A Qualitative Inquiry into The Adherence of Adults Type 2 Diabetes Mellitus with Dietary Programs
Downloads
Introduction: Diabetes mellitus (DM) is a chronic disease with the characteristic of treatment complexity. The toughest challenge for DM patients is dietary adherence. On the other hand, the socio-culture is one of the factors that influences dietary adherence. The aim of this study was to examine the dietary adherence of adults with type 2 Diabetes mellitus (T2DM), particularly to dietary programs.
Methods: This study used a qualitative case study design with a positivist approach. The total participants consisted of 14 T2DM patients obtained through snowball sampling. The research phenomenon was the adherence of adults with type 2 Diabetes mellitus to dietary programs. The data collection was conducted through in-depth interviews with question guidelines analyzed using qualitative thematic analysis.
Results: This study obtained five themes regarding the dietary adherence of T2DM patients such as activity, motivation, intention, behavior, and the benefits of dietary adherence. The focus points were activity, motivation, and the intention to comply with the dietary recommendations, including reducing the fatty and fried foods consumed. The patients who felt the benefits of complying with the dietary program found following the dietary adherence to be easier.
Conclusions: Activity, motivation, intention, behavior and the benefits of the dietary adherence program all make it easier for the patient to comply with their diet. This result suggests that health workers should provide education to the patients on the importance, benefits and the way to comply with the T2DM dietary program.
ADA. (2017). Panduan Terbaru ADA 2017 Berfokus pada Pendekatan Holistik. Kalbemed, 44(9), 638–639.
Ajzen, I. (2005). Attitudes, Personality, and Behavior (2nd ed.). UK: McGraw-Hill.
Bastaman. (2007). Logoterapi: Psikologi untuk Menemukan Makna Hidup dan Meraih Hidup Bermakna. Jakarta: PT RajaGrafindo Persada.
Basu, S., & Garg, S. (2017). The barriers and challenges toward addressing the social and cultural factors influencing diabetes self-management in Indian populations. Journal of Social Health and Diabetes, 05(02), 071–076. https://doi.org/10.1055/s-0038-1676245
Colberg, S. R., Sigal, R. J., Yardley, J. E., Riddell, M. C., Dunstan, D. W., Dempsey, P. C., ... Tate, D. F. (2016). Physical activity/exercise and diabetes: A position statement of the American Diabetes Association. Diabetes Care, 39(11), 2065–2079. https://doi.org/10.2337/dc16-1728
De Souza Ribeiro, M. de N., Diniz, C. X., Perdomo, S. B., De Souza Ribeiro, J. H., Barbosa, O. G., De Barros, K. M. S. C., ... Da Costa Oliveira, E. (2017). Self-esteem and resilience in people with type 2 diabetes mellitus. Mundo Da Saude, 41(2), 223–231. https://doi.org/10.15343/0104-7809.20174102223231
Delamater, A. M. (2006). Improving Patient Adherence. Clinical Diabetes, 24(2), 71–77. https://doi.org/https://doi.org/10.2337/diaclin.24.2.71
Doolittle, B. R., & Farrell, M. (2004). The Association Between Spirituality and Depression in an Urban Clinic. The Primary Care Companion to The Journal of Clinical Psychiatry, 06(03), 114–118. https://doi.org/10.4088/pcc.v06n0302
Fereday, J., & Muir-Cochrane, E. (2006). Demonstrating Rigor Using Thematic Analysis: A Hybrid Approach of Inductive and Deductive Coding and Theme Development. International Journal of Qualitative Methods, 5(1), 80–92. https://doi.org/10.1177/160940690600500107
Frankl, V. E. (2004). Man's Search for Meaning. Bandung: Yayasan Nuansa Cendikia.
Friedman, P. H. (2018). Life Balance, Emotional Stability, Well-Being and Spiritual Awakening. The International Journal of Healing and Caring, 18(1), 1–21.
Gordan, M., & Amutan, K. I. (2014). A Review of B. F. Skinner's ‘Reinforcement Theory of Motivation. International Journal of Research in Education Methodology, 5(3), 680–688.
Green, L. W., & Kreuter, M. W. (1991). Health promotion planning : an educational and environmental approach. Mountain View, CA: Mayfield Pub. Co.
