Pelaksanaan Diabetes Self-Management Education (DSME) Terhadap Kemandirian Keluarga Merawat Pasien Diabetes Mellitus

Arief Andriyanto, Chaterina Janes Pratiwi, Nur Akbar

Abstract


The family plays a role in managing risk factors for diabetes mellitus in family members. Diet and activity arrangements can be carried out by the family as a form of prevention against risk factors and care for family members diagnosed with type 2 diabetes mellitus to prevent the severity of it. The purpose of this study was to provide an overview of family independence in caring for diabetes mellitus patients by providing evidence-based practice diabetes self-management education (DSME). The method used is a case study with an evidence-based nursing practice approach to 10 families who have family members suffering from type 2 diabetes mellitus in Depok City. The instrument used in measuring the level of family independence is based on nursing care instruments issued by the Ministry of Health. The results showed a change in the level of family independence in treating patients with type 2 diabetes mellitus. Diabetics require changes in lifestyle through self-management by clinical guidelines to achieve a reduction in disease-related mortality and morbidity. Recommendations, for health workers, especially nurses, in providing intervention to patients with type 2 diabetes mellitus, it is recommended that they involve the family in providing care.

 

Keywords: DSME, family independence, diabetes mellitus


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References


Abdulah, D. M., Hassan, A. B., Saadi, F. S., & Mohammed, A. H. (2018). Impacts of self-management education on glycaemic control in patients with type 2 diabetes mellitus. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 12(6), 969–975. https://doi.org/10.1016/j.dsx.2018.06.007

Adam, L., O’Connor, C., & Garcia, A. C. (2018). Evaluating the Impact of Diabetes Self-Management Education Methods on Knowledge, Attitudes and Behaviours of Adult Patients With Type 2 Diabetes Mellitus. Canadian Journal of Diabetes, 42(5), 470-477.e2. https://doi.org/10.1016/j.jcjd.2017.11.003

Andriyanto, A. (2020). Buku Ajar Asuhan Keperawatan Keluarga Berdasarkan Evidence Based Practice. (N. Akbar & I. Fradianto, Eds.) (I). Depok: Infermia Publishing.

Andriyanto, A., Rekawati, E., & Rahmadiyah, D. C. (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/https://doi.org/10.14710/nmjn.v9i2.22989

Andriyanto, A., Rekawati, E., & Rahmadiyah, D. C. (2020). Pemberdayaan pada Penderita Diabetes Tipe 2 dan Kader Kesehatan dalam Pelaksanaan Program Pos Binaan Terpadu Penyakit Tidak Menular (Posbindu PTM). Engagement: Jurnal Pengabdian Kepada Masyarakat, 4(1), 201–211. https://doi.org/10.29062/engagement.v4i1.81

Andriyanto, A., Rekawati, E., & Wati, D. N. K. (2019). Modul: Intervensi Keperawatan EMAS (Edukasi, Manajemen nutrisi, Aktivitas fisik, pengelolaan Stres) Dalam Penatalaksanaan Diabetes Melitus Tipe 2. (A. Wildan, Ed.) (I). Mojokerto: Karya Bina Sehat.

Awadalla, H., Noor, S. K., Elmadhoun, W. M., Almobarak, A. O., Elmak, N. E., Abdelaziz, S. I., … Ahmed, M. H. (2017). Diabetes complications in Sudanese individuals with type 2 diabetes: Overlooked problems in sub-Saharan Africa? Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 11, S1047–S1051. https://doi.org/10.1016/j.dsx.2017.07.039

Ayele, K., Tesfa, B., Abebe, L., Tilahun, T., & Girma, E. (2012). Self care behavior among patients with diabetes in Harari, Eastern Ethiopia: the health belief model perspective. PLoS One, 7(4):e35515.

Chai, S., Yao, B., Xu, L., Wang, D., Sun, J., Yuan, N., … Ji, L. (2018a). Patient Education and Counseling The effect of diabetes self-management education on psychological status and blood glucose in newly diagnosed patients with diabetes type 2. Patient Education and Counseling. https://doi.org/10.1016/j.pec.2018.03.020

Chai, S., Yao, B., Xu, L., Wang, D., Sun, J., Yuan, N., … Ji, L. (2018b). The effect of diabetes self-management education on psychological status and blood glucose in newly diagnosed patients with diabetes type 2. Patient Education and Counseling, 101(8), 1427–1432. https://doi.org/10.1016/j.pec.2018.03.020

Chatterjee, S., J Davies, M., Snoek, J. F., Khunti, K., Heller, S., & Speight, J. (2018). Diabetes structured self-management education programmes: a narrative review and current innovations. The Lancet Diabetes & Endocrinology, Volume 6(2), 130–142. https://doi.org/https://doi.org/10.1016/S2213-8587(17)30239-5

Cross, J., & Neal, E. (2008). The ketogenic diet-update on recent clinical trials, 6–10.

