Relationships between self-efficacy, health belief, and self-care among type 2 diabetes mellitus

https://doi.org/10.22146/jcoemph.78298

Ratna Wirawati Rosyida(1*)

(1) Poltekkes Kemenkes Surakarta
(*) Corresponding Author

Abstract


Introduction: Diabetes mellitus (DM) patients need to be empowered to manage their conditions. Some factors that affected the empowerment of diabetes mellitus patients were self-efficacy, health beliefs, and self-care. Self-efficacy positively correlates with health belief and self-care among patients with type 2 DM. However, such evidence is still limited in the Health Care Centers, especially in Yogyakarta. This research aimed to identify self-efficacy and the relationship between health belief and self-care among Type 2 DM patients. Methods: This is a correlative analytical of quantitative research using the cross-sectional approach. Purposive sampling was used to collect the samples, which were 83 patients who belonged to the inclusion criteria. This research was conducted in the Primary Health Center in Bantul Yogyakarta between April and May. The statistical tests used the Spearman rank correlation test due to the abnormal distribution. Results: The mean of self-efficacy, health belief, and self-care were 84.9±9.3; 105,1±7,2; 67,8±7,7, respectively. There was a significant relationship between self-efficacy and health belief at the value of p<0.000, and there was a relationship between self-efficacy and self-care at the value of p<0.000. Conclusion: Positive correlations were achieved between self-efficacy and health belief and between self-efficacy and self-care in diabetes mellitus patients.


Keywords


Diabetes mellitus; health belief; self-care; self-efficacy

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References

1. International Diabetes Federation. IDF Diabetes Atlas Seventh Edition [Internet]. Brussels, Belgium; 2015. Available from: www.diabetesatlas.org

2. PERKENI. Konsesus Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 di Indonesia. Jakarta: PERKENI; 2011.

3. Kemenkes RI. Hari Diabetes Sedunia Tahun 2018. Pusat Data dan Informasi Kementerian Kesehatan RI; 2018. 1–8 p.

4. Pourhaji F, Delshad MH, Ammari AA, Pourhaji R. Foot-Care Self-efficacy Beliefs, Physical Self-Concept and actual Foot-Care Behavior in People with Diabetes Mellitus. Int J Musculoskelet Pain Prev [Internet]. 2016;1(3):101–7. Available from: http://ijmpp.modares.ac.ir/article-32-1820-en.html

5. Putra PWK, Suari KP. Hubungan Self Efficacy Dan Dukungan Sosial Terhadap Self Care Management Pasien Diabetes Mellitus Tipe II. Indones J Perawat. 2018;3(1):51–9.

6. Rosenstock I, Strecher V, Becker M. Social learning theory and the Health Belief Model. Heal Educ Q. 1988;15(2):175–83.

7. Chao H, Lao I, Hao L, Lin C. Association of body image and health beliefs with health behaviors in patients with diabetes: a cross-sectional study. Diabetes Educ. 2012;38(5):705–14.

8. Huang C-H, Lin P-C, Chang Yeh M, Lee P-H. [A Study on Self-Care Behaviors and Related Factors in Diabetes Patients]. Hu Li Za Zhi. 2017 Feb;64(1):61–9.

9. Vedhara K, Dawe K, Wetherell MA, Miles JN V, Cullum N, Dayan C, et al. Illness beliefs predict self-care behaviours in patients with diabetic foot ulcers: a prospective study. Diabetes Res Clin Pract. 2014 Oct;106(1):67–72.

10. da Rocha RB, Silva CS, Cardoso VS. Self-Care in Adults with Type 2 Diabetes Mellitus: A Systematic Review. Curr Diabetes Rev. 2020;16(6):598–607.

11. Ghoreishi M-S, Vahedian-Shahroodi M, Jafari A, Tehranid H. Self-care behaviors in patients with type 2 diabetes: Education intervention base on social cognitive theory. Diabetes Metab Syndr. 2019;13(3):2049–56.

12. Sartika I, Mustikasari, Azzam R. Hubungan Self Efficacy dan Dukungan Keluarga dengan Self Management Pada Lanjut Usia Diabetes. Dunia Keperawatan. 2022;3(2):331–40.

13. Nurbaiti TT, Arrum Firda Ayu Maqfiroch, Wijayanti SPM. Analisis Faktor Risiko Kejadian Diabetes Mellitus Tipe II di Wilayah Pedesaan. J Promosi Kesehat Indones. 2020;15(1).

14. Dinas Kesehatan D.I Yogyakarta. Profil Kesehatan D.I Yogyakarta 2021 [Internet]. 2021. Available from: https://dinkes.jogjaprov.go.id/

15. Nursalam. Konsep dan Penerapan Metodelogi Penelitian Ilmu Keperawatan: Pedoman Skripsi, Tesis, dan Instrumen Keperawatan. Jakarta: Salemba Medika; 2017.

16. Agrimon OH. Exploring the Feasibility of Implementing Self-Management and Patient Empowerment through a Structured Diabetes Education Programme in Yogyakarta City Indonesia: A Pilot Cluster Randomised Controlled Trial. Univ Adelaide [Internet]. 2014;(July):1–24. Available from: https://digital.library.adelaide.edu.au/dspace/bitstream/2440/87696/8/02whole.pdf

17. Sh S, Hsu YY, Toobert DJ, Wang ST. The Validity and Reliability of The Summary of Diabetes Self-Care Activities Questionnaire: An Indonesian Version. Indones Nurs J Educ Clin. 2019;4(1):25.

