Self-management Effectiveness on the Quality of Life of Type 2 Diabetes Mellitus Patients during the COVID-19 Pandemic in Aceh, Indonesia
DOI:
https://doi.org/10.3889/oamjms.2022.9634Keywords:
Quality of life, Self-management, Diabetes mellitus, COVID-19Abstract
Background: Type 2 Diabetes Mellitus (DM) is a comorbid factor with a double risk of increased morbidity and mortality due to COVID-19. Therefore, diabetic patients need to prevent COVID-19 seriously. However, they also need to regularly check their condition in health care services, such as hospitals and community health centers, making them more vulnerable to Covid-19 infection. One factor playing a significant role in controlling diabetes is self-management. Self-management activities can increase independence in caring for and controlling the health of diabetic patients. Then, it also enhances self-efficacy to improve the quality of life among diabetic patients. This study aimed to examine the effect of self-management on quality of life among patients with type 2 DM.
Method: Fifty patients with type 2 DM consented to participate in the study. The patients were assigned to either the control group receiving standard care or the experimental group receiving standard care and self-management. The program was constructed using Kanfer’s three self-management steps, including self-monitoring, self-assessment, and self-reinforcement. The effect of the intervention was measured by the WHO Quality of Life Questionnaire (WHOQOL-BREF), consisting of 26 statement items on a 5-point Likert scale and a self-management intervention evaluation checklist. Data were analyzed using an independent sample t-test.
Results: The results showed a significant difference between the pre and post-intervention in the experimental group's quality of life of type 2 DM patients (p=0.000 and α = 0.01).
Conclusion: This study found that self-management effectively increases the quality of life among diabetic patients. The health care providers, especially the nurses interested in community and family health nursing, are suggested to improve the self-management of diabetic patients to prevent complications and improve the quality of life of the patients.
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References
Ansari RM, Dixon JB, Browning CJ. Self-management of Type 2 diabetes in middle-aged population of Pakistan and Saudi Arabia. Open J Prev Med. 2014;4(6):396-407. https//doi.org/10.4236/ojpm.2014.46047 DOI: https://doi.org/10.4236/ojpm.2014.46047
International Diabetic Federation. IDF Diabetes Atlas. Brussels, Belgium: International Diabetic Federation; 2015.
Basic Health Research Results Report. Ministry of Health of the Republic of Indonesia. Basic Health Research Results Report; 2013.
Mukona DM, Zvinavashe M. Self management of diabetes mellitus during the Covid-19 pandemic: Recommendations for a resource limited setting. Diabetes Metab Syndr. 2020;14(6):1575-8. https//doi.org/10.1016/j.dsx.2020.08.022 PMid:32858475 DOI: https://doi.org/10.1016/j.dsx.2020.08.022
Cohen L, Manion L, Morrison K. Research Methods in Education. 6th ed. Oxon: Routledge; 2007. DOI: https://doi.org/10.4324/9780203029053
Polit DF, Beck CT. Nursing Reserch Generating and Assessing Evidence for Nursing Practice. 10th ed. Philadelphia, PA: Wolters Kluwer; 2017.
Pamungkas RA, Limansyah D, Sudarman S, Siokal B. Self management program among Type 2 diabetes mellitus patients: A literature review. Belitung Nurs J. 2016;2:34-9. https//doi.org/10.33546/bnj.18 DOI: https://doi.org/10.33546/bnj.18
Putri DS, Yudianto K, Kurniawan T. Self-Management behavior of patient with diabetes mellitus. Fak Keperawatan Univ Padjadjaran. 2013;1:30. DOI: https://doi.org/10.24198/jkp.v1n1.4
Eltrikanawati T, Arini L, Chantika I. The relationship between physical activity and quality of life elderly people with hypertension. J Kesehat Mercusuar 2020;3:39-44. https//doi.org/10.36984/jkm.v3i2.132 DOI: https://doi.org/10.36984/jkm.v3i2.132
Panjaitan SH. Relationship Between Physical Activity And Quality Of Life Type 2 Diabetes Mellitus Patients At Purnama Puskesmas Pontianak Selatan District Pontianak City. J Mhs Fak Kedokt Untan. 2015;3.
Putri DS, Nugroho EG. Diabetic foot exercise as an effort to increase self-care in patients with diabetes mellitus in Mardi Rahayu Kudus Hospital. J Pengabdi Kesehat. 2020;3:132-40. https//doi.org/10.31596/jpk.v3i2.86 DOI: https://doi.org/10.31596/jpk.v3i2.86
Abdurrasyid. The level of physical activity determines the quality of life of the elderly with type 2 diabetes mellitus. Indones J Nurs Health Sci. 2019;4:17-22.
Tursina HM, Purwaningrum Y, Febrianti EA. Increased quality of life with foot exercises and lavender aromatherapy interventions in type 2 diabetes mellitus patients in Rambipuji Community Health Center. J Kesehat Dr Soebandi. 2019;7:42-50. DOI: https://doi.org/10.36858/jkds.v7i1.140
Syarif H. Quality of life of diabetic ulcer patients in endocrine polyclinic, RSUDZA, Banda Aceh. Idea Nurs J. 2013;4:1-7.
Sari Y, Purnawan I, Taufik A, Sumeru A. Quality of life and associated factors in Indonesian diabetic patients with foot ulcers. Nurse Med J Nurs 2018;8:13-24. DOI: https://doi.org/10.14710/nmjn.v8i1.16815
Kaufman FR. Medical Management of Type 1 Diabetes. Arlington County, Virginia: American Diabetes Association; 2012.
