Detail Cantuman

ABSTRACT
Introduction: A well-balanced diet is one of the four pillars of diabetes self-
management. Patient's culture strongly influences intake food. Diabetic dietary
guidelines which fit with the patient's culture is expected to improve patient's self-
efficacy and diet compliance. This study was aimed to analyze the effect of ethnic
foods diet program in improving self-efficacy and diet compliance among Type-2
Diabetes Mellitus (T2DM) patients.
Methods: This was quasy experiment research with pre and post-test control
design. The population was 112 T2DM patients from Sasak Tribes, West Nusa
Tenggara. Samples were 36 respondents, divided into intervention (18) and
control (18) groups. The independent variable was the ethnic food diet (EFD)
program, while the dependent variables were patient's self-efficacy and diet
compliance. Data were collected using self-efficacy questionnaire and a 24-hour
dietary recall form. Data were then analyzed using Wilcoxon Signed Rank Test and
Mann Whitney U Test. The result showed differences in self-efficacy between pre
and post-test in the treatment group (p=0,001), but
there were no differences in the control group.
Results: There were differences in diet compliance in the treatment group
(p=0,001), but there were no differences in the control group. There were
differences between treatment and control groups on self-efficacy (p=0,000) and
diet compliance (p=0,000).
Conclusion: Ethnic foods diet program can improve self-efficacy and diet
compliance among T2DM patients because more comfortable and easier to be
applied. Nurses can apply ethnic foods diet program as an intervention to promote
healthy diet for T2DM patients