THE EFFECT OF DIABETES SELF-MANAGEMENT EDUCATION (DSME) PROGRAM ON QUALITY OF LIFE IN DIABETES MELLITUS PATIENTS
Abstract
In people with diabetes mellitus, changes in the quality of life and risk of death can be experienced due to complications, this is because diabetes mellitus cannot be cured, allowing complications of other diseases that can worsen health conditions, but not all sufferers can experience it if they can maintain or control their condition so that can live healthier. To reduce this, a diabetes mellitus management program is needed where there is a regulation of diet, activity, blood sugar control and exercise through a program called Diabetes Self-Management Education (DSME). The purpose of this study was to analyze the effect of Diabetes Self-Management Education and Support (DSME) on the quality of life in diabetes mellitus patients. The research method used pre-experiment with one group pre test and post test design. The number of samples is 23 people. DSME intervention was given 3 times in Gentungan District Health Center. Gowa. Data were analyzed using the Wilcoxon test with a significant level of 0.05. Wilcoxon results showed a difference in quality of life between the pre test and post test in the treatment group (p = 0.001). Improved quality of life in DM patients after being given DSME intervention. The conclusion is that there is a significant effect of giving DSME on the quality of life of people with DM. DSME can increase the knowledge and self-care abilities of patients in controlling blood sugar and prevent complications that can affect their quality of life.Downloads
References
Girsang, D. (2012). Manajemen strategis terkini dalam upaya pengendalian diabetes di indonesia. Jakarta Diabetes
Meeting: Bandung Atrial Fibrilation Symposium (BAFS).
Intenasional Diabetes Federation. 2011. Diabetes evidence demands real action from the un summit on non-
communicable diseases. Retrieved Juni 24, 2014
Heinrich, E. (2011). Diabetes self- management, strategies to support patiens and health care profesionals. Patient
Education and Counseling. 86(2): 172-178.
Chatterjee S, Davies MJ, Heller S, Speight J, Snoek FJ, Khunti K. Diabetes structured selfmanagement education
programmes: a narrative review and current innovations. The Lancet Diabetes & Endocrinology [Internet].
Elsevier BV; 2018 Feb;6(2):130–42. Available from: http://dx.doi.org/10.1016/S2213-8587(17)30239-5
He X, Li J, Wang B, Yao Q, Li L, Song R, et al. Diabetes self-management education reduces risk of all-cause
mortality in type 2 diabetes patients: a systematic review and metaanalysis. Endocrine [Internet]. Springer
Science and Business Media LLC; 2016 Nov 12;55(3):712–31. Available from:
http://dx.doi.org/10.1007/s12020-016-1168-2
Funnel, M., Brown T., Childs, B., Hass, L., Hosey, G., Jessen, B., et al. (2010). National standarts for diabetes self-
management education. Diabetes Care, 34: 89-96. doi: 10.2337/dc11- S089
Sutandi, A. (2012). Self-management education (DSME) sebagai metode alternatif dalam Perawatan mandiri pasien
diabetes mellitus di dalam keluarga.
Utami, G. T., Woferst, R., & Lubis, S. L. (2019). An overview of physical activities among family members with
risk of type 2 diabetes mellitus in Pekanbaru. Enfermeria clinica, 29, 26-29.
Cahyaningrum, E. D., & Sugiharti, R. K. (2020, February). The Relationship Between Obesity and Physical Activity
to the Incidence of Diabetes Mellitus in Ledug, Kembaran, Banyumas, Central Java. In 1st International
Conference on Community Health (ICCH 2019) (pp. 137-143). Atlantis Press.
Anggraeni, A. F. N., Rondhianto, R., & Juliningrum, P. P. (2018). Pengaruh Diabetes Self-Management Education
and Support (DSME/S) Terhadap Kualitas Hidup pada Pasien Diabetes Melitus Tipe 2 (The Effect of Diabetes
Self Management Education and Support (DSME/S) on Quality of Life in Patients with Type 2 Diabetes
Mellitu. Pustaka Kesehatan, 6(3), 453-460.
Indrayana, S. (2016). Pengaruh Diabetes Self Management Education And Support (Dsme/S) Terhadap Efikasi Diri
Klien Diabetes Melitus (DM) Tipe 2 Di Wilayah Kerja Puskesmas Patrang Kabupaten Jember.
Paz-Pacheco, E., Sandoval, M. A., Ardena, G. J., Paterno, E., Juban, N., Lantion-Ang, F. L., ... & Bongon, J. (2017).
Effectiveness of a community-based diabetes self-management education (DSME) program in a rural
agricultural setting. Primary health care research & development, 18(1), 35-49.
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).
Yeary, K. H. C. K., Long, C. R., Bursac, Z., & McElfish, P. A. (2017). Design of a randomized, controlled,
comparative-effectiveness trial testing a Family Model of Diabetes Self-Management Education (DSME) vs.
standard DSME for Marshallese in the United States. Contemporary clinical trials communications, 6, 97104.