The effect of Self-Care on Clinical Outcome of Outpatient Diabetes Mellitus Type 2 in Regional General Hospital West Nusa Tenggara Province

Abstract

Type 2 Diabetes Mellitus is a disease characterized by elevated blood glucose levels and cannot be cured, so it needs self-care. Diabetes self-care was an important things in the management of type 2 DM, self-care is carried out by patients with DM in their lifetime. There are several factors that effect self-care including diet, physical activity, medicinal used, blood sugar control and foot care. This study aimed to determine the influence of self-care to blood sugar levels of type 2 diabetes mellitus in Regional General Hospital West Nusa Tenggara Province. This research used analytical observation method with 34 respondens using a questionnaire. The Summary Diabetes Self-Care Activity (SDSCA) and the data was analyzed using linear regression. The research showed that dietary factors have a significant effect on fasting blood glucose level (FBG) with a significance value p(0.012). In addition, there are positive correlation between the level of self-care in type 2 Diabetes Mellitus patient to HbA1C levels (r = 0.254, p = 0.023). The conclusion of this research was the level of self-care in type 2 Diabetes Mellitus patient had a positive effect on the patient’s clinic outcome including FBG, blood glucose 2 hour post prandial, random blood glucose, and HbA1c.