Diabetic Patients’ Family’s Health Beliefs Toward Diabetes Prevention and The Contributing Factors

Titis Kurniawan(1*), Irfani Nurfuadah(2), Dian Adiningsih(3)


(1) Fakultas Keperawatan Universitas Padjadjaran
(2) Fakultas Keperawatan Universitas Padjadjaran
(3) Fakultas Keperawatan Universitas Padjadjaran
(*) Corresponding Author

Abstract


Health beliefs among family members of diabetic patients are important factor of the diabetic preventing behaviours. This study aimed to describe family’s beliefs toward diabetes mellitus prevention based on the Health Belief Model and its’ contributing factors. This corelational study involved 72 peoples that purposively sampled from 34 diabetic patients who live in Jatinangor Public Health Center Working area. A questionnaire developed by the research team consisted of 37 items and 6 domains: perceived susceptibility, severity, benefits, barriers, cues to action, and self efficacy was used to collect the data. The collected data were analyzed descriptively and inferentially. The results showed that most of respondents (77.78%) positively believed on diabetes mellitus (DM) susceptibility, severity (59.72%), benefits of DM prevention (84.77%), and cues to action (76.4%). It was also found that most of respondents negatively believed on the prevention barriers (84%) and self-efficacy (77.78%). Female and actively involved in patient care were found as the contributing factors of the respondents’ beliefs related to DM prevention (p<0.05). To conclude, the DM patients’ family members believed that they are vulnerable to have DM and DM preventions are beneficial. Female and being actively involved in patient care potentially increase the family members’ beliefs toward DM prevention. So, it is important for the healthcare professionals to maximize the family members’ involvement in DM patient care program.

Keywords


Diabetes Mellitus; Family; Health Belief Model (HBM); Prevention Behavior

Full Text:

PDF

References


Adriaanse, M. C., Drewes, H. W., van der Heide, I., Struijs, J. N., & Baan, C. A. (2016). The impact of comorbid chronic conditions on quality of life in type 2 diabetes patients. Quality of Life Research, 25(1), 175–182. https://doi.org/10.1007/s11136-015-1061-0

Aguiar, E. J., Morgan, P. J., Collins, C. E., Plotnikoff, R. C., Young, M. D., & Callister, R. (2016). Efficacy of the Type 2 Diabetes Prevention Using LifeStyle Education Program RCT. American Journal of Preventive Medicine, 50(3), 353–364. https://doi.org/10.1016/j.amepre.2015.08.020

Ahmad, F. S., & Tsang, T. (2013). Diabetes prevention, health information technology, and meaningful use: Challenges and opportunities. American Journal of Preventive Medicine, 44(4 SUPPL.4), S357–S363. https://doi.org/10.1016/j.amepre.2012.12.020

Al-Mutairi, R. L., Bawazir, A. A., Ahmed, A. E., & Jradi, H. (2015). Health beliefs related to diabetes mellitus prevention among adolescents in Saudi Arabia. Sultan Qaboos University Medical Journal, 15(3), e398–e404. https://doi.org/10.18295/squmj.2015.15.03.015

Amuta, A. O., Mkuu, R., Jacobs, W., & Barry, A. E. (2017). Number and Severity of Type 2 Diabetes among Family Members Are Associated with Nutrition and Physical Activity Behaviors. Frontiers in Public Health, 5(July), 1–7. https://doi.org/10.3389/fpubh.2017.00157

Ang, Y. G., Heng, B. H., Saxena, N., Liew, S. T. A., & Chong, P. N. (2016). Annual all-cause mortality rate for patients with diabetic kidney disease in Singapore. Journal of Clinical and Translational Endocrinology, 4, 1–6. https://doi.org/10.1016/j.jcte.2016.01.002

Bitton, A., Flier, L. A., & Jha, A. K. (2012). Health information technology in the era of care delivery reform: To what end? JAMA - Journal of the American Medical Association, 307(24), 2593–2594. https://doi.org/10.1001/jama.2012.6663

