EFEKTIVITAS DIABETES SELF MANAGEMENT EDUCATION DAN COMMUNITY BASED INTERACTIVE APPROACH TERHADAP SELF CARE PENDERITA DIABETES MELLITUS

Diani Novianti, Nina Indriyawati, Syamsul Arif Setyonegoro

Abstract


Background: Self care deficit is still a major problem in patients with type 2 diabetes mellitus because self care agency is lower than self care demands, where it can be influenced by several factors, one of which is knowledge.

Purpose: This study aims to determine the effectiveness of DSME and CBIA-DM on self care in people with diabetes mellitus.

Methods: The research method was quasy prepost test design. Sample of the study was diabetes mellitus type 2 patients (n=52) divided into 2 groups using non probability sampling with purposive sampling. The instrument used SDSCA questionnaire by Kusniawati (2011) (r = 0,361, alpha cronbach ‘s = 0,80). Data analysis used dependent and independent t test.

Results: Data analysis used independent t test obtained p value 0.019, indicating there was a significant differences and the results of the Δmean DSME group was 18,50 and the Δmean CBIA-DM group was 15.61, so that DSME was more effective than CBIA-DM.

Conclusion: DSME is more effective to improving self care in people with diabetes mellitus. It is recommended that the Puskesmas can implement the DSME intervention conducting socialization through prolanist activities.


Keywords


Diabetes Mellitus; DSME; CBIA-DM; Self Care; self care deficit

Full Text:

PDF

References


Ardila, A., Ridha, A., & Jauhari, A.H., (2014). Efektivitas metode diskusi kelompok dan ceramah dalam meningkatkan pengetahuan, (online), (www.jurnalmahasiswa_peneliti.kesehatan.ac.id, diakses tanggal 28 April 2019).

Arifin., & Bustanul., (2018). Distress and health related quality of life in Indonesian type 2 diabetes mellitus outpatients, (online), (https://www.rug.nl-file-chapter1, diakses tanggal 1 Desember 2018).

Bradshaw, R.D. (2015). Diabetes Self Management Education for Adults with Type 2 Diabetes Mellitus. Disertasi tidak dipublikasikan. Program Studi Ilmu Kedokteran, Walden University.

Dunst, C.J., Trivette, C.M., & Deborah, W.H., (2010). Meta-analysis of effectiveness of four adult learning methods and strategies, (online), Vol.3, No.1, (www.puckett.org, 24 Mei 2019).

Funnel, M.M., et al. (2008). National Standards for Diabetes Self Management Education. Diabetes Care Volume 31 Supplement 1.

Hartayu, T.S., Izham, M., & Suryawati, S, (2012). Improving of Type 2 Diabetic Patients Knowledge Attitude and Practice towards Diabetes Sel-care by implementing Community-Based Interactive Approach-Diabeets Mellitus Strategy. BMJ Research Notes, (online), Vol.5, (http:www.biomedcentral.com/1756-0500/5/315, diakses tanggal 28 November 2018).

Hirawati, H., Masruroh, & Triwijayanti, W.O., (2014). Pengaruh pendidikan kesehatan menggunakan metode ceramah dan diskusi kelompok terhadap peningkatan pengetahuan, (online), Vol.2, No.2, (jurnalkeperawatanmaternitas-journal-article-download, diakses tanggal 18 April 2019).

Indaryati, S., (2018). Pengaruh Diabetes Self Management Education (DSME) terhadap self care pasien Diabetes Mellitus RS Kota Palembang, (online), Vol.1, No.1, (http://ojs.ukmc.ac.id/index.php/JOH, diakses tanggal 14 November 2018).

Karimi, F., Abedini, S., & Mohseni, S., (2017). Self-care behavior of type 2 diabetes mellitus patients in Bandar Abbas in 2015, (online), Vol.9, No.11, (http://www.ephysician.ir, diakses tanggal 4 November 2018).

Kurniawati, T. (2016). Modul Diabetes Self Management Education (DSME) Edukasi Manajemen Diri pada Diabetes. Yogyakarta: Program Studi Magister Keperawatan.

Kusniawati. (2011). Analisis Faktor yang berkontribusi terhadap self care diabetes pada klien diabetes mellitus tipe 2 di Rumah Sakit Umum Tangerang. Tesis tidak dipublikasikan. Depok: Program Magister Keperawatan, Fakultas Ilmu Keperawatan.

Lathifah, M.A., Susanti, Ilham,M., & Wibowo, A., (2015). Perbandingan Metode CBIA dan FGD dalam peningkatan Pengetahuan dan Ketepatan Caregiver dalam Upaya Swamedikasi Demam Pada Anak, (online), Vol.2, No.2, (psr.ui.ac.id-journal-article-download, diakses tanggal 28 November 2018).