Jahromi MK, Ramezanli S, Taheri L. Effectiveness of diabetes self-management education on quality of life in diabetic elderly females. Glob J Health Sci. 2015;7:10-5. https//doi.org/10.5539/gjhs.v7n1p10 DOI: https://doi.org/10.5539/gjhs.v7n1p10
Khanna A, Bush AL, Swint JM, Peskin MF, Street RL, Naik AD. Hemoglobin A1c improvements and better diabetes-specific quality of life among participants completing diabetes self-management programs: A nested cohort study. Health Qual Life Outcomes. 2012;10:48. https//doi.org/10.1186/1477-7525-10-48 PMid:22583609 DOI: https://doi.org/10.1186/1477-7525-10-48
Mohan V, Mapari JA, Karnad PD, Mann JS, Maheshwari VK. Reduced Diabetes mellitus-related comorbidities by regular self-monitoring of blood glucose: Economic and quality of life implications. Indian J Endocrinol Metab. 2018;22:461-5. https//doi.org/10.4103/ijem.IJEM_216_17 DOI: https://doi.org/10.4103/ijem.IJEM_216_17
American Diabetes Association. Standards of medical care in diabetes 2014. Diabetes Care. 2014;37:S14-80. https//doi.org/10.2337/dc14-S014 PMid:24357209 DOI: https://doi.org/10.2337/dc14-S014
Polonsky WH, Fisher L, Schikman CH, Hinnen DA, Parkin CG, Jelsovsky Z, et al. Structured self-monitoring of blood glucose significantly reduces a1c levels in poorly controlled, noninsulin-treated Type 2 diabetes. Diabetes Care. 2011;34(2):262-7. https//doi.org/10.2337/dc10-1732 DOI: https://doi.org/10.2337/dc10-1732
NICE Systems Ltd. Overview Type 2 Diabetes in Adults: Management Guidance Ra’anana, Israel: NICE Systems Ltd.; 2020.
Xiao Y, Hu Y, Du J. Controlling blood sugar levels with a glycopolymersome. Mater Horizons. 2019;6:2047-55. https//doi.org/10.1039/c9mh00625g DOI: https://doi.org/10.1039/C9MH00625G
Berard LD, Blumer I, Houlden R, Miller D, Woo V. Monitoring glycemic control. Can J Diabetes. 2013;37(Suppl 1):S35-9. https//doi.org/10.1016/j.jcjd.2013.01.017 DOI: https://doi.org/10.1016/j.jcjd.2013.01.017
American Diabetes Association. Standards of medical care in diabetes 2013. Diabetes Care. 2013;36:S11-66. https//doi.org/10.2337/dc13-S011 PMid:23264422 DOI: https://doi.org/10.2337/dc13-S011
The Mayo Clinic. Blood Sugar Testing: Why, when and how. Rochester, Minnesota: Mayo Clinic; 2018.
Weinstock RS. Patient Education Blood Glucose Monitoring in Diabetes (Beyond the Basics) UpToDate; 2021.
Moström P, Ahlén E, Imberg H, Hansson PO, Lind M. Adherence of self-monitoring of blood glucose in persons with Type 1 diabetes in Sweden. BMJ Open Diabetes Res Care. 2017;5(1):e000342. https//doi.org/10.1136/bmjdrc-2016-000342 PMid:28611921 DOI: https://doi.org/10.1136/bmjdrc-2016-000342
Zhu H, Zhu Y, Leung SW. Is self-monitoring of blood glucose effective in improving glycaemic control in Type 2 diabetes without insulin treatment: A meta-analysis of randomised controlled trials. BMJ Open. 2016;6(9):e010524. https//doi.org/10.1136/bmjopen-2015-010524 PMid:27591016 DOI: https://doi.org/10.1136/bmjopen-2015-010524
Schnell O, Alawi H, Battelino T, Ceriello A, Diem P, Felton AM, et al. Self-monitoring of blood glucose in Type 2 diabetes: Recent studies. J Diabetes Sci Technol. 2013;7:478-88. https//doi.org/10.1177/193229681300700225 DOI: https://doi.org/10.1177/193229681300700225
Gebeyehu K, Abebe T, Woretaw A. Prevalence of anti-diabetic medication adherence and determinant factors in Ethiopia: A systemic review and meta-analysis, 2019. Int J Afr Nurs Sci. 2019;11:100167. https//doi.org/10.1016/j.ijans.2019.100167 DOI: https://doi.org/10.1016/j.ijans.2019.100167
Balcha F, Hjortdahl P, Moen A. Effect of locally-contextualized nurse-led diabetes self-management education on psychosocial health and quality of life: A controlled before-after study. Int J Africa Nurs Sci. 2021;15:100325. https//doi.org/10.1016/j.ijans.2021.100325 DOI: https://doi.org/10.1016/j.ijans.2021.100325
Costa IG, Tregunno D, Camargo-Plazas P. Patients’ journey toward engagement in self-management of diabetic foot ulcer in adults with Types 1 and 2 diabetes: A constructivist grounded theory study. Can J Diabetes. 2021;45(2):108-13.e2. https//doi.org/10.1016/j.jcjd.2020.05.017 PMid:33011133 DOI: https://doi.org/10.1016/j.jcjd.2020.05.017
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Copyright (c) 2022 Fithria Fithria, Cut Husna, Ahyana Ahyana, Irfanita Nurhidayah, Syarifah Rauzatul Jannah (Author)
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