Relationship between Self-Care Behavior and Diabetes Self-Management Education in Patients with Diabetes Mellitus Type 2

BACKGROUND: Diabetes mellitus (DM) type 2 is a disease caused by disruption of insulin secretion and insulin
resistance. One aspect that plays an important role in the management of this disease is diabetes self-management
education (DSME). Good self-care behavior will make diabetes management controlled and prevent complications
and make the quality of life better.
AIM: The purpose of this study is to determine the effect of self-care behavior and the magnitude of the influence of
knowledge, patient motivation, family support, and self-efficacy on DSME for type 2 DM patients.
METHODS: The method used in this study was a quantitative approach using cross-sectional methods. The sample
used was 115 patients with type 2 DM in Palopo Regency. The analytical method used is the structural equation
model using Amos 2.0 and SPSS 20 (IBM Corp).
RESULTS: The findings of the study showed that self-care behavior in patients with DM of type 2 was influenced by
knowledge factors by 89%, motivation factors by 82.8%, family support by 84.9%, and self-efficacy factors by 78.4%.
Meanwhile, diabetes management of type 2 DM patients was influenced by treatment factors by 75.5%, blood sugar
control factors by 88.1%, dietary factors by 60.9%, physical activity factors by 87.3%, and foot care factors 53.8%.
The structural model of this study explains the variable care cell behavior with self-care management of 47.5%.
CONCLUSION: Therefore, the management of DM must be more active in providing education to sufferers so that
their knowledge or family members can increase and understand how to carry out diabetic management properly.