Diabetic Self-Management Education –  Effect on Self-Management Care of Type-2 Diabetic Patients

Imelda Rahmayunia Kartika; Aria Wahyuni; Nur Fitra Dewi

doi:10.24198/mkk.v4i2.30239

Diabetic Self-Management Education – Effect on Self-Management Care of Type-2 Diabetic Patients

Imelda Rahmayunia Kartika, Aria Wahyuni, Nur Fitra Dewi

Abstract

A common problem of a person with diabetes mellitus was the lack of discipline in implementation of their daily self-care management. Diabetes Self-Management Education (DSME) was a system to help diabetes patients manage their activities to improve their health. DSME is the process which can improve the knowledge, skill, and ability of diabetes self-care. This study aimed to determine the effect of using diabetes self-management education (DSME) intervention and how it affected patients’ self-care management. This research was quasi experiment with one group pretest-posttest among patients with type-2 diabetes. There were 30 participants assigned by using purposive sampling into DSME intervention. Four sessions of DSME were conducted to the participants using illustrative media/fliers. The data were collected by questionnaires of Diabetes Self-Care Management. Then, it was analyzed by using paired t-test. The results showed that self-care management of the respondents before the intervention was 28.8 and it increased to 35.3 after the intervention (mean different=6.5). There were differences in the self-care score before and after the intervention (p=0.001). This study has limited time to do DSME. But, in four sessions, we have tried to explain more about diabetes interactively. Then, better to assess the type-2 diabetes patients with qualitative method or mixed with more participants included for the future researchers. This research was adopting a DSME to found significant improvements in the self-care management in type-2 diabetes mellitus patient. This demonstrates that DSME intervention can be such clinical importance in care of type-2 diabetes mellitus patient.

Keywords: Diabetes self-management education, self-care management, type-2 diabetes patients.

Full Text:

PDF (Bahasa Indonesia)

References

Alligood, MR S & Tomey, A. M. 2006.Nursing Theories and Their Works, 7thedn, Mosby Elsevier, St. Louis, Missouri.

Amanda, S., Rosidin, U., & Permana, R. H. (2020). Pengaruh Pendidikan Kesehatan Senam Diabetes Melitus terhadap Pengetahuan Kader Kesehatan. Media Karya Kesehatan, 3(2), 162–173. http://journal.unpad.ac.id/mkk/article/view/25656

Atika, S., & Mutiawati, E. (n.d.). Self Management Dengan Prilaku Diet Penderita Diabetes Mellitus Di Puskesmas Self Management With Diatery Behavior Diabetes melitus Patients In Community Health Center. 87–96.

Balagopal, P., Kamalamma, N., Patel, T. G., & Misra, R. (2008). A Community-Based Diabetes Prevention and Management Education Program in a Rural Village in India. Diabetes Care, 31(6), 1097–1104. https://doi.org/10.2337/dc07-1680

Dalimunthe, D. Y., & Nasution, J. D. (2016). Pengaruh Diabetes Self Management Education (DSME) Sebagai Model Keperawatan Berbasis Keluarga Terhadap Pengendalian Glukosa Pada Penderita Diabetes Melitus. Jurnal Mutiara Kesehatan Masyarakat, 1(1), 53–61.

Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., Maryniuk, M., Peyrot, M., Piette, J. D., Reader, D., Siminerio, L. M., Weinger, K., & Weiss, M. A. (2009). National standards for diabetes self- management education. In Diabetes Care. https://doi.org/10.2337/dc09-S087

Hailu, F. B., Moen, A., & Hjortdahl, P. (2019). Diabetes Self-Management Education ( DSME ) – Effect on Knowledge , Self-Care Behavior , and Self- Ef fi cacy Among Type 2 Diabetes Patients in Ethiopia : A Controlled Clinical Trial. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy 2019, 12, 2490–2499.

Harwadi, H., Ibrahim, K., & Hayaty, H. (2015). Pengaruh Pendidikan Kesehatan Terhadap Kepatuhan Diet Pada Pasien Dm Tipe2 Di Irna Non Bedah Penyakit. Jurnal Ilmu-Ilmu Kesehatan, 04(02), 35–44.

Hendra Harwadi, Kusman Ibrahim, H. H. (2015). Pengaruh pendidikan kesehatan terhadap kepatuhan diet pada pasien dm tipe2 di irna non bedah penyakit.

Indaryati, S. (2018). Pengaruh diabetes self management education ( dsme ) terhadap self-care pasien diabetes melitus. Jurnal Kesehatan Saelmakers Perdana, 1(1), 44–52.

Kurniawati, T., Huriah, T., & Primanda, Y. (2019). Pengaruh Diabetes Self Management Education (DSME) terhadap Self Management pada Pasien Diabetes Mellitus. XII(Ii), 588–594.

