THE RELATIONSHIP BETWEEN SELF-CARE MANAGEMENT AND DIABETES FOOT ULCER RISK AMONG TYPE 2 DIABETES PATIENTS

2019 ◽  
Vol 9 (1) ◽  
pp. 46-50
Author(s):  
Hermanto Hermanto ◽  
Salustiano Salustiano
Keyword(s):  
Type 2 Diabetes ◽  
Quantitative Research ◽  
Care Management ◽  
Self Care ◽  
Foot Ulcer ◽  
The Body ◽  
P Value ◽  
Cross Sectional ◽  
Diabetes Patients

Diabetes is a disease that leads to death in developing countries including Indonesia.  Diabetic Foot Ulcers (DFU) is one of the clinical complications that result from the degenerative changes through the body.  The purpose of the study is to examine relationship between degree of self-care management and diabetes foot ulcer risk among type 2 diabetes patients.  In this study, the investigator utilized the quantitative research method with correlation design using cross-sectional approach.  With the computed value 0.000 lower than p value at 0.05 significant level statistical data analysis revealed a significant relationship between level of self-care management and foot ulcer risk.  The level of self-care management has strong influence on foot ulcer risk; better self-care management leads to lower risk of foot ulcer in type 2 diabetes patients.

scholarly journals RELATIONSHIP BETWEEN BLOOD PRESSURE AND URINE PROTEINS IN TYPE 2 DIABETES MELITUS PATIENTS IN KEDUNGMUNDU HEALTH CENTER

2020 ◽  
Vol 9 (2) ◽  
pp. 102-106
Author(s):  
Devi Etivia Purlinda ◽  
Widodo Widodo
Keyword(s):  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Blood Glucose ◽  
Health Center ◽  
Sampling Technique ◽  
P Value ◽  
Urine Protein ◽  
Cross Sectional ◽  
Diabetes Patients

Hyperglycemia trigger complication in type 2 Diabetes Mellitus patients such as diabetic nephropathy which cause of end-stage kidney failure. Monitoring of blood glucose and blood pressure are part of self-management to prevent complications of diabetes. This study aim to determine the characteristics of type 2 DM prolanis patients at the Kedungmundu Health Center based on age, sex, duration of suffering, blood pressure, and blood glucose. In addition, the relationship of blood pressure and urine protein is also analysed in this study. This research use observational analytic design with cross-sectional approaching. The dependent and independent variables of this study are protein urine and blood pressure. Forty-six of DM patients are choosen as research’s object using purposive sampling technique. The data was analysed using chi-square. The results show that ratio between female and male type 2 diabetes patients are 71.7% to 28.3%. In addition, about 63% of the patients are suffering type 2 diabetes less than 5 years. The results inform us that 50% of type 2 diabetes patients are 56-65 years old, about 52.2% of them have hypertension, and 84.8% hyperglycemia. There is a significant relationship between blood pressure and urine protein with a p-value of 0.038 (p-value ≤ 0.05).

Further Evidence of Psychometric Performance of the Self-care of Diabetes Inventory in Adults With Type 1 and Type 2 Diabetes

2021 ◽  
Author(s):  
Maddalena De Maria ◽  
Diletta Fabrizi ◽  
Michela Luciani ◽  
Rosario Caruso ◽  
Stefania Di Mauro ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Self Efficacy ◽  
Care Management ◽  
High Reliability ◽  
Self Care ◽  
The Self ◽  
Cross Sectional

Abstract Background The Self-care of Diabetes Inventory (SCODI) is a theory-based tool that measures self-care, a key strategy in the appropriate treatment of diabetes. However, despite the clinical differences between people with Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM), the psychometric properties of the SCODI were only tested in mixed samples. Purpose This study aims to test the psychometric performances of the SCODI in two separate groups of adults with T1DM and T2DM. Methods This is a secondary analysis from two previous multicentre cross-sectional observational studies involving patients with T1DM (n = 181) and T2DM (n = 540). We tested dimensionality with confirmatory factor analysis and reliability with a multidimensional model-based coefficient for every scale of the SCODI: self-care maintenance, self-care monitoring, self-care management, and self-care self-efficacy. Results We found that the SCODI showed the same dimensionality, with minimal variation in factor loadings for each factor and each scale among T1DM and T2DM groups. High reliability for each scale in both groups was also found (self-care maintenance: T1DM = 0.86, T2DM = 0.83; self-care monitoring: T1DM = 0.84, T2DM = 1.00; self-care management: T1DM = 0.87, T2DM = 0.86; self-care self-efficacy: T1DM = 0.88; T2DM = 0.86). Conclusion The SCODI can be used for measuring self-care in people with T1DM, T2DM, or mixed groups using identical scoring procedures. Considering the well-known differences between Type 1 and Type 2 diabetes diseases and patients’ characteristics, our results support the generalizability of the self-care theory on which the instrument is based.

scholarly journals Hubungan aktivitas fisik dengan kejadian neuropati diabetik pada penderita diabetes mellitus Tipe 2

