scholarly journals Efikasi Diri Berhubungan dengan Kepatuhan Manajemen Diri pada Pasien Diabetes Melitus di Wilayah Kerja Puskesmas Buleleng III

2019 ◽  
Vol 7 (1) ◽  
pp. 28-38
Author(s):  
Ni Komang Desi Tri Handayani ◽  
Putu Wira Kusuma Putra ◽  
Ida Ayu Agung Laksmi

  Diabetes mellitus is a group of metabolic diseases with characteristics of hyperglycemia that occur due to abnormal insulin secretion and insulin performance. Prevention of the occurrence of DM complications can be done by obediently doing good self-management behavior. Self-management compliance of good diabetes mellitus can achieve success if individuals have the knowledge, skill, and self-efficacy to manage diabetes mellitus. Self-efficacy determines how a person feels, thinks, motivates himself, and behaves from time to time. This study aimed to determine the correlation between self-efficacy and self-management compliance of diabetes mellitus patients. This study used the Cross-Sectional approach with a number of samples was 139 respondents. The sample selection used nonprobability sampling, especially purposive sampling. Data collection tools used questionnaires. Self-efficacy could be measured using the general self-efficacy questionnaire (GSE) and self-management compliance could be measured using the DSMQ (Diabetes Self-Management Questionnaire). Data analysis used Spearman Rank correlation analysis. The results obtained that p-value 0,0001 (p <0,05), therefore it could be concluded that there was a correlation between self-efficacy and self-management compliance of diabetes mellitus patients. Researchers suggest that health care workers can help patients with diabetes mellitus in improving their self-efficacy by providing motivation and IEC regarding patients’ self-management with diabetes mellitus.

2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Nety Mawarda Hatmanti

Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Diabetes Mellitus type 2 is a significant problem in the global health. This research was purposed to find out the correlation between self-efficacy and quality of life of the patients with Diabetes Mellitus type 2. The design of this research was cross sectional, in which 16 patients visiting the polyclinic of Puskesmas Gayungan Surabaya were chosen as the samples. The result of research using Spearman rho test showed that there was a significant correlation between self-efficacy and quality of life proved by the p value = 0.016 < 0.05. The conclusion of this research found a positive intermediate correlation between selfefficacy and quality of life so that nurses are required to ask the family to increase the patients’ self-efficacy. 


2021 ◽  
Vol 2 (1) ◽  
pp. 363-367
Author(s):  
Untung Halajur ◽  
Irfan Setiawan

Knowledge or cognitive domain is very important for the formation of a person's actions. Knowledge is the main basis for treatment and prevention of diabetes perfect. Someone who has less knowledge about diabetes mellitus will be difficult to prevent the occurrence of diabetes and if a person suffering from diabetes with less knowledge will easily suffer complications of diabetes. Identifying Knowledge Relationships with Self-Management Patient Diabetes Militus in Poli Disease dr. Doris Sylvanus Palangkaraya. This research is quantitative questionnaires. The study design used in the form of cross-sectional analysis, the measurement and data collection only at one time.Measured variables, namely the relationship between knowledge as independent variables and self-management of diabetes mellitus as the dependent variable. Results of the analysis above shows respondents who have a good knowledge with good self-management (82.2%). While knowledge is good with a poor self-management amounted to (17.8%). The results of the analysis the table showed there (48.1%) who had a poor knowledge with good self-management. While knowledge was poor with poor self-management amounted to (51.9%). This study suggests knowledge of Diabetes Militus patients in Poli Disease dr. Doris Sylvanus Palangkaraya in getting significant value p-value of 0.002 or <0.05 that means there is a close relationship between knowledge and self-management of patients with diabetes mellitus.


