"The Relationship between Self-Efficacy and Self-Management Behavior in" by Fatimah Dwi Cahyani and Shrimarti Rukmini Devy
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Abstract

Gestational Diabetes Mellitus (GDM) is a health condition that increases during pregnancy and can lead to serious complications for both the mother and the fetus. Self-management, encompassing understanding, implementing, and maintaining health behaviors, is crucial in managing GDM. The Health Belief Model (HBM) is a theoretical framework that can serve as the basis for interventions to enhance self-efficacy in pregnant women with GDM. This study analyzes the relationship between self-efficacy and self-management in controlling gestational diabetes in pregnant women. It is a literature review using a literature search method. Literature searches were conducted through three databases: PubMed, Scopus, and Google Scholar, covering articles published between 2014 and 2024. The search utilized MeSH keywords such as "Gestational Diabetes Mellitus," "Self-Efficacy," and "Intervention Self-Management." The search yielded seven English articles that met the inclusion criteria. Analysis was conducted narratively, referring to the identified literature findings. Literature review findings indicate a positive correlation between the implementation of Health Belief Model-based self-management and the improvement of self-efficacy in pregnant women with gestational diabetes. Factors such as risk understanding, perception of benefits, and understanding of barriers are crucial in influencing self-efficacy levels. Applying the HBM contributes to enhancing the ability of pregnant women to engage in self-management. This intervention effectively boosts the confidence of pregnant women in managing dietary patterns, physical activity, and blood glucose monitoring, assisting them in coping with gestational diabetes.

References

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Bahasa Abstract

Diabetes mellitus gestasional (DMG) merupakan kondisi kesehatan yang meningkat dalam kehamilan dan dapat menyebabkan komplikasi serius bagi ibu dan janin. Self-management yang mencakup pemahaman, penerapan, dan pemeliharaan perilaku kesehatan memiliki peran kunci dalam mengelola DMG. Health Belief Model (HBM) digunakan sebagai kerangka kerja teoretis yang membentuk dasar intervensi untuk meningkatkan self-efficacy pada ibu hamil dengan DMG. Studi ini menganalisis hubungan antara efikasi diri dan manajemen diri dalam pengendalian diabetes gestasional pada ibu hamil. Artikel ini adalah tinjauan pustaka dengan menerapkan metode pencarian literatur. Pencarian literatur dilaksanakan melalui tiga basis data yaitu PubMed, Scopus, dan Google Scholar, yang mencakup artikel-artikel yang dipublikasikan dalam rentang waktu 2014-2024. Pencarian menggunakan kata kunci MeSH seperti "Gestational Diabetes Mellitus", "Self-Efficacy" dan "Intervention Self-Management." Hasil pencarian menghasilkan tujuh artikel berbahasa Inggris yang memenuhi kriteria inklusi. Analisis dilakukan secara naratif dengan merujuk pada persamaan temuan dalam literatur yang teridentifikasi. Temuan dalam kajian literatur menunjukkan bahwa terdapat korelasi positif antara implementasi self-management yang didasarkan pada Health Belief Model dengan peningkatan self-efficacy pada ibu hamil yang menderita diabetes gestasional. Faktor-faktor seperti pemahaman risiko, persepsi manfaat, dan pemahaman hambatan; memainkan peran penting dalam memengaruhi tingkat self-efficacy. Penerapan HBM memberikan kontribusi pada peningkatan kemampuan ibu hamil dalam melakukan manajemen diri. Intervensi ini efektif meningkatkan kepercayaan diri ibu hamil dalam mengelola pola makan, aktivitas fisik, dan pemantauan gula darah, membantu mereka mengatasi diabetes gestasional.

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