Knowledge, Attitude, and Practice Among Nurses Regarding Nutrition Management of Diabetes Mellitus Patients
DOI:
https://doi.org/10.26699/jnk.v11i3.ART.p276-285Keywords:
Knowledge, Attitude, Practice, Nurses, Nutritional Management, Diabetes MellitusAbstract
Diabetes mellitus is a chronic metabolic disorder that contributes significantly to the global health burden, with a rising prevalence globally. Understanding nurses' knowledge, attitudes, and practices (KAP) is crucial because knowledge provides essential insights into how diet affects blood glucose levels, a positive attitude encourages support for patient adherence, and efficient practices ensure the consistent application of dietary management strategies. This study aimed to assess the KAP among nurses about the nutritional management of Diabetes. This descriptive study involved 100 nurses working in medical and surgical wards of a hospital, with 99 respondents included in the analysis following the dropping out of one respondent. Data was collected using a structured questionnaire designed to evaluate the KAP of nurses concerning diabetes nutritional management. The study found disparities in the levels of knowledge among nurses: 14.1% demonstrated high knowledge, 49.5% demonstrated intermediate knowledge, and 36.4% demonstrated poor knowledge. Despite these variations, none demonstrated a bad attitude, a lousy 11.1% demonstrated an intermediate attitude, and the majority of nurses (88.9%) exhibited high attitudes towards Diabetes nutritional management. Additionally, 0% engaged in harmful practices, 4% demonstrated intermediate practices, and nearly all respondents (96%) reported engaging in good practices. These results underscore the need for targeted educational interventions to bridge knowledge gaps. Enhancing nurses' knowledge in Diabetes nutritional management is essential to improve the quality of care and health outcomes for patients with Diabetes.
Author Biographies
Imam Tri Sutrisno, Universitas Pendidikan Indonesia
Imam Tri Sutrisno
Universitas Pendidikan Indonesia
(
Google Scholar, 
Sinta, 
ORCID)
Rafika Rosyda, Universitas Pendidikan Indonesia
Rafika Rosyda
Universitas Pendidikan Indonesia
(Google Scholar, Sinta, ORCID)
Nandar Wirawan, Univertas Bale Bandung , Indonesia
Nandar Wirawan
Universitas Bale Bandung, Indonesia
(Google Scholar, Sinta, ORCID)
Sandi Alfa Wiga Arsa, STIKes Patria Husada Blitar
Sandi Alfa Wiga Arsa
STIKes Patria Husada Blitar, Indonesia
(
Google Scholar, 
Sinta, 
ORCID)
References
Al-Busaidi, I. S., Al Suleimani, S. Z., Dupo, J. U., Al Sulaimi, N. K., & Nair, V. G. (2019). Nurses' knowledge, attitudes, and implementation of evidence-based practice in common: A multi-institutional, cross-sectional study. Oman Medical Journal, 34(6), 521–527. https://doi.org/10.5001/omj.2019.95
Alhaiti, A. H., Senitan, M., Shanmuganathan, S., Dacosta, C., Jones, L. K., & Lenon, G. B. (2019). Nurses' attitudes towards Diabetes in tertiary care: A cross-sectional study. Nursing Open, 6(4), 1381–1387. https://doi.org/10.1002/nop2.334
Alshammari, M., Windle, R., Bowskill, D., & Adams, G. (2021). The Role of Nurses in Diabetes Care: A Qualitative Study. Open Journal of Nursing, 11(08), 682–695. https://doi.org/10.4236/ojn.2021.118058
Bin Rakhis, S. A., AlDuwayhis, N. M., Aleid, N., AlBarrak, A. N., & Aloraini, A. A. (2022). Glycemic Control for Type 2 Diabetes Mellitus Patients: A Systematic Review. Cureus, 14(6), 6–13. https://doi.org/10.7759/cureus.26180
Dizdarevic-Bostandzic, A., Begovic, E., Burekovic, A., Velija-Asimi, Z., Godinjak, A., & Karlovic, V. (2018). Cardiovascular Risk Factors in Patients with Poorly Controlled Diabetes Mellitus. Medical Archives (Sarajevo, Bosnia and Herzegovina), 72(1), 13–16. https://doi.org/10.5455/medarh.2018.72.13-16
