Diabetes Resilience Training on Self-Care, Glycemic Control, and Diabetes Burnout of Adult Type 2 Diabetes Mellitus

Hidayat Arifin; Kusnanto Kusnanto; Erna Dwi Wahyuni; Rifky Octavia Pradipta

doi:10.24990/injec.v4i2.252

Diabetes Resilience Training on Self-Care, Glycemic Control, and Diabetes Burnout of Adult Type 2 Diabetes Mellitus

Hidayat Arifin, Kusnanto Kusnanto, Erna Dwi Wahyuni, Rifky Octavia Pradipta

= http://dx.doi.org/10.24990/injec.v4i2.252

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Abstract

Introduction: Treatment that must continue, control, and diet that must be obeyed by people with DM can cause boredom (burnout) - inability to care for themselves, and blood sugar that is not controlled. The purpose of this study was to determine the effect of diabetes resilience training on self-care, glycemic control, and diabetes burnout of adult type 2 diabetes mellitus. Methods: This study was a quasi-experimental design. The total samples were 70 respondents (treatment and control) obtained by cluster sampling. The independent variable was diabetes resilience training and dependent variables were self-care, glycemic control, and diabetes burnout. The intervention provided for one month with four meetings. Instrument used self-care questionnaire of Self-Care Inventory-Revised (SCI-R), glycemic control questionnaire used an observation sheet for fasting blood sugar, and diabetes burnout questionnaire used Diabetes Distress-Screening Scale (DDS17). Data were analyzed with Wilcoxon signed ranks test, Mann Whitney U Test, Independent-sample t-test, and 1-Sample K-S. Results: There was an effect of diabetes resilience training on self-care (p = 0.003; p <0.05), glycemic control (p = 0.020; p <0.05), and diabetes burnout (p = 0,000; p <0.05). Conclusions: Diabetes resilience training provided by researchers to respondents can improve good self-care behavior, decreased glycemic control values, and decreased distress (diabetes burnout) in adult type 2 diabetes mellitus. Based on the results, it is recomandation to nurses and health care provider to implementation the diabetes resilience training regularly.

Keywords

diabetes burnout; glycemic control; resilience; type 2 diabetes mellitus; self-care

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References

Abdoli, S., Hessler, D., Vora, A., Smither, B., & Stuckey, H. (2019). Descriptions of diabetes burnout from individuals with Type 1 diabetes: an analysis of YouTube videos. Diabetic Medicine, 1–8. https://doi.org/10.1111/dme.14047

Abdoli, Samereh, Jones, D. H., Vora, A., & Stuckey, H. (2019). Improving Diabetes Care: Should We Reconceptualize Diabetes Burnout? The Diabetes Educator, 45(2), 214–224. https://doi.org/10.1177/0145721719829066

ADA, (American Diabetes Associatin). (2014). Standards of Medical Care in Diabetes 2014. Diabetes Care2, 37(1), S14.

Alhaik, S., Anshasi, H. A., Alkhawaldeh, J., Soh, K. L., & Naji, A. M. (2019). An assessment of self-care knowledge among patients with diabetes mellitus. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 13(1), 390–394. https://doi.org/10.1016/j.dsx.2018.10.010

Bruno, B. A., Choi, D., Thorpe, K. E., & Yu, C. H. (2019). Relationship Among Diabetes Distress, Decisional Conflict, Quality of Life, and Patient Perception of Chronic Illness Care in a Cohort of Patients With Type 2 Diabetes and Other Comorbidities. Diabetes Care, 42(7), 1170 LP – 1177. https://doi.org/10.2337/dc18-1256

Chery, M. (2018). Self- Care Management Education : Improving Diabetes Type 2 Patients ’ Health Outcomes Submitted by Marie Christine Judith Avignon-Chéry A Direct Practice Improvement Presented in Partial Fulfillment Of the Requirements for the Degree Doctor of Nursing Pr.

