Nazalah, Rajba
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Meta Analysis: Factors Affecting Implementation of Self-Care Practice in Diabetes Mellitus Patients Khairiyyah, Alimah Ulfah; Nazalah, Rajba; Aditya, Stefanus; Murti, Bhisma; Marsim, Etanaulia
Indonesian Journal of Medicine Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.09.01.10

Abstract

Background: Diabetes mellitus is a chronic metabolic disorder characterized by high blood sugar levels. If not controlled properly, diabetes mellitus can cause serious complications. Self-care practices are a very important factor in controlling the disease. This study aims to estimate the factors that influence self-care practices in diabetes sufferers.Subjects and Method: This was a systematic review and meta-analysis using PICO format. Population: diabetes patients. Intervention: having diabetes knowledge, high social support, female gender and presence of comorbidities. Comparison: no diabetes knowledge, low social support, male gender and no comorbidities. Outcome: self-care practices. The articles used in this research came from 5 databases, namely Google Scholar and Science Direct. The keywords of the article are "Diabetes Knowledge" AND "Social Support" AND "gender" AND "comorbidities" AND "diabetes" AND "Self-care practice behavior". The articles included in this research are full paper articles, cross-sectional study, publication year range 20172023, and reporting the aORs. Articles were analyzed using the Review Manager 5.4.Results: Female patients (aOR=1.56; 95% CI= 1.04 to 2.34; p= 0.030), high knowledge (aOR= 2.10; 95% CI= 1.27 to 3.46; p= 0.004), strong social support (aOR=1.73; 95% CI= 1.07 to 2.78; p= 0.020), and the presence of comorbidities (aOR=1.20; 95% CI= 0.67 to 2.16; p= 0.540) improved implementation of self-care practices.Conclusion: Female patients, high knowledge, strong social support, and the presence of comorbidities improve implementation of self-care practices. Keywords: factors, diabetes self-care practices, diabetes mellitus
Contextual Effect of Village, Implementation of Theory of Planned Behavior, and Decision to Quit Smoking: A Multilevel Analysis Nazalah, Rajba; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.03.07

Abstract

Background: Behavior is determined by the intention to perform a behavior. Intentions are further influenced by three constructs, attitudes (the advantages and disadvantages of engaging in a behavior), subjective norms (social influences on a behavior) and perceived behavioral control (facilitators and barriers to a behavior). The study aimed to analyze the contextual influence of the hamlet on the application of the Theory of Planned Behavior (TPB) construct in the decision to stop smoking among adults in Surakarta. Subjects and Method: A cross-sectional study was conducted in 22 villages in Surakarta in November-December. A sample of 200 adult smokers and quitters was selected using snowball sampling. The dependent variable is the decision to stop smoking. The independent variables are intention, attitude, subjective norm, and perceived behavioral control. Data were collected by questionnaire and analyzed using multilevel multiple linear regression. Results: A person's decision to stop smoking is directly influenced by the intention to stop smoking (b= 0.18: 95% CI= 0.07 to 0.28; p= 0.001). Intention to quit smoking was significantly influenced by attitudes about smoking (b= 0.21: 95% CI= 0.10 to 0.32; p <0.001), subjective norms (b=0.19: 95% CI= 0.06 to 0.32; p= 0.003), and perception behavioral control (b= 0.25: 95% CI= 0.09 to 0.42; p= 0.002). Variations at level 2 hamlets have a contextual relationship to the decision to stop smoking (ICC= 10.43%). Conclusion: Decision to quit smoking is directly influenced by the level of intention to quit smoking. Intention to quit smoking itself is influenced by attitudes, subjective norms, and perceived behavioral control. Hamlet has a contextual effect on the decision to quit smoking.