Dewi Prabawati, Lia Natalia

目的：糖尿病患者的需求不仅局限于适当的血糖控制，还包括预防并发症以及提高他们参与自我管理的意识。目的： 本研究旨在分析自我护理模式对糖尿病自我管理行为（DSM行为）和空腹血糖（FBG）水平的有效性。方法：该研究于 2019 年 6 月至 8 月在社区卫生中心进行，采用了一个准实验性的前后测试与控制组设计。研究通过目的抽样法获得 104 位调查对 象，分为实验组（52 位）和控制组（52 位）。在第一周和第七周使用糖尿病自我护理活动总结（SDSCA）问卷评估FBG水 平和DSM行为。结果：成对样本T检验统计显示，干预前后FBG水平下降和DSM行为水平提升有显著差异（p < 0.05）；独立 T检验发现干预组和对照组之间在FBG和DSM行为上有显著差异（p < 0.05）。SDSCA参数估计模型得出的影响最大的是健康 饮食（2.96），其次是足部锻炼（2.41）和活动（4.54）。SDSCA显示出对FBG的边际拟合，t < 2，贡献决定因素为 8.4%（R2 = 0.084）。结论：自我护理模式是有效的，可以改善DSM行为，并给与合适的血糖控制。此外，这种模式需要持续实施，以 防止并发症和提高糖尿病患者的自我护理。

血糖；糖尿病；自我护理模式；自我管理行为

[1] ADA. (2015). Standards of medical care in diabetes--2015 abridged for primary care providers. Clinical Diabetes, 33(2), 97-111. [2] American Association of Diabetes Educators. (2014). AADE7 Selfcare behaviours. The Diabetes Educator, 1-11. [3] Astuti, C. M., & Setiarini, A. (2013). Faktor-Faktor yang Berhubungan dengan Pengendalian Kadar Glukosa Darah Pasien Diabetes Melitus Tipe 2 Rawat Jalan di Poliklinik Penyakit Dalam RSJ Prof.Dr.Soerojo Magelang Tahun 2013. Program Studi Gizi, Fakultas Kesehatan Masyarakat, Universitas Indonesia. [4] BPJS. (2014). Panduan praktis Prolanis (Program pengelolaan penyakit kronis). BPJS Kesehatan. [5] Ekpenyong, C. E., Akpan, U. P., Ibu, J. O., & Nyebuk, D. E. (2012). Gender And Age Specific Prevalence and Associated Risk Factors of Type 2 Diabetes Mellitus in Uyo Metropolis, South Eastern Nigeria. Diabetologia Croatica, 41(1), 17-28. [6] Suharto, & Dewi, Y. S. (2015). Pemberdayaan Pasien Berbasis Experiental Learning Terhadap Perilaku Pencegahan Komplikasi Akut dan Kadar Glukosa Darah Pasien DM. Jurnal Ners, 10(2), 256–264. [7] Eva, J. J., Kassab, Y. W., Neoh, C. F., Ming, L. C., Wong, Y. Y., Hameed, M. A., Hong, Y. H., & Moklesur Rahman Sarker, M. (2018). Self-care and self-management among adolescent T2DM patients: A review. Frontiers in Endocrinology, 9(OCT), 1-7. [8] Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., Maryniuk, M., Peyrot, M., Piette, J. D., Reader, D., Siminerio, L. M., Weinger, K., & Weiss, M. A. (2008). National standards for diabetes self-management education. Diabetes Care, 31(SUPPL. 1). [9] Kushwaha, A., Kumari, S., & Kushwaha, N. (2016). Self care in diabetes: A study amongst diabetics in an urban community. International Journal of Community Medicine and Public Health, 3(1), 293-298. [10] Peel, E., Douglas, M., & Lawton, J. (2007). Self monitoring of blood glucose in type 2 diabetes: Longitudinal qualitative study of patients’ perspectives. British Medical Journal, 335(7618), 493–496. [11] PERKENI. (2015). Konsensus Pengelolaan dan Pencegahan Diabetes Melitus tipe 2 di Indonesia 2015. In Pengurus Besar Perkumpulan Endokrinologi Indonesia (PB Perkeni) (Vol. 1). [12] Riskesdas. (2018). Hasil Utama Riskesdas 2018. [13] Shrivastava, S. R., Shrivastava, P. S., & Ramasamy, J. (2013). Role of self-care in management of diabetes mellitus. 12(1), 1. [14] Sukartini, T., Theresia Dee, T. M., Probowati, R.,&Arifin, H. (2020). Behaviour model for diabetic ulcer prevention. Jo urnal of Diabetes and Metabolic Disorders.

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