Dehghan, H., Charkazi, A., Kouchaki, G. M., & Zadeh, B. P. (2017). General self-efficacy and diabetes management self-efficacy of diabetic patients referred to diabetes clinic of Aq, 10–14. https://doi.org/10.1186/s40200-016-0285-z

Ebrahimi, H., Sadeghi, M., Amanpour, F., & Vahedi, H. (2016). Evaluation of empowerment model on indicators of metabolic control in patients with type 2 diabetes, a randomized clinical trial study. Primary Care Diabetes, 10(2), 129–135. https://doi.org/10.1016/j.pcd.2015.09.003

Fan, L. (2012). Examining the Feasibility , Acceptability and Effects of a Foot Self-Care Educational Intervention in Adult Patients with Diabetes at Low Risk for Foot Ulceration by. ProQuest. University of Toronto.

Fisher, L., Glasgow, R. E., Mullan, J. T., Skaff, M. M., & Polonsky, W. H. (2008). Development of a brief diabetes distress screening instrument. Annals of Family Medicine, 6(3), 246–252. https://doi.org/10.1370/afm.842

Gupta, S., Nayak, M., Sunitha, J., Dawar, G., Sinha, N., & Rallan, N. (2017). Correlation of salivary glucose level with blood glucose level in diabetes mellitus. Journal of Oral and Maxillofacial Pathology, 21(3), 334. https://doi.org/10.4103/jomfp.JOMFP_222_15

Hilliard, M. E., Iturralde, E., Weissberg-Benchell, J., & Hood, K. K. (2017). The Diabetes Strengths and Resilience Measure for Adolescents with Type 1 Diabetes (DSTAR-Teen): Validation of a New, Brief Self-Report Measure. Journal of Pediatric Psychology, 42(9), 995–1005. https://doi.org/10.1093/jpepsy/jsx086

Hsieh, Y. L., Lee, F. H., Chen, C. L., Chang, M. F., & Han, P. H. (2016). Factors Influencing Intention to Receive Examination of Diabetes Complications. Asian Nursing Research, 10(4), 289–294. https://doi.org/10.1016/j.anr.2016.10.004

Indonesia, I. N. I. of H. R. and D. (2018). Main Resulth of Baseline Health Research 2018. Jakarta: Ministry of Health of the Republic of Indonesia.

Jannoo, Z., & Mamode Khan, N. (2019). Medication Adherence and Diabetes Self-Care Activities among Patients with Type 2 Diabetes Mellitus. Value in Health Regional Issues, 18(2018), 30–35. https://doi.org/10.1016/j.vhri.2018.06.003

Kim, G. M., Lim, J. Y., Kim, E. J., & Park, S. M. (2019). Resilience of patients with chronic diseases: A systematic review. Health and Social Care in the Community, 27(4), 797–807. https://doi.org/10.1111/hsc.12620

Kim, J. Y., Ku, Y. S., Kim, H. J., Trinh, N. T., Kim, W., Jeong, B., … Lee, K. E. (2019). Oral diabetes medication and risk of dementia in elderly patients with type 2 diabetes. Diabetes Research and Clinical Practice, 154(2019), 116–123. https://doi.org/10.1016/j.diabres.2019.07.004

Kusnanto. (2017). Asuhan Keperawatan pada Klien dengan Diabetes Mellitus Pendekatan Holistic Care. Surabaya: AUP.

La Greca, A. (2004). Manual for the Self Care Inventory.

Lee, Y. J., Shin, S. J., Wang, R. H., Lin, K. Der, Lee, Y. L., & Wang, Y. H. (2016). Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus. Patient Education and Counseling, 99(2), 287–294. https://doi.org/10.1016/j.pec.2015.08.021

Lefrancois, T., Mehta, K., Sullivan, V., Lin, S., & Glazebrook, M. (2017). Evidence based review of literature on detriments to healing of diabetic foot ulcers. Foot and Ankle Surgery, 23(4), 215–224. https://doi.org/10.1016/J.FAS.2016.04.002

Martinez, L. C., Sherling, D., & Holley, A. (2019). The Screening and Prevention of Diabetes Mellitus. Primary Care - Clinics in Office Practice, 46(1), 41–52. https://doi.org/10.1016/j.pop.2018.10.006

Masten, A. S. (2001). Ordinary magic: Resilience processes in development. American Psychologist, 56(3), 227–238. https://doi.org/10.1037/0003-066X.56.3.227

