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Titis Kurniawan
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Diabetes Self-Management and Its related Factors Titis Kurniawan; Kurniawan Yudianto
Jurnal Keperawatan Padjadjaran Vol. 4 No. 3 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (682.794 KB) | DOI: 10.24198/jkp.v4i3.289

Abstract

Self-management is essential in preventing complications among patients with Diabetes Mellitus. The behaviourof patients to implement Diabetes Self-Management (DSM) is influenced by several factors which needsfurther study. This descriptive study aimed to identify factors contributing to DSM among patients with Type2 Diabetes Mellitus (DMT2). 94 respondents were recruited using randomized sampling obtained from aninpatient unit in one hospital in West Java province. Self-rating instruments were used to identify demographydata, knowledge about DSM, self-efficacy scale, and DSM questionnaire. Descriptive analysis was conductedto explain demography data, knowledge, self-efficacy and DSM. Findings indicated respondents demonstratedmoderate level of knowledge (M=7,53), and self-efficacy (M=34,8), and high level of DSM (M=89,28).Post-hoc analysis demonstrated a significant relationship between age (r=-0,209); p=0,043), education level(p=0,008), and self-efficacy (r=0,214; p= 0,038). No significant relationship was not identified with DSM(r=0,317; p=0,187). It is concluded that age, level of education, and self-efficacy were contributed to DSM.
PENGARUH MOTIVASI INTERNAL DAN EKSTERNAL TERHADAP DIABETES SELF MANAGEMENT DI WILAYAH KECAMATAN GOMBONG KABUPATEN KEBUMEN Ernawati Ernawati; Elsa Pudji Setiawati; Titis Kurniawan
Jurnal Sistem Kesehatan Vol 1, No 2 (2015): Volume 1 Nomor 2 Desember 2015
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (312.863 KB) | DOI: 10.24198/jsk.v1i2.13005

Abstract

Diabetes Melitus merupakan penyakit kronik, oleh karena itu peran self-management sangat penting dalam perawatan maupun pencegahan komplikasi. Salah satu faktor yang mempengaruhi diabetes self management yaitu motivasi. Tujuan menganalisis dimensi kebutuhan dan keyakinan yang menggambarkan motivasi internal, menganalisis dimensi penghargaan dan harga diri yang menggambarkan motivasi eksternal, menganalisis dimensi diet, aktivitas fisik, pemeriksaan rutin, konsumsi obat, perawatan kaki yang menggambarkan diabetes self management,  menganalisis pengaruh motivasi internal dan eksternal terhadap diabetes self management. Penelitian kuantitatif korelasional,dilaksanakan 12 Februari s.d 6 Juni 2015 di Kecamatan Gombong, Kabupaten Kebumen, sampel 92 responden, teknik proporsional sampling, pendekatan cross sectional. Menggunakan kuesioner karakteristik demografi, Treatment Self-Regulation Questionnaire (TSRQ), The Summary of Diabetes Self Care Activities (SDSCA).  Analisis data menggunakan Structural Equation Modeling (SEM) dengan software Smart-PLS. Hasil menunjukkan dimensi kebutuhan (0,989), keyakinan (0,989) mampu menggambarkan motivasi internal, dimensi penghargaan (0,925), harga diri (0,800) mampu menggambarkan motivasi eksternal. Dimensi diet, aktivitas fisik, pemeriksaan rutin, konsumsi obat,  perawatan kaki mampu menggambarkan diabetes self management. Ada pengaruh signifikan motivasi internal dan eksternal (t-statistik = 3,799 ; 3,117), memberikan pengaruh sebesar 43,10% terhadap diabetes self management (R²=0,431). Motivasi internal dan eksternal berpengaruh terhadap diabetes self management. Penting bagi perawat komunitas untuk melakukan pengkajian dan mengoptimalkan sumber motivasi internal dan eksternal dalam diabetes self management.                                 Kata kunci : Diabetes Mellitus Tipe 2, Diabetes Self Management, Motivasi Eksternal,  Motivasi Internal
Co-Authors Elsa Pudji Setiawati Ernawati Ernawati Kurniawan Yudianto