2021 ◽  
Vol 15 (2) ◽  
pp. 176-186
Author(s):  
Asep Badrujamaludin ◽  
M Budi Santoso ◽  
Deipa Nastrya
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Diabetic Neuropathy ◽  
Quantitative Research ◽  
P Value ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Diabetes Melitus

The association of physical activity in people with type 2 diabetes and peripheral neuropathyBackground: Diabetes mellitus (DM) is a metabolic disease characterized by hyperglycemia due to the pancreas not producing enough insulin or the insulin produced cannot be used properly. According to data from International Diabetic Federation in 2019, Indonesia ranks 7th in the world with 10.7 million people with diabetes mellitus. There are pillars of diabetes mellitus management one of which is physical activity. Diabetic neuropathy is one of the complications of type 2 DM that can occur if the diabetes is not managed properly.Purpose:  To determine the association of physical activity in people with type 2 diabetes and peripheral neuropathyMethod: Quantitative research and correlation analytic with cross-sectional design. Sampling took by a purposive sampling of 103 respondents at  Cigugur Public Health Center, Collecting data using questionnaires, and nalyzed univariate (frequency distribution) and bivariate using Chi-Square test.Results: Finding most of the respondents had low physical activity (71.8%), and most of them had diabetic neuropathy (76.7%) with a p-value = 0,000Conclusion: There is a relationship between physical activity and peripheral neuropathy, suggestion for people with diabetes mellitus to do regular physical activity to control blood sugar levels and prevent complications of diabetic neuropathy and aerobic physical exercises such as walking, relaxed cycling, jogging, and swimming.Keywords: Physical activity; Patient; Type 2 diabetes; Peripheral neuropathyPendahuluan: Diabetes melitus (DM) adalah penyakit metabolik yang ditandai oleh hiperglikemia akibat pankreas tidak memproduksi cukup insulin atau insulin yang diproduksi tidak dapat digunakan dengan baik. Menurut data dari Internasional Diabetic Ferderation pada tahun 2019, Indonesia menempati urutan ke 7 di dunia dengan jumlah penderita diabetes melitus sebanyak 10,7 juta penderita. Terdapat pilar penatalaksanaan diabetes mellitus salah satunya adalah aktivitas fisik. Neuropati diabetik merupakan salah satu komplikasi dari DM tipe 2 yang dapat terjadi jika DM tersebut tidak dikelola dengan baikTujuan: Untuk mengetahui hubungan aktivitas fisik dengan kejadian neuropati diabetik pada penderita DM tipe 2Metode: Penelitian analitik korelasi dengan desain cross sectional. Teknik sampling yang digunakan purposive sampling. Jumlah sampel pada penelitian ini yaitu 103 responden. Teknik pengumpulan data menggunakan kuesioner. Data dianalisis secara univariat (distribusi frekuensi) dan bivariat menggunakan uji Chi-Square.Hasil: Sebagian besar dari responden memiliki aktivitas fisik ringan (71,8%), dan sebagian besar mengalami neuropati diabetik (76,7%) dengan p-value = 0.000.Simpulan: Terdapat hubungan antara aktivitas fisik dengan kejadian neuropati diabetik pada penderita DM tipe 2. Saran bagi penderita diabetes mellitus untuk melakukan aktivitas fisik teratur untuk mengontrol kadar gula darah dan mencegah terjadinya komplikasi neuropati diabetik serta latihan jasmani yang bersifat aerobik seperti jalan kaki, bersepeda santai, jogging, dan berenang.

How Do Basic Human Values Affect Self-Care of Type 2 Diabetes Patients? A Multicentre Observational Study

2019 ◽  
Vol 29 (5) ◽  
pp. 304-312 ◽  
Author(s):  
Michela Luciani ◽  
Paola Rebora ◽  
Emanuela Rossi ◽  
Luca Tonoli ◽  
Silvia Androni ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Care Management ◽  
Self Care ◽  
Human Values ◽  
Care Group ◽  
Cross Sectional ◽  
Openness To Change ◽  
Self Transcendence ◽  
Group D

In type 2 diabetes mellitus (T2DM) patients, human values have been identified as having a possible impact on self-care. Despite this, basic human values have never been described in the T2DM population and the association between basic human values and self-care has not been assessed. The aims of this study were to describe basic human values and self-care, and investigate the associations between basic human values and self-care in adults with T2DM. The study was cross-sectional multicentre with T2DM patients ( n = 390). Sociodemographic and clinical data were collected from charts, and two questionnaires were administered. The Portrait Values Questionnaire (PVQ) measured basic human values and allowed us to group patients into four groups based on the value profile: (A) Openness to Change and Self-Transcendence, (B) Conservation and Self-Transcendence, (C) Conservation and Self-Enhancement, and (D) Openness to Change and Self-Enhancement. The Self-care of Diabetes Inventory measured self-care maintenance, self-care monitoring, self-care management, and self-care confidence, according to the Middle-Range Theory of Self-Care of Chronic Illness. Multiple regression models were used to assess associations between the basic human values and self-care. Group D (Openness to Change and Self-Enhancement) performed significantly lower self-care maintenance ( p = .024) and self-care monitoring ( p = .031) when compared with Group A, and lower self-care monitoring ( p = .008) and self-care management ( p = .018) when compared with Group B. Group D showed significantly lower self-care monitoring ( p = .027) when compared with Group C. People with T2DM who value more self-enhancement and openness to change might be more prone to perform worse self-care compared with those who value conservation and self-transcendence. Clinicians should consider this when designing interventions aimed at improving self-care behaviors in patients with T2DM.

