Efektivitas Edukasi Berbasis Diabetes Self-Management Education (DSME) terhadap Kualitas Hidup Pasien Diabetes Melitus Tipe 2: Sebuah Tinjauan Literatur

M. Ihsan; Aqilah Sakura Usman; Perawati Perawati

doi:10.37287/jppp.v7i3.6632

M. Ihsan Universitas Riau
Aqilah Sakura Usman Universitas Riau
Perawati Perawati Universitas Riau

DOI: https://doi.org/10.37287/jppp.v7i3.6632

Keywords: diabetes melitus tipe 2, DSME, kualitas hidup

Abstract

Diabetes Melitus Tipe 2 (DMT2) merupakan kondisi metabolik kronis yang berdampak serius pada aspek fisik, psikologis, dan sosial pasien, terutama jika tidak dikelola dengan baik. Salah satu strategi yang dinilai efektif untuk mengatasi dampak tersebut adalah edukasi berbasis Diabetes Self-Management Education (DSME), yang bertujuan meningkatkan kemandirian, pengetahuan, dan kemampuan pasien dalam pengelolaan diri. Penelitian ini bertujuan meninjau efektivitas DSME terhadap kualitas hidup pasien DMT2 melalui metode literature review. Kajian dilakukan dengan pendekatan PICO, diikuti proses identifikasi, skrining, serta penerapan kriteria inklusi dan eksklusi, hingga diperoleh 7 artikel dari tahun 2018 hingga 2024 yang relevan. Hasil tinjauan menunjukkan bahwa intervensi DSME secara konsisten berkontribusi signifikan dalam meningkatkan kualitas hidup pasien, mencakup aspek fisik, psikologis, dan sosial. Selain membantu pemahaman terhadap penyakit, DSME juga mendorong kemandirian dan kepercayaan diri pasien dalam pengelolaan DMT2, yang berdampak positif terhadap perilaku perawatan diri dan hasil kesehatan secara keseluruhan. Dengan demikian, DSME terbukti efektif dalam meningkatkan kualitas hidup pasien DMT2.

References

Anggraeni, A. F. N., Rondhianto, & Juliningrum. (2018). Pengaruh Diabetes Self Management Education and Support (DSME/S) terhadap kualitas hidup pada pasien diabetes melitus tipe 2. e-Journal Pustaka Kesehatan, 6(3). http://journal.unej.ac.id

Asrindo, K., Wardoyo, E., Hardono, & Amirudin, I. (2024). Pengaruh Diabetes Self Management Education (DSME) Melalui Media Buku Pintar Elektronik Terhadap Perawatan Diri Penderita Diabetes Melitus Tipe II di Wilayah Kerja Puskesmas Sanggi Kabupaten Tanggamus. Health Research Journal of Indonesia, 3(1), 1–11. Diambil dari https://wpcpublisher.com/jurnal/index.php/HRJI/article/view/329

Banday, M. Z., Sameer, A. S., & Nissar, S. (2020). Pathophysiology of diabetes: An overview. Avicenna journal of medicine, 10(4), 174–188. https://doi.org/10.4103/ajm.ajm_53_20

Chakraborty Samanta, A., Jha, H., & Kamal, P. (2025). Systematic Review: Risk Factors for Developing Type 2 Diabetes Mellitus. European Journal of Cardiovascular Medicine, 15(1), 390-392. https://doi.org/10.5083/ejcm.15.01.02

Chhatrola, S., Viroja, D., & Kyada, A. (2024). An updated review on diabetes mellitus: Exploring its etiology, pathophysiology, complications and treatment approach. IP International Journal of Comprehensive and Advanced Pharmacology, 9, 31-36. https://doi.org/10.18231/j.ijcaap.2024.005

Demla, C., Thomas, A., Jose, J., et al. (2021). Instruments measuring the quality of life among people living with type 2 diabetes mellitus in India: a systematic review protocol. BMJ Open, 11(e043831). https://doi.org/10.1136/bmjopen-2020-043831

Funan, F., Mukin, F. A., Sadipun, D. K., Nipa, N., & Fakultas Ilmu-Ilmu Keperawatan, Universitas Nusa Nipa. (2021). Pengaruh pendekatan model diabetes self management education terhadap kualitas hidup penderita DM tipe 2 di era pandemi COVID-19 di Puskesmas Waipare Kecamatan Kangae. Jurnal Keperawatan dan Kesehatan Masyarakat, 8(2). https://jkkmfikesunipa.nusanipa.ac.id/index.php/hlj-Unipa/article/view/85

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. (2010). National standards for diabetes self-management education. Diabetes care, 33 Suppl 1(Suppl 1), S89–S96. https://doi.org/10.2337/dc10-S089

