Improving Self-Efficacy and Physical Self-Reliance of Diabetes Mellitus Patient through Mindfulness based on spiritual intervention

Abstract

Diabetes Mellitus (DM) patients have low levels of medication compliance due to the continuous treatment period, drug side effects, and self-awareness. This study aims to analyze the effect of Mindfulness based on spiritual intervention on self-efficacy and Physical Self-Reliance in Type 2 Diabetes Mellitus patients

The research design was a quasi-experiment with the untreated control group design with dependent pre-test and post-test samples. The population in this study were all type 2 DM patients in the Surabaya Health Center work area. A sample of 130 was taken using a simple random sampling technique with determination according to inclusion and exclusion criteria. 60 respondents were in the treatment group and 60 respondents were in the control group. The independent variable in this study was mindfulness based on spiritual intervention. The dependent variable was self-efficacy and Physical Self-Reliance. The instruments used were Diabetes Management Self Efficacy (DSME) and the Self-Reliance domain Resilience scale questionnaire.

The results showed increased self-efficacy and physical self-reliance in patients in the intervention group with a p-value <0.05. In the intervention group, there were differences in the activities of taking medication, eating, sleeping, preventing infection, exercising and dealing with physical symptoms before and after the intervention. In addition, patients in the intervention group also showed differences in increasing self-confidence to recover.

Mindfulness-based spiritual intervention increases the self-efficacy and physical self-reliance of DM patients. This study recommends that nurses should apply mindfulness to increase patient awareness