Laili, N. R., Dewi, Y. S., & Widyawati, I. Y. (2011). Edukasi dengan pendekatan prinsip diabetes self management education ( dsme ) meningkatkan perilaku kepatuhan diet pada penderita diabetes mellitus tipe 2. Critical Medical and Surgical Nursing.

Lis, A., Gandini, A., Pranggono, E., & Ropi, H. (2015). Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan, Perilaku Dan Gula Darah Pada Pasien Diabetes Mellitus Tipe 2. Jurnal Husada Mahakam, III(9), 474–482.

Mikhael, E. M., Hassali, M. A., & Hussain, S. A. (2020). Effectiveness of Diabetes Self-Management Educational Programs For Type 2 Diabetes Mellitus Patients In Middle East Countries: A Systematic Review. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Volume 13, 117–138. https://doi.org/10.2147/DMSO.S232958

Murhayati, A., & Wahid, R. A. N. (2013). Pengaruh pendidikan kesehatan Diabetes Self Management Education (DSME) Terhadap Kadar Gula Darah Pasien Diabetes Tipe II. 45, 1–8.

Notoatmodjo, S. (2012). Promosi Kesehatan dan Perilaku Kesehatan. In Journal of Chemical Information and Modeling. https://doi.org/10.1017/CBO9781107415324.004

Nur Lailatul Lathifah. (2013). Hubungan durasi penyakit dan kadar gula darah dengan keluhan subyektif penderita diabetes melitus. Berkala Epidemologi, 5(2), 231–239. https://doi.org/10.20473/jbe.v5i2.2017.231-239

Nurlaela, E. (2015). Hubungan Pengetahuan Self Care Diabetes Dengan Self Care Diabetes Pada Klien DM Tipe 2 Di Wilayah Kerja Puskesmas Karangdadap Gita Triwidyastuti, Rifki Ariyanto dan. Jurnal Ilmu Keperawatan, 1(1), 12–20.

Oktorina, R., Sitorus, R., & Sukmarini, L. (2019). Pengaruh Edukasi Kesehatan dengan Self Instructional Module Terhadap Pengetahuan Tentang Diabetes Melitus. Jurnal Endurance, 4(1), 171. https://doi.org/10.22216/jen.v4i1.2995

Rahmawati, Tahlil, T., & Syahrul. (2016). Effects of Diabetes Self-Management Education Program on Self-Management in Patients with Diabetes Mellitus Type 2. Jurnal Ilmu Keperawatan, 4(1), 46–58.

Rosidin, U., Sumarni, N., & Suhendar, I. (2019). Penyuluhan tentang Aktifitas Fisik dalam Peningkatan Status Kesehatan. Media Karya Kesehatan, 2(2), 108–118. https://doi.org/10.24198/mkk.v2i2.22574

Schmitt, A., Gahr, A., Hermanns, N., Kulzer, B., Huber, J., & Haak, T. (2013). The Diabetes Self-Management Questionnaire (DSMQ): Development and evaluation of an instrument to assess diabetes self-care activities associated with glycaemic control. Health and Quality of Life Outcomes, 11(1), 1–14. https://doi.org/10.1186/1477-7525-11-138

Wahyono, Handayani, F., & Kusumaningrum, N. S. D. (2019). Diabetes Self Management Education (DSME) to Improve Diabetes Education in Patients With Diabetes Melitus : Literature Review. Jurnal Ilmiah Keperawatan Stikes Hang Tuah Surabaya, 14(2), 43–49.

WHO. (2016). Diabetes Fakta dan Angka. In World Health Organization.

Windani, C., Sari, M., Yamin, A., & Sari, S. P. (2018). Edukasi Berbasis Masyarakat untuk Deteksi Dini Diabetes Melitus Tipe 2. Media Karya Kesehatan, 1(1), 29–38.

Windasari, N. N., Wibowo, S., Afandi, M., Kedokteran, F., Gajah, U., & Yogyakarta, U. M. (2009). Pendidikan Kesehatan dalam Meningkatkan Kepatuhan Merawat Kaki pada Pasien Diabetes Mellitus Tipe II. Muhammadiyah Journal of Nursing, 61–67.

Wulandini, P., Saputra, R., & Basri, H. (2016). Hubungan Pengetahuan Penderita Diabetes Melitus Terhadap Kejadian Luka Diabetes Melitus di Ruangan Penyakit Dalam RSUD Arifin Achmad Pekanbaru. Jurnal Keperawatan, 1(1), 1–8. file:///C:/Users/HP/Downloads/72-Naskah Artikel-201-1-10-20170112 (1).pdf

DOI: https://doi.org/10.24198/mkk.v4i2.30239