Dinkes. (2018). Profil Kesehatan Kota Depok 2018, (September), 1–20. Retrieved from http://www.depkes.go.id/resources/download/profil/PROFIL_KAB_KOTA_2017/3276_Jabar_Kota_Depok_2017.pdf

Dwi, A., Amatayakul, A., & Karuncharernpanit, S. (2017). International Journal of Nursing Sciences Predictors of diabetes self-management among type 2 diabetics in Indonesia : Application theory of the health promotion model. International Journal of Nursing Sciences, 4(3), 260–265. https://doi.org/10.1016/j.ijnss.2017.06.010

Eliana, F. (2015). Penatalaksanaan DM Sesuai Konsensus Perkeni 2015. SATELIT SIMPOSIUM 6.1 DM UPDATE DAN Hb1C, 1–7. Retrieved from http://www.pdui-pusat.com/wp-content/uploads/2015/12/SATELIT-SIMPOSIUM-6.1-DM-UPDATE-DAN-Hb1C-OLEH-DR.-Dr.-Fatimah-Eliana-SpPD-KEMD.pdf

Elpriska. (2016). Pengaruh Stres, Dukungan Keluarga dan Manajemen Diri Terhadap Komplikasi Ulkus Kaki Diabetik Pada Penderita DM Tipe 2 Influences Of Stress, Family Support, And Self Management Toward Complication Of Diabetic Foot Ulcer Of Diabetes Mellitus Type 2 Patiens. Idea Nursing Journal, VII(1), 20–25.

Farrés, J., Pujol, A., Coma, M., Ruiz, J., Naval, J., Mas, J., … Gavin, A. (2010). Revealing the molecular relationship between type 2 diabetes and the metabolic changes induced by a very-low-carbohydrate low-fat ketogenic diet. Nutrition & Metabolism, 7(1), 88. https://doi.org/10.1186/1743-7075-7-88

Herring, M. S., Beckett, E. A., Stanton-robinson, C. A., & Witry, M. J. (2018). What do I eat ? Impact of an interactive teaching method for improving pharmacy students ’ diabetes nutrition knowledge and comfort in providing nutrition counseling. Currents in Pharmacy Teaching and Learning, (August 2017), 0–1. https://doi.org/10.1016/j.cptl.2018.04.015

Hussain, T. A., Mathew, T. C., Dashti, A. A., Asfar, S., Al-Zaid, N., & Dashti, H. M. (2012). Effect of low-calorie versus low-carbohydrate ketogenic diet in type 2 diabetes. Nutrition, 28(10), 1016–1021. https://doi.org/10.1016/j.nut.2012.01.016

Istikharah, Nuraeni, A., & Supriyono, M. (2015). Kemandirian Penderita Diabetes Melitus Lansia Dalam Menstabilkan Gula Darah. StikesTelogorejo Semarang, 2, 1–10.

Kemenkes. (2019). Info Datin: Waspada Diabetes [Datin Info: Beware of Diabetes]. Retrieved from https://pusdatin.kemkes.go.id/folder/view/01/structure-publikasi-pusdatin-info-datin.html

Martina. (2013). Pengaruh Terapi Kelompok Suportif dan Pendidikan Kesehatan Terhadap Kualitas Hidup Lansia yang Mengalami Diabetes Melitus di Kecamatan Banda Raya Kota Banda Aceh. Universitas Indonesia.

Masood, I., Saleem, A., Hassan, A., Umm-E-Kalsoom, Zia, A., & Khan, A. T. (2016). Evaluation of diabetes awareness among general population of Bahawalpur, Pakistan. Primary Care Diabetes, 10(1), 3–9. https://doi.org/10.1016/j.pcd.2015.06.004

Mohebi, S., Parham, M., Pour, E., & Kamran, A. (2013). Self-care assessment in patients with diabetes in qom city in 2013. Arch Hyg Sci.

Oktaviah, D. (2014). Efektivitas Senam Kaki Diabetik dengan Bola Plastik terhadap Tingkat Sensitivitas Kaki pada Pasien Diabetes Melitus Tipe II. Jurnal Online Mahasiswa, 1, 1–9.

Pfeifer, H., & Thiele, E. (2005). Low-glycemic-index treatment: a liberalized ketogenic diet for treatment of intractable epilepsy, 1810–1812.

Rosidin, U., Shalahuddin, I., & Sumarna, U. (2018). Hubungan Kemandirian Keluarga Dengan Perawatan Hipertensi Pada Keluarga Binaan Puskesmas Sukaresmi Garut. Jurnal Keperawatab Bsi, VI(1), 12–20.

Ruben, G., Rottie, J., & Karundeng, M. Y. (2016). Pengaruh Senam Kaki Diabetes Terhadap Perubahan Kadar Gula Darah Pada Pasien Diabetes Melitus Tipe 2 Di Wilayah Kerja Puskesmas Enemawira. EJournal Keperawatan (EKp), 4, 1–5.

Wattanakul. (2012). Factors influencing diabetes self management behaviors among patients with T2DM in rural Thailand. University of Illinois at Chicago.




DOI: https://doi.org/10.47007/ijnhs.v6i1.3670

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