THE IMPLEMENTATION OF DIABETIC SELF-MANAGEMENT IN INDONESIA AND TAIWAN HOSPITAL: A CASE STUDY DESIGN
Abstract
Background: Population of people with diabetes mellitus (DM) are increasing every year. As a chronic illness, patients with DM needs to practice self-management for life. Adopted the nursing system in other countries that are more advanced in DM care, however the study is still under investigation. Objectives: primary objective was to analyze the diabetic Self-management among the Indonesian and Taiwan population in Hospital. Secondary was to develop theory-guided and/or evidence-based nursing model in the self-management among diabetic patient with practical issues. Methods: We used a case study design by discussion across the multi-discipline of health care provider point of view, observation and brief interview session with patient, observe the health care model, learning process of health education between nurse and patient and whole application of the health education, at Veteran Hospital in Taiwan and Manambai Abdulkadir Hospitals in Indonesia. Results: Education system related to self-management of DM patients have been running and prepared by the Veteran hospital in Taiwan. The health system for diabetes management was called by diabetes shared care. Nurse, nutritionist and doctor have similar opinions about self-management in DM patients in Taiwan but different perspective among health professionals in Indonesia. The process of applying of evidence-based nursing practice and guidelines for providing health education to patients in Veteran Hospital Taiwan was using guidelines from the diabetes federation of China (Taiwan), on the other hand, standard operating procedure in Hospital in Manambai Abdulkadir Hospital, Indonesia, it is due to different policy in each country. Conclusion: The model of self-management might can be successfully be applied in clinical setting with several strategies by resolve the challenges. Hopefully, this study can be providing valuable information to the health professionals in order to provide the best service for patients with DM.Downloads
References
Balfe M. (2009) Healthcare routines of university students with Type 1 diabetes. Journal of Advanced Nursing 65(11), 2367– 2375. doi:10.1111/j.1365-2648.2009.05098.x.
Brand C., Claydon-Platt K., McColl G. & Bucknall T. (2010) Meeting the needs of people diagnosed with rheumatoid arthritis: an analysis of patient-reported experience. Journal of Nursing and Healthcare of Chronic Illness 2(1), 75–83.
Brand C., Claydon-Platt K., McColl G. & Bucknall T. (2010) Meeting the needs of people diagnosed with rheumatoid arthritis: an analysis of patient-reported experience. Journal of Nursing and Healthcare of Chronic Illness 2(1), 75–83.
Chasens E.R. & Olshansky E. (2008) Daytime sleepiness, diabetes and psychological well-being. Issues in Mental Health Nursing 29(10), 1134–1150. doi:10.1080/01612840802319878.
Costantini L., Beanlands H., McCay E., Cattran D., Hladunewich M. & Francis D. (2008) The self-management experience of people with mild to moderate chronic kidney disease. Nephrology Nursing Journal 35(2), 147–155.
Emlet C.A., Tozay S. & Raveis V.H. (2011) ‘I’m not going to die from the AIDS’: resilience in aging with HIV disease. The Gerontologist 51(1), 101–111. doi:10.1093/geront/gnq060.
Foster P.P. & Gaskins S.W. (2009) Older African Americans’ management of HIV/AIDS stigma. AIDS Care 21(10), 1306– 1312. doi:10.1080/09540120902803141.
Gee L., Smith T.L., Solomon M., Quinn M.T. & Lipton R.B. (2007) The clinical, psychosocial and socioeconomic concerns of urban youth living with diabetes. Public Health Nursing 24(4), 318–328. doi:10.1111/j.1525-1446.2007.00640.x
Gordon K., Smith F. & Dhillon S. (2007) Effective chronic disease management: patients’ perspectives on medication-related problems. Patient Education and Counseling 65(3), 407–415. doi:10.1016/j.pec.2006.09.012.
Handley J., Pullon S. & Gifford H. (2010) Living with type 2 diabetes: ‘Putting the person in the pilots’ seat’. Australian Journal of Advanced Nursing 27(3), 12–19.
Henriques M.A., Costa M.A. & Cabrita J. (2012) Adherence and medication management by the elderly. Journal of Clinical Nursing 21(21–22), 3096–3105. doi:10.1111/j.1365-2702.2012.04144.x
Hwu Y.J. & Yu C.C. (2006) Exploring health behavior determinants for people with chronic illness using the constructs of planned behavior theory. Journal of Nursing Research 14(4), 261–270.
IDF. (2017). International Diabetes Federation Diabetes Atlas (8th ed) Brussels, Belgium: Retrieved from www.diabetesatlas.org.
