Self-Instructional Training Application on Diabetic Patients' Self-Care Behaviors

Sri Wahyuni; Christina Dewi Prasetyowati; Wahyu Nur Pratiwi; Khalid Alfiadi

doi:10.14710/nmjn.v11i2.29360

DOI: https://doi.org/10.14710/nmjn.v11i2.29360

Self-Instructional Training Application on Diabetic Patients' Self-Care Behaviors

*Sri Wahyuni - Faculty of Health, Institut Ilmu Kesehatan Bhakti Wiyata Kediri, Indonesia

Christina Dewi Prasetyowati - Faculty of Health, Institut Ilmu Kesehatan Bhakti Wiyata Kediri, Indonesia

Wahyu Nur Pratiwi - Faculty of Health, Institut Ilmu Kesehatan Bhakti Wiyata Kediri, Indonesia

Khalid Alfiadi - Faculty of Health, Institut Ilmu Kesehatan Bhakti Wiyata Kediri, Indonesia

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

BibTex Citation Data :

@article{NMJN29360,
    author = {Sri Wahyuni and Christina Dewi Prasetyowati and Wahyu Nur Pratiwi and Khalid Alfiadi},
    title = {Self-Instructional Training Application on Diabetic Patients' Self-Care Behaviors},
    journal = {Nurse Media Journal of Nursing},
  volume = {11},
    number = {2},
    year = {2021},
    keywords = {Diabetes mellitus; self-care behavior; self-instructional training},
    abstract = {  Background:  The diabetes mellitus cases have significantly increased in Indonesia over recent years. Health education for patients has often been carried out; however, education using self-instructional methods, which provided self-learning to solve problems by adjusting the patient's ability to improve self-care behaviors, has not been widely used.   Purpose:  This study aimed to analyze the self-care behaviors of diabetic patients with the application of self-instructional training.   Methods:  This research was a quasi-experimental study with a non-equivalent pretest-posttest with a control group design. The participants were 73 diabetic patients in the out-patient units selected by a purposive sampling technique, and divided into two groups: the intervention group (n=37) and the control group (n=36). The intervention group received a self-instructional training program which was carried out in two sessions using a booklet; each session lasted for 45 minutes. The Summary of Diabetes Self-Care Activities (SDSCA) questionnaire was used to collect diabetic patients' self-care behavior data. Wilcoxon and Mann-Whitney tests were employed for data analysis.   Results:  Self-care behaviors of patients with diabetes mellitus increased before and after the training in both groups (p=0.000). However, the increase in the intervention group was higher than that in the control group, from 46.46±5.014 to 58.03±7.320 and from 47.78±4.929 to 51.64±6.406, respectively. There was also a significant difference in the self-care behaviors of diabetic patients between the intervention group and the control group (p=0.000).   Conclusion:  Self-instructional training significantly improves self-care behaviors of diabetic patients. Therefore, self-instructional training can be considered to apply in the clinical setting for improving self-care behaviors of diabetic patients to prevent complications, and for enhancing nursing care of diabetes mellitus. },
   issn = {2406-8799},   pages = {268--277}  doi = {10.14710/nmjn.v11i2.29360},
    url = {https://ejournal.undip.ac.id/index.php/medianers/article/view/29360}
}

Citation Format:

Abstract

Background: The diabetes mellitus cases have significantly increased in Indonesia over recent years. Health education for patients has often been carried out; however, education using self-instructional methods, which provided self-learning to solve problems by adjusting the patient's ability to improve self-care behaviors, has not been widely used.

Purpose: This study aimed to analyze the self-care behaviors of diabetic patients with the application of self-instructional training.

Methods: This research was a quasi-experimental study with a non-equivalent pretest-posttest with a control group design. The participants were 73 diabetic patients in the out-patient units selected by a purposive sampling technique, and divided into two groups: the intervention group (n=37) and the control group (n=36). The intervention group received a self-instructional training program which was carried out in two sessions using a booklet; each session lasted for 45 minutes. The Summary of Diabetes Self-Care Activities (SDSCA) questionnaire was used to collect diabetic patients' self-care behavior data. Wilcoxon and Mann-Whitney tests were employed for data analysis.

Results: Self-care behaviors of patients with diabetes mellitus increased before and after the training in both groups (p=0.000). However, the increase in the intervention group was higher than that in the control group, from 46.46±5.014 to 58.03±7.320 and from 47.78±4.929 to 51.64±6.406, respectively. There was also a significant difference in the self-care behaviors of diabetic patients between the intervention group and the control group (p=0.000).

Conclusion: Self-instructional training significantly improves self-care behaviors of diabetic patients. Therefore, self-instructional training can be considered to apply in the clinical setting for improving self-care behaviors of diabetic patients to prevent complications, and for enhancing nursing care of diabetes mellitus.

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Keywords: Diabetes mellitus; self-care behavior; self-instructional training

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In Vol 11, No 2 (2021): (August 2021)

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