The Relationship Between Self-Care and Peripheral Neuropathy Based on the Michigan Neuropathy Screening Instrument (MNSI) in Diabetes Mellitus Patients Following Prolanis (Chronic Disease Management Program) at Wonopringgo Community Health Center

Abstract

The Relationship Between Self-Care and Peripheral Neuropathy Based on the Michigan Neuropathy Screening Instrument in Diabetes Mellitus Patients

Background: Diabetes mellitus is a chronic disease that can cause complications of peripheral neuropathy which impacts sensory, motor and autonomic function disorders.Chronic Disease Management Program or called Prolanis is a pioneer to enhance patient self-care especially for diabetic patients. This study aims to determine the relationship between self-care and peripheral neuropathy based on the Michigan Neuropathy Screening Instrument in diabetes mellitus patients who participated in Prolanis.

Method: The design of this study is correlational study with cross-sectional approach. This study involved 60 respondents of all Prolanis members of Wonopringgo Community Health Center. The Summary of Diabetes Self-Care Activities (SDSCA) questionnaire was used to measure self-care, whereas peripheral neuropathy was measured by using the Michigan Neuropathy Screening Instrument (MNSI).

Result: The results of the Pearson Product Moment correlation test showed a significant relationship between self-care and peripheral neuropathy (p < 0.001). The correlation coefficient value between self-care (SDSCA) and MNSI A was r = -0.832 and with MNSI B was r = -0.831, indicating a strong and negative relationship, meaning that the better the self-care performed by the patient, the lower the peripheral neuropathy score obtained.

Conclusion: This study concludes that there is a significant relationship between self-care and peripheral neuropathy in diabetic patients participating in Prolanis. Therefore, community nurses are expected to increase education, monitoring, coaching, as well as neuropathy assessments.