Background: People with Diabetes Mellitus (DM) tend to seek herbal medicine or complementary drugs in their treatments. But, unfortunately, the existing nursing assessment forms have not prepared the format for the use of complementary medicine.
Objective: This study aimed to develop a nursing assessment form in patients with DM based on the Chronic Care Model (CCM) approach.
Methods: This study employed a Research and Development study design, which consists of ten stages. The nursing assessment form was developed based on CCM theory and integrated complementary medicines into the assessment form. A content validity test was done by four experts and calculated using Aiken's V formula. Face validity among 12 nurses through Focus Group Discussions (FGDs) was also employed to test the quality of the nursing assessment form based on three aspects: functionality, efficiency, and usability. In addition, nine nurses were included for pilot testing of the form. Data were analyzed using descriptive analysis.
Results: The nursing assessment form demonstrated a good content validity, with Aiken's V value of 0.94. The form was categorized based on four components of CCM: self-management support, decision support, social activities, and clinical information. Additionally, all nurses could fill the form properly.
Conclusion: The nursing assessment form is valid. It can be used for nurses to assess patients with DM based on the CCM with an additional component to evaluate the use of complementary medicine.
Copyright (c) 2021 Anita Joeliantina, Dwi Adji Norontoko, Hepta Nur Anugrahini
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Article MetricsAbstract views: 458 | PDF views: 319
American Diabetes Association. (2019a). 1. Improving care and promoting health in populations: Standards of medical care in diabetes—2019. Diabetes Care, 42(Supplement 1), S7-S12. https://doi.org/10.2337/dc19-S001
American Diabetes Association. (2019b). Introduction: Standards of medical care in diabetes—2019. Diabetes Care, 42(Supplement 1), S1-S2. https://doi.org/10.2337/dc19-Sint01
Aung, E., Ostini, R., Dower, J., Donald, M., Coll, J. R., Williams, G. M., & Doi, S. A. R. (2016). Patient assessment of chronic illness care (PACIC) in type 2 diabetes: A longitudinal study. Evaluation & the Health Professions, 39(2), 185-203. https://doi.org/10.1177%2F0163278714556674
Azwar, S. (2015). Penyusunan skala psikologi [Psychological scale preparation] Yogyakarta, Indonesia: Pustaka Pelajar.
Baptista, D. R., Wiens, A., Pontarolo, R., Regis, L., Reis, W. C. T., & Correr, C. J. (2016). The chronic care model for type 2 diabetes: A systematic review. Diabetology & Metabolic Syndrome, 8(1), 1-7. https://doi.org/10.1186/s13098-015-0119-z
Candar, A., Demirci, H., Baran, A. K., & Akpınar, Y. (2018). The association between quality of life and complementary and alternative medicine use in patients with diabetes mellitus. Complementary Therapies in Clinical Practice, 31, 1-6. https://doi.org/10.1016/j.ctcp.2018.01.002
El-sol, A. E.-S. H., & Babikir, R. K. M. (2018). Nursing: Chronic care model for diabetes mellitus. National Journal of Advanced Research, 4(1), 118–123.
Falci, L., Shi, Z., & Greenlee, H. (2016). Multiple chronic conditions and use of complementary and alternative medicine among US adults: Results from the 2012 national health interview survey. Preventing Chronic Disease, 13, E61. https://doi.org/10.5888/pcd13.150501
Furtado, L. G., & Nóbrega, M. M. L. d. (2013). Model of care in chronic disease: Inclusion of a theory of nursing. Texto & Contexto-Enfermagem, 22, 1197-1204. https://doi.org/10.1590/S0104-07072013000400039
Gall, M. D., Borg, W. R., & Gall, J. P. (2003). Educational research: An introduction (7th ed.). New York: Pearson Education.
Grossman, L. D., Roscoe, R., & Shack, A. R. (2018). Complementary and alternative medicine for diabetes. Canadian Journal of Diabetes, 42, S154-S161. https://doi.org/10.1016/j.jcjd.2017.10.023
International Diabetes Federation. (2017). IDF diabetes atlas (8th ed.). Belgium: International Diabetes Federation.