Nawaz, M. S., Shah, K. U., Khan, T. M., Rehman, A. U., Rfile:///C:/Users/User/Downloads/Documents/martinez2018.pdfashid, H. U., Mahmood, S., … Farrukh, M. J. (2017). Evaluation of current trends and recent development in insulin therapy for management of diabetes mellitus. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 11, S833–S839. https://doi.org/10.1016/j.dsx.2017.07.003

Papatheodorou, K., Banach, M., Bekiari, E., Rizzo, M., & Edmonds, M. (2018). Complications of Diabetes 2017. Journal of Diabetes Research, 2018, 1–4. https://doi.org/10.1155/2018/3086167

Schaper, N. C., Van Netten, J. J., Apelqvist, J., Lipsky, B. A., & Bakker, K. (2017). Prevention and management of foot problems in diabetes: A Summary Guidance for Daily Practice 2015, based on the IWGDF guidance documents. Diabetes Research and Clinical Practice, 124, 84–92. https://doi.org/10.1016/j.diabres.2016.12.007

Shao, H., Yang, S., Fonseca, V., Stoecker, C., & Shi, L. (2019). Estimating Quality of Life Decrements Due to Diabetes Complications in the United States: The Health Utility Index (HUI) Diabetes Complication Equation. PharmacoEconomics, 37(7), 921–929. https://doi.org/10.1007/s40273-019-00775-8

Shearman, C. P., & Rawashdeh, M. (2016). Foot complications in patients with diabetes. Surgery (Oxford), 34(4), 192–197. https://doi.org/10.1016/j.mpsur.2010.02.002

SPSS, I. (2019). IBM SPSS Statistics Vers 25. Retrieved February 23, 2019, from https://www.ibm.com/id-en/marketplace/spss-statistics/details

Stefanic, N., Caputi, P., Lane, L., & Iverson, D. C. (2015). Exploring the nature of situational goal-based coping in early-stage breast cancer patients: A contextual approach. European Journal of Oncology Nursing, 19(6), 604–611. https://doi.org/10.1016/J.EJON.2015.03.008

Steinhardt, M. A., Brown, S. A., Dubois, S. K., Harrison, L., Matthew Lehrer, H., & Jaggars, S. S. (2015). A resilience intervention in African-American adults with type 2 diabetes. American Journal of Health Behavior, 39(4), 507–518. https://doi.org/10.5993/AJHB.39.4.7

Swoboda, C. M., Miller, C. K., & Wills, C. E. (2017). Patient Education and Counseling Impact of a goal setting and decision support telephone coaching intervention on diet , psychosocial , and decision outcomes among people with type 2 diabetes. Patient Education and Counseling, (2016). https://doi.org/10.1016/j.pec.2017.02.007

Taormina, R. J. (2015). Adult Personal Resilience: A New Theory, New Measure, and Practical Implications. Psychological Thought, 8(1), 35–46. https://doi.org/10.5964/psyct.v8i1.126

Watkins, Y. J., Quinn, L. T., Ruggiero, L., Quinn, M. T., & Choi, Y. ku. (2013). Spiritual and Religious Beliefs and Practices and Social Support’s Relationship to Diabetes Self-Care Activities in African Americans. The Diabetes Educator, 39(2), 231–239. https://doi.org/10.1177/0145721713475843

White, R. O., Eden, S., Wallston, K. A., Kripalani, S., Barto, S., Shintani, A., & Rothman, R. L. (2015). Health communication, self-care, and treatment satisfaction among low-income diabetes patients in a public health setting. Patient Education and Counseling, 98(2), 144–149. https://doi.org/10.1016/j.pec.2014.10.019

Wiardani, N. K., & Moviana, Y. (2015). Hubungan antara Tingkat Kepatuhan Diet dengan Kadar Glukosa dan Kolesterol Darah pada Penderita DM Tipe 2 di RSUP Sanglah Denpasar. Jurnal Ilmu Gizi, 6(2), 128–134.

Wilson, A. L., McNaughton, D., Meyer, S. B., & Ward, P. R. (2017). Understanding the links between resilience and type-2 diabetes self-management: A qualitative study in South Australia. Archives of Public Health, 75(1), 1–13. https://doi.org/10.1186/s13690-017-0222-8

Wingert, A., Johnson, N., & Melton, S. T. (2015). Young Adults With Type 1 Diabetes. AADE in Practice, 3(2), 36–40. https://doi.org/10.1177/2325160315570961