PERBEDAAN KONTROL GLIKEMIK (HBA1C) BERDASARKAN SELF- EFFICACY PASIEN DM TIPE 2 DI KLINIK DOKTER KELUARGA YOGYAKARTA

IRENA SANDRADEWI, dr. Luthfan Budi Purnomo, Sp.PD-KEMD.

2014 | Tesis | ILMU KEPERAWATAN

Pendahuluan: Pengobatan DM yang efektif membutuhkan perubahan serangkaian keputusan dan kebiasaan sehari-hari yang melibatkan gizi, aktivitas fisik, obat-obatan, pemantauan glukosa darah, dan manajemen stress. Kompleksnya penatalaksanaan DM mengakibatkan pasien kesulitan untuk melaksanakan program manajemen diri. Self-efficacy merupakan salah satu konsep yang dominan untuk mendukung manajemen diri pasien DM. Metode: Desain penelitian ini merupakan kuantitatif non-eksperimental dengan rancangan analisis cross sectional. Populasi adalah pasien DM tipe 2 di Klinik Dokter Keluarga (DK) Yogyakarta. Besar sampel ditentukan dengan purposive sampling dan 33 orang termasuk dalam kriteria inklusi. Pengumpulan data menggunakan kuesioner DMSES dan dianalisis menggunakan uji independent T-test dengan signifikansi p <0,05 Hasil: Hasil penelitian menunjukkan adanya perbedaan kontrol glikemik yang signifikan (p value 0,014, α: 0,05) berdasarkan self-efficacy pasien DM tipe 2. Kesimpulan : Terdapat perbedaaan kontrol glikemik yang signfikan berdasarkan self-efficacy pasien. Kata kunci : Self-efficacy, Diabetes Mellitus type 2, kontrol glikemik, HbA1c

Introduction: The efficient DM medication required alteration of decision and daily habitual that includes nutrient, physical activity, drugs, blood glucose monitoring, and stress management. The complexity of the DM management involves the difficulty of the patient to conduct self-management. Self-efficacy is one of the dominant concept to support self-management of DM patient. Method: The research was designed by quantitative non-experimental with cross sectional analysis planning. The population were DM patient at family dispensary Yogyakarta (DK). The number of samples was determined by purposive sampling and there were 33 peoples that fell into that category. The collection of data was engaged by DMSES questionnaire and analyzed by using independent T-test with p<0.05 significant. Result: The research showed that there was a significant difference (p value 0,014, α: 0, 05) of glycemic control based on self-efficacy on DM type 2 patient. Conclusion: There was a significant difference of glycemic control based on self-efficacy in DM Patient. Keyword: Self-efficacy, Diabetes Mellitus type 2, glycemic control, HbA1c

Kata Kunci : Self-efficacy, Diabetes Mellitus type 2, kontrol glikemik, HbA1c