The Influence of Spiritual Peer Support Groups on Self-Management and Self-Compassion in Type 2 Diabetes Mellitus Patients with Gangrenous Wounds

Abstract

The challenge of self-management in Diabetes Mellitus with gangrene wounds, often triggers feelings of frustration and failure in patients. When self-management goals are not achieved, patients tend to blame themselves, feel incompetent, and over-criticize themselves. This negative reaction to self-compassion reflects a low level of self-compassion, which in turn can decrease motivation to keep working and increase the risk of burnout in self-management decreases. The purpose of this study is to analyze the influence of Spiritual Peer Group Support on self-management and self-compassion in Type 2 Diabetes Mellitus patients with Gangrene Wounds. The design of this study uses Quasy Experimental with the untreated control group design with dependent pre-test and post test samples. The population in this study is all patients with type 2 Diabetes Mellitus who have gangrene lesions, which is 146 respondents. Sampling was carried out by purposive sampling. The total number of respondents in this study was 106 with the division of 53 intervention groups and 53 control groups. The independent variables in this study are Spiritual Peer Group support and the dependent variables in this study are Self-Compassion and self-management. The instruments used in this study were the Self-Compassion Scale (SCS) questionnaire and the Diabetes Self-management Questionnaire (DSMQ). Data analysis using paired t-test and independent t-test. Based on the t-independent test, the average self-management before the intervention was 21.13 in the treatment group and the control group was 21.25 with a p value of 0.942 which showed that there was no difference in the level of self-management before the intervention was given. The average level of self-management after the intervention was 34.42 and in the treatment group and the control group was 20.96 with a p value of 0.000 indicating that there was a difference in the level of self-management after the intervention. The mean self-compassion before the intervention was 77.96 in the treatment group and the control group was 78.96 with a p value of 0.741 which showed that there was no difference in the level of self-compassion before the intervention was given. The average level of self-compassion after the intervention was 93.75 and in the treatment group and the control group was 75.30 with a p value of 0.000 which indicates that there was a difference in the level of self-compassion after the intervention. Spiritual Peer Group Support is an effective intervention method in improving self-management and self-compassion in patients with type 2 diabetes mellitus with gangrene wounds. Therefore, this intervention can be recommended as part of a holistic approach in the management and rehabilitation of patients with these chronic conditions.