scholarly journals PENGARUH MOTIVASI INTERNAL DAN EKSTERNAL TERHADAP DIABETES SELF MANAGEMENT DI WILAYAH KECAMATAN GOMBONG KABUPATEN KEBUMEN

2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Ernawati Ernawati ◽  
Elsa Pudji Setiawati ◽  
Titis Kurniawan
Keyword(s):  
Diabetes Mellitus ◽  
Structural Equation Modeling ◽  
Structural Equation ◽  
Self Regulation ◽  
Self Care ◽  
Self Management ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Diabetes Melitus

Diabetes Melitus merupakan penyakit kronik, oleh karena itu peran self-management sangat penting dalam perawatan maupun pencegahan komplikasi. Salah satu faktor yang mempengaruhi diabetes self management yaitu motivasi. Tujuan menganalisis dimensi kebutuhan dan keyakinan yang menggambarkan motivasi internal, menganalisis dimensi penghargaan dan harga diri yang menggambarkan motivasi eksternal, menganalisis dimensi diet, aktivitas fisik, pemeriksaan rutin, konsumsi obat, perawatan kaki yang menggambarkan diabetes self management,  menganalisis pengaruh motivasi internal dan eksternal terhadap diabetes self management. Penelitian kuantitatif korelasional,dilaksanakan 12 Februari s.d 6 Juni 2015 di Kecamatan Gombong, Kabupaten Kebumen, sampel 92 responden, teknik proporsional sampling, pendekatan cross sectional. Menggunakan kuesioner karakteristik demografi, Treatment Self-Regulation Questionnaire (TSRQ), The Summary of Diabetes Self Care Activities (SDSCA).  Analisis data menggunakan Structural Equation Modeling (SEM) dengan software Smart-PLS. Hasil menunjukkan dimensi kebutuhan (0,989), keyakinan (0,989) mampu menggambarkan motivasi internal, dimensi penghargaan (0,925), harga diri (0,800) mampu menggambarkan motivasi eksternal. Dimensi diet, aktivitas fisik, pemeriksaan rutin, konsumsi obat,  perawatan kaki mampu menggambarkan diabetes self management. Ada pengaruh signifikan motivasi internal dan eksternal (t-statistik = 3,799 ; 3,117), memberikan pengaruh sebesar 43,10% terhadap diabetes self management (R²=0,431). Motivasi internal dan eksternal berpengaruh terhadap diabetes self management. Penting bagi perawat komunitas untuk melakukan pengkajian dan mengoptimalkan sumber motivasi internal dan eksternal dalam diabetes self management.                                 Kata kunci : Diabetes Mellitus Tipe 2, Diabetes Self Management, Motivasi Eksternal,  Motivasi Internal

scholarly journals Application of structural equation modeling in assessing the self-management activities of patients with type 2 diabetes

2020 ◽  
Vol 11 ◽  
pp. 215013272097420
Author(s):  
Rashid M. Ansari ◽  
Mark Harris ◽  
Hassan Hosseinzadeh ◽  
Nicholas Zwar
Keyword(s):  
Type 2 Diabetes ◽  
Structural Equation Modeling ◽  
Glycemic Control ◽  
Structural Equation ◽  
Self Care ◽  
The Self ◽  
Self Management ◽  
Equation Modeling ◽  
Chi Squared

Objective This study aimed at assessing the self-management activities of type 2 diabetes patients using Structural Equation Modeling (SEM) which measures and analyzes the correlations between observed and latent variables. This statistical modeling technique explored the linear causal relationships among the variables and accounted for the measurement errors. Methods A sample of 200 patients was recruited from the middle-aged population of rural areas of Pakistan to explore the self-management activities of type 2 diabetes patients using the validated version of the Urdu Summary of Diabetes Self-care Activities (U-SDSCA) instrument. The structural modeling equations of self-management of diabetes were developed and used to analyze the variation in glycemic control (HbA1c). Results The validated version of U-SDSCA instrument showed acceptable psychometric properties throughout a consecutive reliability and validity evaluation including: split-half reliability coefficient 0.90, test-retest reliability (r = 0.918, P  ≤ .001), intra-class coefficient (0.912) and Cronbach’s alpha (0.79). The results of the analysis were statistically significant (α = 0.05, P-value < .001), and showed that the model was very well fitted with the data, satisfying all the parameters of the model related to confirmatory factor analysis with chi-squared = 48.9, CFI = 0.94, TLI = 0.95, RMSEA = 0.065, SPMR = 0.068. The model was further improved once the items related to special diet were removed from the analysis, chi-squared value (30.895), model fit indices (CFI = 0.98, TLI = 0.989, RMSEA = 0.045, SPMR = 0.048). A negative correlation was observed between diabetes self-management and the variable HbA1c (r = –0.47; P < .001). Conclusions The Urdu Summary of Diabetes Self-Care Activities (U-SDSCA) instrument was used for the patients of type 2 diabetes to assess their diabetes self-management activities. The structural equation models of self-management showed a very good fit to the data and provided excellent results which may be used in future for clinical assessments of patients with suboptimal diabetes outcomes or research on factors affecting the associations between self-management activities and glycemic control

