Introduction: Diabetes Mellitus (DM) is one of the incurable cronic diseases. The patient's dietary obedience is a principal component in diabetes treatment success. One of the efforts to increase dietary obedience behavior in type 2 Diabetes Mellitus patients is using a Diabetes Self Management Education (DSME) principles approach. Diabetes Self Management Education (DSME) is the ongoing process of facilitating knowledge, skill and ability necessary for diabetes self care. The purpose of this study was to analyze the influence of DSME principles approach toward the dietary obedience behavior that consists of knowledge, attitude, and practice aspects in patients with type 2 Diabetes Mellitus at Puskesmas Kebonsari Surabaya. Methods: A quasy experimental design was used in this study with 24 people as the sample which taken by using purposive sampling and divided into two groups (treatment and control group). A structured questionnaire and daily meal note for seven days were used to collect the data. The data were analyzed by using Wilcoxon signed rank test and Mann Whitney U test with significant level α≤0.05. Result: The results showed that there was an influence of DSME principles approach after being applied to the treatment group and control group toward the dietary knowledge with the value of p=0.004 and p=0.083 respectively, the attitude of dietary obedience with p=0.025 and p=0.083 and the dietary obedience practice with p=0.002 and p=0.564. Discussion: The study showed that DSME approach had a significant influence toward the dietary obedience behavior in type 2 Diabetes Mellitus patients. DSME principles approach used learning based on patient empowerment and behavior strategies. Ongoing support also contributed in maintaining progress achieved so that resulting dietary obedience behavior in type 2 Diabetes Mellitus patients. Larger respondents, more proper instruments and longer duration of study are needed to get a better results of the study concerning diabetic patient's obedience in the future.
Introduction: Exposure to pathogens is a serious issue for nurses. The literature explains that standard precautions have not been taken consistently in nursing. The purpose of this study was to analyse the factors affecting the compliance of nurses in Myanmar in taking standard precautions. Methods: This study used a cross-sectional design. Samples included 34 nurses in Waibagi Specialist Hospital (SHW), Myanmar. The independent variables were the characteristics of nurses, knowledge of standard precaution, and exposure to blood/body fluids and needle puncture wounds. The dependent variable was the performance of standard prevention. Data were analysed using descriptive analysis and logistic regression. Results: The results showed that almost respondents (91.18%) had a good knowledge of prevention standards and 73.5% of respondents had good adherence in taking standard precautions. However, in practice, nurses have not been consistent in closing the needles that have been used correctly. The results showed that nurse characteristics did not significantly affect adherence to standard precautions with statistical test results as follows: age (p = 0.97), gender (p = 1.00), religion (p = 0.72), education (p = 0.85), work experience at SHW (p = 0. 84), education training program (p = 0.71), knowledge (p = 0.76), and needle stick injury (p = 0,17). But, there was a significant influence between adherence to standard precautions and the incidence of injury due to needle puncture with p-value = 0.01. Discussion: The barriers to applying standard precautions by Myanmar nurses can be reduced by providing basic training, supervision, and improvement of standard operational procedures.
Introduction: Management coronary artery disease required lifelong treatment. The successful management of CHD requires efective coping, intention and medication adherence of CHD’s patients. This study aimed to explain the changes of coping, intention, and medication adherence in patients with CHD after giving self management programme in RSUD Jombang based on Theory Planned Behavior.Method: This study used a quasy experimental pretest-posttest control group design and 28 respondens selected by consecutive sampling. Independent variable was self management programme while dependent variables were coping, intention, medication adherence. Data were collected by using questonnaires measuring coping level, intention and medication adherence. The statistical test used was Mann Whitney, Wilcoxone Signed Rank and t-Test. Result: The result showed that 1) self management programme improve the level of coping in patients with CHD (p < 0,001), 2) self management programme improve the level of intention in patients with CHD (p < 0,001), 3) self management programme improve the level of medication adherence in patients with CHD (p < 0,001). Discussion: To change a behavior requires improvement of coping and intentions. This is in according to the Theory of Planned Behavior that behavior change is influenced by the attitude toward the behavior, subjective norm, perceived behavioral control and intention.Keywords: self management program, coping, intention, medication adherence, coronary heart disease
ABSTRAKPendahuluan: Pandangan bahwa kusta merupakan penyakit yang tidak dapat diobati, penyakit keturunan, kutukan, najis dan menyebabkan kecacatan membuat penderita merasa marah, kecewa bahkan cenderung menutup diri yang pada akhirnya tidak tekun berobat. Tujuan penelitian adalah menjelaskan peningkatan pengetahuan, self effi cacy, dan penurunan stres pasien kusta melalui penerapan support group di RSK Sumberglagah. 57,14% good; 100% good (p = 0,041). Self effi cacy pre and post was 42,86% high; 28,57% high (p = 0,307). Stres level pre and post was 35,71% normal; 50% normal (p = 0,046). Mean of cortisol level pre and post was 66,35 ± 28,72; 71,80 ± 23,84 (p = 0,598
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.