Illness Perception, Motivation, and Self-Care Behavior in Diabetic Patients

Tjahja Bintoro1), Made Mahaguna Putra2), Ni Made Dwi Yunica Astriani2),

Putu Indah Sintya Dewi2)


1)Graduate School, Universitas Sebelas Maret

2)School of Health Sciences, Buleleng, Bali



Background: Diabetes mellitus (DM) is a chronic progressive metabolic disorder cha­rac­terized by hyperglycemia mainly due to absolute or relative deficiency of insulin hormone. Evidence sug­gests that lifestyle and other non-pharmacological interventions can delay and even prevent the development of type 2 DM and its complications. How­ever, to date, studies into factors associated with preventive health behavior among patients with type 2 DM have been lacking. This study aimed to determine the asso­cia­tion between illness perception, motivation, and self-care behavior in diabetic patients.

Subjects and Method: This was a cross-sectional study. A total of 177 diabetic pati­ents was selected for this study using stratified random sampling. The dependent va­ri­­able was self-care behavior, consisting of: diet, physical exercise, blood sugar scree­ning, treatment compliance, and foot care. The independent variables were illness per­cep­­tion and motivation. The data were collected using questionnaire and analyzed using mul­ti­ple hierarchical regression.

Results: Illness perception was related to self-care behavior including 43.2% variance in diet, 11.4% variance in physical exercise, 9.1% variance in blood sugar screening, 11.7% variance in treat­ment compliance, and 10.1% variance in foot care, and they were statistically significant. Mo­tivation was related to self-care behavior including 0.04% variance in physical exercise, 0.08% variance in blood sugar screening, and 0.04% variance in treatment compliance, and they were statistically significant.

Conclusion: Illness perception and motivation are related to self-care in patients with type 2 diabetes mellitus.

Keywords: illness perception, motivation, self-care behavior, diabetes mellitus

Correspondence: Tjahja Bintoro; Made Mahaguna Putra. Graduate School, Universitas Sebelas Maret, Surakarta, Central Java; School of Health Sciences, Buleleng, Bali. Email: Mobile: 081330758511; Email: Mobile: 081330758511


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