HUBUNGAN SELF-CARE, SELF-EFFICACY DAN SOCIAL SUPPORT TERHADAP PENGENDALIAN KADAR GULA DARAH (HbA1c) PENDERITA DIABETES MELLITUS TIPE 2 DI PUSKESMAS BANYUDONO 1 DAN NGEMPLAK KABUPATEN BOYOLALI PROVINSI JAWA TENGAH
Wiwit Aditama, dr. R. Bowo Pramono, SpPD.,
2011 | Tesis | S2 Ilmu Kesehatan Masyarakat-
Background: Indonesian epidemiologic research result obtained 4.6% DM prevalence in an under 20 year old population. It is estimated that in 2020 there will be 178 million people who are under 20 year old in the population; assuming that the DM prevalence is 4.6%, 8.2 million of them are estimated to be diabetes patients. The aim of glycemic controlis to decrease complaints, symptoms, morbidity and mortality caused by DM. Method: This is an observational research with cross sectional design. Research subjects were 56 DM type 2 patients with these following criteria: the subjects were diagnosed in ≥12 week period, did not have anemia, were not in heparin therapy, were not pregnant women and did not have complication. The diagnosis was upheld by measuring HbA1c level. The analysis was made using Ratio Prevalence (RP) and multiple logistic regressions. Result: Bivariate analysis result shows significant RP age = 1.42 (95% CI=0.96-2.09), duration of DM; RP=1.32 (95% CI=1.05-1.67), self-care; RP=0.743 (95% CI=0.554-0.997), self-efficacy; RP=1.72 (95%CI=0.96- 3.07) and social support; RP=1.55 (95%CI=0.99-2.43). Multivariate analysis shows social support value; RP=1.55 (95%CI=0.99-2.44). Conclusion: Self-care, self-efficacy, sex, age, occupation, income, education, marital status, duration of diabetes mellitus associated with of glycemic control in people with type 2 diabetes mellitus, the bivariate test while the most influential variables to control blood sugar levels with DM type 2 in a health center and Ngemplak Banyudono Boyolali district is social support
Kata Kunci : self-care, self-efficacy, social support, glycemic control, HbA1c, DM type 2
