Penerapan Telenursing Kontrak Modifikasi Perilaku Manajemen Hiperglikemia pada Pasien Diabetes Mellitus

  • Ni Ketut Sujati Poltekkes Kemenkes Palembang
  • Lisdahayati Lisdahayati Poltekkes Kemenkes Palembang
  • Suryanda Suryanda Poltekkes Kemenkes Palembang
Keywords: diabetes mellitus, hiperglikemia, modifikasi perilaku, telenursing

Abstract

Program pengabdian masyarakat ini berfokus pada manajemen hiperglikemia pada pasien diabetes mellitus (DM) melalui pendekatan telenursing. Tujuan program ini adalah meningkatkan pengetahuan, kepatuhan, dan motivasi pasien dengan menerapkan kontrak modifikasi perilaku dalam layanan keperawatan jarak jauh. Program ini menggunakan pendekatan partisipatif, dengan kegiatan berupa edukasi digital, pemantauan berbasis WhatsApp, dan sesi tindak lanjut berkala. Selama empat bulan pelaksanaan, tercatat peningkatan pengetahuan pasien sebesar 85%, kepatuhan terhadap modifikasi perilaku mencapai 75%, dan penurunan komplikasi terkait hiperglikemia sebesar 20%. Pasien juga melaporkan motivasi yang lebih tinggi karena dukungan berkelanjutan dari tenaga kesehatan. Beberapa kendala muncul, seperti kekhawatiran pasien terkait privasi data, namun hal ini diatasi dengan komunikasi fleksibel melalui WhatsApp. Program ini menunjukkan potensi telenursing dalam memperluas akses layanan kesehatan dan menjadi model berkelanjutan untuk manajemen penyakit kronis di komunitas terpencil.

References

Akbar, M. A., Juniarti, N., & Yamin, A. (2020). Meta-Synthesis of Community Health Nursing Strategy. Asian Community Health Nursing Research, 2(1), 33-40. doi:10.29253/achnr.2020.23344

Asril, N. M., Tabuchi, K., Tsunematsu, M., Kobayashi, T., & Kakehashi, M. (2020). Predicting Healthy Lifestyle Behaviours Among Patients With Type 2 Diabetes in Rural Bali, Indonesia. Clinical Medicine Insights: Endocrinology and Diabetes, 13, 1179551420915856. doi:10.1177/1179551420915856

Azizah, F., & Astuti, R. P. (2022). Pengetahuan Penderita Diabetes Melitus tentang Faktor Resiko Terjadinya Ulkus Diabetes pada Kaki di Wilayah Kerja Puskesmas Dander Kabupaten Bojonegoro. Asuhan Kesehatan: Jurnal Ilmiah Ilmu Kebidanan dan Keperawatan, 13(1), 1-8.

Chen, S., Burström, B., Sparring, V., & Qian, D. (2018). Vertical integrated service model: an educational intervention for chronic disease management and its effects in rural China – a study protocol. BMC Health Services Research, 18. doi:https://doi.org/10.1186/s12913-018-3355-8

Chen, S., Qian, D., & Burström, B. (2020). Shifting the Care of Type 2 Diabetes Mellitus from Hospital to Primary Health Care Institutions through an Educational Intervention for Health Care Professionals: An Example from Rural China. Int J Environ Res Public Health, 17(6). doi:10.3390/ijerph17062076

Egede, L. E., Davidson, T. M., Knapp, R. G., Walker, R. J., Williams, J. S., Dismuke, C. E., & Dawson, A. Z. (2021). HOME DM-BAT: home-based diabetes-modified behavioral activation treatment for low-income seniors with type 2 diabetes—study protocol for a randomized controlled trial. Trials, 22(1), 787. doi:10.1186/s13063-021-05744-1

Gupta, S. K., Lakshmi, P. V. M., Chakrapani, V., Rastogi, A., & Kaur, M. (2024). Understanding the diabetes self-care behaviour in rural areas: Perspective of patients with type 2 diabetes mellitus and healthcare professionals. PloS one, 19(2), e0297132. doi:10.1371/journal.pone.0297132

