Electronic Theses and Dissertation

KEMENTERIAN PENDIDIKAN, KEBUDAYAAN, RISET DAN TEKNOLOGI UNIVERSITAS SYIAH KUALA
FAKULTAS KEPERAWATAN
PROGRAM STUDI MAGISTER KEPERAWATAN

TESIS
xvii + V BAB + 94 Halaman + 22 Tabel + 3 Skema + 18 Lampiran

MARIA ULVA
2112201010014

DETERMINAN DIABETES SELF CARE ACTIVITIES PADA PASIEN DIABETES MELLITUS TIPE 2 DI POLIKLINIK ENDOKRIN RSUD DR. ZAINOEL ABIDIN BANDA ACEH

ABSTRAK

Diabetes Self Care Activities (DSCA) sangat penting dilakukan dalam upaya mengendalikan perkembangan penyakit dan mencegah komplikasi Diabetes Mellitus tipe 2 (DMT2) meliputi; makan sehat, pengobatan, aktivitas fisik, pemantauan glukosa darah sendiri dan perawatan kaki. Ketidakmampuan pasien untuk melakukan DSCA akan berdampak timbulnya berbagai komplikasi penyakit pada pasien. Tujuan penelitian untuk mengetahui faktor yang berhubungan dengan DSCA pada pasien DMT2 di Poliklinik Endokrin RSUD dr. Zainoel Abidin Banda Aceh. Jenis penelitian kuantitatif dengan desain cross sectional study, jumlah sampel 229 pasien DMT2 yang berobat di Poliklinik Endokrin RSUD dr. Zainoel Abidin Banda Aceh menggunakan teknik pengambilan sampel purposive sampling. Alat pengumpulan data menggunakan kuesioner social support subscale of the Diabetes Care Profile (DCP), Diabetes Empowerment Scale Short Form (DES-SF), The 24-item Diabetes Knowledge Questionnaire (DKQ-24), dan Summary Diabetes Selfcare Activities (SDSCA). Analisis data menggunakan uji Chi-square dan regresi logistik berganda. Hasil penelitian menunjukkan bahwa ada hubungan usia (p=0,014), pendapatan (p=0,027), dukungan sosial (p=0,000), self-efficacy (p=0,001), pengetahuan tentang diabetes (p=0,000) dan tidak ada hubungan jenis kelamin (p=0,196) dan pekerjaan (p=0,376) dengan DSCA pada pasien DM Tipe 2 di Poliklinik Endokrin RSUD dr. Zainoel Abidin Banda Aceh. Faktor yang paling berhubungan dengan DSCA adalah dukungan sosial (p=0,000 dengan Exp (B) =
6,440). Dukungan sosial yang berupa dukungan fisik dan dukungan emosional dari keluarga dan orang sekitarnya sangat penting untuk meningkatkan dan mempertahankan praktik manajemen diri pasien DMT2.

Kata kunci : Diabetes selfcare activities, Dukungan sosial, DM Tipe2
Daftar Pustaka: 6 Buku, 34 jurnal, 2 sumber online (2014-2021)

MINISTRY OF EDUCATION, CULTURE, RESEARCH, AND TECHNOLOGY UNIVERSITAS SYIAH KUALA FACULTY OF NURSING MASTER PROGRAM OF NURSING SCIENCE THESIS xvii + v chapter + 94 pages + 22 tables + 3 schemes + 18 appendices MARIA ULVA 2112201010014 DETERMINANTS OF DIABETES SELF-CARE ACTIVITIES IN TYPE 2 DIABETES MELLITUS PATIENTS AT THE ENDOCRINE POLYCLINIC REGIONAL GENERAL HOSPITAL dr. ZAINOEL ABIDIN BANDA ACEH ABSTRACT Diabetes Self Care Activities (DSCA) are very important to control the development of type 2 Diabetes Mellitus (T2DM) and the complication, including healthy eating, medication, physical activity, self-monitoring of blood glucose, and foot care. The patient's inability to perform DSCA will impact the emergence of various disease complications in patients. This study aimed to determine the factors associated with DSCA in patients with T2DM at the Endocrine Polyclinic at RSUD dr. Zainoel Abidin Banda Aceh. In this type of quantitative study with a cross- sectional study design, the number of samples was 229 T2DM patients who were medical visit at the Endocrine Polyclinic at RSUD dr. Zainoel Abidin Banda Aceh used a purposive sampling technique. Data collection tools used the social support subscale questionnaire of the Diabetes Care Profile (DCP), the Diabetes Empowerment Scale Short Form (DES-SF), The 24-item Diabetes Knowledge Questionnaire (DKQ-24), and Summary Diabetes Self-Care Activities (SDSCA). Data analysis used the Chi-square test and multiple logistic regression. The results showed that there was a relationship between age (p=0.014), income (p=0.027), social support (p=0.000), self-efficacy (p=0.001), knowledge about diabetes (p=0.000) and no relationship between type gender (p=0.196) and occupation (p=0.376) with DSCA in Type 2 DM patients at the Endocrine Polyclinic of RSUD dr. Zainoel Abidin Banda Aceh. The factor most related to DSCA is social support (p=0.000 with Exp (B) = 6.440). Social support include physical support and emotional support from family and people around them is very important to improve and maintain the self-management practices of T2DM patients. Keywords: Diabetes self-care activities, Social support, Type 2 DM Bibliography: 6 books, 34 journals, two online sources (2014-2021)