Self-Care Behaviors and Quality of Life in Indonesian Patients with Type 2 Diabetes Mellitus

Strategic Insights -

Researchers from Universitas Andalas in Indonesia have conducted a study to examine the relationship between self-care behaviors, physiological indicators, and quality of life in patients with type 2 diabetes mellitus. The study, published in the Belitung Nursing Journal, found that self-maintenance significantly predicted quality of life, while self-monitoring and self-management had mixed effects on quality of life and physiological indicators. The researchers emphasized the importance of strengthening daily self-care skills as a core strategy to enhance well-being in patients with type 2 diabetes.

Key Takeaways:

  • The study was conducted among 128 patients with type 2 diabetes mellitus from community health centers in Indonesia.
  • The researchers used self-care domains (self-maintenance, self-monitoring, self-management, and self-confidence) and quality of life (QoL) questionnaires to collect data.
  • Self-maintenance was found to significantly predict quality of life, HbA1c, and blood pressure.
  • Self-monitoring was found to reduce blood pressure and BMI but was negatively associated with quality of life.
  • Self-management improved HbA1c but increased blood pressure and BMI, with a borderline positive effect on quality of life.
  • Self-confidence was positively associated with BMI but not with quality of life, HbA1c, or blood pressure.
  • Physiological indicators, such as HbA1c, significantly predicted quality of life.
  • The direct effects of self-care behaviors on quality of life were more significant than the indirect effects mediated by clinical indicators.
  • The study highlights the importance of strengthening daily self-care skills as a core strategy to enhance well-being in patients with type 2 diabetes.

Statistics:

  • 128 patients were included in the study.
  • The study used a cross-sectional exploratory design, with data collected between August 2022 and September 2022.
  • 1578 degrees of freedom were used in the structural equation modeling (SEM) analysis.
  • The SEM analysis yielded acceptable fit indices, including a comparative fit index (CFI) of 0.908, a root mean square error of approximation (RMSEA) of 0.082, and a CMIN/df ratio of 1.851.
  • Self-maintenance was found to have a significant positive effect on quality of life, with a coefficient of 0.34.
  • Self-monitoring and self-management had mixed effects on quality of life, with coefficients of -0.21 and 0.15, respectively.

Sources:

  • Belitung Nursing Journal (https://doi-org.sdpl.idm.oclc.org/10.33546/bnj.3882)
  • Universitas Andalas (Faculty of Nursing, Universitas Andalas, Padang, West Sumatra, Indonesia)
  • NewsRx (Reports Summarize Type 2 Diabetes Research from Universitas Andalas)