Anshari, Rahimah Mohd
(2011)
Dietary adherence and health beliefs among Malay clients
with diabetes mellitus type 2 in the diabetic centre, Hospital
Universiti Sains Malaysia (HUSM).
In: International conference on Transcultural nursing, 10-11 November 2011, Manipal University, India.
(Submitted)
Abstract
important for controlling Diabetes Mellitus Type 2. Low rate of
dietary adherence had been found and health belief is
considered as one of the factors that influence the performance
of dietary adherence. The objective of this study was to
determine the level of diabetic dietary adherence and diabetic
health beliefs. A quantitative study was carried out among 136
Malay clients with OM Type 2 in Diabetic Centre, HUSM,
Kelantan, Malaysia. The validated Summary Diabetes Self-Care
Activities {SDSCA) scale with reliability alpha 0.68 and modified
Health Belief Model Diabetes Scale with reliability alpha 0.69-
0.82 were used. Ethical clearance was obtained from Ethical
and Research Committee of USM. Duration of data collection
was from February to March 2009. Data were analyzed via ChiSquare and Fisher's Exact test. There were 64% respondents
in this study who adhered to their diabetic dietary regimen.
Majority of the respondents had high positive beliefs of diabetes
on susceptibility to diabetic complication and benefit which
were 90% and 95% respectively. The severity and barriers
domain showed 23% of respondent had high positive belief.
This study had identified that there were certain false beliefs of
diabetes especially in severity and barriers domain. Perceived
susceptibility, benefits, and barriers in following diabetic dietary
regimens were significantly associated with diabetic dietary
adherence with the p <0.0001, p = 0.009, and p = 0.028.
Perceived severity showed no significant association with
dietary adherence {p = 0.843). As a conclusion, the prediction of
HBM is most likely true except for the perceived severity.
Health care providers need to establish guideline to change
false belief of diabetes and overcome the barriers among OM
clients.
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