scholarly journals Health Locus of Control and Self Care Behavior in Patients with Type 2 Diabetes Mellitus

Author(s):  
Siti Aisyah Dwi Asri ◽  
Nur Widayati ◽  
Latifa Aini

Health Locus of Control (HLC) is an individual belief in controlling current health conditions, which is possibly determined by internal or external factors. Belief in the source of health control will influence the effectiveness of diabetes self-care management. This study aimed to analyze the correlation between Internal Health Locus of Control (IHLC), Powerful others Health Locus of Control (PHLC), and Chance Health Locus of Control (CHLC) with self-care behavior in type 2 diabetes mellitus patients. This research applied an observational analytic design with a cross-sectional approach. A total of 84 respondents were enrolled in this study by using the consecutive sampling technique. Data collection was conducted by administering questionnaires of the Multidimensional Health Locus of Control Scale (MHLCS) and Summary of Diabetes Self Care Activities (SDSCA). Data were analyzed by using the Pearson correlation test with a significance level of 0.05. The result showed that PHLC had the highest score of the mean value (26.95) compared to IHLC (25.55) and CHLC (19.25). The mean value of self-care behavior was 3.5. There was significant positive correlation between IHLC and self-care behavior (p-value: 0.001; r: 0.485), significant negative correlation between PHLC and self-care behavior (p-value: 0.048; r: -0.217), and significant negative correlation between CHLC and self-care behavior (p-value: 0.001; r: -0.350). The higher the IHLC score in type 2 DM patients, the better the patient's self-care behavior. However, the higher the PHLC or CHLC score in type 2 DM patients, the lower the patient's self-care behavior. Patients with high IHLC depend on themselves and have awareness of the importance of health. This study suggests the importance of assessing the patient's HLC and providing psychoeducation about HLC, control behaviors, and self-awareness to optimize diabetes self-care in type 2 diabetes mellitus patients.

2021 ◽  
Vol 14 (02) ◽  
pp. 82-89
Author(s):  
Ratna Yunita Sari ◽  
Umdatus Soleha ◽  
Erika Chandra Dewi

  Introduction: Diabetes self-care is an effort to control type 2 diabetes mellitus. Family support and self-efficacy are needed for elderly people with type 2 diabetes mellitus to increase independence in managing their disease. This study aims to determine the relationship between family support and self-efficacy with self-care behavior in the elderly with type 2 diabetes mellitus at the Elderly Posyandu in Wadungasri Village. Methods: This study is a quantitative study with a correlational analytic research design using a cross-sectional approach. The population in this study was 132 elderly with type 2 diabetes mellitus using a probability sampling method with a technique used simple random sampling and obtained a sample of 100 elderly DM type 2. Results: The results showed that most of the elderly have family support and good self-efficacy. with less self-care behavior. The results of the analysis using the Spearman rank test showed that family support was associated with self-care for people with diabetes mellitus type 2 (p-value = 0.006, ɑ = 0.05). The results of the Spearman rank test analysis showed that self-efficacy was related to self-care for people with diabetes mellitus type 2 (p-value = 0.001, ɑ = 0.05). Conclusion: Family support and self-efficacy gave to elderly people with type 2 diabetes mellitus can influence health behavior patterns that will make self-care behavior well.


2019 ◽  
Vol 7 (2) ◽  
pp. 120
Author(s):  
Wahyuningtias Rahmadani ◽  
Hanny Rasni ◽  
Kholid Rosyidi Muhammad Nur