scholarly journals DETERMINAN AKTIVITAS SELF-CARE PADA PASIEN DM TIPE 2 DI RSUD LABUANG BAJI

2020 ◽  
Vol 2 (2) ◽  
pp. 8-17
Author(s):  
Natalia Paskawati Adimuntja
Keyword(s):  
Type 2 Diabetes ◽  
Self Care ◽  
Sampling Technique ◽  
Communicable Diseases ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Dm Type 2

Epidemiological transitions are characterized by increasing non-communicable diseases in the community. One of the non-communicable diseases that are found is Diabetes Mellitus (DM) type 2 disease. The purpose of this research is to know the determinant of self-care diabetes activity in patients with type 2 diabetes at the Labuang Baji Hospital in Makassar City. The research design is cross-sectional study. The population is all patients with type 2 diabetes DM treatment in 2016. Sampling is done by probability sampling technique with simple random sampling method and the number of sample 136 people. The results showed that respondents with self-care activities were less than 35 people (25.7%) and respondents with good self-care activities as many as 101 people (74.3%). The result of bivariate analysis (chi-square) showed that significant factor was correlated with self-care activity of DM type 2 patients with p-value

scholarly journals Hubungan Dukungan Sosial Keluarga dengan Perilaku Perawatan Diri pada Klien Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Kaliwates, Jember

2019 ◽  
Vol 7 (2) ◽  
pp. 120
Author(s):  
Wahyuningtias Rahmadani ◽  
Hanny Rasni ◽  
Kholid Rosyidi Muhammad Nur
Keyword(s):  
Diabetes Mellitus ◽  
Social Support ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Self Care ◽  
P Value ◽  
Cross Sectional ◽  
Significance Level ◽  
Family Social Support

Type 2 diabetes mellitus (T2DM) is a metabolic disease that can cause various chronic complications and they can be minimized by self-care. One of the factors that affect self-care in diabetic clients is family social support. The aim of the research was to analyze the correlation between family social support and self care behavior client with T2DM)in the area of Kaliwates public health center, Jember. This research applied an observational analytic design with cross-sectional approach. A total of 84 respondents were enrolled in this study by using purposive sampling technique. The data collection method used the HDFSS (Hensarling Diabetes Family Support Scale) and SDSCA (Summary of Diabetes Self Care Activity) questionnaires, it conducted on January 7th-22nd 2019. The data analysis used Spearman correlation test with a significance level of 0.05.The result showed that median of the family social support was 86 with a minimum value of 69 and a maximum value of 106, whereas the mean value of self-care behaviour was 2,27 days with a standard deviation of 0.45 days. There was a significant positive correlation between family sosial support and self-care behaviour (p value: 0.001; r; +0.378), meaning that the higher the level of family social support the better the self-care behaviour. This study suggests the importance of assessing family social support to improve self-care in clients with type 2 diabetes mellitus.

scholarly journals CORRELATION BETWEEN THE ROLE OF NURSE AS EDUCATOR AND SELF CARE BEHAVIOUR IN PATIENTS WITH TYPE 2 DIABETES MELLITUS AT INTERNAL MEDICINE UNIT OF BINA SEHAT HOSPITAL JEMBER

2017 ◽  
Vol 2 (1) ◽  
pp. 61
Author(s):  
Rima Ulfa Fahra ◽  
Nur Widayati ◽  
Jon Hafan Sutawardana
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Self Care ◽  
P Value ◽  
Type 2 Dm ◽  
Nurse Role ◽  
Diabetes Patients

Diabetes mellitus (DM) is a chronic disease that requires continuous self-care. Education by nurses can support self-care behavior of patients with type 2 DM. Good knowledge affects self-care of type 2 diabetes patients so that metabolic control can be achieved. This study aimed to identify the correlation between the role of nurse as educator and self-care behaviour in patients with type 2 diabetes mellitus. This research applied a descriptive analytic design with cross sectional approach. A total of 63 respondents were enrolled in this study by using consecutive sampling technique. Data collection was conducted by administering questionnaires of nurse role as educator and Summary of Diabetes Self Care Activities (SDSCA). Data were analyzed by using Spearman correlation test with significance level of 0.05. The result showed that the mean value of nurse role and self-care behaviour was 59.84 and 3.79 respectively. The p value was 0.000 (p<0.05) with the correlation coefficient (r) of 0.851. It indicates that there was a significant correlation between nurse role as educator and self-care behaviour in patients with type 2 DM. The correlation was strong and positive which means the better the nurse's role as educator the better the patient's self-care behaviour. The education gained by the patients can affect the motivation to perform self-care behaviour. This study suggests the importance of nurse role in providing education in type 2 diabetes patients to optimize self-care behaviour.

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