The Effect of Transactional Stress and Meaning-Focused Coping on Compliance with Therapy Management for Diabetes Mellitus Clients

Abstract

Diabetes Mellitus (DM) is a chronic disease that is marked by blood glucose content above normal levels and disorders of carbohydrate, fat, and protein metabolisms caused by relative or absolute lack of insulin hormone. The prevalence of DM around the world has reached epidemic levels. At the moment, worldwide occurrence of DM is estimated to be greater than 230 million, nearly 6% of the adult population. It is predicted that in the next 20 years, the number of DM clients will reach 350 million. Based on a preliminary research at a community health center, in a period of three months there were53 older than40 and younger than 60 with Diabetes Mellitus. In general, the aim of this research was to analyze the effects of the development of the transactional stress and coping model on compliance with therapy management of Type 2DM clients. The research utilized quasi-experimental design with on-equivalent control groups; the intervention group consisted of 24 people, and the control group also 24 people. The research used the consecutive sampling technique. The independent variable in this research was developing a model of the transactional stress and coping (primary and secondary evaluations and meaning-focused coping). As for the dependent variable, it was compliance with therapy management. For data analysis, the researcher utilized the Wilcox on test to find differences, and simple linear regression to understand effects. The research results showed differences between the intervention and control groups in terms of the variable of primary and secondary evaluations and the meaning-focused coping. In addition, the research also discovered that compliance influenced HbA1c examination results. It is recommended that health officials increase primary and secondary evaluations and meaning-focused coping in order to improve the compliance with therapy management among Type 2DM clients.

Keywords: Transactional Stress, Coping, Compliance, Diabetes Mellitus.