scholarly journals Kecerdasan Spritual dalam Self-Management pada Pasien Diabetes Melitus Tipe 2

2019 ◽  
Vol 8 (1) ◽  
pp. 56
Author(s):  
Mohammad Dheni Ardhiyanto ◽  
Kusnanto Kusnanto ◽  
Aria Aulia Nastiti ◽  
Hidayat Arifin
Keyword(s):  
Diabetes Mellitus ◽  
Self Care ◽  
Self Management ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Diabetes Melitus

Introduction. Kesadaran pasien DM tipe 2 yang kurang dan lamanya menderita merupakan faktor yang menghambat penderita DM tipe 2 sehingga tidak menjalankan self-management dengan baik. Tujuan dari penelitian ini adalah untuk mengetahui hubungan kecerdasan spiritual dan lama menderita dengan self-management pada penderita Diabetes mellitus (DM) tipe 2. Methods. Rancangan penelitian menggunakan cross sectional. Populasinya adalah pasien diabetes melitus tipe 2. Total sampel adalah 167 responden, diambil sesuai kriteria inklusi dan ekslusi. Teknik sampling yang digunakan adalah purposive sampling. Variabel independen adalah kecerdasan spiritual dan lama menderita. Variabel dependen adalah self-management. Data dikumpulkan dengan menggunakan kuisioner Kecerdasan Spiritual dan The Summary of Diabetes Self Care Activities (SDSCA), dan dianalisis menggunakan analisis spearman rho. Results.Hasil menunjukan bahwa ada hubungan kecerdasan spiritual dengan self-management (p=0,000) dan tidak ada hubungan lama menderita dengan self-management diet (p=0,879). Discussion. kecerdasan spiritual yang tinggi dapat membuat penderita DM tipe 2 memiliki self-management yang baik. lama menderita DM belum tentu membuat penderita DM memiliki self-management baik. selama penderita DM tipe 2 memiliki kesadaran untuk mejalankan self-management dengan baik, komplikasi dapat dicegah

scholarly journals Stress and Its Impact on Academic and Social Life of Undergraduate University Students in Ghana: A Structural Equation Modeling Approach

2020 ◽  
Vol 2 (1) ◽  
pp. 37-44
Author(s):  
Koawo Edjah ◽  
Francis Ankomah ◽  
Ebenezer Domey ◽  
John Ekow Laryea
Keyword(s):  
Structural Equation Modeling ◽  
Undergraduate Students ◽  
Social Life ◽  
Structural Equation ◽  
Positive Impact ◽  
Survey Design ◽  
Equation Modeling ◽  
Cross Sectional Survey ◽  
Satisfaction Scale ◽  
Cross Sectional

AbstractStress is concomitant with students’ life and can have a significant impact on their lives, and even how they go about their academic work. Globally, in every five visits by patients to the doctor, three are stress-related problems. This study examined stress and its impact on the academic and social life among students of a university in Ghana. The descriptive cross-sectional survey design was employed. Using the stratified and simple random (random numbers) sampling methods, 500 regular undergraduate students were engaged in the study. A questionnaire made up of Perceived Stress Scale and Students’ Life Satisfaction Scale was used to gather data for the study. Frequencies, percentages, means and standard deviation, and Structural Equation Modeling (SEM), with AMOS were used for the analyses. It was found that majority of the students were moderately stressed. Paramount among the stressors were academic stressors, followed by institutional stressors, and external stressors. Stress had a significant positive impact on the academic and social life of students. It was concluded that undergraduate students, in one way or the other, go through some kind of stress during the course of their study. It was recommended that the university, through its Students’ Affairs, and Counselling Sections, continue to empower students on how to manage and deal with stress in order to enhance their academic life.