Evert, A. B., Dennison, M., Gardner, C. D., Timothy Garvey, W., Karen Lau, K. H., MacLeod, J., Mitri, J., Pereira, R. F., Rawlings, K., Robinson, S., Saslow, L., Uelmen, S., Urbanski, P. B., & Yancy, W. S. (2019). Nutrition therapy for adults with diabetes or prediabetes: A consensus report. Diabetes Care, 42(5), 731–754. https://doi.org/10.2337/dci19-0014
Farzaei, M., Shahbazi, S., Gilani, N., Ostadrahimi, A., & Gholizadeh, L. (2023). Nurses' knowledge, attitudes, and practice concerning nutritional management of diabetes mellitus. BMC Medical Education, 23(1), 1–10. https://doi.org/10.1186/s12909-023-04178-4
Franz, M. J., MacLeod, J., Evert, A., Brown, C., Gradwell, E., Handu, D., Reppert, A., & Robinson, M. (2017). Academy of Nutrition and Dietetics Nutrition Practice Guideline for Type 1 and Type 2 Diabetes in Adults: Systematic Review of Evidence for Medical Nutrition Therapy Effectiveness and Recommendations for Integration into the Nutrition Care Process. Journal of the Academy of Nutrition and Dietetics, 117(10), 1659–1679. https://doi.org/10.1016/j.jand.2017.03.022
Galicia-Garcia, U., Benito-Vicente, A., Jebari, S., Larrea-Sebal, A., Siddiqi, H., Uribe, K. B., Ostolaza, H., & Martín, C. (2020). Pathophysiology of Type 2 Diabetes Mellitus. International Journal of Molecular Sciences, 21(17), 6275. https://doi.org/10.3390/ijms21176275
Goyal, R., Jialal, I., & Singhal, M. (2023). Type 2 Diabetes. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK513253/
Holloway, D., James, S., Ekinci, E., & Craft, J. (2023). A systematic review of the effectiveness of nurse-led care in reducing glycated haemoglobin in adults with Type 1 or 2 diabetes. International Journal of Nursing Practice, 29(6), 1–15. https://doi.org/10.1111/ijn.13135
Khil, J., Kim, S. M., Chang, J., Choi, S., Lee, G., Son, J. S., Park, S. M., & Keum, N. N. (2023). Changes in total cholesterol level and cardiovascular disease risk among type 2 diabetes patients. Scientific Reports, 13(1), 1–11. https://doi.org/10.1038/s41598-023-33743-6
Lambrinou, E., Hansen, T. B., & Beulens, J. W. J. (2019). Lifestyle factors, self-management and patient empowerment in diabetes care. European Journal of Preventive Cardiology, 26(2_suppl), 55–63. https://doi.org/10.1177/2047487319885455
Mogre, V., Ansah, G. A., Marfo, D. N., & Garti, H. A. (2015). Assessing nurses' knowledge levels in the nutritional management of Diabetes. International Journal of Africa Nursing Sciences, 3, 40–43. https://doi.org/10.1016/j.ijans.2015.07.003
Perkumulan Endokrinologi Indonesia. (2021). Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia 2021. PB PERKENI.
Petrie, J. R., Guzik, T. J., & Touyz, R. M. (2018). Diabetes, Hypertension, and Cardiovascular Disease: Clinical Insights and Vascular Mechanisms. Canadian Journal of Cardiology, 34(5), 575–584. https://doi.org/10.1016/j.cjca.2017.12.005
Rekisso, A. D., Mengistu, Z., & Wurjine, T. H. (2022). Nurses' attitudes towards the nursing profession and associated factors in selected public hospitals, Addis Ababa, Ethiopia, 2021: a cross-sectional study. BMC Nursing, 21(1), 1–9. https://doi.org/10.1186/s12912-022-00808-2
Sun, H., Saeedi, P., Karuranga, S., Pinkepank, M., Ogurtsova, K., Duncan, B. B., Stein, C., Basit, A., Chan, J. C. N., Mbanya, J. C., Pavkov, M. E., Ramachandaran, A., Wild, S. H., James, S., Herman, W. H., Zhang, P., Bommer, C., Kuo, S., Boyko, E. J., & Magliano, D. J. (2022). IDF Diabetes Atlas: Global, regional, and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Research and Clinical Practice, 183, 109119. https://doi.org/10.1016/j.diabres.2021.109119
Van Nguyen, T., & Liu, H. E. (2021). Factors associated with the critical thinking ability of professional nurses: A cross-sectional study. Nursing Open, 8(4), 1970–1980. https://doi.org/10.1002/nop2.875
Yeh, Y. K., Yen, F. S., & Hwu, C. M. (2023). Diet and exercise are fundamental to comprehensive care for type 2 diabetes. Journal of Diabetes Investigation, 14(8), 936–939. https://doi.org/10.1111/jdi.14043
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
