Ulfah Nurnaningsih Herya, Katmawanti Septa, Sukma Andini Melati, Rahmawati Indana Tri, Wongsasuluk Pokkate, Alma Lucky Radita, Ariwinanti Desy
Department of Public Health, Faculty of Sport Science, Universitas Negeri Malang, Malang, East Java, Indonesia.
College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand.
J Public Health Afr. 2022 Dec 7;13(Suppl 2):2419. doi: 10.4081/jphia.2022.2419.
Self-care management is the way to prevent the complication in diabetes. However, adherence to self-care management is low. This study aims to assess the association of personal characteristics, supports the system, including families and community, with the self-care behavior among diabetes patients. A cross-sectional study was used in this research. 158 participants were randomly selected based on the primary health care database in Malang City, Indonesia. There are eight parts of the questionnaire as the instruments in this study. Multivariate logistic regression was used to analyze the association of all independent variables with self-care behavior as a dependent variable. This study showed that 60.80% of respondents had complications while the less practicing self-care behavior was 46.84%. Furthermore, the ordinal regression logistic showed that duration of DM (OR:4.347, 95%CI 1.671-11.310), illness perception (OR: 0.028, 95%CI 6.090-51.346), family supports (OR: 3.295, 95%CI 1.325-8.192), and community supports (2.802, 95%CI 1.209-6.493) were associated with self-care behavior among diabetes Mellitus. This finding can support the primary health care to involved family and community around diabetes patients to success the self-care management.
自我护理管理是预防糖尿病并发症的方法。然而,自我护理管理的依从性较低。本研究旨在评估个人特征、包括家庭和社区在内的支持系统与糖尿病患者自我护理行为之间的关联。本研究采用横断面研究。根据印度尼西亚玛琅市的初级卫生保健数据库随机选取了158名参与者。本研究使用问卷的八个部分作为工具。采用多因素logistic回归分析所有自变量与作为因变量的自我护理行为之间的关联。本研究表明,60.80%的受访者有并发症,而自我护理行为较少的比例为46.84%。此外,有序回归logistic分析显示,糖尿病病程(OR:4.347,95%CI 1.671 - 11.310)、疾病认知(OR:0.028,95%CI 6.090 - 51.346)、家庭支持(OR:3.295,95%CI 1.325 - 8.192)和社区支持(2.802,95%CI 1.209 - 6.493)与糖尿病患者的自我护理行为相关。这一发现可为初级卫生保健提供支持,使糖尿病患者周围的家庭和社区参与进来,以成功实现自我护理管理。