Geravandi, S., Emamgholipour, S., Gu, Y., Sinha, K., Mohsen, P., Baba akbari, A., & Salehi-Abargouei, A. (2022). Risk Factors of Type2 Diabetes Mellitus: A Systematic Review of Systematic Reviews and Meta-Analyses of Prospective Cohort Studies. https://doi.org/10.21203/rs.3.rs-2218731/v1

Ghimire, S., Neupane, G., Sah, C., Ghimire, M., & Soti, B. (2024). Quality of life of Type II Diabetic patients. https://doi.org/10.1101/2024.11.07.24316896

Hailu, F. B., Moen, A., & Hjortdahl, P. (2019). Diabetes Self-Management Education (DSME) - Effect on Knowledge, Self-Care Behavior, and Self-Efficacy Among Type 2 Diabetes Patients in Ethiopia: A Controlled Clinical Trial. Diabetes, metabolic syndrome and obesity : targets and therapy, 12, 2489–2499. https://doi.org/10.2147/DMSO.S223123

Husna, A. R., Mumtaz, D. F., & Jannah, G. K. N. (2024). Pengaruh diabetes self management education terhadap kualitas hidup dan dukungan keluarga pada penderita diabetes melitus tipe II. Holistik Jurnal Kesehatan, 18(8), 1021–1027. https://doi.org/10.33024/hjk.v18i8.569

Kumah, E., Olchera, G., Egyakwa-Amankwah, S., Fusiheim, A., Collins, K., Kofi-Adutwum, A., & Amankwah, J. A. (2021). Diabetes self-management education interventions in the WHO African Region: A scoping review. PLOS One, 16(8), e0256123. https://doi.org/10.1371/journal.pone.0256123

Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., Hooks, B., Isaacs, D., Mandel, E. D., Maryniuk, M. D., Norton, A., Rinker, J., Siminerio, L. M., & Uelmen, S. (2020). Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes Care, 43(7), 1636–1649. https://doi.org/10.2337/dci20-0023

Rasoul, A. M., Jalali, R., Abdi, A., Salari, N., Rahimi, M., & Mohammadi, M. (2019). The effect of self-management education through weblogs on the quality of life of diabetic patients. BMC Medical Informatics and Decision Making, 19(1). https://doi.org/10.1186/s12911-019-0941-6

Sanyaolu, A., Marinkovic, A., Prakash, S., Williams, M., Dixon, Y., Okorie, C., Orish, V., & Izurieta, R. (2023). Diabetes mellitus: An overview of the types, prevalence, comorbidity, complication, genetics, economic implication, and treatment. World Journal of Meta-Analysis, 11(5), 134-143. https://doi.org/10.13105/wjma.v11.i5.134

Singh, A., Gupta, P., Rana, S., & Shadangi, S. (2025). Type 2 Diabetes Mellitus: A Comprehensive Review of Pathophysiology, Comorbidities, and Emerging Therapies. Comprehensive Physiology, 15. https://doi.org/10.1002/cph4.70003

Syikir, M., Ayu Lestari, D., Syerman, N., & Sanrila, K. (n.d.). Lecturer in the Nursing Science Study Program, STIKES Bina Generasi Polewali Mandar, Indonesia 2 Students in the Nursing Science Study Program. STIKES Bina Generasi Polewali Mandar. https://doi.org/10.56359/kolaborasi.v3i1.322

Trikkalinou, A., Papazafiropoulou, A. K., & Melidonis, A. (2017). Type 2 diabetes and quality of life. World journal of diabetes, 8(4), 120–129. https://doi.org/10.4239/wjd.v8.i4.120

Utama, R. D., Indasah, I., & Noor Layla, S. F. (2021). The Effect of Diabetes Self-Management Education (DSME) on Improving Self-Management and Quality of Life in Millitus Type 2 Diabetes. Journal for Quality in Public Health, 4(2), 31–37. https://doi.org/10.30994/jqph.v4i2.176

Williams, A., Shrodes, J. C., Radabaugh, J. N., Braun, A., Kline, D., Zhao, S., Brock, G., Nolan, T. S., Garner, J. A., Spees, C. K., & Joseph, J. J. (2023). Outcomes of Cooking Matters for Diabetes: A 6-week Randomized, Controlled Cooking and Diabetes Self-Management Education Intervention. Journal of the Academy of Nutrition and Dietetics, 123(3), 477–491. https://doi.org/10.1016/j.jand.2022.07.021

Yakub, A. S., Ekowatiningsih, H. D., & Analia, L. R. (2020). Pengaruh Program Diabetes Self Management Education Berbasis Keluarga terhadap Kualitas Hidup Penderita Diabetes Mellitus Tipe II di Wilayah Kerja Puskesmas Mangasa Kota Makassar. Jurnal Media Keperawatan: Politeknik Kesehatan Makassar, 11(01). https://doi.org/10.32382/jmk.v11i1.521