Determinants of Diabetes Self Care in Patients With Type 2 Diabetes Mellitus in Banyumas Regency

Eva Rahayu, Ridlwan Kamaluddin, Eti Dwi Hapsari

Abstract

DETERMINANTS OF DIABETES SELF-CARE ON PATIENTS WITH TYPE 2 DIABETES MELLITUS IN BANYUMAS REGENCY

Eva Rahayu, Ridlwan Kamaluddin, Eti Dwi Hapsari

Lecturer of Nursing Department, Jenderal Soedirman University

“ummufawwaz.rahayu@gmail.comâ€

 

ABSTRAK

Penderita diabetes tipe 2 perlu menerapkan perawatan mandiri diabetes dalam rangka meminimalisir berbagai komplikasi dan penurunan kualitas hidup. Beberapa faktor diduga memiliki pengaruh terhadap penerapan  perawatan mandiri diabetes oleh penderita diabetestipe 2 di Kabupaten Banyumas. Tujuan penelitian ini adalah untuk  mengetahui faktor determinan yang berhubungan dengan penerapan perawatan mandiri  diabetes tipe 2 di Wilayah Kabupaten Banyumas. Penelitian ini menggunakan desain cross sectional. Populasi adalah seluruh penderita diabetes melitus tipe 2 se-Kabupaten Banyumas. Metode penarikan sample dengan teknik cluster sampling  dengan besar sampel 532 orang yang tersebar di 22 puskesmas se-Kabupaten Banyumas. Analisis data menggunakan uji korelasi Spearman dan Regresi Linier Ganda. Hasil penelitian menunjukkan nilai p pada masing–masing variabel yang dihubungkan dengan perawatan mandiri diabetes antara lain adalah jenis kelamin (p=0,043),usia (p=0,18), lama menderita diabetes (p= 0,11)  pengetahuan (p=0,000), motivasi (=0,01), serta dukungan keluarga (p=  0,000). Sebesar 10,4 % variasi perawatan mandiri diabetes  dapat dijelaskan oleh variabel pengetahuan dengan koefisien β = 0,32.  Kesimpulan penelitian adalah ada hubungan antara jenis kelamin, pengetahuan, motivasi dan dukungan keluarga dengan perawatan mandiri diabetes. Variabel pengetahuan menjadi faktor yang paling dominan berhubungan dengan perawatan mandiri diabetes.

Kata kunci : determinan, diabetes melitus, perawatan mandiri diabetes

 

 

 

ABSTRACT

 

Patients with type 2 diabetes need to apply self-care in order to minimize various complications and decreasing quality of life. Several factors are assumed to have an effect on the application of diabetes self-care by patients with type 2 diabetes in Banyumas Regency.  The purpose of this research was to determine the determinants related to the application of diabetes self care by patients withtype 2 diabetesin Banyumas Regency. This research used cross sectional design. Population was all patients with type 2 diabetes mellitus in Banyumas Regency. Sampling method was performed by cluster sampling technique with sample size of 532 patients spreading in 22 community health centers (Puskesmas) in Banyumas Regency. Data analysis used Spearman correlation test and Multiple Linear Regression. The result indicated that p value in each variable affecting diabetes self-care was gender  (p=0,043), age (p=0.18), duration of diabetes (p= 0.11) , knowledge (p=0.000), motivation (=0.01), and family support (p=  0.000). 10.4 % variation in diabetes self-care can be explained by knowledge variable with the coefficient β = 0.32.  It can be concluded that there was a relationship among gender, knowledge, motivation and family support on diabetes self-care. Knowledge variable was the most dominant factor related to diabetes self-care.

 


Keywords : determinants, diabetes mellitus, diabetes self-care

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References

Albikawi, Z.F., & Abuadas,M. (2015). Diabetes self care management behaviour among Jordan type two diabetes patient. American International Journal of Contemporary Research Vol. 5, No. 3; June 2015. http://www.aijcrnet.com/journals/Vol_5_No_3_June_2015/11.pdf

American Diabetes Association. (2010). Diagnosis and classification of diabetes melitus. Diabetes Care., 33(Supplement.1), S62-S69. https://doi.org/10.2337/dc10-S062

Bay, Y.L., Chiou, C.P., & Chang, Y.Y . (2009). Self care behavior and related factor in older people with type 2 diabetes. Journal of clinical Nursing 18: 3308-3315.

Dinas Kesehatan Kabupaten Banyumas. (2012). Profil kesehatan kabupaten Banyumas tahun 2012.Banyumas: DKK Banyumas.

