Abstract
Introduction: Treatment that must continue, control, and diet that must be obeyed by people with DM can cause boredom (burnout) - inability to care for themselves, and blood sugar that is not controlled. The purpose of this study was to determine the effect of diabetes resilience training on self-care, glycemic control, and diabetes burnout of adult type 2 diabetes mellitus. Methods: This study was a quasi-experimental design. The total samples were 70 respondents (treatment and control) obtained by cluster sampling. The independent variable was diabetes resilience training and dependent variables were self-care, glycemic control, and diabetes burnout. The intervention provided for one month with four meetings. Instrument used self-care questionnaire of Self-Care Inventory-Revised (SCI-R), glycemic control questionnaire used an observation sheet for fasting blood sugar, and diabetes burnout questionnaire used Diabetes Distress-Screening Scale (DDS17). Data were analyzed with Wilcoxon signed ranks test, Mann Whitney U Test, Independent-sample t-test, and 1-Sample K-S. Results: There was an effect of diabetes resilience training on self-care (p = 0.003; p <0.05), glycemic control (p = 0.020; p <0.05), and diabetes burnout (p = 0,000; p <0.05). Conclusions: Diabetes resilience training provided by researchers to respondents can improve good self-care behavior, decreased glycemic control values, and decreased distress (diabetes burnout) in adult type 2 diabetes mellitus. Based on the results, it is recomandation to nurses and health care provider to implementation the diabetes resilience training regularly.
Highlights
Treatment that must continue, control, and diet that must be obeyed by people with DM can cause boredom - inability to care for themselves, and blood sugar that is not controlled
The results of this study indicate that Diabetes resilience training is effective in increasing self-care, glycemic control, and reducing diabetes burnout
Diabetes resilience training provided by researchers to respondents can improve good self-care behavior, the value of decreased glycemic control, and reduced distress in adult type 2 diabetes mellitus
Summary
Control, and diet that must be obeyed by people with DM can cause boredom (burnout) - inability to care for themselves, and blood sugar that is not controlled. The purpose of this study was to determine the effect of diabetes resilience training on self-care, glycemic control, and diabetes burnout of adult type 2 diabetes mellitus. Conclusions: Diabetes resilience training provided by researchers to respondents can improve good self-care behavior, decreased glycemic control values, and decreased distress (diabetes burnout) in adult type 2 diabetes mellitus. T2DM patients are susceptible to nerve and vascular damage which can result in loss of protective sensation in the legs, poor circulation, biomechanical changes in foot and skin trauma (Fan, 2012). This can be caused by lack of ability to care for themselves and uncontrolled blood sugar levels (Schaper et al, 2017). Complications related to T2DM constitute a significant cause of morbidity and mortality and have a severe impact on patients' quality of life (Hsieh, Lee et al, 2016)
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