APPLICATION OF HEALTH PROMOTION MODEL FOR BETTER SELF-CARE BEHAVIOR IN PATIENTS WITH DIABETES MELLITUS

Made Mahaguna Putra, Kusnanto Kusnanto, Candra Panji Asmoro, Tintin Sukartini


DOI: https://doi.org/10.33546/bnj.913

Abstract


Background: Diabetes mellitus (DM) is a major health problem in the world. DM patients should be able to perform self-care behavior. Diabetic self-care behavior is an effective strategy for controlling diabetes.

Objective: The purpose of this study was to examine a health promotion model in patients with type 2 diabetes mellitus.

Methods: A cross-sectional design was used, which involved 177 patients with type 2 diabetes from primary health care in Denpasar Bali Indonesia with a stratified random sampling. Independent variables were personal factors (age, sex, education, body mass index, socioeconomic status, self-motivation, illness perception, and belief), self-efficacy, and family support. The dependent variable was self-care behavior. A structural equation model was used to confirm the hypothesis model.

Results: Personal factors (education, socioeconomic, and perceptions) (t = 2.891) and family support (t = 5.746) were associated with self-care behavior. Self-efficacy did not affect self-care behavior (t = .139).

Conclusion: Diabetes self-care behavior is influenced by socioeconomic status, level of education, perception of the illness, and family support. Therefore, it is suggested for nurses to apply the health promotion model approach to increase self-care behavior of patients with type 2 diabetes mellitus.


Keywords


diabetes mellitus; self-efficacy; family support; personal factors; self-care behavior

Full Text:

PDF

References


Al-Amer, R., Ramjan, L., Glew, P., Randall, S., & Salamonson, Y. (2016). Self-efficacy, depression, and self-care activities in adult Jordanians with type 2 diabetes: the role of illness perception. Issues in Mental Health Nursing, 37(10), 744-755. https://doi.org/10.1080/01612840.2016.1208692

Baig, A. A., Benitez, A., Quinn, M. T., & Burnet, D. L. (2015). Family interventions to improve diabetes outcomes for adults. Annals of the New York Academy of Sciences, 1353(1), 89. https://doi.org/10.1111/nyas.12844

Bhandari, P., & Kim, M. (2016). Self-care behaviors of nepalese adults with type 2 diabetes: A mixed methods analysis. Nursing Research, 65(3), 202-214. https://doi.org/10.1097/NNR.0000000000000153

Bijl, J. v. d., Poelgeest‐Eeltink, A. v., & Shortridge‐Baggett, L. (1999). The psychometric properties of the diabetes management self‐efficacy scale for patients with type 2 diabetes mellitus. Journal of Advanced Nursing, 30(2), 352-359. https://doi.org/10.1046/j.1365-2648.1999.01077

Broadbent, E., Petrie, K. J., Main, J., & Weinman, J. (2006). The brief illness perception questionnaire. Journal of Psychosomatic Research, 60(6), 631-637. https://doi.org/10.1016/j.jpsychores.2005.10.020

Chourdakis, M., Kontogiannis, V., Malachas, K., Pliakas, T., & Kritis, A. (2014). Self-care behaviors of adults with type 2 diabetes mellitus in Greece. Journal of Community Health, 39(5), 972-979. https://doi.org/10.1007/s10900-014-9841-y

Compean Ortiz, L. G., Del Angel Perez, B., Reséndiz González, E., Piñones Martínez, S., Gonzalez Quirarte, N. H., & Berry, D. C. (2016). Self-care behaviors and glycemic control in low-income adults in Mexico with type 2 diabetes mellitus may have implications for patients of Mexican heritage living in the United States. Clinical Nursing Research, 25(2), 120-138. https://doi.org/10.1177/1054773815586542

Dehdari, T., Rahimi, T., Aryaeian, N., Gohari, M. R., & Esfeh, J. M. (2014). Developing and testing a measurement tool for assessing predictors of breakfast consumption based on a health promotion model. Journal of Nutrition Education and Behavior, 46(4), 250-258. https://doi.org/10.1016/j.jneb.2013.12.007

den Braver, N. R., de Vet, E., Duijzer, G., Ter Beek, J., Jansen, S. C., Hiddink, G. J., . . . Haveman-Nies, A. (2017). Determinants of lifestyle behavior change to prevent type 2 diabetes in high-risk individuals. International Journal of Behavioral Nutrition and Physical Activity, 14(1), 78. https://doi.org/10.1186/s12966-017-0532-9

Ghozali, I. (2008). Structural Equation Modelling (II). Semarang: Universitas Diponegoro.

