Empowerment of Posbindu Cadres in Improving Self-Care Activity in Diabetes Mellitus Based on Levine Conversation (original) (raw)
Related papers
PROMOTING SELF CARE BEHAVIOUR IN DIABETES TYPE 2 BASED ON LEVINE'S CONSERVATION MODEL
Introduction: Diabetes type 2 is chronic disease which is needed long term treatment, so the patient need self management education to prevent the complications. Self management will be effective if patients have knowledge, skills and self care behaviour. One of the nursing model theory is Myra E. Levine conservation model. This model is oriented towards energy conservation, structural integrity, personal integrity and social integrity. The objectives of the research are the influence of health education based on levine's conservation to self care behaviour in diabetes type 2. Method: This research is quasi experiment research with non randomized control group pretest posttest design. The treatment group given treatment, and the control group don't give treatment. Results: The result of the research indicates that there are significant difference of self care behaviour between treatment group and control group that effect of applying health education based on levine's conservation. Result of t test independent test at the self care behavior t value 25,790 (p = 0.000). Discussion: The conclusion is the application of health education based on levine's conservation has significant impact in improving the self care behaviour of patients with type 2 diabetes, because Levine Conservation affect the way people think (cognitive), feeling (affective), motivational, and selection of the behavior of the selected treatment by individuals.
Educational program to promote the self-care of people with diabetes mellitus
Avances en Enfermería, 2019
Objective: to evaluate the effect of an intervention program on the capacity and action for the self-care of people with diabetes mellitus.Method: this is an intervention study with the implementation of a problem-solving educational program in diabetes in a private health service. Capacity and action scales were applied for the self-care, in the initial moment and after the intervention with analysis of the outcome by the metabolic control. Differences were identified by the Student t test and the comparison of the scales variability calculated by Cronbach's alpha, with a 95 % confidence interval.Results: participated in the study 23 people, with significant improvement in the values of glycated hemoglobin, glycemic and diastolic blood pressure variability after the educationalprogram. The educational strategy in diabetes provided improvement in both capacity and action for self-care,respectively (p ≤ 0.0 %), Cronbach’s alpha initial 0.895 and final 0.938 Conclusion: education...
Empowerment of Diabetes Self-Management Assistance Groups (DAG) as an Effort to Improve Self Care Behavior of Diabetes Mellitus Patients in Gorontalo City, 2022
Self-care management is the key to the success of diabetes mellitus treatment. Self-care of glucose management, diet control, a healthy lifestyle will determine quality of life of people with Diabetes Mellitus, but it can't be achieved without support from patients environment, included family. .Therefore, this community service activity is expected to be able to increase the knowledge, skills, and abilities of families in carrying out independent care for family members who suffer from Diabetes Mellitus, improve self care behavior in Diabetes Mellitus Patients so that the health status of people with Diabetes Mellitus in the Gorontalo City can be increased. In addition to involving the family, health cadres as part of the community also play a role in efforts to improve the health quality of Diabetes Mellitus Patients by increasing their understanding and skills in treating Diabetes Mellitus Patients. This Community Service begins with the formation of Diabetes Assistance Group (DAG) , improving the basic competencies of health cadres and families through structured education and training, followed by monitoring and evaluation of the DAG programme. The results obtained showed an increase in the posttest knowledge average in 10 health cadres who had been given education and a decrease in blood glucose levels in 30 diabetes patient who became the fostered family with an average decrease of 111 mg/dL.
Self-Awareness Pada Keluarga Resiko Tinggi Diabetes Mellitus DI Tampat Durian Kuranji : Studi Kasus
Jurnal Kesehatan Mesencephalon, 2019
Type 2 Diabetes Mellitus disease is a disease with the greatest number of sufferers of all kinds of Diabetes Mellitus. Diabetes Mellitus disease can be prevented by modifying lifestyle. This study explores self-awareness of a group of high risk of Diabetes Mellitus. This case study uses descriptive qualitative research methods. Data were obtained by interviewing three participants who were at high risk and had family histories suffer from Diabetes Mellitus. The results of the interviews were analyzed using the Corbin and Strauss method where there were three stages of analysis, open coding, axial coding and selective coding. The results showed, a pattern that similar to all participants which is knowledge, attitudes and behaviors of Diabetes Mellitus that were not good in the community. The result reviewed using Johari Window theory. The lack of self-awareness of high risk Diabetes Mellitus community is because they are individuals who are in the hidden area. This individuals are difficult to care, share, open or accept the opinions of others. They solve problems based on their own thoughts and desires, therefore only themselves know about their health problems.
Affect Health Education With Diabetes Management Self-Education Methods For
Diabetes mellitus or diabetes is a chronic disease that reduces insulin production from pancrease and insulin produced is not effective in reducing blood sugar levels. This situation will increase blood sugar levels thereby increasing most body systems. Disease with a high prevalence cannot be completely resolved, but can prevent or be controlled may not be chronic. This study aims to measure changes in selfcare, diabetes pressure, and blood sugar levels after DSME health education in prolanis diabetes mellitus patients with the Tlogosari Kulon community health center. The results of this study indicate that Self Management Education (DSME) has a higher influence on self care, diabetes pressure and blood sugar levels of patients who have not yet died. Patients who have received Self Management Education (DSME) show a change in self-care activities before DSME and after DSME, self-care activities after DSME are higher than before DSME. DSME and sugar levels are more normal and stable than before DSME diabetic patients.