Jo Wu C.J., Chang A.M. & McDowell J. (2008) Perspectives of patients with type 2 diabetes following a critical cardiac event - an interpretative approach. Journal of Clinical Nursing 17(5A), 16–24. doi:10.1111/j.1365-2702.2006.01926.x
Lundberg P.C. & Thrakul S. (2012) Type 2 diabetes: how do Thai Buddhist people with diabetes practise self-management? Journal of Advanced Nursing 68(3), 550–558. doi:10.1111/j.1365- 2648.2011.05756.x.
Mead H. Andres E., Ramos C., Siegel B. & Regenstein M. (2010) Barriers to effective self-management in cardiac patients: the patient’s experience. Patient Education and Counseling 79(1), 69–76. doi: 10.1016/j.pec.2009.08.003.
Modeste R.R.M. & Majeke S.J. (2010) Self-care symptommanagement strategies amongst women living with HIV/AIDS in an urban area in KwaZulu-Natal: original research. Health SA Gesondheid 15(1), 1–8.
Nagelkerk J., Reick K. & Meengs L. (2006) Perceived barriers and effective strategies to diabetes self-management. Journal of Advanced Nursing 54(2), 151–158. doi:10.1111/j.1365- 2648.2006.03799.x.
Newcomb P.A., McGrath K.W., Covington J.K., Lazarus S.C. & Janson S.L. (2010) Barriers to patient-clinician collaboration in asthma management: the patient experience. Journal of Asthma 47(2), 192–197. doi:10.3109/02770900903486397.
Plach S.K., Stevens P.E. & Keigher S. (2005) Self-care of women growing older with HIV and/or AIDS. Western Journal of Nursing Research 27(5), 534–553. doi:10.1177/0193945905275973.
Ploughman M., Austin M.W., Murdoch M., Kearney A., Godwin M. & Stefanelli M. (2012) The path to self-management: a qualitative study involving older people with multiple sclerosis. Physiotherapy Canada 64(1), 6–17. doi:10.3138/ptc.2010-42.
Pranata, S. (2019). Pilot study : Self-Management Among Diabetes Mellitus Patients at HL . Manambai Abdulkadir Hospital. Scientific Journal of Nursing, 5(I), 107–113. Retrieved from https://doi.org/10.33023/jikep.v5i2.258%0A
Pranata, S., & Huang, X.-Y. (2020). Self-management Experience of Patient with Diabetes Mellitus Type 2. International Journal of Psychosocial Rehabilitation, 24(4), 7792–7801. https://doi.org/10.37200/IJPR/V24I4/PR2020969
Riegel B., Dickson V.V., Goldberg L.R. & Deatrick J.A. (2007) Factors associated with the development of expertise in heart failure self-care. Nursing Research 56(4), 235–243. doi:10.1097/ 01.NNR.0000280615.75447.f7.
Riegel B., Dickson V.V., Kuhn L., Page K. & Worrall-Carter L. (2010) Gender-specific barriers and facilitators to heart failure self-care: a mixed methods study. International Journal of Nursing Studies 47(7), 888–895. doi:10.1016/j.ijnurstu.2009.12.011.
Schnell K., Naimark B. & McClement S. (2006) Influential factors for self-care in ambulatory care heart failure patients: a qualitative perspective. Canadian Journal of Cardiovascular Nursing 16(1), 13–19.
The Diabetes Association of the R.O.C (2020). Taiwan Diabetes Atlas. Retrieved June 22, 2020, from http://www.endo-dm.org.tw/dia/english/about/history.asp#:~:text=Introduction,global%20community%20of%20diabetic%20care.
Winters C.A., Cudney S.A., Sullivan T. & Thuesen A. (2006) The rural context and women’s self-management of chronic health conditions. Chronic Illness 2(4), 273–289. doi:10.1177/ 17423953060020040801.
Wu F.L., Juang J.H. & Yeh M.C. (2011) The dilemma of diabetic patients living with hypoglycaemia. Journal of Clinical Nursing 20(15–16), 2277–2285. doi:10.1111/j.1365-2702.2011. 03725.x.
Zhang J. & Verhoef M.J. (2002) Illness management strategies among Chinese immigrants living with arthritis. Social Science & Medicine 55(10), 1795–1802. doi:10.1016/S0277-9536(01) 00311-2.
Authors who publish with Nurse and Health: Jurnal Keperawatan agree to the following terms:
- Authors retain copyright licensed under a Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0), which allows others to remix, tweak, and build upon the authors' work non-commercially, and although the others' new works must also acknowledge the authors and be non-commercial, they don't have to license their derivative works on the same terms.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). Authors can archive pre-print and post-print or publisher's version/PDF.
_resize1.jpg)
