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The Effect of Web-Based Education Programs on Self-Efficacy and Self-Care Behavior in Quality of Life Among Diabetic Type 2 Patients in Public Hospital


 Background: Changing to an intervention method in health education is a very challenging process and requires various transformations. Complications from the increasingly complicated diagnosis of type 2 diabetes cause diabetic patients to experience a deterioration in aspects of diabetic self-efficacy management (DSEM), diabetic self-care behavior management (DSCM) in their quality of life (QoL). Unsuitable environmental factors, increased amputation rates, and lack of information resources of choice for patients, researchers have innovated in type 2 diabetic health education through web-based Diabetic-N-Care education as a moderator to DSEM, DSCM, and QoL and as a method, an alternative to face to face education in Hospital Sultanah Nur Zahirah Kuala Terengganu.Objective: This study aims to identify the effects of web-based educational programs on diabetic self-efficacy management (DSEM), diabetic self-care behavior management (DSCM) in quality of life (QoL) among type 2 diabetes patients in public hospitals.Method: This study used a quantitative quasi-experimental design of pre-test and post-test. Diabetic-N-Care program was conducted at Orthopedic Clinic Hospital Sultanah Nur Zahirah Kuala Terengganu for 34 days, where purposive sampling involved type 2 diabetic patients who were divided into intervention groups (IG) (n = 60) and control group (CG) (n = 60). Respondents are the same individual for each phase of measurement.Results: Data analysis method the general linear model repeated measures ANOVA, Split-plot ANOVA (SPANOVA) and paired t-test was conducted on 120 patients to see the effect of using Diabetic-N-Care on IG. The results of Split - plot ANOVA analysis showed a significant overall effect of DSEM, DSCM, and QoL (p = 0.000) on IG. Meanwhile, paired t-test analysis there was a significant mean difference in DSEM, DSCM, and QoL at pre-test and post-test (p = 0.000) to IG compared to CG.Conclusion: Web-based health education can have an impact on DSEM, DSCM in the QoL of type 2 diabetic patients were greater than before confidence, change the old behavior to new behavior to improve quality of life in the long term planning. Therefore, this study concludes that web-based methods such as Diabetic-N-Care need to be widely adapted in current health education methods.