Path Analysis: Factors Associated with Self Preventive Care among Patients with Type 2 Diabetes Mellitus in Surakarta

Ummy Prasetyowati, Didik Tamtoto, Bhisma Murti

Abstract

Background: Patients with diabetes have an increased risk of morbidity and mortality from several conditions, such as cardiovascular, cerebrovascular, or kidney diseases and heart failure. In ad­d­ition, economic analysis indicates that mean total costs associated with microvascular complications have almost doubled compared with those for patients without these complications. This study aimed to analyze factors associated with self preventive care among patients with type 2 dia­betes mellitus in Surakarta, using a path analysis model.

Subjects and Method: A cross sectional study was conducted at Dr. Moewardi Hospital, Su­rakarta, Central Java, from March to April 2018. A sample of 200 type DM patients was selected by to­tal sampling. The dependent variable was self preventive care. The independent variables were per­ceived severity, susceptibility, threat, benefit, cues to action, self efficacy, attitude, and family sup­port. The data were collected by questionnaire and analyzed by path analysis.

Results: Self preventive care directly increased with perceived threat (b= 3.21; 95% CI= 1.98 to 4.44; p<0.001), perceived benefit (OR= 0.68; 95% CI= -0.11 to 1.47; p=0.092), and self efficacy (OR= 0.14; 95% CI= 0.01 to 0.26; p=0.029). Self preventive care was indirectly associated with perceived severity, attitude, family support, and cues to action.

Conclusion: Self preventive care directly increases with perceived threat, perceived benefit, and self efficacy, and is indirectly associated with perceived severity, attitude, family support, and cues to action.

Keywords: type 2 diabetes mellitus, self preventive care, Health Belief Model

Correspondence: Ummy Prasetyowati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: ummyprasetyowati@gmail.com. Mobile:+6281227225939.

Journal of Health Promotion and Behavior (2018), 3(2): 86-93
https://doi.org/10.26911/thejhpb.2018.03.02.01

 

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References

Blake H (2017). Health beliefs predict selfcare practices and glycaemic control in Malaysian patients with insulintreated diabetes. Health Beliefs Predict SelfCare Practices And Glycarmic Control In Malaysian Patients With InsulinTreated Diabetes: A. Malaysian Journal Public Health.

Dinas Kesehatan Provinsi Jateng. (2015). Provinsi Jawa Tengah Tahun 2015, 151.

International Diabetes Federation. (2017). IDF Diabetes Atlas 8th Edition. International Diabetes Federation. https://doi.org/10.1289/image.ehp.v119.i03.

_____ (2015). IDF Diabetes Atlas 7th edition.https://doi.org/10.1289/image.ehp.v119.i03.

Khorsandi M, Fekrizadeh Z, Roozbahani N, Press D (2017). Investigation of the effect of education based on the health belief model on the adoption of hypertensioncontrolling behaviors in the elderly. Clinical Interventions in Aging, 12, 233–240. https://doi.org/10.2147/CIA.S117142.

Kiti Y (2018). Elderly diabetes patients health beliefs about care and,15(1), 27–31. https://doi.org/10.14687/jhs.v15i1.4903.

Kugbey N, Oppong Asante K, Adulai K (2017). Illness perception, diabetes knowledge and selfcare practices among type-2 diabetes patients: A crosssectional study. BMC Research Notes, 10(1), 1–7. https://doi.org/10.1186/s1310401727075.

Kumaat LT (2017). Gambaran Pengetahuan Dan Sikap Penderita Diabetes Melitus (Dm) Di Wilayah Kerja Puskesmas Tinoor, 5(November).

Masoompour M, Tirgari B, Ghazanfari Z (2017). The Relationship between Health Behaviors in Diabetic Patients. Evidence Based Care Journal, 51: 16–25. https://doi.org/10.22038/EBCJ.2017.24826.1551

Mirza R (2017). Memaksimalkan Dukungan Keluarga Guna Meningkatkan Kualitas Hidup Pasien Diabetes Mellitus. Jurnal JUMANTIK, 2Dm.

Onoruoiza SI, Musa A, Umar BD, Kunle Y S (2015). Using Health Beliefs Model as an Intervention to Non Compliance with Hypertension Information among Hypertensive Patient. Journal of Humanities And Social Science, 20(9), 11–16. https://doi.org/10.9790/083720951116.

PERKENI (2015). Konsensus Pengendalian dan Pencegahan Diabetes Melitus Tipe 2 di Indonesia 2015. Perkeni. https://doi.org/10.1017/CBO9781107415324.004.

Prawirasatra WA, Wahyudi F, Nugraheni A (2017). Hubungan Dukungan Keluarga Terhadap Kepatuhan Pasien Dalam Menjalankan 4 Pilar Pengelolaan Diabetes Melitus Tipe 2 Di Puskesmas Rowosari. Jurnal Kedokteran Diponegoro, 6(2), 1341–1360.

Rahman HF, Sukmarini L (2017). Efikasi Diri, Kepatuhan, dan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 (Self Efficacy, Adherence, and Quality of Life of Patients with Type 2 Diabetes). E Jurnal Pustaka Kesehatan, 5, 108–113.

Rantung J, Yetti K, Herawati T (2015). Hubungan selfcare dengan kualitas hidup pasien diabetes melitus (DM) di Persatuan Diabetes Indonesia (Persadia) cabang Cimahi.Jurnal Skolastik Keperawatan, 1(1), 38–51.

Rekamedik RSUD Dr. Moewardi Surakarta. 2017. Surakarta.

Rembang VP, Katuuk ME, Malara R (2017). Hubungan Dukungan Sosial Dan Motivasi Dengan Perawatan Mandiri Pada Pasien Diabetes Dalam Rsud Mokopido ToliToli, 5.

Shabibi P, Sadegh M, Zavareh A, Sayehmiri, K, Qorbani M, Rastegarimehr B (2017). Electronic Physician (ISSN: 20085842), (December), 5960–5968.

Vazini H, Barati M (2014). The Health Belief Model and SelfCare Behaviors among Type 2 Diabetic Patients.Iranian Journal of Diabetes And Obesity, 6(3), 107–113.

World Health Organization. (2016). Diabetes Fakta dan Angka. Diabetes Di Dunia. Retrieved from https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwi8gs2Cv4LZAhXMs48KHQCuA9oQFggwMAA&url=http%3A%2F%2Fwww.searo.who.int%2Findonesia%2Ftopics%2F8whd2016diabetesfactsandnumbersindonesian.pdf&usg=AOvVaw0k4OGXSwGUF.

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