Das, H., & Banik, S. (2019). Diabetes & Metabolic Syndrome : Clinical Research & Reviews Prevalence of dyslipidemia among the diabetic patients in southern Bangladesh : A cross-sectional study. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 13(1), 252–257. https://doi.org/10.1016/j.dsx.2018.09.006

Daya, R., Bayat, Z., & Raal, F. J. (2017). Prevalence and pattern of dyslipidaemia in type 2 diabetes mellitus patients at a tertiary care hospital Prevalence and pattern of dyslipidaemia in type 2 diabetes mellitus patients at a tertiary care hospital. Journal of Endocrinology, Metabolism and Diabetes of South Africa, 22(3), 31–35. https://doi.org/10.1080/16089677.2017.1360064

Dorman, J. S., Veldez, R., Liu, T., Wang, C., Rubinstein, W. S., O’Neill, S. M., & Acheson, L. S. (2012). Health beliefs among individuals at increased familial risk for type 2 diabetes: Implications for prevention. Diabetes Research and Clinical Practice, 96(2), 156–162. https://doi.org/10.1016/j.diabres.2011.12.017.Health

Efendi, F., & Makhfudli. (2009). Keperawatan kesehatan komunitas: Teori dan praktik dalam keperawatan . Jakarta: Salemba Medika. Salemba Medika.

Einarson, T. R., Acs, A., Ludwig, C., & Panton, U. H. (2018). Prevalence of cardiovascular disease in type 2 diabetes: A systematic literature review of scientific evidence from across the world in 2007-2017. Cardiovascular Diabetology, 17(1), 1–19. https://doi.org/10.1186/s12933-018-0728-6

Enomoto, L. M., Shrestha, D. P., Rosenthal, M. B., Hollenbeak, C. S., & Gabbay, R. A. (2017). Risk factors associated with 30-day readmission and length of stay in patients with type 2 diabetes. Journal of Diabetes and Its Complications, 31(1), 122–127. https://doi.org/10.1016/j.jdiacomp.2016.10.021

Eren, N. K., Harman, E., Dolek, D., Tütüncüoğlu, A. P., Emren, S. V., Levent, F., Korkmaz, G., Tutluce, S. Y., & Nazli, C. (2014). Rate of blood pressure control and antihypertensive treatment approaches in diabetic patients with hypertension. Türk Kardiyoloji Derneği Arşivi, 42(8), 733–740. https://doi.org/10.5543/tkda.2014.53384

Fathania, D., Nursiswati, & Pristasari, S. (2015). Hubungan Persepsi dengan Perilaku Pencegahan Penyakit pada Individu dengan Riwayat Turunan Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Pasir Kaliki Kota Bandung. Universitas Padjadjaran.

Gheith, O., Farouk, N., Nampoory, N., Halim, M. A., & Al-Otaibi, T. (2016). Diabetic kidney disease: world wide difference of prevalence and risk factors. Journal of Nephropharmacology, 5(1), 49–56. https://doi.org/10.3969/j.issn.1001-1242.2011.08.027

Hafsari, T., Desriyani, Y., Susanti, A., Nurkarimah, A., Pebriyanti, A., & Kurniawan, T. (2015). Deteksi dini diabetes melitus tipe 2 melalui keluarga di Kecamatan Jatinangor (Vol. 2015).

International Diabetes Federation [IDF]. (2019). IDF Diabetes Atlas; Ninth edition 2019 (B. Malanda, S. Karuranga, P. Saeedi, & P. Salpea (eds.); 9th ed.).

Kadariya, S., & Aro, A. R. (2018). Barriers and facilitators to physical activity among urban residents with diabetes in Nepal. PLoS ONE, 13(6), 1–21. https://doi.org/10.1371/journal.pone.0199329

Kautzky-Willer, A., Harreiter, J., & Pacini, G. (2016). Sex and gender differences in risk, pathophysiology and complications of type 2 diabetes mellitus. Endocrine Reviews, 37(3), 278–316. https://doi.org/10.1210/er.2015-1137

Kilonzo, S. B., Gunda, D. W., Bakshi, F. A., Kalokola, F., Mayala, H. A., & Dadi, H. (2017). Control of Hypertension among Diabetic Patients in a Referral Hospital in Tanzania : A Cross-Sectional Study. Ethiopian Journal of Health Science, 27(5), 473–480.

