital. Since this tool can differentiate high or low knowledge, data will be entered electronically according to responses. Additionally, demographic material such as age, gender, primary and secondary diagnosis will be attached to each questionnaire. The demographic material and questionnaire will be coded for ease of data entry.
With the prevalence of society, the rhythms of modern life is becoming faster and faster. Many people suffer a lot of pressure from work, study, family, and society, all of which lead to stress and strain of life. Therefore, stress is everywhere and it has become
...d as ‘the band aid’ approach [8]. Tertiary prevention is concerned with the treatment, rehabilitation and recovery process of those individuals who have suffered or are suffering from serious ill health because of stress.
This chapter is about to determine how the study was conducted for the study results that can be obtained more accurately in the process of analyzing the information. A methodology may be selected from a variety of research designs thought to have compatibility to achieve and fulfil the goals and needs of the study. The methodological approaches that have been chosen also the tools used in order to get information are determined. There are a few parts in this chapter that include the framework, research method; research subjects include the sample, population and sampling, data collection method, questionnaires design and also the data analysis.
Stress is defined as “any circumstances that threaten or are perceived to threaten one’s well-being and thereby tax one’s coping abilities” (Weiten & Lloyd, 2006, p. 72). Stress is a natural event that exists literally in all areas of one’s life. It can be embedded in the environment, culture, or perception of an event or idea. Stress is a constant burden, and can be detrimental to one’s physical and mental health. However stress can also provide beneficial effects; it can satisfy one’s need for stimulation and challenge, promote personal growth, and can provide an individual with the tools to cope with, and be less affected by tomorrow’s stress (Weiten & Lloyd, 2006, p. 93).