The Irritation Scale as an Instrument to Measure Stress among University Students

2013 ◽  
Vol 16 ◽  
Author(s):  
Enrique Merino-Tejedor ◽  
Joan Boada-Grau ◽  
José C. Sánchez-García ◽  
Pedro Miguel Hontangas-Beltrán
Keyword(s):  
Structural Equation Modeling ◽  
University Students ◽  
Self Efficacy ◽  
Structural Equation ◽  
Self Regulation ◽  
Equation Modeling ◽  
International Studies ◽  
Two Factors ◽  
Workplace Setting ◽  
General Self Efficacy

AbstractThe objective of this study was to verify the factor validity and structure of the “Irritation Scale” in a sample of 578 Spanish university students. At the same time, the study aimed to verify the criterion-related validity of the scale, analyzing the results obtained through correlation with other variables, such as general self-efficacy, self-regulation, depression, and certain personality dimensions. The results obtained through the Exploratory Structural Equation Modeling approach (ESEM) using Mplus confirmed the presence of two factors in the Irritation Scale, as observed in other international studies within a workplace setting. The significant correlations obtained between the Irritation Scale and the variables considered in the study confirmed the construct validity and verified that irritation is significantly and positively associated with depression and academic burnout, and is negatively associated with general self-efficacy and self-regulation.

scholarly journals Implementation of Online Hospitals and Factors Influencing the Adoption of Mobile Medical Services in China: Cross-Sectional Survey Study (Preprint)

2020 ◽  
Author(s):  
Huanlin Wang ◽  
LanYu Liang ◽  
ChunLin Du ◽  
YongKang Wu
Keyword(s):  
Structural Equation Modeling ◽  
Structural Equation ◽  
Western China ◽  
Medical Services ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Medical Resources ◽  
Hypothesis Model ◽  
Effort Expectancy ◽  
Willingness To Use

BACKGROUND Online hospitals are part of an innovative model that allows China to explore telemedicine services based on national conditions with large populations, uneven distribution of medical resources, and lack of quality medical resources, especially among residents needing to be protected from COVID-19 infection. OBJECTIVE In this study, we built a hypothesis model based on the unified theory of acceptance and use of technology in order to analyze the factors that may influence patients’ willingness to use mobile medical services. This research was designed to assist in the development of mobile medical services. Residents who do not live in urban areas and cannot access medical assistance would greatly benefit from this research, as they could immediately go to the online hospital when needed. METHODS A cross-sectional study based at the West China Hospital, Sichuan University, was conducted in July 2020. A total of 407 respondents, 18 to 59 years old, in Western China were recruited by convenience sampling. We also conducted an empirical test for the hypothesis model and applied structural equation modeling to estimate the significance of path coefficients so that we could better understand the influencing factors. RESULTS Out of 407 respondents, 95 (23.3%) were aware of online hospitals, while 312 (76.7%) indicated that they have never heard of online hospitals before. Gender (<i>P</i>=.048) and education level (<i>P</i>=.04) affected people’s willingness to use online hospitals, and both of these factors promoted the use of online hospitals (odds ratio [OR] 2.844, 95% CI 1.010-8.003, and OR 2.187, 95% CI 1.031-4.636, respectively). According to structural equation modeling, the results of the path coefficient analysis indicated that performance expectancy, effort expectancy, and facilitating conditions have positive effects on patients’ willingness to use online hospitals. CONCLUSIONS The goal of our research was to determine the factors that influence patients’ awareness and willingness to use online hospitals. Currently, the public’s awareness and usage of online hospitals is low. In fact, effort expectancy was the most important factor that influenced the use of online hospitals; being female and having a high education also played positive roles toward the use of mobile medical services.

scholarly journals Loneliness, Emotion Dysregulation, and Internalizing Symptoms During Coronavirus Disease 2019: A Structural Equation Modeling Approach

2021 ◽  
Vol 11 ◽  
Author(s):  
Patrizia Velotti ◽  
Guyonne Rogier ◽  
Sara Beomonte Zobel ◽  
Rosetta Castellano ◽  
Renata Tambelli
Keyword(s):  
Structural Equation Modeling ◽  
Los Angeles ◽  
Internalizing Symptoms ◽  
Emotion Dysregulation ◽  
Structural Equation ◽  
Demographic Data ◽  
Clinical Intervention ◽  
Equation Modeling ◽  
Emotional States ◽  
Cross Sectional

