The Effect of Diabetes Self-Management Education (DSME) on Blood Sugar Control in Patients with Diabetes Mellitus

Laili Nur Hidayati; Bekti Sukoco; Endah Purwanti

doi:10.37287/ijghr.v6iS6.5027

Laili Nur Hidayati Poltekkes Kemenkes Jayapura
Bekti Sukoco Poltekkes Kemenkes Jayapura
Endah Purwanti Poltekkes Kemenkes Jayapura

DOI: https://doi.org/10.37287/ijghr.v6iS6.5027

Keywords: blood sugar, diabetes mellitus, DSME, self-management

Abstract

Diabetes mellitus (DM) is a growing global health issue, both in terms of its prevalence and the impact of its complications. Controlling blood sugar levels is a key component in preventing DM complications. However, managing blood sugar remains challenging, primarily due to a lack of patient knowledge and skills in self-management. Diabetes Self-Management Education (DSME) is an educational approach designed to enhance patients' ability to independently manage their condition. This study aims to analyze the effect of DSME on blood sugar control in DM patients at Merauke Regional General Hospital. A pre-experimental design with a pretest-posttest approach without a control group was used. The sample consisted of 21 DM patients selected using probability sampling techniques. The intervention involved DSME delivered over four educational sessions, covering topics such as the concept of DM, dietary regulation, physical activity, and blood sugar monitoring. Blood sugar levels were measured before and after the intervention using a portable glucose meter. Data analysis was performed using repeated measures ANOVA. The average blood sugar levels of the patients decreased from 229 mg/dL before the intervention to 175 mg/dL at the first follow-up and 177 mg/dL at the second follow-up after the DSME intervention. The analysis showed a significant effect of DSME on reducing blood sugar levels (p < 0.05). DSME proved effective in improving blood sugar control in DM patients through structured education that supports self-care. This program also helps patients understand the importance of adopting a healthy lifestyle and adhering to therapy. Continuous implementation of DSME is recommended to improve the quality of care for DM patients and reduce the risk of long-term complications.

References

Agow, L. L., Mendrofa, F. A. M., & Sonhaji, S. (2024). The Effectiveness Of Diabetic Self-Management Education (Dsme) On Dietary Habit, Obesity, And Physical Activity Among Patients With Dm Type Ii. Jurnal Info Kesehatan, 22(2).

American Diabetes Association. (2023). Standards Of Medical Care In Diabetes—2023.

Arania, R., Triwahyun, T., Esfandiari, F., & Nugraha, F. R. (2021). Hubungan Antara Usia, Jenis Kelamin, Dan Tingkat Pendidikan Dengan Kejadian Diabetes Mellitus Di Klinik Mardi Waluyo Lampung Tengah. Jurnal Medika Malahayati, 5(September), 1–23.

Astuti, R. K. (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. Https://Doi.Org/10.56338/Mppki.V7i2.4456

Azizi, B. A., Nurhantari, Y., . S., & . T. (2023). Hubungan Kadar Serum Glutamic Pyruvate Transaminase (Sgpt) Dan Serum Glutamic Oxaloacetic Transaminasi (Sgot) Dengan Riwayat Konsumsi Alkohol Pada Etnis Papua. Jurnal Forensik Dan Medikolegal Indonesia, 4(1), 319. Https://Doi.Org/10.20884/Jfmi.V4i1.7932

Banerjee, M., Chakraborty, S., & Pal, R. (2020). Diabetes Self-Management Amid Covid-19 Pandemic. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14(4), 351–354. Https://Doi.Org/Https://Doi.Org/10.1016/J.Dsx.2020.04.013

Ciarambino, T., Crispino, P., Leto, G., Mastrolorenzo, E., Para, O., & Giordano, M. (2022). Influence Of Gender In Diabetes Mellitus And Its Complication. International Journal Of Molecular Sciences, 23(16), 1–13. Https://Doi.Org/10.3390/Ijms23168850

