Relationship Between Self-Care Behavior and Diabetes Self-Management Education in Type 2 Diabetes Mellitus Patients

Abstract

Type 2 Diabetes Mellitus is caused by disruption of insulin secretion and insulin resistance. One aspect that plays an important role in the management of this disease is diabetes self-management education. Good self-care behavior will make diabetes management controlled and prevent complications and make the quality of life better. The purpose of this study is to determine the relationship between self-care behavior and knowledge, patient motivation, family support, and self-efficacy on diabetes self-management education for type 2 Diabetes mellitus patients. The method used in this study was a quantitative approach: cross-sectional. The sample used was 115 patients with type 2 Diabetes mellitus in Sidrap Regency. The analytical method used is the Structural Equation Model (SEM). The findings of the study showed that self-care behavior in patients with diabetes mellitus type 2 was influenced by knowledge factors by 89%, motivation factors by 82.8%, family support by 84.9%, and self-efficacy factors by 78.4%. Meanwhile, diabetes management of type 2 Diabetes mellitus patients was influenced by treatment factors by 75.5%, blood sugar control factors by 88.1%, dietary factors by 60.9%, physical activity factors by 87.3%, and foot care factors by 53,8%. The structural model of this study explains the variable care cell behavior with self-care management of 47.5%, so it can be seen that self-care behavior has a significant effect on DMSE in type 2 Diabetes mellitus patients (p-value= 0.001). Therefore, the management of Diabetes mellitus must be more active in providing education to sufferers so that their knowledge or family members can increase and understand how to carry out diabetic management properly.