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SUMANDEEP VIDYAPEETH (Declared As Deemed to Be University U/S 3Of UGC Act 1956) (Accredited by NAAC 'A' Grade with 3.53 CGPA Scale)

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SUMANDEEP VIDYAPEETH (Declared As Deemed to Be University U/S 3Of UGC Act 1956) (Accredited by NAAC 'A' Grade with 3.53 CGPA Scale) “EFFECTIVENESS OF SELF-MANAGEMENT TRAINING ON TYPE 2 DIABETES MELLITUS”- A COMMUNITY BASED STUDY A Thesis Submitted To SUMANDEEP VIDYAPEETH (Declared as Deemed to Be University U/S 3of UGC act 1956) (Accredited by NAAC 'A' Grade with 3.53 CGPA scale) In partial fulfillment of the requirement for the award of DOCTOR OF PHILOSOPHY IN NURSING Under the Guidance of Dr. J. D. LAKHANI Professor in Medicine & Academic director SBKSMI & RC, SV Submitted by: Prof. RAVINDRA H.N. Principal, Sumandeep Nursing College Sumandeep Vidyapeeth Waghodia, Vadodara- 391760, Gujarat, India i SUMANDEEP VIDYAPEETH (Declared as Deemed to Be University U/S 3of UGC act 1956) (Accredited by NAAC 'A' Grade with 3.53 CGPA scale) Vadodara, Gujarat CERTIFICATE This is to certify that, this thesis entitled “Effectiveness of Self-Management Training on Type 2 Diabetes mellitus” - A community based study Submitted by Prof. RAVINDRA H.N. In partial fulfillment for the award of degree of Doctor of Philosophy In Nursing To Sumandeep Vidyapeeth, Vadodara This work has been carried out under my supervision and guidance. The matter compiled in this thesis has not been submitted earlier for the award of any other degree or fellowship and free from any kind of plagiarism. Name & Signature of Guide Dr. J. D. LAKHANI Date: Professor in Medicine & Place: Vadodara. Academic Director, SBKSMI & RC, SV ii SUMANDEEP VIDYAPEETH (Declared as Deemed to Be University U/S 3of UGC act 1956) (Accredited by NAAC 'A' Grade with 3.53 CGPA scale) Vadodara, Gujarat CERTIFICATE This is to certify that, this thesis entitled “Effectiveness of Self-Management Training on Type 2 Diabetes mellitus” - A community based study Submitted by Prof. RAVINDRA H.N. In partial fulfillment for the award of degree of Doctor of Philosophy In Nursing To Sumandeep Vidyapeeth, Vadodara This work has been carried out by me under the guidance of Dr. J. D. LAKHANI. The matter compiled in this thesis has not been submitted earlier for the award of any other degree or fellowship and free from any kind of plagiarism. Prof. RAVINDRA H N Date: Principal Place: Vadodara. Sumandeep Nursing College iii ACKNOWLEDGEMENT The completion of this Thesis gives me an immense joy and contentment after many years of demanding efforts, it also provides an opportunity to express my sincere gratitude to all those who had helped me in its successful completion. I owe my gratitude to all those people who have made this thesis possible and because of whom experience during my PhD has been one that I will cherish forever. I am thankful to the omnipotent “LORD GANESH” for his blessings throughout the uphill task of the present study. His unfailing presence helped me throughout the ups and downs of the endeavor. At the very outset, I wish to acknowledge and thanks to Sumandeep Vidyapeeth deemed University and Dr. Mansukh Shah Sir, President of Sumandeep Vidyapeeth, & Dr. Dixit M Shah Sir, Executive Trustee, Sumandeep Vidyapeeth for providing me opportunity to undergo PhD at esteemed Sumandeep Vidyapeeth Deemed University. I deem it a great privilege and honor to express my deepest sense of gratitude to esteemed teacher and guide Dr. J. D. Lakhani, Professor in Medicine & Academic director, SBKS MIRC, Sumandeep Vidyapeeth, for his constant support, valuable suggestions, encouragement and expert guidance. I learnt a lot from him, which I am sure, it will be useful throughout my academic career. I express my respectful gratitude to Veteran, Air Commodore Dr. G.D. Mehta, Chancellor, Sumandeep Vidyapeeth & Col. Dr. V. P. Singh, Officiating Vice Chancellor, Sumandeep Vidyapeeth for their blessings in completion of the Study. I wish to express my special sense of gratitude to Dr. Manoj. M. Sattigerri, Registrar, Sumandeep Vidyapeeth University, Vadodara who has offered me an opportunity to pursue higher studies. It is my privilege to convey my sincere gratitude and thanks to Dr. Poonacha, Controller of Examination Sumandeep Vidyapeeth for his timely help and cooperation since the Registration to completion of the study. I wish to express my sincere thanks and gratitude to Dr. A. K. Seth, Research Director, Dr. Niraj Pandit, Deputy Research Director, Dr. Manish Parmar, PhD coordinator, Sumandeep Vidyapeeth, Vadodara for the official approvals & constant monitoring to conduct the study. I express my deep sense of gratitude to my colleagues Mr. Swamy PGN, Asst. Professor, Mr. Suresh V, Associate Professor, Mr. Nirmal Raj, Asst professor and Mr. Rajesh P, Asst Professor for their constant, valuable contribution in bringing out this theses. My special Thanks to Mrs. Janki B Patel & Mr. Kevin Christian, Assistant Professors, Sumandeep Nursing college never can I forget who have been lead the team of trainers for Data collection throughout Waghodia taluka for long period of time and who were always ready for every task related to this research study. I extend my sincere thanks to Mr. Swamy PGN, Asst professor in Nursing SNC, Dr. Hemant Tiwari, Professor in Statistics, Ahmedabad, Dr. Medha Wadhwa, Assistant Professor, Department of Management, Sumandeep Vidyapeeth, for their guidance & active involvement in methodology, statistical analysis and presentation of data. My sincere thanks to Dr. Chaitri Shah, Intensivist, Dhiraj General Hospital, Dr. Hetal Pandya, HOD Medicine, SBKSMI & RC, Dr. Balaraman, Professor, Department of Pharmacy, Sumandeep Vidyapeeth, Dr. Sivabalan, Professor & Principal & Mrs Vimala Sivabalan, Associate professor, Pravara Institute of Nursing, Nasik, Maharashtra for validating tool and the module. I recognize the valuable support of Mr. Ramanlal Patidar, Ex-Assistant Professor, Sumandeep Nursing College. I am indebted to all the diabetic patients of Waghodia taluka for their valuable support as a sample of the study without which the study wouldn’t have been taken place. I express my sincere thanks to Mr.Raulji Jaydeepsinh, Head Clerk, Sumandeep Nursing College for formatting, printing and binding of my dissertation copies. I also express gratitude to Ms. Yashwanti Patak, Mrs. Nidhi Sagar, Mr. Bhogilal Rohit and Mr. Sandip Vasava, Non-teaching staff of Sumandeep Nursing College for their timely support. My special to thanks to the PG & UG Nursing students who have taken part in data collection during both diabetic demographic survey and intervention. I am deeply indebted to my father Mr. Ningaraju H. S., my mother Mrs. Kamala, Mr. Dharmendra HN my brother, Mrs. Yogeshwari & Mrs. Roopa my sisters, my beloved wife Mrs. Mythri K S, my daughter Baby Nishika and my son Master Dhyan for their support, prayer and constant encouragement throughout the study. Without them I could not have completed this study. My sincere thanks to the pre defense examiners Dr. G V Shah, Dean SBKSMI & RC, Dr. Sivabalan, Professor, Pravara Institute of Nursing, Nasik, Maharashtra, Dr. JD Lakhani, Professor in Medicine & Academic director, SBKS MIRC, Sumandeep Vidyapeeth, Dr. Hetal Pandya, HOD Medicine, SBKSMI & RC for their valuable suggestions in shaping this thesis in a better form. I thank all those names who are not mentioned but have directly or indirectly helped me successfully to complete this study. Place:-Vadodara Prof. Ravindra H N PREFACE Diabetes Mellitus is one of the major serious health problems throughout the world. Its incidence is much higher at present than it had been in the past. Although the disease is on the rise in both, developed and developing countries, it is far greater a problem in the latter, where in extreme cases affect 30-40% of adults as against 2-4% in the developed countries.In India, the level of awareness about diabetes and its consequences remains pathetically low. For many people, diabetes means it is just an increase in blood sugar level, which has to be controlled by a sugar free diet and some medications. Not many are aware of the serious implications of the disease. This thesis is the culmination of ideas of investigator who has practiced on diabetic patients and taught Medical Surgical Nursing and Nursing Research. This thesis is organized in three sections in logical sequence including all the Certificates, glossary, Chapters and annexure. Each chapter begins with introduction and ends with summary. Chapter – I covers general concept about diabetes mellitus, background of the study, need for the study, Statement of problem, Objectives, Operational definitions, Hypothesis and Conceptual framework. Chapter – II depicts the review of literature related to various aspects of diabetes mellitus. The gathered reviews are classified into nine categories. The History, Definition and Classification of Diabetes Mellitus, Current Scenario on Diabetes Mellitus, Literature related to diabetes and its knowledge, Diabetes and diabetes diet, Diabetes and exercise, Diabetes and foot care practice, Literature related to self Monitoring blood glucose level, Literature related to Self administration of insulin and Literature related to diabetes &recognizing complication Chapter – III deals with the methodology in which Research approach, Research design, setting of the study, Population, Sample and sample size, Sampling technique, Description of the tool, Pilot study, Data collection procedure and Plan for data analysis are incorporated. Chapter –IV represents the research result which includes analysis and interpretation of data collected to determine the effectiveness of Self-Management Training on Type 2 Diabetes mellitus. Chapter – V briefs about discussion and summary of the study. Chapter VI covers the Bibliography & references.
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