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Increasing Knowledge, Attitudes, Skills, and Glucose Control in Type-2 Diabetic Patients through EMAS Interventions

*Arief Andriyanto orcid  -  Department of Community Nursing, STIKes Bina Sehat PPNI Mojokerto, Indonesia
Etty Rekawati  -  Department of Community Nursing, Faculty of Nursing, University of Indonesia, Indonesia
Dwi Cahya Rahmadiyah  -  Department of Community Nursing, Faculty of Nursing, University of Indonesia, Indonesia
Open Access Copyright (c) 2019 Nurse Media Journal of Nursing

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Abstract

Background: Diabetes Mellitus (DM) is a chronic and non-communicable disease that has serious impacts. Previous studies have focused on a single intervention in the management of DM. Therefore, EMAS (education, nutrition management, physical activities, and stress management) interventions are proposed to convey the pillars of diabetes mellitus as endorsed by the Indonesian Ministry of Health.

Purpose: This study aimed to analyze the effects of EMAS interventions on the knowledge, attitudes, skills, and glucose control in patients with type-2 DM.

Methods: This study used a pretest-posttest quasi-experimental design without control groups. The samples were 86 diabetic patients recruited using a purposive sampling technique. The EMAS interventions were conducted for six months and eight sessions (October 2018 to March 2019). The EuroQoLfive-dimensional (EQ-5D) questionnaire was used to collect the data, and the paired t-test was used for data analysis. 

Results: The results showed that there were significant differences in the knowledge, attitudes, skills (p=0.001), and glucose control (p=0.04) of type 2 diabetes mellitus after the implementation of EMAS interventions. 

Conclusion: EMAS interventions significantly increased the knowledge, attitudes, and skills in patients with type 2 diabetes to behave healthier to control their blood sugar. Community nurses can use EMAS intervention for the management of DM among diabetic patients.
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Keywords: Knowledge; attitudes; skills; glucose control; type-2 diabetes mellitus

