The Evidance Based Nursing Practice: Application of Diabetes Self-Management Education to Lowering Blood Sugar Levels in the Elderly

  • Adi Bayu Prakoso Faculty of Nursing, Universitas Muhammadiyah Jakarta & Universitas Duta Bangsa Surakarta
  • Uswatul Khasanah Faculty of Nursing, Universitas Muhammadiyah Jakarta
  • Dewi Anggraini Faculty of Nursing, Universitas Muhammadiyah Jakarta
  • Nurhayati Nurhayati Faculty of Nursing, Universitas Muhammadiyah Jakarta
Keywords: blood glucose level, diabetes mellitus, diabetes self-management education, elderly

Abstract

Diabetes Mellitus is a collection of symptoms caused by high levels of glucose in the blood and is a chronic disease that can be experienced by the elderly due to a poor lifestyle and irregular eating patterns. Objective: This research aims to identify one Diabetes Self-Management Education article as a source of evidence that has quality so that it can be applied to reduce blood sugar levels in the elderly and determine its effect on elderly people with diabetes mellitus. Methode: The strategy used in this research is a quasi-experiment without control carried out with a one group pretest posttest design. The sample used in this study was 13 elderly people who had diabetes mellitus. Researchers use sample criteria to determine samples in research according to inclusion and exclusion criteria. Result: The results of the analysis using the Wilcoxon test showed that there was a difference in blood glucose levels in the elderly before and after implementing Diabetes Self-Management Education is p = 0.001, which means it has statistical significance. Conclusion: This research shows that implementing Diabetes Self-Management Education can reduce blood glucose levels in the elderly.

References

Alviani, K. R. (2022). Healthy Elderly, Eating Calmly with Diabetes. https://yankes.kemkes.go.id/view_artikel/1203/lansia-sehat-makan-tenang-dengan-diabetes

Anis, C., Sekeon, S. A. S., & Kandou, G. D. (2017). The relationship between Diabetes Mellitus (Hyperglycemia) and Quality of Life in the Elderly in Kolongan Village, Tomohon Tegah District, Tomohon City. Sam Ratulangi University Public Health Journal, 6(3), 1–8. https://ejournal.unsrat.ac.id/index.php/kesmas/article/download/31613/30196

Azami, G., Soh, K. L., Sazlina, S. G., Salmiah, M. S., Aazami, S., Mozafari, M., & Taghinejad, H. (2018). Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes. Journal of Diabetes Research, 2018. https://doi.org/10.1155/2018/4930157

Bekele, B. B., Negash, S., Bogale, B., Tesfaye, M., Getachew, D., Weldekidan, F., & Balcha, B. (2021). Effect of diabetes self-management education (DSME) on glycated hemoglobin (HbA1c) level among patients with T2DM: Systematic review and meta-analysis of randomized controlled trials. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 15(1), 177–185. https://doi.org/10.1016/j.dsx.2020.12.030

Chentli, F., Azzoug, S., & Mahgoun, S. (2015). Diabetes mellitus in elderly. Indian Journal of Endocrinology and Metabolism, 19(6), 744–752. https://doi.org/10.4103/2230-8210.167553

Dewi, R. (2020). Effectiveness of Self-Management Education on Blood Glucose Levels in Diabetes Mellitus Patients (DM) Tipe 2. Jurnal Ilmiah Keperawatan Imelda, 6(1), 16–21. https://doi.org/10.52943/jikeperawatan.v6i1.337

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. Diabetes Care, 32(SUPPL. 1). https://doi.org/10.2337/dc09-S087

Hananto, S. Y., Putri, S. T., & Puspita, A. P. W. (2022). Case Study: Management of Diabetes Self Management Education (DSME) on Blood Glucose Levels in Type 2 Diabetes Mellitus Patients. Jurnal Keperawatan, 20(4), 128–137. https://doi.org/10.35874/jkp.v20i4.1111

Indonesian Ministry of Health. (2020). Infodatin remains productive, prevents and overcomes Diabetes Mellitus 2020. In Data and Information Center Ministry of Health of the Republic of Indonesia (pp. 1–10) . https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/Infodatin-2020-Diabetes-Melitus.pdf

Milita, F., Handayani, S., & Setiaji, B. (2021). Incidence of Type II Diabetes Mellitus in the Elderly in Indonesia (2018 Riskesdas Analysis). Jurnal Kedokteran Dan Kesehatan, 17(1), 9–20.

Murray, C. M., & Shah, B. R. (2016). Diabetes self-management education improves medication utilization and retinopathy screening in the elderly. Primary Care Diabetes, 10(3), P179-185. https://doi.org/https://doi.org/10.1016/j.pcd.2015.10.007

Nurafni, Febriana, D., & Hadi, N. (2021). Literature Study of Medication Compliance in Elderly People with Diabetes Mellitus. Vol(2), 181–186.

Permana, H. (2016). Chronic Complications and Comorbidities in Diabetics. Jurnal Ilmiah.

Ratnawati, D., Sahar, J., & Permatasari, H. (2015). DM Lancet Program as an Intervention Strategy for Diabetes Mellitus in the Elderly. Bina Widya, 26(1), 6–17.

Rahayu, E., Kamaluddin, R., & Sumarwati, M. (2017). The Influence of the Family-Based Diabetes Self Management Education Program on the Quality of Life of Type II Diabetes Mellitus Sufferers in the Baturraden II Community Health Center Area. Jurnal Keperawatan Soedirman, 9(3), 163–172. http://www.jks.fikes.unsoed.ac.id/index.php/jks/article/view/611/336

Sudirman, A. A., & Modjo, D. (2021). Effectiveness of Diabetes Self Management Education (DSME) on Blood Glucose Levels in Type 2 Diabetes Mellitus Patients in the West Limboto Community Health Center Area. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 4(2), 151–156. https://doi.org/10.56338/mppki.v4i2.1489

Yakaryılmaz, F. D., & Öztürk, Z. A. (2017). World Journal of Diabetes. 9358(6).

Waskito, J. (2016). Factors that encourage the activities of elderly workers to continue working. Jurnal Penelitian Pendidikan Guru Sekolah Dasar, 6(August), 128.

Zheng, F., Liu, S., Liu, Y., & Deng, L. (2019). Effects of an outpatient diabetes self-management education on patients with type 2 diabetes in China: A randomized controlled trial. Journal of Diabetes Research, 2019. https://doi.org/10.1155/2019/1073131.

Published
2024-05-27
How to Cite
Prakoso, A. B., Khasanah, U., Anggraini, D., & Nurhayati, N. (2024). The Evidance Based Nursing Practice: Application of Diabetes Self-Management Education to Lowering Blood Sugar Levels in the Elderly. Indonesian Journal of Global Health Research, 6(5), 2529-2534. https://doi.org/10.37287/ijghr.v6i5.3488