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"Efikasi diri dan kepatuhan merupakan faktor yang penting dalam meningkatkan kualitas hidup pasien DM tipe 2. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat efikasi diri dan kepatuhan dengan kualitas hidup pasien DM tipe 2 yang menjalani rawat jalan di Rumah Sakit di Jakarta.Desain dalam penelitian ini adalah cross sectional, dengan jumlah sampel 125 pasien DM tipe 2. Alat ukur yang digunakan adalah Diabetes Management Self-Efficacy (DMSES), the Diabetes Activities Questionare (TDAQ), dan Diabetes Quality Of Life (DQOL).Hasil penelitian menunjukkan bahwa efikasi diri (0,0005), dan kepatuhan (0,0005) berhubungan secara signifikan dengan kualitas hidup dengan variabel yang paling dominan adalah kepatuhan.Hasil uji multivariat menunjukkan bahwa variabel efikasi diri, kepatuhan, tingkat pendidikan, dan depresi menentukan kualitas hidup pasien DM. Perlunya dikembangkan pengkajian dan intervensi keperawatan yang berfokus pada efikasi diri dan kepatuhan pasien DM tipe 2.

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Self-efficacy and adherence are important factor in improving the quality of life of patients with type 2 diabetes. This study aimed to determine the relationship between self-efficacy and adherence to the quality of life of patients with type 2 diabetes mellitus in an outpatient unit of a Hospital in Jakarta.

This study was a cross-sectional, with sample of 125 patients with type 2 diabetes mellitus. The Diabetes Management Self- Efficacy (DMSES), the Diabetes Activities Questionare (TDAQ), and the Diabetes Quality of Life (DQOL) were employed as instruments.

The results showed that selfefficacy (0.0005), and adherence (0.0005) were significantly associated with quality of life and the most dominant variable is adherence.

Multivariate test results indicate that the variable self-efficacy, adherence, education level, and depression determines quality of life of diabetic patients. This study suggestsis the need fornursing assessment and interventions that focus on the self-efficacy and adherence diabetes mellitus patient."

"[ABSTRAK Diabetes mellitus (DM) merupakan salah satu dari penyakit kronis. Penanganan DM tidak hanya membutuhkan pendekatan medis, tetapi juga membutuhkan pendekatan multidisiplin termasuk pendekatan keperawatan. Salah satu pendekatan keperawatan yang digunakan adalah teori self care Orem. Tujuan dari teori self care Orem ini adalah memberikan asuhan keperawatan untuk meningkatkan kemandirian pasien dalam perawatan diri. Ners spesialis adalah perawat yang memiliki keahlian dalam bidang klinik, mampu memberikan asuhan keperawatan kepada pasien secara langsung atau tidak langsung dengan mempengaruhi tenaga keperawatan dibawahnya. Ners spesialis dalam memberikan asuhan keperawatan harus berdasarkan pada evidence based nursing. Salah satu evidence based nursing pada pasien DM adalah diabetes self management education (DSME). Sebagai inovator, Ners spesialis melalukan inovasi promosi kesehatan pada pasien DM berupa pemeriksaan dan pemantauan kesehatan mandiri. Hasil dari penerapan teori self care Orem menunjukkan bahwa teori self care Orem dapat dijadikan sebagai panduan dalam pemberian asuhan keperawatan pada pasien DM.ABSTRACT Diabetes mellitus (DM) is one of the chronic diseases. Management of diabetes requires a multidisciplinary approach, one of them is nursing approach. One approach is Orem?s self care Theory. The purpose of the Orem?s self care theory is to improve patient self-care. Clinical nursing specialist is nurse at the clinic experts, able to provide advance nursing care to patients directly or indirectly by influencing subordinates. Clinical nursing specialist in providing nursing care have to use evidence based nursing. evidence based nursing in diabetes patients is diabetes self-management education (DSME). As an innovator, clinical nursing specialist pass health promotion innovations in diabetic patients form self health asessment. Results of the application of Orem self-care theory showed that this theory can be used as a guide to nursing care in diabetic patients.;Diabetes mellitus (DM) is one of the chronic diseases. Management of diabetes requires a multidisciplinary approach, one of them is nursing approach. One approach is Orem?s self care Theory. The purpose of the Orem?s self care theory is to improve patient self-care. Clinical nursing specialist is nurse at the clinic experts, able to provide advance nursing care to patients directly or indirectly by influencing subordinates. Clinical nursing specialist in providing nursing care have to use evidence based nursing. evidence based nursing in diabetes patients is diabetes self-management education (DSME). As an innovator, clinical nursing specialist pass health promotion innovations in diabetic patients form self health asessment. Results of the application of Orem self-care theory showed that this theory can be used as a guide to nursing care in diabetic patients., Diabetes mellitus (DM) is one of the chronic diseases. Management of diabetes requires a multidisciplinary approach, one of them is nursing approach. One approach is Orem’s self care Theory. The purpose of the Orem’s self care theory is to improve patient self-care. Clinical nursing specialist is nurse at the clinic experts, able to provide advance nursing care to patients directly or indirectly by influencing subordinates. Clinical nursing specialist in providing nursing care have to use evidence based nursing. evidence based nursing in diabetes patients is diabetes self-management education (DSME). As an innovator, clinical nursing specialist pass health promotion innovations in diabetic patients form self health asessment. Results of the application of Orem self-care theory showed that this theory can be used as a guide to nursing care in diabetic patients.]"