THE EFFECTS OF MOTIVATION CARD ON THE INCREASMENT OF OBEDIENCE LEVEL, QUALITY OF LIFE AND DECREASMENT OF DEPRESSION AMONG DIABETIC PATIENTS IN OUT PATIENT DEPARTMENT OF PUBLIC HOSPITAL IN SLEMAN, YOGYAKARTA

Tri Prabowo Sugeng

Abstract


Diabetic, when it was not controlled well, might cause some fatal complications such as; cardiovascular diseases, kidney failure, blindness, diabetic ulcer until amputation procedures and death. Psychotherapy approachment is a way to solve diabetic problems comprehensively to attaint the goals on diabetic management. The aim of this study was to examine the effects of motivation cards on increasing the obedience level, quality of life and decreasing depression level of diabectic patients in public hospital, Sleman, Yogyakarta.Using experimental method, with pre-post control design and simple random sampling, 40 eligible participants were selected. The samples then divided into two groups; 20 for intervention and 20 for control group. The results of study identified that before the intervention, it was only 9 participants (45%)  in good category, but it increased become 15 (75%) after intervention with Z value= -2,044 and p value = 0,041. The quality of life increased from 9 participants (45%) who had poor quality of life became 12 participants (60%) who had good quality of life, with Z value = -3,384 and  p value = 0,001. For depression level, there were 9 participants (45%) in severe level before intervention and became 14 participants (70%) in light level of depression after intervention with Z value = -3,111 and p value = 0,002.The study concluded that counseling and motivation cards were effective in increasing the level of obedience, quality of life and in decreasing the level of depression of diabetic patients in out patient department of a public hospital in Sleman, Yogyakarta.


Keywords


motivation card, quality of life , diabetic, compliance.

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