Law, K. Z., Nafisah, W. N., Sahathevan, R., Yong, J., Zakaria, M. F., Shuhari, N. M. M., Ahmad, Nur Fathihah, N., Ting, T. K., Tan, H. J., Azmin, S., Remli, R., Nawi, A. M., & Ibrahim, N. M. (2015). High prevalence of diabetes in stroke patients and its association with lacunar infarction. Neurology Asia, 20(2), 121–127.

Lemes Dos Santos, P. F., Dos Santos, P. R., Ferrari, G. S. L., Fonseca, G. A. A., & Ferrari, C. K. B. (2014). Knowledge of diabetes mellitus: Does gender make a difference? Osong Public Health and Research Perspectives, 5(4), 199–203. https://doi.org/10.1016/j.phrp.2014.06.004

Lin, P.-J., Kent, D. M., Winn, A., Cohen, J. T., & Neumann, P. J. (2015). Multiple Chronic Conditions in Type 2 Diabetes Mellitus: Prevalence and Consequences. American Journal of Managed Care, 21(January 2015 1).

Matsue, Y., Suzuki, M., Nakamura, R., Abe, M., Ono, M., Yoshida, S., Seya, M., & Iwatsuka, R. (2011). Prevalence and Prognostic Implications of Pre-Diabetic State in Patients With Heart Failure. Circulation Journal, 75(December). https://doi.org/10.1253/circj.CJ-11-0754

Nishigaki, M., Kobayashi, K., Abe, Y., Seki, N., Yokomura, T., Yokoyama, M., & Kazuma, K. (2008). Preventive behaviour in adult offspring of Type 2 diabetic patients and its relationship to parental advice. Diabetic Medicine, 25(11), 1343–1348. https://doi.org/10.1111/j.1464-5491.2008.02582.x

Omolafe, A., Mouttapa, M., McMahan, S., & Tanjasiri, S. P. (2010). We are Family: Family History of Diabetes among African Americans and its Association to Perceived Severity, Knowledge of Risk Factors, and Physical Activity Levels. Californian Journal of Health Promotion, 8(1), 88–97. https://doi.org/10.32398/cjhp.v8i1.2034

Palsson, R., & Patel, U. D. (2014). Cardiovascular Complications of Diabetic Kidney Disease. Advance Chronic Kidney Disease, 21(3), 273–280. https://doi.org/10.1053/j.ackd.2014.03.003.

Pusat Data dan informasi Kementerian Keseahatan RI. (2014). InfoDATIN; Situasi dan Analisis Diabetes. In Kementerian Kesehatan Republik Indonesia.

Rahaman, K., Majdzadeh, R., Naieni, K., & Raza, O. (2017). Comorbidities and Care Practices of Diabetic Patients. Austin Journal of Public Health and Epidemiology, 4(2), 1–6. https://doi.org/10.26420/austinjpublichealthepidemiol.2017.1059

Rao, K. V. M., & Reddy, G. P. K. (2016). Prevalence of diabetes among stroke patients : a study in a tertiary care centre. International Journal of Advance in Medicine, 3(2), 189–193.

