Effectiveness of Tailored Care Program on Diabetes Self-Care Activity, Risk of Cardiovascular Disease and HbA1C among Patients with Diabetes in Indonesia: A Randomized Controlled Trial

Authors

  • Satriya Pranata Department of Nursing, Universitas Muhammadiyah Semarang, 50273 Jawa Tengah, Central Java, Indonesia
  • Shu-Fang Vivienne Wu School of Nursing, National Taipei University of Nursing and Health Sciences, Mingde Rd, Beitou District, 112 Taipei, Taiwan
  • Tsae-Jyy Tiffany Wang School of Nursing, National Taipei University of Nursing and Health Sciences, Mingde Rd, Beitou District, 112 Taipei, Taiwan
  • Shu-Yuan Liang School of Nursing, National Taipei University of Nursing and Health Sciences, Mingde Rd, Beitou District, 112 Taipei, Taiwan
  • Yeu-Hui Chuang School of Nursing, College of Nursing, Taipei Medical University, No. 250 Wu-Xing Street, 11031 Taipei, Taiwan
  • Kuo-Cheng Lu Department of Medical Research, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 289, Jianguo Rd, Xindian District, 231 New Taipei City, Taiwan

DOI:

https://doi.org/10.31674/mjn.2023.v15i01.002

Abstract

Background: A tailored care intervention program implemented related to diabetes self-care activity, HbA1c, and the risk of cardiovascular disease (CVD) complications was not undertaken in Indonesia. Thus, the purpose of this study was to evaluate the effectiveness of a tailored care intervention program for patients with diabetes in Indonesia. Methods: A randomized controlled trial (RCT) with pre- and post-testing was conducted from January to April 2021 with a total of 163 participants: 80 in the intervention group and 83 in the control group (undertaken at three months following baseline collection). The intervention group received a tailored care intervention program that included: (1) brief deducting teaching; (2) assessment for self-care activity and CVD risk; (3) brainstorming and support group; and (4) follow-up. The control group received standard education in the primary health care facilities (Moyo Hilir and Moyo Hulu Primary Health Care). Results: Improvements in diabetes self-care activity, HbA1c, and a lower risk of CVD among patients in the intervention group were the advantages of the tailored care intervention program after the three-month evaluation. Blood pressure, body weight, body mass index (BMI), triglycerides, blood glucose, cholesterol, and a triglyceride glucose index showed no differences in change over time between the intervention and control groups. Conclusion: The tailored care intervention program improved diabetes self-care activity, HbA1c, and decreased the percentage of CVD risk. Moreover, it is culturally acceptable to the Indonesian community with diabetes.

Keywords:

CVD Risk, Diabetes, Diabetes Self-Care Activity, Hba1c, Tailored Care

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Published

15-07-2023

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Pranata, S. ., Wu, S.-F. V., Wang, T.-J. T. ., Liang, S.-Y. ., Chuang, Y.-H. ., & Lu, K.-C. . (2023). Effectiveness of Tailored Care Program on Diabetes Self-Care Activity, Risk of Cardiovascular Disease and HbA1C among Patients with Diabetes in Indonesia: A Randomized Controlled Trial. The Malaysian Journal of Nursing (MJN), 15(1), 12-21. https://doi.org/10.31674/mjn.2023.v15i01.002

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Vol. 15 No. 1 (2023): The Malaysian Journal of Nursing

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Original Article

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