The Effect of Implementing Self-Management Education for Patients with Diabetes Mellitus in Controlling Blood Glucose Levels

  • Rudi Kurniawan STIKes Muhammadiyah Ciamis
  • Endrian Mulyadi Justitia Waluyo STIKes Muhammadiyah Ciamis
  • Yanti Srinayanti STIKes Muhammadiyah Ciamis
  • Ninik Yunitri Faculty of Nursing, Universitas Muhammadiyah Jakarta
  • Syamsul Anwar Faculty of Nursing, Universitas Muhammadiyah Jakarta
  • Lily Herlinah Faculty of Nursing, Universitas Muhammadiyah Jakarta
Keywords: diabetes mellitus, education, self-management

Abstract

With the increasing prevalence of diabetes mellitus, patient self-management education is an important concern. The aim of this study was to determine the effect of community-based self-management education on blood glucose levels in patients with diabetes mellitus. Method this study used a quasi-experimental design through a group pre-test and post-test design. The sampling technique was through convenience sampling, which amounted to 31 respondents. Data analysis includes univariate analysis, namely analysis of demographic data, and bivariate analysis to determine the effect of self-management education on lowering blood glucose levels using paired sample t-test. The results of the paired simple t-test with p-value <0.05 showed that there was a significant effect of self-management education on reducing blood glucose levels, knowledge level, behavior, visits to health facilities and medication adherence. However, there was no effect of self-management education on BMI. Conclusion Community-based self-management education has a significant effect on reducing blood glucose levels in patients with diabetes mellitus in the Ciamis Health Center working area.

References

Andriyanto, Arief et al. (2019). Increasing Knowledge, Attitudes, Skills, and Glucose Control in Type-2 Diabetic Patients through EMAS Interventions. Nurse Media Journal of Nursing, 9(2), 141–150. https://doi.org/10.14710/nmjn.v9i2.22989

Anggraeni, Anis Fitri Nurul et al. (2018). Pengaruh Diabetes Self-Management Education and Support (DSME/S) Terhadap Kualitas Hidup pada Pasien Diabetes Melitus Tipe 2. Pustaka Kesehatan, 6(3), 453. https://doi.org/10.19184/pk.v6i3.11688

Arlinghaus, Katherine R., & Johnston, Craig A. (2018). Advocating for Behavior Change With Education. American Journal of Lifestyle Medicine, 12(2), 113–116. https://doi.org/10.1177/1559827617745479

Astuti, Ratna Kusuma. (2024). Pengaruh Diabetes Self-Management Education (DSME) Berbasis Keluarga terhadap Peningkatan Pengetahuan dan Sikap dalam Pengendalian Glukosa Darah. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 7(2), 408–413.

Bestari, Ismianti Lifia. (2020). Characteristics of Patients With Type 2 Diabetes Mellitus At Surabaya Haji General Hospital. Indonesian Journal of Public Health, 15(3), 286–294. https://doi.org/10.20473/ijph.v15i3.2020.286-294

Dinkes Kabupaten Ciamis. (2021). Profil Kesehatan Tahun 2021 Dinas Kesehatan Kabupaten Ciamis. 5(3), 58.

Direktorat P2PTM. (2019). Buku Pedoman Penyakit Tidak Menular. Kementerian Kesehatan RI, 101.

Erida Silalahi, Lenny et al. (2021). Efektivitas Edukasi Self-Care Terhadap Perilaku Manajemen Diri pada Pasien Diabetes Melitus di Wilayah Puskesmas Sukapura Jakarta. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 4(1), 15–22. https://doi.org/10.56338/mppki.v4i1.1385

Ernawati, Ucik et al. (2021). Effectiveness of diabetes self-management education (Dsme) in type 2 diabetes mellitus (t2dm) patients: Systematic literature review. Journal of Public Health Research, 10(2), 404–408. https://doi.org/10.4081/jphr.2021.2240

Fathoni, Akhmad. (2018). Reduction of Levels Postprandial Blood Glucose on Medium Intensity Physical Exercise in Intervals and Continues. International Research Journal of Engineering, IT & Scientific Research, 4(6), 10–32. https://doi.org/10.21744/irjeis.v4n6.331

Kautzky-Willer, Alexandra et al. (2016). Sex and gender differences in risk, pathophysiology and complications of type 2 diabetes mellitus. Endocrine Reviews, 37(3), 278–316.