Background: Our study aimed to test the hypotheses that an increased level of loneliness experienced during coronavirus disease 2019 (COVID-19) confinement was predictive of internalizing symptoms and that this pathway was mediated by emotion dysregulation levels.Methods: To reach this aim, we performed an online longitudinal survey recruiting 1,330 participants at Time 1 (at the beginning of the lockdown) and 308 participants at Time 2 (few days before the end of the lockdown). All filled out a set of questionnaires: demographic data, University of California, Los Angeles Loneliness scale, Difficulties in Emotion Regulation Scale−18 items, and Depression Anxiety and Stress Scale−21 items. Hypotheses were tested using structural equation modeling in two steps and controlling for age. First, hypotheses were tested on cross-sectional data. Then, a cross-lagged panel analysis was performed on longitudinal data.Results: Models obtained a good fit and evidenced the predictive role of loneliness levels on the three outcomes (i.e., depression, anxiety, and stress). Moreover, we found that emotion dysregulation levels partially mediated the longitudinal relationship between loneliness and both depression and stress but not between loneliness and anxiety levels.Conclusions: This study points out that a central goal of clinical intervention could be the ability to regulate negative emotional states.

scholarly journals The Relationship between English Language Learner Characteristics and Online Self-regulation: A Structural Equation Modeling Approach

2020 ◽  
Vol 12 (7) ◽  
pp. 3009 ◽  
Author(s):  
Wei Wang ◽  
Ju Zhan
Keyword(s):  
Structural Equation Modeling ◽  
English Learners ◽  
Structural Equation ◽  
Self Regulation ◽  
Learning Motivation ◽  
Equation Modeling ◽  
English Learning ◽  
Learner Characteristics ◽  
Learner Beliefs ◽  
Learning Anxiety

Learner beliefs, anxiety, and motivation are three common learner characteristics. They have consistently been found to account for language learning performance. Meanwhile, self-regulation is critical in sustaining online learners’ continuous efforts and predicting their learning outcomes. Despite the massive and rapidly increasing number of online English learners, few studies have clarified the assumed relationships between learner characteristics (learner beliefs, anxiety, motivation) and self-regulation in the online English learning context. This study aims to fill the gap by conducting structural equation modeling analysis to examine their relations. To fulfill the research purpose, we adopted the previous questionnaires with sufficient reliability as instruments to evaluate students’ online English learner beliefs, learning anxiety, learning motivation and online self-regulated English learning. The valid responses collected from 425 Chinese undergraduate university students enrolled in an online academic English writing course provided the data source. The results indicated that learner beliefs positively predicted, while learning anxiety negatively predicted, online self-regulated English learning. Online English learning motivation was a mediator in these associations. The findings suggested that stronger learner beliefs of self-efficacy and perceived value of English learning promoted learning motivation and self-regulation. In contrast, higher learning anxiety, such as test anxiety and fear of negative evaluation, harmed learners’ motivation and their online self-regulated English learning.

An Exploratory Study of Pathways from White Matter Hyperintensities to Cognitive Impairment through Depressive Symptoms Using Structural Equation Modeling: A Cross Sectional Study in Patients with Dementia

2020 ◽  
Vol 26 (7) ◽  
pp. 679-689
Author(s):  
Chang Hyun Lee ◽  
Do Hoon Kim
Keyword(s):  
Cognitive Impairment ◽  
Structural Equation Modeling ◽  
Depressive Symptoms ◽  
Cognitive Function ◽  
White Matter ◽  
Structural Equation ◽  
White Matter Hyperintensities ◽  
Mediating Effect ◽  
Equation Modeling ◽  
Cross Sectional

AbstractObjective:The aim of this study was to model the relationships among white matter hyperintensities (WMHs), depressive symptoms, and cognitive function and to examine the mediating effect of depressive symptoms on the relationship between WMHs and cognitive impairment.Methods:We performed structural equation modeling using cross-sectional data from 1158 patients from the Clinical Research for Dementia of South Korea (CREDOS) registry who were diagnosed with mild-to-moderate dementia. Periventricular white matter hyperintensities (PWMHs) and deep white matter hyperintensities (DWMHs) were obtained separately on the protocol of magnetic resonance imaging (MRI). Depression and cognitive function were assessed using the Korean Form of the Geriatric Depression Scale (KGDS) and the Seoul Neuropsychological Screening Battery (SNSB), respectively.Results:The model that best reflected the relationships among the variables was the model in which DWMHs affected cognitive function directly and indirectly through the depressive symptoms; on the other hand, PWMHs only directly affected cognitive function.Conclusions:This study presents the mediation model including the developmental pathway from DWMHs to cognitive impairment through depressive symptoms and suggests that the two types of WMHs may affect cognitive impairment through different pathways.

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