Hensarling, J. (2009). Development and psychometric testing of Hensarling's Diabetes Family Support Scale. (Dissertation), Texas Woman’s University, Texas.

Hill, J. O., Galloway, J. M., Goley, A., Marrero, D. G., Minners, R., Montgomery, B., . . . Aroda, V. R. (2013). Scientific statement: socioecological determinants of prediabetes and type 2 diabetes. Diabetes Care, 36(8), 2430-2439. https://doi.org/10.2337/dc13-1161

Kav, S., Yilmaz, A. A., Bulut, Y., & Dogan, N. (2017). Self-efficacy, depression and self-care activities of people with type 2 diabetes in Turkey. Collegian, 24(1), 27-35. https://doi.org/10.1016/j.colegn.2015.09.005

Kirk, J. K., Arcury, T. A., Ip, E., Bell, R. A., Saldana, S., Nguyen, H. T., & Quandt, S. A. (2015). Diabetes symptoms and self-management behaviors in rural older adults. Diabetes Research and Clinical Practice, 107(1), 54-60. https://doi.org/10.1016/j.diabres.2014.10.005

Kurnia, A. D., Amatayakul, A., & Karuncharernpanit, S. (2017). Predictors of diabetes self-management among type 2 diabetics in Indonesia: Application theory of the health promotion model. International Journal of Nursing Sciences, 4(3), 260-265.

Kusnanto, K. (2017). Self Care Management-Holistic Psychospiritual Care on Independence, Glucose Level, and Hba1c of Type 2 Diabetes Mellitus Patient. Jurnal Ners, 7(2), 99-106.

Laxy, M., Mielck, A., Hunger, M., Schunk, M., Meisinger, C., Rückert, I.-M., . . . Holle, R. (2014). The association between patient-reported self-management behavior, intermediate clinical outcomes, and mortality in patients with type 2 diabetes: Results from the KORA-A study. Diabetes Care, 37(6), 1604-1612. https://doi.org/10.2337/dc13-2533

Le, C., Rong, S., Dingyun, Y., & Wenlong, C. (2016). Socioeconomic disparities in type 2 diabetes mellitus prevalence and self-management behaviors in rural southwest China. Diabetes Research and Clinical Practice, 121, 9-16. https://doi.org/10.1016/j.diabres.2016.07.032

Lee, Y.-J., Shin, S.-J., Wang, R.-H., Lin, K.-D., 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

Mayberry, L. S., Harper, K. J., & Osborn, C. Y. (2016). Family behaviors and type 2 diabetes: What to target and how to address in interventions for adults with low socioeconomic status. Chronic illness, 12(3), 199-215. https://doi.org/10.1177/1742395316644303

Pamungkas, R. A., Mayasari, A., & Nusdin, N. (2017). Factors associated with poor glycemic control among type 2 diabetes mellitus in Indonesia. Belitung Nursing Journal, 3(3), 272-280. https://doi.org/10.33546/bnj.61

Ridi Putra, K. W., Toonsiri, C., & Junprasert, S. (2016). Self-efficacy, psychological stress, family support, and eating behavior on type 2 diabetes mellitus. Belitung Nursing Journal, 2(1), 3-7. https://doi.org/10.33546/bnj.5

Ripamonti, C., Borreani, C., Maruelli, A., Proserpio, T., Pessi, M. A., & Miccinesi, G. (2010). System of belief inventory (SBI-15R): a validation study in Italian cancer patients on oncological, rehabilitation, psychological and supportive care settings. Tumori Journal, 96(6), 1016-1021.