Idrees, T., Castro-Revoredo, I. A., Migdal, A. L., Moreno, E. M., & Umpierrez, G. E. (2022). Update on the management of diabetes in long-term care facilities. BMJ Open Diabetes Res Care, 10(4). doi:10.1136/bmjdrc-2021-002705

Kementerian Kesehatan RI. (2024). Survei Kesehatan Indonesia (SKI). Jakarta: Badan Kebijakan Pembangunan Kesehatan Kemenkes RI.

Krishnan, A., Mathur, P., Kulothungan, V., Salve, H. R., Leburu, S., Amarchand, R., . . . Shelke, S. C. (2021). Preparedness of primary and secondary health facilities in India to address major noncommunicable diseases: results of a National Noncommunicable Disease Monitoring Survey (NNMS). BMC Health Serv Res, 21(1), 757. doi:10.1186/s12913-021-06530-0

Nurhayati, C. (2022). Hubungan tingkat pengetahuan tentang diabetes melitus, self management dengan kualitas hidup pada pasien diabetes melitus tipe 2. Journal of Nursing and Health Science, 1(2), 58-65. doi:10.58730/jnhs.v1i2.40

Park, S. H., & Lee, H. (2023). Comparing the effects of home visits and telenursing on blood glucose control: A systematic review of randomized controlled trials. Int J Nurs Stud, 148, 104607. doi:10.1016/j.ijnurstu.2023.104607

Puspitasari, D. (2023). Pengaruh Pendidikan Kesehatan Tentang Senam Diabetik Terhadap Pengetahuan Pasien Diabetes Melitus Tipe 2 Dalam Mencegah Luka Diabetik. Jurnal Keperawatan Muhammadiyah Bengkulu, 11(1), 27-31. doi:10.36085/jkmb.v11i1.4871

Qian, J., Wu, T., Lv, M., Fang, Z., Chen, M., Zeng, Z., . . . Zhang, J. (2021). The Value of Mobile Health in Improving Breastfeeding Outcomes Among Perinatal or Postpartum Women: Systematic Review and Meta-analysis of Randomized Controlled Trials. JMIR Mhealth Uhealth, 9(7), e26098. doi:10.2196/26098

Ratnayake, R., Rawashdeh, F., Bani Hani, M., Zoubi, S., Fawad, M., AbuAlRub, R., . . . Parmar, P. (2021). Adaptation of a community health volunteer strategy for the management of hypertension and diabetes and detection of COVID-19 disease: a progamme for Syrian refugees in northern Jordan. The Lancet Global Health, 9(S14). doi:10.1016/S2214-109X(21)00122-4

Rustiati, N., Sujati, N. K., Supangat, S., Khoiriyah, I. Y., & Akbar, M. A. (2023). Edukasi kaki sehat dengan spa meningkatkan kemampuan pencegahan luka kaki diabetesi di UPTD Puskesmas Peninjauan Kabupaten OKU. Ekalaya: Jurnal Pengabdian Kepada Masyarakat Indonesia, 2(2), 341-350. doi:10.57254/eka.v2i2.68

Saprianto, Sujati, N. K., Supangat, & Akbar, M. A. (2022). Efektivitas Edukasi Perawatan Kaki Melalui Edu Home Care Terhadap Kemampuan Perawatan Kaki Klien Diabetes Melitus. JKM : Jurnal Keperawatan Merdeka, 2(2), 209-215. doi:10.36086/jkm.v2i2.1378

Sartori, A. C., Rodrigues Lucena, T. F., Lopes, C. T., Picinin Bernuci, M., & Yamaguchi, M. U. (2020). Educational Intervention Using WhatsApp on Medication Adherence in Hypertension and Diabetes Patients: A Randomized Clinical Trial. Telemed J E Health, 26(12), 1526-1532. doi:10.1089/tmj.2019.0305

