Effectiveness of self-care monitoring on self-behavior of diabetes mellitus patients

Fitri Suciana, Rezyana Budi Syahputri, Ambar Winarti, Cahyo Pramono

Abstract


Background : Diabetes Mellitus is called the silent killer because this disease can affect all organs of the body and cause various kinds of complaints. Chronic hyperglicemia can affect the sufferes’s quality of life and cause rehospitalization. Decreased quality of life is caused emergence of hyperglicemia complications.. Controlling diabetes mellitus includes monitoring blood sugar levels, exercise or physical activity, diet, education and drug of diabetes mellitus.

Diabetes mellitus is a metabolic disease that causes complications. The problem of complications is prevented by performing the 4 pillars of self-care while at home.

Objectives : The purpose of this research is to determine the effectiveness of DM management on self-care.

Methods : The research design in this study used a quantitative descriptive quasi-experimental method . The sampling technique used accidental sampling with a total of 30 respondents. Data analysis used the Wilcoxon test to determine pre and post results in each group and used the Mann Whitney test to determine the mean difference in the two groups.

Inclusion criteria included respondents who were registered as prolanis members. The research instrument used a self-care monitoring sheet with the SDSCA (Summary of Diabetes Self-Care Activity) questionnaire with  r table value 0.361

Results : The result is the Asymp.Sig value. (2 tailed) has a value of 0.001, so Ha is accepted, which means there is a difference in self-care ability between before being given DM management and after being given DM management.

Based on the findings of researchers in this study, the value of Asymp.Sig. (2-tailed) value is 0.001, meaning that Ha is accepted. there is a difference between pretest and posttest in both the control and intervention groups.

Conclusions : There is a difference in the average self care ability of diabetes mellitus patients using monitoring sheets.

The conclusion is that the self-care management programme is effective on self-behavior.

 


Keywords


DSME; diabetes mellitus; self care

References


Santi Damayanti, S. Kep. Ns. M. Kep SKMB. Diabetes Melitus dan Penatalaksanaan Keperawatan. 2015.

Khairani R. Prevalensi diabetes mellitus dan hubungannya dengan kualitas hidup lanjut usia di masyarakat. Universa Medicina. 2016; doi : https://doi.org/10.18051/UnivMed.2007.v26.18-26

Or CK, Liu K, So MKP, Cheung B, Yam LYC, Tiwari A, et al. Improving self-care in patients with coexisting type 2 diabetes and hypertension by technological surrogate nursing: Randomized controlled trial. Journal of Medical Internet Research. 2020;22(3).

Endra Cita E, Antari I, Keperawatan PS, Tinggi Ilmu Kesehatan Madani Yogyakarta S. Perawatan Diri (Self Care) pada Pasien Diabetes Melitus Tipe II Self Care In Patients of Diabetes Melitus Type II. Jurnal Kesehatan Madani Medika. 2019;10(2):85–91.

Setiyorini E, Wulandari NA. Hubungan Lama Menderita Dan Komplikasi Diabetes Melitus Dengan Kualitas Hidup Pada Penderita Diabetes Melitus Di Wilayah Puskesmas. Seminar Nasional dan Gelar Prodi. 2016;

Regina CC, Mu’ti A, Fitriany E. Systematic Review Tentang Pengaruh Obesitas Terhadap Kejadian Komplikasi Diabetes Melitus Tipe Dua. Verdure Health Science Journal [Internet]. 2021;3(1):8–17. Available from: http://jurnal.stikesmm.ac.id/index.php/verdure/article/view/129

Fortuna TA, Karuniawati H, Purnamasari D, Purlinda DE. Faktor – Faktor yang Mempengaruhi Komplikasi pada Pasien Diabetes Mellitus di RSUD Dr . Moewardi. Pharmacon (Jurnal Farmasi Indonesia). 2023;20(1):27–35.