Behaviours and educational effect on the improvement of self-care among the diabetics
International Journal Of Community Medicine And Public Health
Globally diabetes causes a huge burden due its significant morbidity and mortality. In year 2019 almost 4.2 million people died from diabetic complications. Self-care is essential in management of diabetes since lifestyle modifications can successfully help in preventing diabetes associated complications. People with diabetes should engage in self-care practices to manage their condition. Diabetes education is essential to improve self-care for patients with the disease. The purpose of this research is to review the available information behaviours and educational effect on the improvement of self-care among the diabetics. A key element of diabetic management is sufficient knowledge of the disease as more education can develop a sense of empowerment and improve quality of life of patients. Patients with diabetes have demands that extend beyond just maintaining optimal glucose control and include preventing complications, limiting their impairment, and receiving rehabilitation. Healt...
Quality of self-management among diabetes mellitus patient
International Journal of Public Health Science (IJPHS), 2021
Diabetes mellitus is a chronic disease that has very high morbidity and mortality rate. This disease cannot be cured but can be controlled with good self-management. This research determined the quality of self-management of diabetics at community health centers in Padang City in 2019. This is a descriptive-analytic study with amount of samples 105 people with diabetes. Data collection was carried out from July to November 2019 at seven community health centers in Padang City, namely: Nanggalo, Lapai, Alai, Andalas, Ambacang, Kuranji and Pauh community health centers. Data were collected by interviewing and processed by the stages of coding, editing, tabulating, and transferring. Data were analyzed by bivariate and multivariate analysis (Chi-square and logistic regression) with a significant level of 0.05 (5%). The results showed that 60% of the quality of self-management in good category. Factors that significantly affect the quality of self-management are physical exercise/sports (p-value=0.003), education (p-value=0.006) and regularity of taking medication (p-value=0.021). The quality of self-management is largely good and physical exercise greatly affects the quality of self-management of diabetes mellitus patients.
Zagazig University Medical Journal
Background: Diabetes mellitus (DM) is one of the most common noncommunicable diseases (NCDs) globally. There is substantial evidence that it is epidemic in many economically developing and newly industrialized countries. Objectives: Improving health of diabetic patients by assessment of knowledge, attitude and practice of patients towards self-care management ,implementation and evaluation the health education program. Subjects and methods: An interventional study was conducted during the period from March 2019 to August 2019 on eighty two diabetic patients attending the outpatient clinic in health insurance sector in Zagazig city by dividing them into two groups of diabetic patients; a control group and an intervention group for execution of the project for initial assessment of awareness, initial examination and initial investigations (Hemoglobin A1c (HBA1c) and Fasting Blood Sugar (FBS)) then health education messages were delivered and after three months reassessment of awareness, examination and investigations were done. Results: There was statistically significant improvement (p< 0.05*) among intervention group regarding total score for adequate diabetes self-management post intervention to become (87.8%) while it was (56.1%) before the intervention and the total score for inadequate diabetes self-management pre intervention was (43.9%) that decreased to (12.2%) post intervention. There was statistically significant worsen (P< 0.05*) among control group regarding total score for diabetes self-management post intervention. Conclusion: The study results indicated that the diabetes self-management program was effective for improving metabolic control of diabetes.
Jundishapur Journal of Chronic Disease Care, 2016
Background: Diabetes mellitus, as a chronic disease, largely affects lifestyle and quality of life. Education could affect quality of life of diabetic patient, however the results of studies have shown traditional and modern methods of education have various effects. Objectives: The aim of this study was to compare the effect of self-empowerment program through educational package and workshop on quality of life among diabetic patients. Methods: This study was a randomized clinical trial. Diabetic patients referring to the diabetes center, affiliated to Urmia University of Medical Sciences, participated in this study. A sample of 40 subjects was selected and they were divided into two groups of 20. A two-part questionnaire was used to collect data. The first part related to demographic information and the second was to assess the quality of life of diabetic patients, using audit of diabetes-dependent quality of life questionnaire. Results: The mean and standard deviation of life quality scores in the pre-intervention were 40/25 ± 7/69 in the workshop group and 39/9 ± 9/00 in the other group, while in the post-intervention, they were 46/00 ± 7/56 and 48/50 ± 5/56, respectively. There is no significant difference between the two groups before and after education in term of quality of life. However, a significant difference was observed in the scores of quality of life before and after the intervention between the two groups. Conclusions: Based on these findings, the use of self-empowerment regardless of the education program tools (workshop or training package), can promote self-care skills and thus improve the quality of life in diabetic patients.
Education for type 2 diabetes mellitus self-care: from compliance to empowerment
2009
Through a critical review of the literature on education for diabetes self-care and self-management, it was sought to point out the inappropriateness of traditional approaches towards compliance with treatment and transmission of information, considering the complexity of self-care under chronic conditions. The influence of the social sciences on the field of studies on chronic degenerative diseases in general, and diabetes in particular, was explored. From this perspective, it can be recognized that the fields of anthropology and sociology have been incorporated into research focusing more on individuals as patients, and on the experience gained through this process. Recently, there has been a slight change within the field of health education research relating to diabetes, with the introduction of strategies that seek to value the experience and autonomy of patients as self-care agents. This paper discusses the strategy for empowerment in education for diabetes self-care and self-management, as a dialogue-focused practice that respects patients' moral and cognitive autonomy.