Dinas Kesehatan Kabupaten Banyumas. (2013). Profil kesehatan kabupaten Banyumas tahun 2013.Banyumas: DKK Banyumas

Dinas Kesehatan Kabupaten Banyumas. (2014). Profil kesehatan kabupaten Banyumas tahun 2014.Banyumas: DKK Banyumas

Friedman, M.M., Bowden, V.R., Jones, E.G. (2012). Family nursing: research, theory and practice. New Jersey: Pearson Education.

Gultom, Y.T. (2012).Tingkat pengetahuan tentang manajemen diabetes melitus di rumah sakit pusat angkatan darat Gatot Soebroto Jakarta Pusat. Skripsi. Universitas Indonesia

Gunggu, A., Thon, C.C., Lian, C.W. (2016). Predictors of diabetes self management among type 2 diabetes patients. Journal of Diabetes Research, vol 2016, article ID 9158943, 7 pages. http://dx.doi.org/10.1155/2016/9158943.

Heisler, M., Bouknight, R.R., Hayward, R.A., Smith, D.M., & Ker, E.A. .(2007). Does Physician communication influence older patient’s diabetes self management and glycemic control?result from the health and retirement study. Journal of Gerontology, 62A (12): 1435-1441.

Huang, Liu, Zhang, Yao (2013). Correlation between self-management and knowledge of and attitude to diabetes in type 2 diabetic patients in Changsha. Journal of Central South University. Medical sciences, 38(2):176-81. doi: 10.3969/j.issn.1672-7347.2013.02.011.

International Diabates Federation. (2015). Diabetes atlas, (7thed). Brussells: International Diabates Federation. http://www.diabetesatlas.org/resources/2015-atlas.html

Kementrian Kesehatan, R.I. (2013). Riset kesehatan dasar : Riskesdas 2013. Jakarta: Badan Penelitian Dan Pengembangan Kesehatan.

Kurnia, A.D., Amatayakul, A., Karuncharernpanit, S., (2015). Factors Related To Diabetes Self-Management Among Adults With Type 2 Diabetes Mellitus In Malang City, East Java, Indonesia. 2015 ANPOR ANNUAL Conference. https://www.researchgate.net/profile/Sirikul_Karuncharernpanit/publication/301232087

Kusniawati. (2011). Analisis faktor yang berkontribusi terhadap self care diabetes pada klien diabetes melitus tipe 2 di rumah sakit umum Tangerang. Thesis. Universitas Indonesia. http://lontar.ui.ac.id/file?file=digital/20281676-T%20Kusniawati.pdf

Mayberry, L.S., & Osborn, C.Y. (2012). Family support, medication adherence, and glycemic control among adult with type 2 diabetes. Diabetes Care, vol.35, no6: 1239-1245. http://care.diabetesjournals.org/content/35/6/1239.long

Notoatmojo, S. (2010). Promosi kesehatan, teori dan aplikasi. Jakarta: Rineka Cipta.

Quittenbaum, S. (2007). Diabetes. N. Grefberg & L-G. Johansson (Red.), Medicinboken: Vård avpatienter med invärdes sjukdomar (p. 347-358). Slovenien: Liber AB.

Rahayu, H.,T.(2014). Living with chronic illness: factors associated with self -management behavior among community diabetes patients in indonesia. Master Thesis. National Cheng Kung University.

Ryan, R., & Deci E. (2000). Self determination theory and the facilitation of instrinsic motivation, social development and well-being.American psychologist, 55,66-78.

Shigaki, C., Kruse, R.L., Mehr, D., Sheldon, K.M.,& Moore, C. (2010). Motivation and diabetes self managemet. Journal of Psycology,6 (3) .110-115.

Sigurdardottir, A.K. (2005). Sel care in diabetes: model of affecting self care. Journal of Clinical Nursing, 14,301-3014.

Sousa, V.D., & Zauszniewski, J.A. (2005). Toward a theory of diabetes self care management. The journal of Theory Construction & Testing, 9 (2),61-67.

Vivienne, S.F., Courtney, M., Edward, H., McDowell,J., Shortridge-Bagget, L.M, & Chang,P. (2007). Self Efficacy, outcome expectation and self care behaviour in people with type 2 diabetes in Taiwan. Journal Compilation: 250-256.

World Health Report .(2010). Global Health Observatory (GHO) of Non Communicable Desease.http://www.who.int/gho/ncd/en/

Xu Yin, Toobert, D., Savage, C., Pan, W., & Whitmer, K. (2008). Factor influencing diabetes self- management in Chinese people with type 2 diabetes. Research in Nursing & Health, Vol. 31: 613-625.

Yusra, A. (2011). Hubungan antara dukungan keluarga dengan kualitas hidup pasien diabetes melitus tipe 2 di poliklinik penyakit dalam rumah sakit Fatmawati Jakarta. Thesis. Universitas Indonesia

DOI: http://dx.doi.org/10.20884/1.jks.2018.13.2.763

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