The Effectiveness of Self-Care Model on Diabetes Self-Management Behaviour

Dewi Prabawati, Lia Natalia

= http://dx.doi.org/10.24990/injec.v5i1.277
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Abstract


Introduction: The needs of diabetic patients are not only limited to adequate glycemic control but also correspond with preventing complications and increasing their awareness to participate in self-management. This study aimed to analyze the effectiveness self-care model to Diabetes self-management behaviour (DSM Behaviour) and Fasting Blood Glucose (FBG) levels. Methods: The study was conducted from June to August 2019 at Community Health Centers. This study employed a Quasi-Experimental pre-posttest with a control group design. There were 104 respondents obtained by purposive sampling technique, and assigned into experimental (52 respondents) and control group (52 respondents). FBG levels and DSM Behaviour were evaluated in the first and the seventh week using The Summary of Diabetes Self Care Activities (SDSCA) questionnaire. Results: Paired sample T-test statistical revealed a significant difference in decreasing levels on FBG and increasing level of DSM Behaviour (p<0.05) at before and after the intervention; Independent T-test discovered a significant difference on FBG and DSM Behaviour (p<0.05) between the intervention and control group. The strongest effect as resulting from the parameter estimation model of SDSCA was a dimension of a healthy diet (2.96) followed by foot exercise (2.41) and activity (4.54). SDSCA showed marginal fit for FBG with t-value <2 and contribution determinant of 8.4% (R2 = 0.084). Conclusions: Self-care model is an effective program that can improve DSM Behaviour and increase adequate glycemic control. In addition, this model needs to implement continuously to prevent complications and improve self-care to diabetic patients.


Keywords


blood glucose; diabetes; self-care model; self-management behaviour

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