Powers et al., (2015). Diabetes Self-management Education and Support in Type 2 Diabetes : A join position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the academy of nutrition and dietetics, (online), (care.diabetesjournals.org/content/early/2015/06/02/dc15-0730, diakses tanggal 10 November 2018).

Prihaningtyas, R.A. (2013). Hidup Manis dengan Diabetes. Yogyakarta: Media Pressindo.

Putri, N.H.K.,, M.A., (2017). Hubungan empat pilar DM Tipe 2 dengan rerata kadar gula darah, (online), Vol.1, No.2, (journal.unair.ac.id-filerPDF, diakses tanggal 22 November 2018).

Rahmawati., Tahlil, T., & Syahrul., (2016). Pengaruh Program Diabetes Self-Management Education terhadap Manajemen Diri Pada Penderita Diabetes Mellitus Tipe 2, (online), Vol.4, No.1, (www.jurnal.unsyiah.ac.id, diakses tanggal 18 Oktober 2018).

Raithatha, S.J., Shankar, S.U., & Dinesh, K., (2014). Self-Care Practices among Diabetic Patients In Anand District Of Gujarat, (online), (http://dx.doi.org/10.1155/2014/743791, diakses tanggal 1 November 2018).

Rondhianto., (2012). Keterkaitan Diabetes Self Management Education Terhadap Self Efficacy Pasien Diabetes Mellitus, (online), (download.portalgaruda.org, diakses tanggal 10 Oktober 2018).

Samuelsson, M., & Samuelsson, J., (2016). Gender differences in boy’s and girls’s perception of teaching and learning, (online). Vol.3, No.1, (https://www.tandfonline.com, 24 Mei 2019).

Saroh, M.T. (2015). Pelaksanaan Metode Ceramah dan Diskusi Kelompok dalam Meningkatkan Efektivitas Pembelajaran. Skripsi tidak dipublikasikan, Universitas Islam Negeri Maulana Malik Ibrahim : Malang.

Shrivastava, S.R., Shrivastava, P.S., & Ramasamy, J., (2013). Role of self-care in management of diabetes mellitus, (online), Vol.12 No.14, (https://www.jdmonline.com/content/12/1/14, diakses tanggal 16 Oktober 2018)

Stanford Patient Education Research Center. (2016). Better choices Better health-Diabetes or Healthier Living with Diabetes (Internet Diabetes Self-Management Program). (online), (http://patienteducation.standford.edu/internet/diabeteso.html, diakses tanggal 22 November 2018).

Suhanda, Y., Afgani, A., & Feriandi, Y., (2015). Gambaran Tingkat Self Care Pada Pasien Rawat Jalan Diabetes Mellitus Tipe 2 di RSUD Al-Ihsan Provinsi Jawa Barat, (online), Vol.2, (karyailmiah.unisba.ac.id, diakses tanggal 16 Oktober 2018).

Sukmadewi. (2015). Peningkatan pengetahuan, sikap dan tindakan pria usia lanjut di kecamatan Tegalrejo Kota Yogyakarta tentang diabetes mellitus dengan metode CBIA. Skripsi tidak dipublikasikan. Yogyakarta: Program Studi Farmasi, Fakultas Farmasi.

Suryawati, S., (2010). CBIA : “Cara Belajar Ibu Aktif” a Community-based Interactive Approach toeard safe, effective, cost-efficient self-medication, Melati Nusantara Foundation, Yogyakarta, 67-69.

Wahid, R.A.N. (2016). Pengaruh Pendidikan Kesehatan Diabetes Self Management Education (DSME) terhadap Kadar Gula Darah Pasien Diabetes Tipe II di Prolanis Puskesmas Gajahan Surakarta. Skripsi tidak dipublikasikan. Surakarta: Program Studi S-1 Keperawatan Stikes Kusuma Husada.

Yuanita, A., Wantiyah., & Susanto, T., (2013). Pengaruh Diabetes Self Management Education (DSME) terhadap Resiko Terjadinya Ulkus Diabetik pada Pasien Rawat Jalan dengan Diabetes Mellitus (DM) Tipe 2 di RSD dr. Soebandi Jember, (online), Vol.2, No.1, (repository.unej.ac.id, diakses tanggal 12 November 2018).

Zandinava, H et al., (2017). Effect of Educational Package of Self-care behaviors, Quality of Life, and Blood Glucose Levels in Pregnant Women with Gestational Diabetes : A Randomized Controlled Trial, (online), Vol.19, No.4, (https://www.researchgate.net, diakses tanggal 4 November 2018).

Zhifei et al., (2016). Factors Influencing Healt Knowledge and Behaviors among the Elderly in Rural China, (online), Vol.13, (www.mdpi.com/journal/ijerph, 24 Mei 2019).


Refbacks

  • There are currently no refbacks.


View statistics

Jendela Nursing Journal (JNJ) oleh http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jnj/ disebarluaskan di bawah Lisensi Creative Commons Atribusi-BerbagiSerupa 4.0 Internasional.