Sujati, N. K., Erlika, Y., & Akbar, M. A. (2022). Penerapan Teknik Moist Balance Pada Asuhan Keperawatan Luka Kaki Diabetes. Lentera Perawat, 3(1), 22-30. doi:10.52235/lp.v3i1.164

Ulfah, N. H., Katmawanti, S., Sukma, A. M., Rahmawati, I. T., Wongsasuluk, P., Alma, L. R., & Ariwinanti, D. (2022). Personal characteristics, families, and community support associated with self-care behavior among Indonesian diabetic patients. Journal of public health in Africa, 13(Suppl 2), 2419. doi:10.4081/jphia.2022.2419

Waltz, L. A., Barnes, J. N., Crocker, A. F., Doeringer, J. R., Downs, L. T., Maki, Y., . . . Voyce, C. (2023). Implementing a primary care simulation to improve interprofessional competencies. Journal of Interprofessional Education & Practice, 33, 100681. doi:10.1016/j.xjep.2023.100681

Wang, X., Tian, B., Zhang, S., Li, J., Yang, W., Gu, L., & Zhang, W. (2023). Underlying mechanisms of diabetes knowledge influencing diabetes self-management behaviors among patients with type II diabetes in rural China: Based on health belief model. Patient Educ Couns, 117(107986), 1-8. doi:10.1016/j.pec.2023.107986

Yaagoob, E., Lee, R., Stubbs, M., Hakami, M., & Chan, S. (2024). People with type 2 diabetes experiences of using WhatsApp-based diabetes self-management education and support: The process evaluation. J Eval Clin Pract. doi:10.1111/jep.14083

Yang, J., Qian, F., Chavarro, J. E., Ley, S. H., Tobias, D. K., Yeung, E., . . . Zhang, C. (2022). Modifiable risk factors and long term risk of type 2 diabetes among individuals with a history of gestational diabetes mellitus: prospective cohort study. Bmj, 378, e070312. doi:10.1136/bmj-2022-070312

Yang, S., Jiang, Q., & Li, H. (2019). The role of telenursing in the management of diabetes:A systematic review and meta-analysis. Public Health Nurs, 36(4), 575-586. doi:10.1111/phn.12603

Young, H. M., Miyamoto, S., Dharmar, M., & Tang-Feldman, Y. (2020). Nurse Coaching and Mobile Health Compared With Usual Care to Improve Diabetes Self-Efficacy for Persons With Type 2 Diabetes: Randomized Controlled Trial. JMIR Mhealth Uhealth, 8(3), e16665. doi:10.2196/16665

Zare, H., Delgado, P., Spencer, M., Thorpe, R. J., Jr., Thomas, L., Gaskin, D. J., . . . Carter, E. L. (2022). Using Community Health Workers to Address Barriers to Participation and Retention in Diabetes Prevention Program: A Concept Paper. J Prim Care Community Health, 13, 1-9. doi:10.1177/21501319221134563

Zeidi, I. M., Morshedi, H., & Alizadeh Otaghvar, H. (2020). A theory of planned behavior-enhanced intervention to promote health literacy and self-care behaviors of type 2 diabetic patients. J Prev Med Hyg, 61(4), E601-e613. doi:10.15167/2421-4248/jpmh2020.61.4.1504

Zhou, J., Dang, W., Luo, Z., Fan, X., Shi, H., Deng, N., & Xiong, G. (2023). Telenursing needs and influencing factors in patients with type 2 diabetes mellitus: A cross-sectional study. J Clin Nurs, 32(19-20), 7298-7309. doi:10.1111/jocn.16805

Published
2024-11-26
How to Cite
Sujati, N. K., Lisdahayati, L., & Suryanda, S. (2024). Penerapan Telenursing Kontrak Modifikasi Perilaku Manajemen Hiperglikemia pada Pasien Diabetes Mellitus. Jurnal Peduli Masyarakat, 6(4), 1787-1796. https://doi.org/10.37287/jpm.v6i4.4736