Research Paper
Year: 2020 | Month: October-December | Volume: 5 | Issue: 4 | Pages: 399-408
Effect of Psycho Education Modification on Health Locus of Control, Self Efficacy, Family Support in Type 2 Diabetes Mellitus Patients in 2020
Yulis Hati1, Fitriani Fadillah2, Muslimah Pase3, Rosanti Muchsin4
1,2,3,4 Nursing Study Program, Sekolah Tinggi Ilmu Kesehatan Rumah Sakit Haji Medan.
Corresponding Author: Fitriani Fadillah
ABSTRACT
Diabetes mellitus (DM) has become a public health problem around the world especially in developing countries. According to the American Diabetes Association, DM is a group of chronic metabolic diseases with hyperglycemia characteristics that occur due to abnormalities in insulin secretion, insulin work, or both. Requiring medical care, education and self-management to prevent acute complications and lower the risk of long-term complications. The results of the Data and Information Center of the Ministry of Health of the Republic of Indonesia (2012) noted that DM is among the top ten diseases that cause death in Indonesia after intracranial bleeding, stroke, kidney failure, heart failure, and other heart diseases. Psycho Education is one of the educational programs that aims to reduce conflict and change communication patterns in the family to solve problems. The purpose of this study was to increase the control of blood glucose levels of type 2 diabetes mellitus patients with increased health locus of control, self-efficacy and family support. The type of research used in this research is Quasi Experimental research. The design of this research uses pretest-posttest control group design. The population in this study was elderly people suffering from Type 2 DM. From Puskesmas data sampled using Systematic Random Sampling method with each group consisting of 35 respondents. Psycho Education is given for 3 weeks and every week a random check of blood glucose levels is carried out. The results of the study were tested with Wilcoxon test. The results of this study are variables Health Locus of Control and Self Efficacy in Patients Diabetes Mellitus Type 2 Year 2020 influential with the implementation of Psycho Education in the Working Area of Puskesmas Sentosa Bau Medan (p-value < 0.005). That DM Type 2 patients who initially responded were health workers and families, patients also initially thought that his health was destiny, fate, luck, or opportunity. After the application of Psycho Education patients so think the responsibility to control his health is on him. In self efficacy variables that before the treatment of patients on average efficacy low after the implementation of self efficacy Psycho Education patients are high majority because patients know how to manage diseases and bias control emotions with the teaching of mindfulness techniques in order to realize themselves and their feelings that are biased resulting in stress and impact KGD patients will. For variable family support before and after the application of Psycho Education is still enough because the majority of patients suffering from type 2 DM has been more than 3 years with the condition until now still healthy. From the results of this research it is expected that the nurses of Sentosa Baru Health Center can apply Psycho Education to DM Type 2 patients so that their blood glucose management can be maximally implemented.
Keywords: Health Locus of Control, Self Efficacy, Family Support, Diabetes Mellitus.