Vol. 7 / No. 2 / Published : 2012-10
Original Article :
Pengembangan model self care management-holistic psychospiritual care terhadap kemandirian dan perubahan nilai kadar glukosa darah serta hba1c penderita diabetes melitus tipe 2 (the development of self care management-holistic psychospiritual care on independence and the changes of glucose level and hba1c of type 2 diabetes mellitus patient)
- Dosen Fakultas Keperawatan UA
Introduction: Diabetes mellitus was a kind of incurable chronic disease that actually manageable. The global prevalence tends to increase due to less self management of the disease and the impact of it was health condition declines physically, psychologically, socially, and spiritually. There were so many interventions implemented but failed to give positive improvement in patient’s holistic condition which is lead to complications. The purpose of this research was to improve patient independency in managing the disease and to explain changes in blodd glucose and HbA1C levels through Self Care Management-Holistic Psychospiritual Care Model. Method: Patient newly diagnose with Type 2 Diabetes Mellitus at Puskesmas Kebonsari was selected with purposive sampling and divided into two groups. Each group contains 25 patients. Intervention group was given Self Care Management Model Development with Self Diabetes Management Module. The intervention was given five times in three months. Before and after intervention patient was observed for Blood Glucose Level of 2 hours before and after meal, and also HbA1C level. Questionnaire was given to patient. The data then analyzed using Wilcoxon, MannWhitney, and Student-T test. Result: The result of this research showed patient with Type 2 Diabetes have independency improvement and lower Blood Glucose Level of 2 hours before and after meal and also decreased HbA1C afer intervention. Discussion: Self Care Management-Holistic Psychospiritual Care Model Development improves patient independency in managing their disease, lowering blood glucose and HbA1C levels.
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