Effect of Self-Regulated Learning for Improving Dietary Management and Quality of Life in Patients with Type-2 Diabetes Mellitus at Dr. Ramelan Naval Hospital, Surabaya, Indonesia

Yayuk Estuningsih, Thinni Nurul Rochmah, Merryana Andriani, Trias Mahmudiono

Abstract


Self-regulated learning is a process of learning how to manage and regulate oneself to obtain skills and knowledge without depending on others. It is expected that diabetes patients can manage their diabetes by themselves. This study aimed to analyze the effect of self-regulated learning-based educational intervention on quality of life for patients with type-2 diabetes mellitus (DM) at Dr. Ramelan Naval Hospital, Surabaya. This was a quasi-experimental study in the form of pretest and posttest with a control group design. A total of 20 patients with DM were randomly divided into intervention and control groups to undergo a 4-week intervention. The intervention group received dietary education with self-regulated learning, while the control group received standard education. The results revealed differences in variables such as dietary obedience, food intake at home, fasting blood sugar, diastolic blood pressure, and quality of life. The intervention group experienced a positive impact on the quality of life and resulted in better dietary obedience than that of the control group. In conclusion, the implementation of self-regulated learning-based dietary education can improve dietary obedience, knowledge, intention, family support, social support, physical activity, and quality of life for patients with type 2 diabetes.


Keywords


Diabetes mellitus, dietary obedience, quality of life, self-regulated learning

References


American Diabetes Association. Standards of medical care in Diabetes 2010. Journal of Diabetes Care. 2010; 33(1): 11–61

International Diabetes Federation. Panduan global untuk Diabetes Tipe 2. Brussels: International Diabetes Federation; 2010

International Diabetes Federation. Diabetes estimates across the globe [Internet]. 2017 [cited 2018 Mar 18]. Available from: http://www.diabetesatlas.org/across-the-globe.html

Perkumpulan Endokrinologi Indonesia. Konsensus pengelolaan dan pencegahan Diabetes Mellitus Tipe 2 di Indonesia. Jakarta: PB Perkeni; 2011

Dr. Ramelan Naval Hospital. Medical record of Dr. Ramelan Naval Hospital Surabaya. Surabaya; 2014

Rondhianto. Self-management education dalam discharge planning terhadap self-efficacy dan self-care behaviour pasien Diabetes Mellitus Tipe 2. Universitas Airlangga; 2014

Schunk DH, Zimmerman BJ. Motivation and self-regulated learning: theory, research, and applications. New York: Taylor & Francis Group; 2012

Levy PS, Lemeshow S. Sampling of populations: methods and application. 4th Edition. California: Wiley; 2013

Agnihotri K, Awasthi S, Chandra H, Singh U, Thakur S. Validation of WHO QOL-BREF instrument in Indian adolescents. Indian J Pediatr. 2010; 77(4): 381–6

Dizaji B, Taghdis M, Solhi M, Hoseini S, Mansou M, Shafieyan Z. Educational intervention based on precede model on self-care behaviours and control in patient with Type 2 Diabetes in 2012. J Diabetes Metab Disord. 2014; 13: 72

Skarbek E. Psychosocial Predictors of self care behaviours in type 2 Diabetes Mellitus patient: analysis of social support, self-efficacy and depression. 2014; Available from: http://citeseerx.ist.psu.edu/ viewdoc/ download?doi=10.1.1.18.7072-1.pdf

Mayberry LS, Osborn CY. Family support, medication adherence, and glycemic control among adults with type 2 diabetes. Diabetes Care. 2012; 35(6): 1239–45

King DK, Glasgow RE, Toobert DJ, Strycker LA, Estabrooks PA, Osuna D, et al. Self-efficacy, problem solving, and social-environmental support are associated with diabetes self-management behaviors. Diabetes Care. 2010; 33(4): 751–3

Didarloo A, Shojaeizadeh D, Gharaaghaji Asl R, Habibzadeh H, Niknami S, Pourali R. Prediction of self-management behavior among Iranian women with type 2 diabetes: application of the theory of reasoned action along with self-efficacy (ETRA). Iran Red Crescent Med J. 2012; 14(2): 86–95

Borhani M, Rastgarimehr B, Shafi Z, Mansourian M. Effects of predisposing, reinforcing and enabling factors on self-care behaviors of the patients with diabetes mellitus in the Minoodasht City, Iran. J Diabetes Metab Disord. 2015; 14(1): 27

Prihantini, Hariyati DS, Dewi NS. Model diabetic educator dalam pe­ningkatan perilaku kesehatan. Jurnal Terpadu Ilmu Kesehatan. 2012; 1(Mei 2012): 94–100

Waspadji S. Diabetes mellitus: mekanisme dasar dan pengelolaannya yang rasional: penatalaksanaan Diabetes Mellitus terpadu. Jakarta: Badan Penerbit FKUI; 2013

Zareban I, Niknami S, Hidarnia A, Rakhshani F, Shamsi M, Karimy M. Effective intervention of self-care on glycaemia control in patients with type 2 diabetes. Iran Red Crescent Med J. 2014; 16(12)

Njoto EN. Target tekanan darah pada Diabetes Melitus. 2014; 41(11): 864–6

Cohen J. Statistical power analysis for the behavioral sciences. 2nd Edition. New York; 2013.




DOI: http://dx.doi.org/10.21109/kesmas.v14i2.2257

Refbacks

  • There are currently no refbacks.