Kumalasari, Reni Reni, & Asriyadi, Fitroh. (2020). Hubungan Manajemen Diri (Self Management) dengan Harga Diri pada Pasien Diabetes Mellitus di Wilayah Kerja Puskesmas Palaran Samarinda. Borneo Studies and Research, 1(3), 1490–1495.

Kurtanty, Dien et al. (2023). Information-Motivation-Behavioral Skill in Diabetes Self-management Using Structural Equation Modeling Analysis. Kesmas, 18(1), 16–23. https://doi.org/10.21109/kesmas.v18i1.6255

Luthfa, Iskim, & Fadhilah, Nurul. (2019). Self Management Menentukan Kualitas Hidup Pasien Diabetes Mellitus. Jurnal Endurance, 4(2), 402–410.

Mulyani, Nunung Sri. (2019). Hubungan Self Management Pasien Diabetes Mellitus Tipe II Dengan Kadar Gula Darah Di Rumah Sakit Kota Banda Aceh.

Nita, Yureya et al. (2021). Penerapan Diabetes Self Management Education (DSME) dalam Meningkatkan Self Care Penderita Diabetes Melitus. ADMA : Jurnal Pengabdian Dan Pemberdayaan Masyarakat, 2(1), 65–72. https://doi.org/10.30812/adma.v2i1.1277

Pratiwi, Intan Mega et al. (2022). The Relationship of Knowledge and Attitudes with Behavior of Implementing Health Protocols in Garment Workers. Indonesian Journal of Occupational Safety and Health, 11(2), 168–177. https://doi.org/10.20473/ijosh.v11i2.2022.168-177

Salsabila, Zhafirah, & Sjaaf, Amal C. (2022). The Analysis of Diabetes Self-Management Implementation on Type 2 Diabetes Mellitus Patients: a Protocol for Systematic Review and Meta-Analysis. Jurnal Ekonomi Kesehatan Indonesia, 7(2), 133. https://doi.org/10.7454/eki.v7i2.6100

Sidiq, Rapitos et al. (2020). The Needs for Information and Education Media in Supporting Self-Management of Patients with Diabetes Mellitus. Media Kesehatan Masyarakat Indonesia, 16(2), 247–259. https://doi.org/10.30597/mkmi.v16i2.9774

Srikartika, Valentina Meta et al. (2016). Analisis faktor yang memengaruhi kepatuhan penggunaan obat pasien diabetes melitus tipe 2. Jurnal Manajemen Dan Pelayanan Farmasi, 6(3), 205–212.

Sukma, Anindianti et al. (2023). The correlation between self awareness and prediabetes status in patients with excess weight in polyclinic of Baladhika Husada Hospital Jember. Jurnal Keperawatan, 14(01), 70–76. https://doi.org/10.22219/jk.v14i01.17373

Tantu, Rayhan et al. (2023). Description of Blood Glucose Levels in Obesity Patients in Puskesmas North City. Journal of Health, Technology and Science (JHTS), 1(2), 23–34. https://doi.org/10.47918/jhts.v1i2.368

UPTD Puskesmas Ciamis. (2022). Penilaian Kinerja Puskesmas Tahun 2022. Dinas Kesehatan Kabupaten Ciamis.

Yuni, Chairunnisa Mei et al. (2020). Pengaruh Diabetes Self Management Education And Support (Dsme/S) Terhadap Peningkatan Pengetahuan Manajemen Mandiri Pasien Dm Tipe 2. Dunia Keperawatan: Jurnal Keperawatan Dan Kesehatan, 8(1), 17. https://doi.org/10.20527/dk.v8i1.6998

Yuniarti, Yuniarti et al. (2020). Edukasi Diet Diabetes Mellitus Berbasis Aplikasi Berpengaruh Terhadap Pengetahuan Pasien Rawat Jalan Diabetes Mellitus Tipe 2. Jurnal Riset Gizi, 8(2), 122–128. https://doi.org/10.31983/jrg.v8i2.6340

Zai, Yusmar Christianto et al. (2020). Pengaruh Program Diabetes Self Management Education Terhadap Penurunan Kadar Gula Darah Pasien Dm Tipe 2 di Rsu Royal Prima Medan Tahun 2019.

Published
2024-04-12
How to Cite
Kurniawan, R., Waluyo, E. M. J., Srinayanti, Y., Yunitri, N., Anwar, S., & Herlinah, L. (2024). The Effect of Implementing Self-Management Education for Patients with Diabetes Mellitus in Controlling Blood Glucose Levels. Indonesian Journal of Global Health Research, 6(3), 1375-1380. https://doi.org/10.37287/ijghr.v6i3.3167

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