School of Nursing Capstones
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Browsing School of Nursing Capstones by Author "Benavente, Viola"
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Item Evaluating the Effectiveness of the Personal Diabetes Questionnaire in the Primary Care Setting [paper](2019-05) Wisco, Carolyn; Urbanosky, Staci; Fisher, Roger; Benavente, ViolaType 2 diabetes mellitus (T2DM) is a chronic illness managed daily by patients themselves. Poorly controlled diabetes is associated with micro- and macrovascular complications leading to increased morbidity. The Personal Diabetes Questionnaire (PDQ) is a reliable and valid tool that has not been tested in primary care and provides a comprehensive evaluation of knowledge, perceived barriers, and motivational aspects in T2DM self-management. The study aims were to evaluate T2DM self-management of patients in primary care as measured by the PDQ and explore the relationships between perceived barriers and readiness to change and patient self-reported glycated hemoglobin values (HbA1c). A cross-sectional, pilot study was conducted in a convenience sample from south central Texas, N=11. The PDQ assesses four behavioral domains by 13 subscales: blood glucose control, diet, medications, and physical activity. The SPSS software was used for statistical analysis and correlation coefficient techniques were applied to determine significant associations between study variables. Overall, subscales demonstrated good internal consistency (Cronbach’s α=0.56-0.82). No statistically significant correlations existed between HbA1c and participant perceived barriers or readiness to change. Participants were reportedly preparing or actively trying to lose weight and perceived few barriers to completing self-care activities. While participants reported well managed diabetes, their self-management was suboptimal regarding diet behaviors, glucose monitoring, and physical activity. Participants reported optimal diabetes medication adherence. The PDQ remains a valuable tool that can be used by primary care providers to facilitate optimal, patient-centered self-management evaluation and education and minimize diabetes complications.Item Preventative Effects of Cranberry Products Against Urinary Tract Infections in Healthy, Immunocompetent Women [paper](2019-05) Cordova, Trianna; Henninger, Angela; Reckson, Samantha; Benavente, ViolaUrinary tract infections (UTIs) are commonly diagnosed in an estimated 300 million women per year around the world. Annual health care costs for diagnosis and treatment of UTIs in the United States is approximately $1.6 billion. Previous research suggests cranberry products, a complementary and alternative medicine (CAM), provides protection against UTI recurrence in women. A demand for alternative, cost-effective methods for UTI prevention is needed due to rising antibiotic resistance rates. In this cross-sectional study, the specific aims examined women’s use, knowledge of, and attitudes toward CAM, and the use of cranberry products to prevent UTIs. An online self-administered questionnaire, the Holistic Complementary and Alternative Medicine Questionnaire (HCAMQ), was distributed to a convenience sample of healthy women 18 to 65 years of age who attended Texas State University. Findings revealed 27% of women have used CAM in the past, but only 9.2% are currently using it. The most common types of CAM used are vitamins and herbal supplements (61%), meditation/mindfulness (48%), yoga (35%), and acupuncture (22%). The HCAMQ survey scores indicated a more positive attitude towards CAM and holistic health (HH). About 60% of women admitted to using cranberry product to prevent UTIs with positive results in 82% of them. Although 73% of participants believe CAM is worth trying, 82% of them believe more testing is needed and 67% believe CAM can be dangerous because it prevents patients from seeking traditional treatment for their illnesses. Increased patient education is needed to change attitudes and increase usage of CAM.