2019 ◽  
Vol 5 (2) ◽  
pp. 107-113
Author(s):  
Satriya Pranata

Background: The population of people with diabetes mellitus is increasing every year, furthermore included into number three of deadliest disease in Indonesia. The total number of patients with diabetes mellitus currently are 10.3 million, predicted in 2045, the population will increase to 16.7 million. The main cause population of people with diabetes mellitus are increasing due to public awareness regarding self-management is still less. No researcher has been conducted research about diabetes self-management in HL. Manambai Abdulkadir hospitals. Objectives of the Pilot Study: the main objective in this pilot study was to understand the self-management of people with diabetes mellitus in HL Manambai Abdulkadir hospitals. Methodology: The participants in this pilot study were people diabetes mellitus type 2 in HL Manambai Abdulkadir hospitals using cross sectional design by diabetes self-management, self-efficacy, diabetes self-management knowledge and diabetes distress scale questionnaire. Results: 60% of patients in HL Manambai Abdulkadir hospitals had lack of self-management. The result from measuring of distress scale, knowledge and self-efficacy of patients are related to self-management of patients with diabetes mellitus with P Value <0.05. Conclusion: further research is needed with additional interventions to overcome the lack of self-management to people who suffer diabetes mellitus in HL Manambai Abdulkadir Hospital.


2019 ◽  
Vol 4 (2) ◽  
pp. 402
Author(s):  
Iskim Luthfa ◽  
Nurul Fadhilah

<p><em>People with diabetes mellitus are at risk of developing complications, so that it affects the quality of life. These complications can be minimized through self-care management. This study aims to determine the relationship between self management with the quality of life for people with diabetes mellitus. This research is a kind of quantitative research with correlation study. This research used cross sectional design. The sampling technique uses non probability with estimation consecutive sampling. The number of respondents in this research are 118 respondents. Instrument for measuring self management used diabetes self management questionnaire (DSMQ), and instruments to measure quality of life used quality of life WHOQOL-BREEF. The data obtained were processed statistically by using spearman rank test formula and p value of 0,000 There is a significant relationship of self management with the quality of life of people with diabetes mellitus.</em></p><p> </p><p><em>Penderita </em><em>Diabetes mellitus </em><em>beresiko mengalami komplikasi yang dapat mempengaruhi kualitas hidupnya. Komplikasi tersebut dapat diminimalkan melalui manajemen perawatan diri (self management). Penelitian ini bert</em><em>ujuan </em><em>untuk</em><em> menganalisis hubungan self management dengan kualitas hidup pasien diabetes melitus. </em><em>Jenis p</em><em>enelitian ini </em><em>adalah</em><em> deskriptif korelasi</em><em> dengan desain cross sectional</em><em>. Teknik pengambilan sampel menggunakan non probability </em><em>sampling </em><em>dengan pendeka</em><em>t</em><em>an consecutive sampling</em><em>.</em><em> </em><em>J</em><em>umlah </em><em>sampel sebanyak</em><em> </em><em>118 responden.</em><em> </em><em>Instrumen </em><em>penelitian </em><em>untuk mengukur self management </em><em>menggunakan</em><em> </em><em>diabetes self management questionnaire</em><em> (DSMQ), </em><em>dan instrumen untuk mengukur kualitas hidup menggunakan </em><em>quality of life </em><em>WHOQOL-BREEF.</em><em> Analisis data menggunakan spearman rank dan didapatkan hasil nilai </em><em>p value 0,000</em><em> dan r 0,394.Terdapat </em><em>hubungan </em><em>antara </em><em>self management</em><em> dengan kualitas hidup pasien diabetes mellitus</em><em> dengan arah korelasi positif.</em></p>


2019 ◽  
Author(s):  
Gebrewahd Bezabh Gebremichael ◽  
Teklewoini Mariye Zemichael