Joeliantina, A., Agil, M., Qomaruddin, M. B., Jonosewojo, A., & Kusnanto, K. (2016). Responses of diabetes mellitus patients who used complementary medicine. International Journal of Public Health Science (IJPHS), 5(4), 367-374.
Joeliantina, A., & Anugrahini, H. N. (2020). Self-care behavior in diabetes mellitus patients using herbals as a complement to treatment. Health Notions, 4(10), 333-337. https://doi.org/10.33846/hn41004
Joeliantina, A., Anugrahini, H. N., & Proboningsih, J. (2021). The health beliefs of patient with type 2 diabetes mellitus who use herbs as a complement to self-care. 10(2), 265-271. http://doi.org/10.11591/ijphs.v10i2.20729
Joeliantina, A., Soedirham, O., Agil, M., Qomaruddin, M. B., & Kusnanto, K. (2019). A literature review of complementary and alternative medicine used among diabetes mellitus patients. International Journal of Public Health Science (IJPHS), 8(2), 277-386. https://doi.org/10.11591/ijphs.v8i2.16537
Kong, J.-X., Zhu, L., Wang, H.-M., Li, Y., Guo, A.-Y., Gao, C., . . . Zhu, H.-H. (2019). Effectiveness of the chronic care model in type 2 diabetes management in a community health service center in China: A group randomized experimental study. Journal of Diabetes Research, 2019, 6516581. https://doi.org/10.1155/2019/6516581
Kroeger, A. (1983). Anthropological and socio-medical health care research in developing countries. Social Science & Medicine, 17(3), 147-161. https://doi.org/10.1016/0277-9536(83)90248-4
Mbizo, J., Okafor, A., Sutton, M. A., Leyva, B., Stone, L. M., & Olaku, O. (2018). Complementary and alternative medicine use among persons with multiple chronic conditions: Results from the 2012 National Health Interview Survey. BMC Complementary and Alternative Medicine, 18(1), 1-12. https://doi.org/10.1186/s12906-018-2342-2
Ministry of Health of the Republic of Indonesia. (2017). Regulation of the Ministry of Health of the Republic of Indonesia Number 37 of 2017 concerning Integrated Traditional Health Services. Retrieved from https://peraturan.bpk.go.id/Home/Details/112104/permenkes-no-37-tahun-2017
Patterson, C., & Arthur, H. (2009). A complementary alternative medicine questionnaire for young adults. Integrative Medicine Insights, 4, IMI-S2281. https://doi.org/10.4137%2FIMI.S2281
Proboningsih, J., Joeliantina, A., Novitasari, A., & Purnamawati, D. (2020). Complementary treatment to reduce blood sugar levels of DMT2 patients. International Journal of Public Health Science (IJPHS), 9(3), 267-271. https://doi.org/10.11591/ijphs.v9i3.20434
Quandt, S. A., Verhoef, M. J., Arcury, T. A., Lewith, G. T., Steinsbekk, A., Kristoffersen, A. E., . . . Fønnebø, V. (2009). Development of an international questionnaire to measure use of complementary and alternative medicine (I-CAM-Q). The Journal of Alternative and Complementary Medicine, 15(4), 331-339. https://doi.org/10.1089/acm.2008.0521
Sendall, M., McCosker, L., Crossley, K., & Bonner, A. (2017). A structured review of chronic care model components supporting transition between healthcare service delivery types for older people with multiple chronic diseases. Health Information Management Journal, 46(2), 58-68. https://doi.org/10.1177%2F1833358316681687
Simonsen, N., Koponen, A. M., & Suominen, S. (2018). Patients' assessment of chronic illness care: A validation study among patients with type 2 diabetes in Finland. BMC Health Services Research, 18(1), 412. https://doi.org/10.1186/s12913-018-3206-7
Stuckey, H. L., Adelman, A. M., & Gabbay, R. A. (2011). Improving care by delivering the Chronic Care Model for diabetes. Diabetes Management, 1(1), 37–52. https://doi.org/10.2217/dmt.10.9
Verma, S., Gupta, M., Popli, H., & Aggarwal, G. (2018). Diabetes mellitus treatment using herbal drugs. International Journal of Phytomedicine, 10(1), 1-10. https://doi.org/10.5138/09750185.2181