Dewi, R. (2020). Efektivitas Edukasi Manajemen Mandiri Terhadap Nilai Kadar Glukosa Darah Pada Pasien Diabetes Mellitus (Dm) Tipe 2. Jurnal Ilmiah Keperawatan Imelda, 6(1), 16–21. Https://Doi.Org/10.52943/Jikeperawatan.V6i1.337

Elhefnawy, M. E., Ghadzi, S. M. S., & Noor Harun, S. (2022). Predictors Associated With Type 2 Diabetes Mellitus Complications Over Time: A Literature Review. Journal Of Vascular Diseases, 1(1), 13–23. Https://Doi.Org/10.3390/Jvd1010003

Fahardianto, F., & Rosyid, F. N. (2023). Pengaruh Diabetes Self Management Education (Dsme) Terhadap Self Care Penderita Diabetes Melitus Tipe 2. Manuju: Malahayati Nursing Journal, 5, 4132–4142.

Gracia. (2023). Pengaruh Edukasi Kepatuhan Diet Terhadap Kadar Gula Darah Pada Penderita Diabetes Melitus Tipe Ii Di Rawat Inap Lantai 7 Rumah Sakit Murni Teguh Medan. Indonesian Trust Nursing Journal, 1(2), 34–35.

Hendry, Z., Arisjulyanto, D., & Puspita, N. I. (2023). Malfungsi Seksualitas Wanita Usia Subur Yang Mengalami Diabetes Melitus. Arisha: Jurnal Kesehatan Indonesia, 01(01).

Kementerian Kesehatan Ri. (2021). Profil Kesehatan Indonesia. In Kesehatan Indonesia. Jakarta.

Kusnanto, K., Sundari, P. M., Asmoro, C. P., & Arifin, H. (2019). Hubungan Tingkat Pengetahuan Dan Diabetes Self-Management Dengan Tingkat Stres Pasien Diabetes Melitus Yang Menjalani Diet. Jurnal Keperawatan Indonesia, 22(1), 31–42. Https://Doi.Org/10.7454/Jki.V22i1.780

Liao, Y.-S., Tsai, W.-C., Chiu, L.-T., & Kung, P.-T. (2023). Educational Attainment Affects The Diagnostic Time In Type 2 Diabetes Mellitus And The Mortality Risk Of Those Enrolled In The Diabetes Pay-For-Performance Program. Health Policy, 138, 104917. Https://Doi.Org/Https://Doi.Org/10.1016/J.Healthpol.2023.104917

Magliano, D. J., Boyko, E. J., & Committee, =Idf Diabetes Atlas 10th Edition Scientific. (2021). Idf Diabetes Atlas (10th Ed.). International Diabetes Federation, Brussels. Http://Europepmc.Org/Abstract/Med/35914061

Mawaddah, M., & Wati, D. W. (2024). Hubungan Lama Menderita Diabetes Melitus Tipe 2 Dengan Kejadian Neuropati Diabetik. An-Najat : Jurnal Ilmu Farmasi Dan Kesehatan, 2(1), 40–46. Https://Doi.Org/10.59841/An-Najat.V1i2.34

Megawaty, I., Indrawati, I., Harli, K., Amin, M., & Wabula, I. (2023). Efektifitas Dsme Pada Penderita Dan Keluarga Terhadap Penurunan Kadar Gula Darah. J-Hest Journal Of Health Education Economics Science And Technology, 5(2), 278–286. Https://Doi.Org/10.36339/Jhest.V5i2.108

Nadya Nova, M., Tahlil, T., & Asniar. (2024). Perawatan Komunitas Agregat Usia Dewasa Dengan Diabetes Melitus Menggunakan Intervensi Diabetes Self-Management Education (Dsme). Sagita Academia Journal, 2(2), 89–95. Https://Doi.Org/10.61579/Sagita.V2i2.86