Abstract Background Hypoglycemia is an acute medical situation that occurs when blood sugar falls below the recommended level. Even though, hypoglycemia prevention practice in the management of diabetes mellitus is one cornerstone in controlling the effect of hypoglycemia, hypoglycemia prevention practice among patients with diabetes mellitus is insufficiently studied. Moreover, the existed scarce literature in Ethiopia revealed hypoglycemia prevention practice is inadequate. Thus, this study tried to assess hypoglycemia prevention practices and associated factors among diabetic patients. Methods Hospital-based, cross-sectional study design was employed from April one to March one 2018 in Central Zone of Tigray Regional state of Ethiopia. A total of 272 diabetes mellitus patients were selected by systematic random sampling method from study area. The collected data was checked for its completeness and then entered into Epi data version 3.1 then cleaned and analyzed using SPSS version 23. Binary logistic regression model (AOR, 95% CI and p-value < 0.05) was used to determine the predictors of hypoglycemia prevention practice. Results the mean age of respondents was 52.19 years and about 100 (63.2%) had good hypoglycemia prevention practice. Knowledge regarding hypoglycemia [AOR = 10.34; 95% CI [5.41, 19.89]], having a glucometer at home [AOR=3. 02; 95% CI [1.12, 8.12]], attitude regarding diabetes mellitus [AOR = 2.36 CI [1.26, 4.39]], being governmental employee [AOR=5. 19, 95% CI [1.63, 16.58]] and being divorced [AOR = 0.13, 95% CI [0.32, 0.53]] were found significantly associated with good hypoglycemia prevention practice. Conclusion Around two third of the study participants were found to have good hypoglycemia prevention practice. Good knowledge and favorable attitude toward diabetes mellitus, having glucometer at home, being governmental employee and divorced were found to be the predictors of good hypoglycemia prevention practice.


2020 ◽  
Vol 3 (1) ◽  
pp. 54-65
Author(s):  
Lola Despitasari

Diabetes Mellitus tipe 2 merupakan hasil dari kegagalan atau penolakan tubuh mnggunakan zat insulin (resistensi insulin). Pada orang dengan diabetes tipe 2 diperlukan self care management untuk mengelola penyakitnya. Diabetes knowledge, self efficacy, self care agency merupakan faktor internal yang mempengaruhi self care management. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor internal yang mempengaruhi self care management pada pasien diabetes mellitus tipe 2 di poli klinik khusus penyakit dalam RSUP. Dr. M. Djamil Padang. Jenis penelitian ini bersifat deskriptif analitik melalui pendekatan cross sectional. Penelitian ini  dilakukan di Poli Klinik Khusus Penyakit Dalam RSUP Dr. M. Djamil Padang. Sampel berjumlah 60 orang dengan teknik accidental sampling, dan instrumen penelitian menggunakan kuesioner SDSCA, ASAS-R, DMSES, dan kuesioner diabetes knowledge. Analisis data bivariat menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa 56.7% responden memiliki self care management yang kurang baik, 50% responden dengan self care agency kurang baik, 46.7% responden dengan self efficacy kurang baik, dan 61.7% responden dengan diabetes knowledge kurang baik. Terdapat hubungan antara self care agency, self efficacy, dan diabetes knowledge dengan self care management dengan nilai p value (≤ 0.05). Terdapat hubungan antara self care agency, self efficacy, dan diabetes knowledge dengan self care management di poli klinik khusus penyakit dalam RSUP Dr. M. Djamil Padang. Disarankan kepada pasien diabetes mellitus tipe 2 untuk meningkatkan self care agency, self efficacy, dan diabetes knowledge nya. Kata Kunci : Diabetes mellitus tipe 2, self care management, self care agency, self efficacy, diabetes knowledge


Author(s):  
Nurul Laili

Diabetes self management require compliance with complex management regimens to achieve glycemic control. Management of diabetes mellitus begins with the setting of food, physical exercise, weight control and optimal adjustment of medication. Treatment of diabetes mellitus to improve the quality of life of patients and prevent complications makrovasculer and mikrovasculer. The purpose of this research is to identify the relationship of diabetes self-management to the quality of life of patients with diabetes mellitus type 2. The design used in this study was cross sectional. The population in this study were all patients with diabetes mellitus type 2. The sample in this study are patients with diabetes mellitus type 2 who came controls on poli Amelia Pare Hospital in September 2016. The analysis performed in this study using Spearman Rank Correlation. Obtained value of Rho = 0.33 which indicates the level of relationship is. Statistical test value t = 7.23 is greater than t table = 2.457, then H₁ acceptable and it can be concluded that there is a relationship between diabetes self-management and quality of life mellitus type 2 diabetes patients with a degree of closeness of the relationship that is being nurses in providing nursing care also pay attention to the patient's needs will be perceptions about the treatment. Nurses as educators can provide explanations and correct health information about treatment and care so that quality of life can be achieved. Keyword: Diabetes Self-Management, Quality of life, Diabetes Mellitus tipe 2