Rostami, S., Parsa-Yekta, Z., Najafi-Ghezeljeh, T., Vanaki, Z., & Zarea, K. (2015). Self-perception in Iranian adolescents with diabetes: A qualitative study. Journal of Diabetes & Metabolic Disorders, 14(1), 36. https://doi.org/10.1186/s40200-015-0163-0

Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68. https://doi.org/10.1037//0003066x.55.1.68

Seo, K., Song, M., Choi, S., Kim, S. a., & Chang, S. J. (2017). Development of a scale to measure diabetes self‐management behaviors among older Koreans with type 2 diabetes, b ased on the seven domains identified by the American Association of Diabetes Educators. Japan Journal of Nursing Science, 14(2), 161-170. https://doi.org/ 10.1111/jjns.12145

Sharoni, S. K. A., & Wu, S. F. V. (2012). Self‐efficacy and self‐care behavior of Malaysian patients with type 2 diabetes: a cross sectional survey. Nursing & Health Sciences, 14(1), 38-45. https://doi.org/10.1111/j.1442-2018.2011.00658.x

Shi, M., Xu, M.-Y., Liu, Z.-L., Duan, X.-Y., Zhu, Y.-B., Shi, H.-M., . . . Yu, X.-H. (2016). Effectiveness of family involvement in newly diagnosed type 2 diabetes patients: a follow-up study. Patient Education and Counseling, 99(5), 776-782.

Song, M., Choi, S., Kim, S.-a., Seo, K., & Lee, S. J. (2015). Intervention mapping protocol for developing a theory-based diabetes self-management education program. Research and Theory for Nursing Practice, 29(2), 94-112.

Song, Y., Nam, S., Park, S., Shin, I.-s., & Ku, B. J. (2017). The impact of social support on self-care of patients with diabetes: What is the effect of diabetes type? Systematic review and meta-analysis. The Diabetes Educator, 43(4), 396-412. https://doi.org/10.1177/0145721717712457

Toobert, D. J., Hampson, S. E., & Glasgow, R. E. (2000). The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care, 23(7), 943-950.

Van Puffelen, A. L., Heijmans, M. J. W. M., Rijken, M., Rutten, G. E. H. M., Nijpels, G., & Schellevis, F. G. (2015). Illness perceptions and self-care behaviours in the first years of living with type 2 diabetes; does the presence of complications matter? Psychology & Health, 30(11), 1274-1287. https://doi.org/10.1080/08870446.2015.1045511

Vazini, H., & Barati, M. (2014). The health belief model and self-care behaviors among type 2 diabetic patients. Iranian Journal of Diabetes and Obesity, 6(3), 107-113.

Waki, S., Shimizu, Y., Uchiumi, K., Asou, K., Kuroda, K., Murakado, N., . . . Ishii, H. (2016). Structural model of self‐care agency in patients with diabetes: A path analysis of the Instrument of Diabetes Self‐Care Agency and body self‐awareness. Japan Journal of Nursing Science, 13(4), 478-486. https://doi.org/10.1111/jjns.12127

Wichit, N., Mnatzaganian, G., Courtney, M., Schulz, P., & Johnson, M. (2017). Randomized controlled trial of a family-oriented self-management program to improve self-efficacy, glycemic control and quality of life among Thai individuals with Type 2 diabetes. Diabetes Research and Clinical Practice, 123, 37-48. https://doi.org/10.1016/ j.diabres.2016.11.013

Yin, T., Yin, D.-L., Xiao, F., Xin, Q.-Q., Li, R.-L., Zheng, X.-G., . . . Chen, B.-W. (2019). Socioeconomic status moderates the association between patient satisfaction with community health service and self-management behaviors in patients with type 2 diabetes: A cross-sectional survey in China. Medicine, 98(22), e15849. https://doi.org/10.1097/md.0000000000015849


Refbacks

  • There are currently no refbacks.




Copyright (c) 2019 Made Mahaguna Putra, Kusnanto Kusnanto, Candra Panji Asmoro, Tintin Sukartini

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.