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  1. K. Ayele, B. Tesfa, L. Abebe, T. Tilahun, and E. Girma, “Self care behavior among patients with diabetes in Harari, Eastern Ethiopia: the health belief model perspective,” PLoS One, p. 7(4):e35515, 2012
  2. S. Mohebi, M. Parham, E. Pour, and A. Kamran, “Self-care assessment in patients with diabetes in qom city in 2013,” Arch Hyg Sci, 2013
  3. J. Jeong and J. Yu, “Prevalence and Influencing Factors of Metabolic Syndrome Among Persons with Physical Disabilities,” Asian Nurs. Res. (Korean. Soc. Nurs. Sci)., vol. 12, no. 1, pp. 50–55, 2018
  4. K. L. Joiner, S. Nam, and R. Whittemore, “Lifestyle interventions based on the diabetes prevention program delivered via eHealth : A systematic review and meta-analysis,” Prev. Med. (Baltim)., vol. 100, pp. 194–207, 2017
  5. Wattanakul, “Factors influencing diabetes self management behaviors among patients with T2DM in rural Thailand,” Univ. Illinois Chicago, 2012
  6. S. A. S. H. N. A. R. P. S. K. S. A. M. H. S. D. L. A. S. B. P. Y. A. L. D. P. N. N. S. M. R. S. M. P. D. Zufry, Konsensus Pengelolaan Dan Pencegahan Diabetes Melitus Tipe 2 Di Indonesia 2015. 2015
  7. A. Al-Khalifa, T. C. Mathew, N. S. Al-Zaid, E. Mathew, and H. M. Dashti, “Therapeutic role of low-carbohydrate ketogenic diet in diabetes,” Nutrition, vol. 25, no. 11–12, pp. 1177–1185, 2009
  8. M. Ahdizadeh, N. Peymam, A. Taghipour, H. Esmaily, and S. Mahdizade, “Effect of health education program on promoting physical activity among diabetic women in Mashhad, Iran: applying social cognitive theory. J Res Health Sci,” p. 13(1):90–7, 2013
  9. A. Dwi, A. Amatayakul, and S. Karuncharernpanit, “International Journal of Nursing Sciences Predictors of diabetes self-management among type 2 diabetics in Indonesia : Application theory of the health promotion model,” Int. J. Nurs. Sci., vol. 4, no. 3, pp. 260–265, 2017
  10. L. Fan, R. N. Cde, and S. Sidani, “Factors Influencing Preferences of Adult with Type 2 Diabetes for Diabetes Self-Management Education Interventions,” Can. J. Diabetes, 2018
  11. C. S. Darling-Fisher, P. P. Kanjirath, M. C. Peters, and W. S. Borgnakke, “Oral Health: An Untapped Resource in Managing Glycemic Control in Diabetes and Promoting Overall Health,” J. Nurse Pract., vol. 11, no. 9, pp. 889–896, 2015
  12. L.-W. Wang, S.-H. Ou, C.-S. Tsai, Y.-C. Chang, and C.-W. Kao, “Multimedia exercise training program improves distance walked, heart rate recovery, and self-efficacy in cardiac surgery patients. J Cardiovasc Nurs,” p. 31(4):343–9, 2016
  13. H. Lari, R. Tahmasebi, and A. Noroozi, “Diabetes & Metabolic Syndrome : Clinical Research & Reviews Effect of electronic education based on health promotion model on physical activity in diabetic patients,” Diabetes Metab. Syndr. Clin. Res. Rev., pp. 6–11, 2017
  14. X. Liang et al., “Effect of mobile phone intervention for diabetes on glycaemic control: a meta-analysis,” p. 28(4):455–63, 2011
  15. P. Khaikleng, S. Wongwanich, K. Sriklaub, and H. Ajpru, “A training module for evaluation capacity building of a health support organisation in Thailand,” vol. 171, pp. 1395–1399, 2015
  16. B. B. Rider, S. C. Lier, T. K. Johnson, and D. J. Hu, “Interactive Web-Based Learning,” vol. 50, no. August 2014, pp. 122–128, 2016
  17. I. Octa P, K. Tjahjono D.K., and A. Nuggetsiana S, “Pengaruh Frekuensi Konseling Gizi dan Gaya Hidup Terhadap Indeks Massa Tubuh, Lingkar Pinggang, Tekanan Darah, dan Glukosa Darah pada Penderita Diabetes Mellitus,” pp. 1–19, 2011
  18. D. F. Polit and C. T. Beck, Essentials of Nursing Research Appraising Evidence for Nursing Practice, Seventh Ed. China: Library of Congress Cataloging in Publication Data, 2010
  19. S. Dahlan, Statistik Untuk Kedokteran dan Kesehatan, 6th ed. Jakarta: Epidemiologi Indonesia, 2014
  20. M. Stanhope and J. Lancaster, Foundations of Nursing in The Community: Community-Oriented Practice. by Mosby, Inc., an affiliate of Elsevier Inc., 2016
  21. J. Tuomilehto, J. Lindstr, and J. Eriksson, “STANDARDS OF MEDICAL CARE IN DIABETES — 2017 Standards of Medical Care in Diabetes d 2017,” vol. 40, no. January, 2017
  22. F. Zamani-alavijeh, M. Araban, V. Mohammadi, and F. Goodarzi, “Development and psychometric evaluation of a new instrument to assess nutritional perceptions and behaviors of diabetic men,” Diabetes Metab. Syndr. Clin. Res. Rev., vol. 11, pp. S949–S955, 2017
  23. M. S. Herring, E. A. Beckett, C. A. Stanton-robinson, and M. J. Witry, “What do I eat ? Impact of an interactive teaching method for improving pharmacy students ’ diabetes nutrition knowledge and comfort in providing nutrition counseling,” Curr. Pharm. Teach. Learn., no. August 2017, pp. 0–1, 2018
  24. T. S. Alghafri et al., “Health professionals’ perceptions about physical activity promotion in diabetes care within primary health care settings in Oman,” Heliyon, vol. 3, no. 12, p. e00495, 2017
  25. G. Ruben, J. Rottie, and M. Y. Karundeng, “Pengaruh Senam Kaki Diabetes Terhadap Perubahan Kadar Gula Darah Pada Pasien Diabetes Melitus Tipe 2 Di Wilayah Kerja Puskesmas Enemawira,” eJournal Keperawatan (eKp), vol. 4, pp. 1–5, 2016
  26. I. Mangiwa, Mario E. Katuk, and Lando Sumarauw, “Pengaruh Senam Kaki Diabetes Terhadap Nilai Ankle Brachial Index Pada Pasien Diabetes Melitus,” eJournal Keperawatan, vol. 5, 2017
  27. H. Awadalla et al., “Diabetes & Metabolic Syndrome : Clinical Research & Reviews Diabetes complications in Sudanese individuals with type 2 diabetes : Overlooked problems in sub-Saharan Africa ?,” pp. 3–7, 2017
  28. Sulidah, A. Yamin, and R. D. Susanti, “Pengaruh Latihan Relaksasi Otot Progresif terhadap Kualitas Tidur Lansia The Effect of Progressive Muscle Relaxation Exercise towards Older People ’ s Quality of Sleep,” Fak. Keperawatan, Univ. Padjadjaran, vol. 4, no. April, pp. 11–20, 2016
  29. W. Guo et al., “Novel rhynchophylline analogues as microvascular relaxation agents for the treatment of microvascular dysfunction caused by diabetes,” Eur. J. Med. Chem., vol. 139, pp. 657–664, 2017

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