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Diah Fifi Agustina ◽  
Feriana Ira Handian ◽  
Ach Dafir Firdaus

ABSTRACTObjective : High level of obedience in using insulin independently in patients with diabetes mellitus is influenced by a person's level of self-efficacy. Methods : This study aims to know the correlation between self-efficacy and obedience of independent insulin use in DM patients at Batu Baptis Hospital. The type of research used is quantitative research using descriptive correlative research design with a cross sectional approach. Sampling used is convenience sampling technique with 125 respondents. Data collection used the DMSES questionnaire (The Diabetes Management Self-efficacy Scale) for the MMAS-8 variable self-efficacy and questionnaire (Morisky Medication Adherence Scale) for compliance variables. The data analysis methods applied the Spearman Rank correlation test. Results : The results of the Spearman Rank test is obtained that p value is 0,000 (p <0.05) and the correlation coefficient value is 0.824. It shows that the strength of the correlation is strong with the direction of the positive correlation. It can be concluded that there is a significant relationship between self-efficacy and obedience of independent use of insulin in DM patients in Batu Baptist Hospital. Conclusion : The higher the self-efficacy in patients is, the higher the patient's compliance with insulin injections. The suggestion of this study it is expected that DM patients who use insulin can be more adherent to undergo treatment with insulin.


Author(s):  
I Wayan Mustika ◽  
I Wayan Candra ◽  
NLP Yunianti SC

Background: Diabetes Mellitus (DM) was a non-communicable disease, which became the third cause of death after stroke and hypertension with a number of cases continue to increase. Objective: The research objective was to analyze the relationship between the spiritual level, self-esteem, and depression in patients with diabetes mellitus. The present research was design/drafting correlational studies. Methods: The model approach towards the subject of research conducted by cross-sectional. The research was conducted at the health center IV South Denpasar for five months. The study population was patients with DM and patients at high risk who went to the health center IV South Denpasar. The samples which selected which met the inclusion criteria and exclusion amounted to 41 people. Results: Based on the results of the analysis was obtained that there was a significant negative relationship between the spiritual level to the level of depression shown by the p-value = 0.018 (p <0.05). The hypothesis thereby was accepted. Conclusion: the low spiritual level would be followed by the high rate of depression. Conversely, the high spiritual level would be followed by low levels of depression. It was similar to the analysis of self-esteem and depression. An existence of the negative relationship between self-esteem and depression similar with some of the opinions, that depression was influenced by a section of code namely low self-esteem. It was shown with the p-value = 0.008 (p <0.05). The patients which have high self-esteem mastering the feeling to respect himself, therefore, it could bring up the positive attitude in the patient, as well as could foster confidence.


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Azylina Gunggu ◽  
Chang Ching Thon ◽  
Cheah Whye Lian

Diabetes mellitus is a public health concern in Malaysia. Treatment of diabetes is costly and can lead to complications if disease is poorly controlled. Diabetes self-management (DSM) is found to be essential for optimal glycemic control. This cross-sectional study was conducted among samples from four randomly selected diabetes clinics in Sarawak, Malaysia. The aim was to determine the predictors for DSM. Face-to-face interview using questionnaire was used to collect data. Four hundred respondents with type 2 diabetes mellitus (T2DM) were recruited. Majority of the respondents were Sarawak Bumiputra (Iban and Bidayuh, 48.6%) and female (68.6%). The mean age was 58.77 years (SD = 11.46) and approximately half of the respondents (50.6%) had T2DM for six years (SD = 4.46). The mean fasting blood glucose (FBG) was 8.06 mmol/L (SD = 2.94), with majority (76.1%) having the level higher than 6.1 mmol/L. Multiple logistic regression tests showed significant linear relationship between DSM and belief in treatment effectiveness (p=0.001), family support (p=0.007), and self-efficacy (p=0.027). Health care personnel must convince patients with T2DM of the effectiveness of the treatment, empower and enhance their self-efficacy, and enlist the family support so as to ensure patients sustain their DSM efforts.


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