Effect of Patient Decision Aid on Level of Knowledge, Attitude, Practice and Clinical Outcome of Type 2 Diabetes Mellitus Patients
Journal Title: Indonesian Journal of Clinical Pharmacy - Year 2018, Vol 7, Issue 2
Abstract
Diabetes mellitus (DM) is one of four major chronic diseases which prevalence continued to increase worldwide. The number of diabetes mellitus patients in Indonesia in 2015 were ten million and expected to increase. Several problems faced by Indonesia in handling DM were bad blood sugar control, low patient’s knowledge level about disease management and its therapy, and there are few primary health care that have pharmacist. Patient decision aid (PDA) was substantially and significantly able to increase patient’s knowledge. PDA was designed based on the construct of health belief model (HBM) with the target to increase knowledge, attitude, and action related with management of type 2 DM (T2DM). The main purpose of this research was to determine the effect of PDA to knowledge level, attitude, action, and clinical outcome treatment. This research used pre-experimental one group pretest-posttest design that involved 28 DMT2 patients aged 21-65 years old, were participants of Badan Penyelenggara Jaminan Sosial (BPJS) who got treatment at Puskesmas I Denpasar Utara and had never been referred to a further health care facility. The subjects were given PDA as intervention and main results measured were change of knowledge, attitude, action and fasting blood sugar level. Result of this research showed an increase in knowledge level, attitude, and action of the subjects, as well as decrease in subjects’ fasting blood sugar between before and after they had been given the PDA. Giving PDA caused a significant increase (p<0,05) in level of knowledge, attitude, and action, and significant decrease of fasting blood sugar.
Authors and Affiliations
I Gede M. Suradnyana, Abdul Rahem, Lisa Aditama
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