Type 2 diabetes mellitus (T2DM) is a metabolic disease that can cause various chronic complications and they can be minimized by self-care. One of the factors that affect self-care in diabetic clients is family social support. The aim of the research was to analyze the correlation between family social support and self care behavior client with T2DM)in the area of Kaliwates public health center, Jember. This research applied an observational analytic design with cross-sectional approach. A total of 84 respondents were enrolled in this study by using purposive sampling technique. The data collection method used the HDFSS (Hensarling Diabetes Family Support Scale) and SDSCA (Summary of Diabetes Self Care Activity) questionnaires, it conducted on January 7th-22nd 2019. The data analysis used Spearman correlation test with a significance level of 0.05.The result showed that median of the family social support was 86 with a minimum value of 69 and a maximum value of 106, whereas the mean value of self-care behaviour was 2,27 days with a standard deviation of 0.45 days. There was a significant positive correlation between family sosial support and self-care behaviour (p value: 0.001; r; +0.378), meaning that the higher the level of family social support the better the self-care behaviour. This study suggests the importance of assessing family social support to improve self-care in clients with type 2 diabetes mellitus.


10.19082/5863 ◽  
2017 ◽  
Vol 9 (11) ◽  
pp. 5863-5867 ◽  
Author(s):  
Fatemeh Karimi ◽  
Sedigheh Abedini ◽  
Shokrollah Mohseni

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Natasya Setyamarta ◽  
Denissa Faradita Aryani

<p class="AbstractContent"><strong>Objective:</strong> Type 2 diabetes mellitus (type 2 diabetes) is a chronic disease that requires long-term management throughout the life to prevent acute and chronic complications. Self-care is a fundamental and integral part of diabetes management. Social support obtained from family, health professionals, friends, or diabetic peers may predict good self-care behavior. The purpose of this study was to evaluate the self-care behavior of adult with type 2 DM in Persadia Depok.</p><p class="AbstractContent"><strong>Methods: </strong>This quantitative study used a cross-sectional design. A consecutive sample of 52 subjects with type 2 DM who joined in Persadia Depok was included. The instrument used to measure self-care behavior is The Summary of Diabetes Self-Care Activities questionnaire</p><p class="AbstractContent"><strong>Results:</strong> The results showed that self-care behavior of participants in the last seven days is 4,4 days (Median 4.4, Minimal-Maximum 2.6-5.4, 95% CI 4.1-4.5). Self-care was described as “good” in only half of the participant (50%). Self-care behavior was reported good in diet, physical exercise, and taking medication, but it was poor in self-monitoring of blood glucose (SMBG) and foot care.<strong></strong></p><p><strong>Conclusion: </strong>This study recommended that nurses should enhance education and support to improve patient self-care behaviors especially SMBG and foot care.</p><p class="AbstractContent"><strong> </strong></p><p><strong>Keywords: </strong>Colon cancer, deep breathing, early mobilization, effective coughing, preoperative education.</p>


2017 ◽  
Vol 2 (1) ◽  
pp. 61
Author(s):  
Rima Ulfa Fahra ◽  
Nur Widayati ◽  
Jon Hafan Sutawardana

Diabetes mellitus (DM) is a chronic disease that requires continuous self-care. Education by nurses can support self-care behavior of patients with type 2 DM. Good knowledge affects self-care of type 2 diabetes patients so that metabolic control can be achieved. This study aimed to identify the correlation between the role of nurse as educator and self-care behaviour in patients with type 2 diabetes mellitus. This research applied a descriptive analytic design with cross sectional approach. A total of 63 respondents were enrolled in this study by using consecutive sampling technique. Data collection was conducted by administering questionnaires of nurse role as educator and Summary of Diabetes Self Care Activities (SDSCA). Data were analyzed by using Spearman correlation test with significance level of 0.05. The result showed that the mean value of nurse role and self-care behaviour was 59.84 and 3.79 respectively. The p value was 0.000 (p<0.05) with the correlation coefficient (r) of 0.851. It indicates that there was a significant correlation between nurse role as educator and self-care behaviour in patients with type 2 DM. The correlation was strong and positive which means the better the nurse's role as educator the better the patient's self-care behaviour. The education gained by the patients can affect the motivation to perform self-care behaviour. This study suggests the importance of nurse role in providing education in type 2 diabetes patients to optimize self-care behaviour.


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