Motivation and compliance to type 2 diabetes mellitus diet

https://doi.org/10.22146/jcoemph.57838

Deshita Rimadania(1*), Eka Afrima Sari(2), Citra Windani Mambang Sari(3)

(1) Nursing Department, Faculty of Nursing, Padjadjaran University, Bandung, Indonesia
(2) Department of Medical Surgical Nursing, Faculty of Nursing, Padjadjaran University, Bandung, Indonesia
(3) Department of Community Nursing, Faculty of Nursing, Padjadjaran University, Bandung, Indonesia
(*) Corresponding Author

Abstract


Type 2 Diabetes Mellitus (DM) is one of chronic diseases resulting from decreased insulin production and is characterized by an increase in glucose in the blood. Dietary adherence is one of the effective managements that can control blood sugar levels. This management requires supporting factors and one of them is motivation. This research aimed to describe the motivation and dietary compliance of patients with type 2 DM at the working area of Puskesmas Padalarang. This quantitative descriptive research used a cross-sectional approach. The samples were selected using proportional random sampling techniques. This study used the Treatment Self-Regulation Questionnaire (TSRQ) with the validity score 0.4821 and a diet adherence questionnaire with the validity score 0.4732. The results showed that the internal motivation of respondents was a good internal motivation with 33.3% and 66.7% had low motivation. Only 2.2% had good external motivation and almost all respondents had a low external motivation with 97.8%. Meanwhile, there were only 3.3% with a good level of adherence, 94.4% with a sufficient level of adherence and 2.2% had a poor level of diet adherence. Therefore, it is expected for Puskesmas to implement more motivational interviewing therapy to increase motivation and diet adherence in type 2 DM patients.


Keywords


diet; diabetes mellitus type 2; diet compliance; motivation

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References

  1. Kementerian Kesehatan Republik Indonesia. Jakarta: Potret Sehat Indonesia dari Riskesdas 2018; 2018. Available from https://www.kemkes.go.id/article/view/18110200003/potret-sehat-indonesia-dari-riskesdas-2018.html
  2. World Health Organization. Facts of Diabetes [internet]. World Health Organization; 2018. Available from https://www.who.int/news-room/fact-sheets/detail/diabetes
  3. International Diabetes Federation. Diabetes facts & figures; 2018. Available from https://www.idf.org/aboutdiabetes/what-is-diabetes/facts-figures.html
  4. Akmal M, Indahaan Z, W. Ensiklopedi Kesehatan. Jogjakarta: AR-RUZZ MEDIA. 2016.
  5. Chatterjee S, Davies MJ, Heller S, Speight J, Snoek FJ, et al. Diabetes structured self-management education programmes: a narrative review. 2018:130-142.
  6. Black MJ, Hawk HJ. Keperawatan Medikal Bedah. EGC. 2016; 8.
  7. Katsilambros N, Charilos D P, Meropi K, Evangelia M. Asuhan Gizi Klinik. Jakarta: EGC. 2014.
  8. Persatuan Endokrinologi Indonesia. Pengelolaan dan Pencegahan Diabetes Mellitus tipe 2 di Indonesia. 2015. [Internet]. Available from https://pbperkeni.or.id/wp-content/uploads/2019/01/4.-Konsensus-Pengelolaan-dan-Pencegahan-Diabetes-melitus-tipe-2-di-Indonesia-PERKENI-2015.pdf
  9. Mona E, Bintanah S, Astuti R. Hubungan pemberian konsultasi gizi dengan kepatuhan diit serta kadar gula darah penderita diabetes mellitus tipe 2 rawat jalan di RS Tugurejo, Semarang. Jurnal Gizi Unimus. 2012;1(1).
  10. Rudini D, Yusnilawati Y. Analisis pengaruh kepatuhan pola diet dm terhadap kadar gula darah dm tipe II. Jurnal Keperawatan Universitas Jambi. 2018;3.
  11. Bertalina, P. Hubungan lama sakit, pengetahuan, motivasi pasien dan dukungan keluarga. 2014;329-340.
  12. Toruan DPL, Karim D, Woferst R. Hubungan motivasi diri dengan kepatuhan diet pada penderita diabetes melitus tipe 2. JOM FKp. 2018;5(2):137-145.
  13. Toruan DPL, Karim D. Hubungan motivasi diri dengan kepatuhan diet pada penderita diabetes melitus tipe 2. 2018;137-145.
  14. Ernawati, Setiawati EP. Pengaruh motivasi internal dan eksternal terhadap diabetes self-management di wilayah Kecamatan Gombong Subdistrict Kebumen Regency. 2015;1:55-62.
  15. Butler HA. Motivation: The role in diabetes self-management in older adults. 2002. [Internet]. Available from http://proquest.umi.com/pqdweb
  16. Retno D. Hubungan motivasi dan health locus of control dengan kepatuhan diet pada penderita diabetes melitus. Jurnal Ners. 2018;13(2):171-177.
  17. Alhariri A, Daud F, Saghir SAM. Factors associated with adherence to diet and exercise among type 2 diabetes patients in Yemen. Diabetes Management. 2017;7:3.



DOI: https://doi.org/10.22146/jcoemph.57838

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