Niswatin, T. K., & Purwanti, O. S. (2024). Implementasi Diabetes Self Management Education (Dsme) Dan Pijat Akupresur Dalam Menurunkan Kadar Glukosa Darah: Studi Kasus Pada Pasien Diabetes Melitus Tipe 2. Mahesa : Malahayati Health Student Journal, 4(6), 2313–2322. Https://Doi.Org/10.33024/Mahesa.V4i6.14463

Nurhayati, D., Amri, K., Nawang Puji Astuti, & Galih Setia Adi. (2024). Pengaruh Program Diabetes Self Management Education (Dsme) Berbasis Keluarga Terhadap Penurunan Kadar Gula Darah Di Bekasi. Jurnal Manajemen Kesehatan Dan Keperawatan, 1(1), 24–30. Https://Doi.Org/10.35968/Ztxfpr66

Ogurtsova, K., Guariguata, L., Barengo, N. C., Ruiz, P. L.-D., Sacre, J. W., Karuranga, S., Sun, H., Boyko, E. J., & Magliano, D. J. (2022). Idf Diabetes Atlas: Global Estimates Of Undiagnosed Diabetes In Adults For 2021. Diabetes Research And Clinical Practice, 183, 109118. Https://Doi.Org/Https://Doi.Org/10.1016/J.Diabres.2021.109118

Prabowo, N. A., Ardyanto, T. D., Hanafi, M., Kuncorowati, N. D. A., Dyanneza, F., Apriningsih, H., & Indriani, A. T. (2021). Peningkatan Pengetahuan Diet Diabetes, Self Management Diabetes Dan Penurunan Tingkat Stres Menjalani Diet Pada Pasien Diabetes Mellitus Tipe 2 Di Rumah Sakit Universitas Sebelas Maret. Warta Lpm, 24(2), 285–296. Https://Doi.Org/10.23917/Warta.V24i2.12515

Putra, Y. B. S., & Tursina, H. M. (2024). Self-Efficacy Improvement In Diabetes Mellitus Patients After Implementing Discharge Planning Based On Diabetes Self Care Management Education In Inpatient Room, Dr. Haryoto Hospital, Lumajang. Journal Of Nursing Periodic, 1(2). Https://Doi.Org/10.36858/Jnp.V1i2.27

Ramadhani, A. A., & Khotami, R. (2023). Hubungan Tingkat Pendidikan, Pengetahuan, Usia Dan Riwayat Keluarga Dm Dengan Perilaku Pencegahan Diabetes Mellitus Tipe 2 Pada Usia Dewasa Muda. Sehatmas: Jurnal Ilmiah Kesehatan Masyarakat, 2(1), 137–147. Https://Doi.Org/10.55123/Sehatmas.V2i1.1271

Roza, A., Marlita, L., Roberto, M., & Siregar, U. A. (2022). The Effect Of Education Level On Self Care Empowerment Of Diabetes Mellitus Patients. Al Insyirah International Scientific Conference On Health, 292–298.

Subkhan, M., Firman, F., & Agustiningsih, I. (2024). The Effect Of Diabetes Self Management Education ( Dsme ) On. 13(1), 127–134.

Syikir, M., Lestari, D. A., Suherman, S., Syerman, N., & Sanrila, K. (2023). Pemberdayaan Kader Kesehatan Dengan Diabetes Self Management Education (Dsme) Untuk Meningkatkan Self Manajemen Pasien Diabetes. Kolaborasi: Jurnal Pengabdian Masyarakat, 3(6), 399–403. Https://Doi.Org/10.56359/Kolaborasi.V3i6.322

Yorke, E., & Atiase, Y. (2018). Impact Of Structured Education On Glucose Control And Hypoglycaemia In Type-2 Diabetes: A Systematic Review Of Randomized Controlled Trials. Ghana Medical Journal, 52(1), 41–60. Https://Doi.Org/10.4314/Gmj.V52i1.8