Self-Management Experiences During the COVID-19 Outbreak of Patients with Type 2 Diabetes Living in Ban Na Khum Health Promoting Hospital
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Abstract
Qualitative phenomenological research aimed to explore self-management experiences during the COVID-19 pandemic of type 2 diabetes patients in the area of Ban Na Khum Health Promoting Hospital. Data were collected through in-depth interviews with 25 diabetic patients treated at Ban Na Khum Health Promoting Hospital. Data were analyzed using the content analysis method. The study results showed two main themes: 1) modifying health behaviors to control diabetes by themselves, including eating alone, exercising alone, medication management, and stress management, and 2) lifestyle modifications to prevent COVID-19 infection, including social precautions and careful spending money. The results of this study can be used as a basis for planning and developing guidelines for promoting self-management during the COVID-19 outbreak of type 2 diabetes patients in the responsible area of Ban Na Khum Sub-District Health Promoting Hospital by adjusting the services and activities to suit the patient's condition.
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References
Agarwal, N., Harikar, M. M., Shukla, R. & Bajpai, A. (2020). Perceived stress among Indian children and young adults living with type 1 diabetes during the COVID-19 outbreak [Preprint]. https://doi.org/10.21203/rs.3.rs-33172/v1
Ban Na Khum Health Promoting Hospital. (2019). Annual report 2019. Phtsanulok: Ban Na Khum Health Promoting Hospital. (in Thai).
Black, S., Maitland, C., Hilbers, J. & Orinuela, K. (2017). Diabetes literacy and informal social support: A qualitative study of patients at a diabetes centre. Journal of Clinical Nursing, 26(1–2), 248–257. https://doi.org/10.1111/jocn.13383
Charungthanakij, N. (2021). Outcomes of glycemic control in patients with type 2 diabetes receiving new services from diabetes clinic, Sai Ngam Hospital during COVID-19 pandemic. Regional Health Promotion Center 9 Journal, 15(36), 129–142. (in Thai).
Emergency Operation Center, Department of Disease Control, Ministry of Public Health. (2021). Work from home. Retrieved (2022, November13). from https://www.hfocus.org/content/2021/04/21412 (in Thai).
Grady, P. A. & Gough, L. L. (2014). Self-management: A comprehensive approach to management of chronic conditions. American Journal of Public Health, 104(8), e25– e31. https://doi.org/10.2105/AJPH.2014.302041
Kachintorn, U. (2021). Universal precaution. Retrieved (2022, November13). from https://www.niems.go.th/1/News/Detail/8232?group=21 (in Thai).
Kirdmanee, B., Tumtavitikul, S., Wachirasurong, Y., Sukbot, B. & Teekasap, S. (2020). Concepts and guidelines for solving covid-19. Advanced Science Journal, 20(1), 1–12. (in Thai).
Mukona, D. M. & Zvinavashe, M. (2020). Self- management of diabetes mellitus during the Covid-19 pandemic: Recommendations for a resource limited setting. Diabetes & Metabolic Syndrome, 14(6), 1575–1578. https://doi.org/10.1016/j.dsx.2020.08.022
Nassar, M., Daoud, A., Nso, N., Medina, L., Ghernautan, V., Bhangoo, H., Nyein, A., Mohamed, M., Alqassieh, A., Soliman, K., Alfishawy, M., Sachmechi, I. & Misra, A. (2021). Diabetes mellitus and COVID-19: Review article. Diabetes & Metabolic Syndrome, 15(6), 102268– 102268. https://doi.org/10.1016/j.dsx.2021.102268
Paulsamy, P., Ashraf, R., Alshahrani, S. H., Periannan, K., Qureshi, A. A., Venkatesan, K., Manoharan, V., Govindasamy, N., Prabahar, K., Arumugam, T., Venkatesan, K., Chidambaram, K., Kandasamy, G., Vasudevan, R. & Krishnaraju, K. (2021). Social support, self-care behaviour and self-efficacy in patients with Type 2 diabetes during the COVID-19 pandemic: A cross-sectional study. Healthcare (Basel, Switzerland), 9(11), 1607. https://doi.org/10.3390/healthcare9111607
Peng, X., Chen, Y., Deng, L., Liu, Q., Li, Q., Xiong, J., Shi, Y. & Tang, S. (2020). Clinical features of critically ill patients infected with SARS-CoV-2 outside Wuhan with and without diabetes. International Journal of Diabetes in Developing Countries, 40(4), 482–490.
https://doi.org/10.1007/s13410-020-00888-3
Phitsanulok. (2021). Epidemic prevention measures 2019 or COVID-19. Retrieved (2022, November 13). from http://phitsanulok.go.th/COVID19/wp- content/uploads/2021/09/phitsanulok7298_17September21.pdf. (in Thai).
Phitsanulok Provincial Public Health Office. (2019). Annual report 2019. Retrieved (2022, November 13). from https://cloud.plkhealth.go.th/index.php/s/GG2gBBCkiJDABs6. (in Thai).
Pleym, K., Iversen, M. M. & Broström, A. (2022). Experiences and actions related to living with type 1 diabetes during the COVID-19 pandemic in Norway: A qualitative study conducted during July to December 2020. BMJ Open, 12(4), e056027. https://doi.org/10.1136/bmjopen-2021-056027
Renjith, V., Yesodharan, R., Noronha, J. A., Ladd, E. & George, A. (2021). Qualitative methods in health care research. International Journal of Preventive Medicine, 12, 20–20. https://doi.org/10.4103/ijpvm.IJPVM_321_19
Singhai, K., Swami, M. K., Nebhinani, N., Rastogi, A. & Jude, E. (2020). Psychological adaptive difficulties and their management during COVID-19 pandemic in people with diabetes mellitus. Diabetes & Metabolic Syndrome, 14(6), 1603–1605. https://doi.org/10.1016/j.dsx.2020.08.025
Sujan, Md. S. H., Tasnim, R., Islam, Md. S., Ferdous, Most. Z., Apu, Md. A. R., Musfique, Md. M. & Pardhan, S. (2021). COVID-19-specific diabetes worries amongst diabetic patients: The role of social support and other co-variates. Primary Care Diabetes, 15(5), 778–785. https://doi.org/10.1016/j.pcd.2021.06.009
Suwannakit, S., Wanchai, A., Sangkhamkul, C. & Poonsub, A. (2021). Self-management behaviors of persons with type 2 diabetes living in urban area. Boromarajonani College of Nursing, Uttaradit Journal, 13(1), 225–237. (in Thai).
Xin, Y., Duman, E. K., Yan, X., Gong, E., Xiong, S., Chen, X., Østbye, T. & Yan, L. L. (2022). Economic hardships from COVID-19 and its association with socioeconomic factors and diabetes management indicators: A cross-sectional study. Heliyon, 8(5), e09461. https://doi.org/10.1016/j.heliyon.2022.e09461