Sakurai, M., Nakamura, K., Miura, K., Takamura, T., Yoshita, K., Sasaki, S., Nagasawa, S. Y., Morikawa, Y., Ishizaki, M., Kido, T., Naruse, Y., Suwazono, Y., & Nakagawa, H. (2013). Family history of diabetes, lifestyle factors, and the 7-year incident risk of type 2 diabetes mellitus in middle-aged japanese men and women. Journal of Diabetes Investigation, 4(3), 261–268. https://doi.org/10.1111/jdi.12033

Scott, R. A., Langenberg, C., Sharp, S. J., Franks, P. W., Rolandsson, O., Drogan, D., van der Schouw, Y. T., Ekelund, U., Kerrison, N. D., Ardanaz, E., Arriola, L., Balkau, B., Barricarte, A., Barroso, I., Bendinelli, B., Beulens, J. W. J., Boeing, H., de Lauzon-Guillain, B., Deloukas, P., … Wareham, N. J. (2013). The link between family history and risk of type 2 diabetes is not explained by anthropometric, lifestyle or genetic risk factors: The EPIC-InterAct study. Diabetologia, 56(1), 60–69. https://doi.org/10.1007/s00125-012-2715-x

Serrano, E., Leiferman, J., & Dauber, S. (2007). Self-efficacy and health behaviors toward the prevention of diabetes among high risk individuals living in appalachia. Journal of Community Health, 32(2), 121–133. https://doi.org/10.1007/s10900-006-9034-4

Soelistijo, S. A., Lindarto, D., Decroli, E., Permana, H., Sucipto, K. W., Kusnadi, Y., Budiman, & Ikhsan, R. (2019). Pedoman pengelolaan dan pencegahan diabetes melitus tipe 2 dewasa di Indonesia 2019 (Consensus - Management and prevention of type 2 diabetes mellitus in Indonesia). Perkumpulan Endokrinologi Indonesia, 1–117.

Sohal, T., Sohal, P., King-Shier, K. M., & Khan, N. A. (2015). Barriers and facilitators for type-2 diabetes management in south asians: A systematic review. PLoS ONE, 10(9), 1–15. https://doi.org/10.1371/journal.pone.0136202

Swami, J., & Korytkowski, M. (2017). The futile cycle of hospital readmission in patients with diabetes. Journal of Diabetes and Its Complications, 31(8), 1252–1253. https://doi.org/10.1016/j.jdiacomp.2017.06.006

Taylor, J., Cottrell, C., Chatterton, H., Hill, J., Hughes, R., Wohlgemuth, C., & Holt, R. I. G. (2013). Identifying risk and preventing progression to Type 2 diabetes in vulnerable and disadvantaged adults: A pragmatic review. Diabetic Medicine, 30(1), 16–25. https://doi.org/10.1111/dme.12027

Trisnawati, S. K., & Setyorogo, S. (2013). Faktor Risiko Kejadian Diabetes Melitus Tipe II Di Puskesmas Kecamatan Cengkareng Jakarta Barat Tahun 2012. Jurnal Ilmiah Kesehatan, 5(1), 6–11.

Whitford, D. L., McGee, H., & O’Sullivan, B. (2009). Reducing health risk in family members of patients with type 2 diabetes: Views of first degree relatives. BMC Public Health, 9, 1–10. https://doi.org/10.1186/1471-2458-9-455

World Health Organization [WHO]. (2018). Noncommunicable Diseases Country Profiles 2018. In World Health Organization [WHO]. https://doi.org/16/j.jad.2010.09.007

Ziyyat, A., Ramdani, N., Bouanani, N. E. H., Vanderpas, J., Hassani, B., Boutayeb, A., Aziz, M., Mekhfi, H., Bnouham, M., & Legssyer, A. (2014). Epidemiology of hypertension and its relationship with type 2 diabetes and obesity in eastern Morocco. Springer Plus, 3(644), 1–7.


Article Metrics

Abstract view : 559 times
PDF - 11 times

DOI: https://doi.org/10.26714/mki.3.3.2020.175-179

Refbacks

  • There are currently no refbacks.


Copyright (c) 2020 Titis Kurniawan

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This journal is indexed by:

              

 

View My Stats 

Universitas Muhammadiyah Semarang and PPNI Jawa Tengah

Kedungmundu Raya No. 18 Semarang NRC Building Universitas Muhammadiyah Semarang

Phone: 02476740287
Fax: 02476740287
Email: [email protected]