Soelistijo SA, Novida H, Rudijanto A, Soewondo P, Suastika K, Manaf A, et al. Konsensus Pengendalian dan Pencegahan Diabetes Melitus Tipe 2 di Indonesia 2015. Perkeni. 2015.

Campbell AP. DASH eating plan: An eating pattern for diabetes management. Diabetes Spectr. 2017;30(2):76–81. American Diabetes Association. doi : https://doi.org/10.2337/ds16-0084

Tokunaga-Nakawatase Y, Taru C, Tsutou A, Nishigaki M, Miyawaki I. Self-management behavior concerning physical activity of Japanese type 2 diabetes patients, characterized by sex, daily energy intake and body mass index. Diabetology International [Internet]. 2019;10(3):206–12. Available from: https://doi.org/10.1007/s13340-018-0381-z

Damayanti S. Diabetes Mellitus dan Penatalaksanaan Keperawatan. Yogyakarta: Nuha Medika; 2015.

Davis J, Fischl AH, Beck J, Browning L, Carter A, Condon JE, et al. 2022 National Standards for Diabetes Self-Management Education and Support. Sci Diabetes Self-Management Care. 2022;48(1):44–59.

Indaryati S. Pengaruh Diabetes Self Management Education (Dsme) Terhadap Self-Care Pasien Diabetes Melitus di Rumah Sakit Kota Palembang Sri. Jurnal Ilmu Kesehatan. 2018;1(1):44–52.

Hanley G, Chiou PY, Liu CY, Chen HM, Pfeiffer S. Foot care knowledge, attitudes and practices among patients with diabetic foot and amputation in St. Kitts and Nevis. International Wound Journal. 2020;17(5):1142–52. doi : https://doi.org/10.1111/iwj.13446

Suciana F, Arifianto D. Penatalaksanaan 5 Pilar Pengendalian DM TERHADAP Kualitas Hidup Pasien Dm Tipe 2. J Ilm Permas J Ilm STIKES Kendal. 2019;9(4):311–8.

Sato Y. Diabetes and life-styles: role of physical exercise for primary prevention. British Journal of Nutrition. 2004;84(6):187–90.

Harris MI, Cowie CC, Howie LJ. Self-monitoring of blood glucose by adults with diabetes in the United States population. Diabetes Care. 1993;16(8):1116–23.

Chupradit S, Widjaja G, Khasanah U, Tondok SB, Samal A, Rahman FF, et al. Prevalence of diabetes and sedentary lifestyle: A review of diabetes self-management education. Health Education Health Promotion. 2021;9(4):309–15.

Solhi M, Gharibnavaz H, Jalilian F, Motlagh F. Effectiveness of self-management promotion educational program among diabetic patients based on health belief model. Journal of Education and Health Promotion. 2014;3(1):14.

Chen CC, Chen Y, Liu X, Wen Y, Ma DY, Huang YY, et al. The efficacy of a nurse-led disease management program in improving the quality of life for patients with chronic kidney disease: A meta-analysis. PLoS One. 2016;11(5):1–16.

Abaza H, Marschollek M. SMS education for the promotion of diabetes self-management in low & middle income countries: A pilot randomized controlled trial in Egypt. BMC Public Health. 2017;17(1):1–19.

Essien O, Otu A, Umoh V, Enang O, Hicks JP, Walley J. Intensive patient education improves glycaemic control in diabetes compared to conventional education: A randomised controlled trial in a nigerian tertiary care hospital. PLoS One. 2017;12(1):1–12.

Al Omar M, Hasan S, Palaian S, Mahameed S. The impact of a self-management educational program coordinated through whatsapp on diabetes control. Pharmacy Practice (Granada). 2020;18(2):1–9.

Clar C, Barnard K, Cummins E, Royle P, Waugh N. Self-monitoring of blood glucose in type 2 diabetes: Systematic review. Health Technol Assess (Rockv). 2010;14(12):1–140.




DOI: http://dx.doi.org/10.21927/jnki.2024.12(2).%25p

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