The Effect of Self-Care Behavior on Blood Glucose Control Levels Among Patients with Type II Diabetes Mellitus
Abstract
Diabetes mellitus is characterized by elevated blood glucose levels above normal, with random blood glucose levels ≥ 200 mg/dl and fasting blood glucose levels ≥ 126 mg/dl. This study employed a quantitative research method with a quasi-experimental design and an equivalent control group design approach. The study utilized power analysis with consecutive sampling techniques. Data collection techniques involved distributing questionnaires to 74 diabetes mellitus patients in the Onolalu Health Center Working Area, South Nias District. Data analysis techniques used independent t-test statistical analysis and presented in the form of a T-test table. The results of the study indicate that there is an influence of self-care behavior on blood sugar control levels in type II diabetes mellitus patients in the Onolalu Health Center Working Area, South Nias Regency, with a Sig. (2-tailed) of 0.024 < 0.05. Therefore, in the independent sample t-test, it can be concluded that the null hypothesis (HO) is rejected and the alternative hypothesis (Ha) is accepted. Thus, it can be concluded that there is a significant (statistically significant) difference between the average blood sugar levels of type II diabetes mellitus patients in the intervention group and the control group.
References
Abedini M, Bijari B, Miri Z, Shakhs F, & Abbasi A. (2020). The quality of life of patients with type 2 diabetes using EQ-5D-5 L in Birjand. Health and Quality of Life Outcomes [online journal] 2020 [accessed November 15, 2021]; 18(1): 1-9. Health and Quality of Life Outcomes, 8, 1–9.
Adam, L., & Tomayahu, M. B. (2019). Stress Levels and Blood Sugar Levels in Diabetes Mellitus Patients. Jambura Health and Sport Journal, 1(1), 1–5.
American Heart Association. (2017). Guidelines for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults. Guidelines Made Simple. A Selection of Tables and Figures. Journal of the American College of Cardiology, https://doi.org/10.1016/j.jacc.2017.07.745 .
American Diabetes Association (ADA). (2020). 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes—2019. Diabetes Care, 42(Supplement 1), S13 LP-S28. https://doi.org/10.2337/dc19 S002.
American Diabetes Association. (2020). American Diabetes Association Standards of Medical Care in Diabetes.
American Diabetes Association. (2022). Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes. American Diabetes Association, 45 (Suppl), 17–38.
Bulu, A., Wahyuni, T. D., & Sutriningsih, A. (2019). The Relationship Between Medication Adherence Level and
Brunner, L. S. (2013). Brunner and Suddarth's Medical-Surgical Nursing Textbook/Editors, Suzanne C. Smeltzer, Brendi G. Bare.
Daniel, W. W., & Cross, C. L. (2019). Biostatistics: a foundation for analysis in the health sciences. Wiley.
Dewi Muridyanti, Christantie Effendy, Yoyo Suhoyo, A. A. P. (2022). Healthy with Integrated Diabetes Mellitus in Indonesia. Indonesian Science Media.
Hwang, J., & Kim, S. (2021). The Impact of Cultural Beliefs on Diabetes Care. Journal of Cultural Diversity, 28(2), 45-53.
IDF Diabetes Atlas: Global, Regional and Country-Level Diabetes Prevalence Estimates for 2021 and Projections for 2045. Diabetes Research and Clinical Practice 183: 109119. https://doi.org/10.1016/j.diabres.2021.109119
Karota, E., Marlindawani Purba, J., Simamora, R. H., Lufthiani, & Siregar, C. T. (2020). Use of King’s theory to improve diabetics self-care behavior. Enfermeria Clinica, 30 (Sulpl). https://doi.org/10.1016/j.enfcli.2019.12.035
Karota, E., & Lufthiani. (2020). Textbook on the Application of King’s Goal Attainment Theory: Self-Care Behavior of Diabetes Patients. Medan: USU Press.
Karota, E., Lufthiani, Nasution, S.Z., Rusdi, I., & Rokhima, V. (2024). Application of the Therapeutic Nursing Activity Model: (Active-Teka) for Culture-Based Diabetes Care. Banyumas: Arta Media.
Kurniawati, T., Huriah, T., & Primanda, Y. (2019). The Effect of Diabetes Self-Management Education (DSME) on Self-Management in Diabetes Mellitus Patients. XII(II), 588–594.
Lee, J., & Lee, H. (2018). "The Effects of Self-Care Behavior on Quality of Life in Patients with Chronic Illness: A Systematic Review." Health and Quality of Life Outcomes, 16(1), 1–12.
Pangestu, M. I. A., & Hidayat, F. (2020). The Relationship Between Depression Levels and Blood Sugar Levels in
Type 2 Diabetes Mellitus Patients in Mangunsaren Village, Tarub District, Tegal Regency. JHNMSA ADPERTISI JOURNAL
Perkeni. (2019). Guidelines for the Management and Prevention of Prediabetes in Indonesia 2019. In Perkeni
Perkeni (2021). Consensus on the management and prevention of type 2 diabetes mellitus in Indonesia.
PERKENI. (2021). Guidelines for the Management and Prevention of Type 2 Diabetes in Adults in Indonesia (1st ed.). PB.
Polit, D. F., & Beck, C. T. (2017). Nursing Research: Generating and Assessing Evidence for Nursing Practice. Wolters Kluwer.
Rahman, Z., Pujiati, W., & Saribu, H. J. D. (2023). Self-Care Related to Blood Sugar Levels
Type 2 Diabetes Mellitus Patients. Silampari Nursing Journal, 6(2), 1336-1344.
Romadhon, W. A., Aridamayanti, B. G., Syanif, A. H., & Sari, G. M. (2020). Factors Influencing Self-Care Behavior in Hypertensive Clients in the Community. Journal of Health Research “Forikes Voice”, 11(April), 37. https://doi.org/10.33846/sf11nk206 .
Sigurdardottir, AK. (2019). Self-care in diabetes: a model of factors affecting self-care. Journal of Clinical Nursing, 14, 301-3014.
Sousa, V.D., & Zauszniewski, J.A. (2018). Toward a theory of diabetes self-management. The Journal of Theory Construction & Testing, 9(2), 61-67.
Soegondo, et al. 2015. Integrated Management of Diabetes Mellitus. Second Edition. 10th Printing. FKUI: Jakarta.
Sugiyono (2019). Quantitative, qualitative, and R&D research methods. Alfabeta, Bandung.
Tandra, H. (2017). Everything you need to know about diabetes. Jakarta: Gramedia Pustaka Utama.
Wahyuni, K. S. P. D., Setiasih, & Aditama, L. (2021). The Effect of Education on Self-Care Behaviors of Type 2 Diabetes Mellitus Patients at Rumah Diabetes Ubaya. Jurnal Wiyata, 8(2), 131–139.
World Health Organization. (2019). "Self-Care for Health: A Handbook for Development and Implementation."
World Health Organization (WHO). (2021). Self-care in the context of primary health care: Report of the expert consultation. Geneva.
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