PERAWATAN KOMUNITAS AGREGAT USIA DEWASA DENGAN DIABETES MELITUS MENGGUNAKAN INTERVENSI DIABETES SELF-MANAGEMENT EDUCATION (DSME)
Diabetes Self-management Education (DSME)
DOI:
https://doi.org/10.61579/sagita.v2i2.86Keywords:
diabetes mellitus;, diabetes self-management education;, nursing careAbstract
Diabetes mellitus requires long-term treatment, can cause complications that can be life-threatening and affect the lives of diabetes mellitus patients. Self-management actions include glucose management, diet control, physical activity, and the use of health care can minimize complications. Lack of knowledge can make self-management ineffective. This case study aims to apply a community nursing care through the implemention of Diabetes Self-Management Education (DSME) in adult population using flip sheets and leaflets. A community nursing assessment conducted on nine patients and a nursing diagnosis of the ineffective health self-management was established based on the assessment data. The nursing care plan was prepared and focused on health education about self-management of diabetes mellitus using flip sheets and leaflets. Before and after the implementation of nursing, tests were carried out using the Diabetes Self-Management Questionnaire (DSMQ). The evaluation results showed significant changes in self-management after the intervention (100% of respondents were in a good category). The average percentage increase in self-management status is 48.55%. The conclusion was that counseling for the aggregate of adults with diabetes mellitus positively influenced self-management status. It is recommended for community nurses to provide health education in the community, especially for adults with diabetes mellitus.
References
BPJS Kesehatan. (2014). Panduan Praktis PROLANIS (Program Pengelolaan Penyakit Kronis). Dalam BPJS Kesehatan. BPJS Kesehatan.
Fitrika, Y., Syahputra, K. Y., & Rizky, D. G. (2018). Pengaruh Diabetes Self Management Education (DSME) Terhadap Kejadian Ulkus Diabetik Pada Pasien Rawat Jalan DM Tipe 2 di RSUD Meuraxa Banda Aceh. Jurnal Aceh Medika, 2(1), 25–30. http://jurnal.abulyatama.ac.id/index.php/acehmedika/article/view/155
Handriana, I., & Hijriani, H. (2020). Hubungan Motivasi Dengan Self Care Management Pada Pasien Diabetes Mellitus Di Wilayah Kerja Puskesmas Majalengka. Syntax Literate: Jurnal Ilmiah Indonesia, 5(10), 1138–1147. https://doi.org/http://dx.doi.org/10.36418/syntax-literate.v5i10.1705
Hasina, S. N., Rahmawati, A., Faizah, I., Sari, R. Y., & Rohmawati, R. (2023). Hubungan Tingkat Pengetahuan Dengan Kepatuhan Minum Obat Anti Tuberkulosis (OAT) Pada Pasien Tuberkulosis Paru. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 13(April). https://doi.org/https://doi.org/10.32583/pskm.v13i2.908
Hidayah, M. (2019). Hubungan Perilaku Self-Management Dengan Kadar Gula Darah Pada Pasien Diabetes Mellitus Tipe 2 Di Wilayah Kerja Puskesmas Pucang Sewu , Surabaya The Relationship between Self-Management Behaviour and Blood Glucose Level in Diabetes Mellitus Type 2 Patient. Amerta Nutrition, 176–182. https://doi.org/10.2473/amnt.v3i3.2019.176-182
International Diabetes Federation Diabetes. (2021). International Diabetes Federation Diabetes Atlas. In Diabetes Research and Clinical Practice (10th ed.). International Diabetes Federation. https://doi.org/10.1016/j.diabres.2013.10.013
Istianah, I., Septiani, S., & Dewi, G. K. (2020). Mengidentifikasi Faktor Gizi pada Pasien Diabetes Mellitus Tipe 2 di Kota Depok Tahun 2019. Jurnal Kesehatan Indonesia (The Indonesian Journal of Health), x(2), 72–78.
Istiyawanti, H., Udiyono, A., Ginandjar, P., & Adi, M. S. (2019). Gambaran Perilaku Self Care Management Pada Penderita Diabetes Melitus Tipe 2. Jurnal Kesehatan Masyarakat (e-Journal), 7(1), 155–167.
Kemenkes RI. (2022). Profil Kesehatan Indonesia 2021. In Pusdatin.Kemenkes.Go.Id.
Kemenkes RI. (2020). Tetap Produktif, Cegah dan Atasi Diabetes Melitus. Pusat Data Dan Informasi Kementrian Kesehatan RI.
Perkeni. (2021). Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia 2021. In Global Initiative for Asthma. www.ginasthma.org.
Ridwan, A., Barri, P., & Nizami, N. H. (2018). Efektivitas Diabetes Self Management Education Melalui SMS Terhadap Pengetahuan Penderita Diabetes Mellitus : A Pilot Study. Idea Nursing Journal, 9(1), 65–71.
Sami, W., Ansari, T., Butt, N. S., & Hamid, M. R. A. (2017). Effect of diet on type 2 diabetes mellitus: A review. International Journal of Health Sciences, 11(2), 65–71.
Simbolon, M. A., Kurniawati, N. D., & Harmayetty, H. (2020). Diabetes Self Management Education (DSME) Meningkatkan Pengetahuan, Sikap, dan Self Efficacy Penderita Diabetes Melitus Tipe 2. Indonesian Journal of Community Health Nursing, 4(2), 60. https://doi.org/10.20473/ijchn.v4i2.14687
Suryani, N., Mei, S., & Harahap, A. (2020). Jurnal Kesehatan Ilmiah Indonesia. Indonesian Health Scientific Journal. Hubungan Usia Dan Lama Menderita DM Dengan Kejadian Disfungsi Ereksi Pada Pasien Pria Dm Di Interna Laki-Laki Rsud Kota Padangsidimpuan Tahun 2020 Jurnal Kesehatan Ilmiah Indonesia Ind. 6(1), 93–100.
Winata, I. G., Asyrofi, A., & Nurwijayanti, A. M. (2018). Faktor-Faktor Yang Berhubungan Dengan Self Care Pada Orang Dewasa Yang Mengalami Hipertensi Di Puskesmas Kendal 01 Kabupaten Kendal. Jurnal Manajemen Asuhan Keperawatan, 2(2), 1–8. https://doi.org/10.33655/mak.v2i2.33
World Health Organization. (2023). Diabetes. Newsroom. https://www.who.int/news-room/fact-sheets/detail/diabetes
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Mutiara Nadya Nova, Teuku Tahlil, Asniar
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.