THE EFFECT OF DIETARY AND EXERCISE SELF-MANAGEMENT SUPPORT PROGRAM ON DIETARY BEHAVIOR EXERCISE BEHAVIOR AND CLINICAL OUTCOMES IN MUSLIM PATIENTS WITH POORLY CONTROLLED TYPE 2 DM IN A COMMUNITY SETTING IN INDONESIA
ABSTRACT: The objective of
this study was to examine the effect of dietary and exercise self-management
support program on the dietary behavior, exercise behavior, and clinical
outcomes of Muslim patients with poorly controlled type 2 DM in Indonesia.
Methods: This study was a quasi-experimental, two group, pre-test and
post-test design. The experimental group received the dietary and exercise
self-management support program and usual care, whereas the control group only
received the usual nursing care.
Result: 35 subjects in the experimental group and 35 subjects in the
control group completed the program, respectively. The findings indicated that
there are significantly differences in dietary behavior (p=.00), exercise
behavior (p=.00) and clinical outcomes: fasting blood glucose (FBG) (p=.00),
cholesterol total level (p=.01) and systolic blood pressure (p=.00) between the
experimental group and control group. However, for the BMI status (p=.84) and
diastolic blood pressure (BP) (p=.32) were no significant differences between
two groups.
Conclusion: The dietary and exercise self-management support program was
effective for improving the dietary behavior, exercise behavior, FBG, and total
cholesterol level for individuals with poorly controlled type 2 diabetes
mellitus. Further studies should be replicated using larger groups over a
longer time frame.
KEYWORDS: self-management;
dietary behaviors; exercise behaviors; poorly controlled type 2 diabetes
mellitus
Author: Rian Adi Pamungkas,
Tippamas Chinnawong, Charuwan Kritpracha
Journal Code: jpkeperawatangg150003