18. Kurnia A. Validitas dan Reliabilitas Kuesioner Diabetes Management Self Efficacy Scale ( DMSES ). Journals Ners Community. 2018;09(02):156–60.

19. Ismatika, Sholeha U. Hubungan Self Efficacy Dengan Perilaku Self Care Pasien Pasca Stroke Di Rumah Sakit Islam Surabaya. J Ilm Kesehat. 2017;10(2):139–48.

20. Kustanti CY, Pradita R. Self Efficacy Penderita Hiv/Aids Dalam Mengkonsumsi Antiretroviral di Lembaga Swadaya Masyarakat Kebaya Yogyakarta. J Kesehat. 2018;5(1):1–7.

21. Seyedi-Andi SJ, Bakouei F, Rad HA, Khafri S, Salavati A. The relationship between self-efficacy and some demographic and socioeconomic variables among iranian medical sciences students. Adv Med Educ Pract. 2019;10:645–51.

22. Adejoh SO. Diabetes knowledge, health belief, and diabetes management among the Igala, Nigeria. SAGE Open. 2014;4(2).

23. Yanti DE, Perdana AA, Rina NO. Health Belief Model: Selfcare Penderita Hipertensi di Wilayah Kerja UPT Puskesmas Kalirejo Kabupaten Pesawaran. J Dunia Kesmas. 2020;9(2):192–205.

24. Luthfa I. Implementasi Selfcare Activity Penderita Diabetes Mellitus di Wilayah Puskesmas Bangetayu Semarang. Bul Penelit Kesehat. 2019;47(1):23–8.

25. Rajasekharan D, Kulkarni V, Unnikrishnan B, Kumar N, Holla R, Thapar R. Self-care activities among patients with diabetes attending a tertiary care hospital in mangalore karnataka, India. Ann Med Health Sci Res. 2015;5(1):59–64.

26. Zahrotun U. Kepatuhan Medikasi Penderita Diabetes Melitud Tipe 2 Berdasarkan Teori Health Belief Model Di Wilayah Kerja Puskesmas Mulyorejo Surabaya. Univerasitas Airlangga; 2014.

27. Shiyanbola OO, Unni E, Huang Y-M, Lanier C. The association of health literacy with illness perceptions, medication beliefs, and medication adherence among individuals with type 2 diabetes. Res Soc Adm Pharm [Internet]. 2018;14(9):824–30. Available from: https://www.sciencedirect.com/science/article/pii/S1551741117306861

28. Mohammadi S, Karim NA, Talib RA, Amani R. The impact of self-efficacy education based on the health belief model in Iranian patients with type 2 diabetes: a randomised controlled intervention study. Asia Pac J Clin Nutr. 2018;27(3):546–55.

29. Rosyida RW, Pertiwi AAP, Pangastuti HS. The effectiveness of a smartphone-based online peer group on type II diabetes mellitus patients self-empowerment in a primary healthcare center in Indonesia. Rev Ciências Em Saúde. 2020;10(4):137–43.

30. Sharoni SKA, Rahman HA, Minhat HS, Shariff-Ghazali S, Ong MHA, Ahmad Sharoni SK, et al. The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: A randomised controlled trial in elderly care facility, Peninsular Malaysia. PLoS One [Internet]. 2018 Mar;13(3):e0192417. Available from: https://www.proquest.com/scholarly-journals/effects-self-efficacy-enhancing-program-on-foot/docview/2013632225/se-2

31. Aminuddin HB, Jiao N, Jiang Y, Hong J, Wang W. Effectiveness of smartphone-based self-management interventions on self-efficacy, self-care activities, health-related quality of life and clinical outcomes in patients with type 2 diabetes: A systematic review and meta-analysis. Int J Nurs Stud [Internet]. 2021;116:103286. Available from: https://www.sciencedirect.com/science/article/pii/S0020748919300306

32. Baroni I, Caruso R, Dellafiore F, Arrigoni C, Fabrizi D, Luciani M, et al. Diabesity in Adults With Type 2 Diabetes Mellitus: A Cross-sectional Study Exploring Self-care and Its Determinants. Can J Diabetes [Internet]. 2022; Available from: https://www.sciencedirect.com/science/article/pii/S1499267122000727

33. Fereydouni F, Hajian-Tilaki K, Meftah N, Chehrazi M. A path causal model in the association between self-efficacy and self-care with quality of life in patients with type 2 diabetes: An application of the structural equation model. Heal Sci reports. 2022 Mar;5(2):e534.

34. Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E, Sharifirad G. Impact of Health Literacy, Self-efficacy, and Outcome Expectations on Adherence to Self-care Behaviors in Iranians with Type 2 Diabetes. Oman Med J [Internet]. 2016 Jan;31(1):52–9. Available from: https://pubmed.ncbi.nlm.nih.gov/26813680



DOI: https://doi.org/10.22146/jcoemph.78298

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