Hilliard, M. E., McQuaid, E. L., Nabors, L., & Hood, K. K. (2014). Resilience in youth and families living with pediatric health and developmental conditions: Introduction to the special issue on resilience. Journal of Pediatric Psychology, 40(9), 835–839. https://doi.org/10.1093/jpepsy/jsv072
Ilmah, F., & Rochmah, T. N. (2015). Kepatuhan Pasien Rawat Inap Diet Diabetes Mellitus Berdasarkan Teori Kepatuhan Niven. Jurnal Administrasi Kesehetan Indonesia, 3(1), 60–69. https://doi.org/http://dx.doi.org/10.20473/jaki.v3i1.2015.60-69
Indonesia, I. N. I. of H. R. and D. (2018). Main Resulth of Baseline Health Research 2018. Jakarta: Ministry of Health of the Republic of Indonesia.
L Mccaslin, M., & Scott, K. W. (2003). The Five-Question Method for Framing a Qualitative Research Study. Qual Rep, 8(3), 447–461.
Mann, D. M., Allegrante, J. P., Natarajan, S., Halm, E. A., & Charlson, M. (2007). Predictors of adherence to statins for primary prevention. Cardiovascular Drugs and Therapy, 21(4), 311–316. https://doi.org/10.1007/s10557-007-6040-4
Moehyi. (1992). Pengaturan Makanan dan Diit Untuk Penyembuhan Penyakit. Cetakan Keempat. Jakarta: PT Gramedia Pustaka Utama.
Niven, N. (2002). Psikologi Kesehatan Keperawatan Pengantar untuk Perawat dan Profesional Kesehatan lain. Jakarta: EGC.
Notoatmodjo. (2007). Promosi Kesehatan dan Ilmu Perilaku. Jakarta: Rineka Cipta.
Notoatmodjo, S. (2003). Pendidikan dan Perilaku Kesehatan. Jakarta: Rineka Cipta.
PERKENI. (2015). Konsnsus Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 di Indonesia 2015. Jakarta: Pengurus Besar Perkumpulan Endokrinologi Indonesia.
Pinidiyapathirage, J., Jayasuriya, R., Cheung, N. W., & Schwarzer, R. (2018). Self-efficacy and planning strategies can improve physical activity levels in women with a recent history of gestational diabetes mellitus. Psychology & Health, 0446, 1–16. https://doi.org/10.1080/08870446.2018.1458983
Poretsky, L. (2017). Principles of Diabetes Mellitus. (Springer, Ed.) (3rd ed.). New York.
Restuning, D. (2015). Efektifitas Edukasi Diabetes dalam Meningkatkan Kepatuhan Pengaturan Diet pada Diabetes Melitus Tipe 2. Mutiara Medika, 15(1), 37–41.
Sommer, L. (2011). The Theory Of Planned Behaviour and The Impact Of Past Behaviour. International Business & Economics Research Journal, 10(1), 91–110. https://doi.org/10.19030/iber.v10i1.930
Storz, M. A., & Iraci, F. (2019). Short-term Dietary Oatmeal Interventions in Type 2 Diabetes: A Forgotten Tool. Canadian Journal of Diabetes. https://doi.org/10.1016/j.jcjd.2019.08.020
Sublett, W., & Bernstein, J. A. (2011). Seminal Plasma Hypersensitivity Reactions: An Updated Review. Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine, 78(5), 803–809. https://doi.org/doi:10.1002/msj.20283
Van Dam, H. A., Van Der Horst, F. G., Knoops, L., Ryckman, R. M., Crebolder, H. F. J. M., & Van Den Borne, B. H. W. (2005). Social support in diabetes: A systematic review of controlled intervention studies. Patient Education and Counseling, 59(1), 1–12. https://doi.org/10.1016/j.pec.2004.11.001
Vanwynsberghe, R. (2007). Redefining Case Study Vancouver , Canada. International Journal of Qualitative Methods, 6(2), 80–94.
Wahyuningsih. (2009). Faktor yang Mempengaruhi Sisa Makanan Penderita Diit Diabetes Mellitus di Rumah Sakit Darmo Surabaya. Universitas Airlangga.
Authors who publish with Jurnal Ners agree to the following terms:
- Authors transfer the Copyright and grant Jurnal Ners the right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to remix, adapt and build upon the work with an acknowledgment of the work's authorship and of the initial publication in Jurnal Ners.
- Authors are permitted to copy and redistribute the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Ners.
Jurnal Ners requires a formal written declaration and transfer of copyright from the author(s) for each article published. We, therefore, ask you to complete and return this form, retaining a copy for your own records. Your cooperation is essential and appreciated. Any delay will result in a delay in publication. The form can be downloaded HERE.
