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October 9, 2024
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DM berkaitan erat dengan komplikasi jangka panjang dan penurunan kualitas hidup. Managemen glikemik yang intensif dapat membantu pasien mengelola penyakit dan memiliki kesehatan yang lebih baik. Salah satu perwujudan pilar penatalaksanaan DM adalah melalui Diabetes Self-Management Education (DSME). Pada kegiatan pengabdian kepada masyarakat ini, program DSME dilakukan di wilayah Kerja Puskesmas Kandang Kota Bengkulu. Tujuan pengabdian kepada masyarakat ini adalah untuk mengoptimalkan Self care management pada pasien Diabetes mellitus tipe 2 Melalui Diabetes Self Management Education (DSME). Kegiatan pengabdian masyarakat dilakukan dengan metode group based melalui ceramah, diskusi, demonstrasi, bimbingan, dan pemeriksaan kesehatan. DSME dilakukan melalui beberapa kegiatan yakni edukasi self-care management DM, pemeriksaan gula darah, demonstrasi senam kaki, dan spa kaki diabetic. Hasil pre-test menunjukkan 26 orang (86,7%) berpengetahuan rendah, dengan rata-rata hasil pemeriksaan Gula Darah Sewaktu (GDS) adalah 260,5 mg/dl, setelah dilakukan DSME dan dilakukan post test pada minggu ke 4 terjadi peningkatan pengetahuan yakni 25 orang (83,3%) berpengetahuan baik dengan kadar glukosa darah rata-rata pada pemeriksaan peratama adalah 233,7 mg/dl. Terjadi peningkatan pengetahuan dan penurunan rata-rata glukosa darah sewaktu setelah dilakukan Diabetes Self Management Education (DSME).
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Hak Cipta (c) 2024 Bardah, Ikhsan, Vernonia Yora Saki, Encik Putri Ema Komala, Suryanti
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Cara Mengutip
Optimalisasi Self care management pada pasien Diabetes mellitus tipe 2 Melalui Diabetic Self Management Education (DSME) di Wilayah Kerja Puskesmas Kandang Kota Bengkulu. (2024). DHARMA RAFLESIA, 22(2), 321–335. https://doi.org/10.33369/dr.v22i2.37371
Referensi
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.
Ahdiah, N., & Arofiati, F. (2020). Metode-Metode Penyampaian Diabetes Self-Management Education (DSME). Dinamika Kesehatan Jurnal Kebidanan Dan Keperawatan, 10(1), 303–317. https://doi.org/10.33859/dksm.v10i1.416.
Asnaniar, W. O. S., & Munir, N. W. (2020). Optimalisasi Self care management Diabetes pada Pasien Diabetes Mellitus di Puskesmas Parangloe Kabupaten Gowa. PengabdianMu: Jurnal Ilmiah Pengabdian Kepada Masyarakat, 6(1), 9–14. https://doi.org/10.33084/pengabdianmu.v6i1.1156.
Chai, S., Yao, B., Xu, L., Wang, D., Sun, J., Yuan, N., Zhang, X., & Ji, L. (2018). 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.
Chaidir, R., Wahyuni, A. S., & Furkhani, D. W. (2017). Hubungan Self Care Dengan Kualitas Hidup Pasien Diabetes Melitus. Jurnal Endurance, 2(2), 132. https://doi.org/10.22216/jen.v2i2.1357.
Chatterjee, S., Davies, M. J., Heller, S., Speight, J., Snoek, F. J., & Khunti, K. (2018). Diabetes structured self-management education programmes: a narrative review and current innovations. The Lancet Diabetes and Endocrinology, 6(2), 130–142. https://doi.org/10.1016/S2213-8587(17)30239-5.
Ernawati, U., Wihastuti, T. A., & Utami, Y. W. (2021). Effectiveness of diabetes self-management education (Dsme) in type 2 diabetes mellitus (t2dm) patients: Systematic literature review. Journal of Public Health Research, 10(2), 404–408. https://doi.org/10.4081/jphr.2021.2240.
Hailu, F. B., Moen, A., & Hjortdahl, P. (2019). Diabetes self-management education (DSME) – Effect on knowledge, self-care behavior, and self-efficacy among type 2 diabetes patients in Ethiopia: A controlled clinical trial. Diabetes, Metabolic Syndrome and Obesity, 12, 2489–2499. https://doi.org/10.2147/DMSO.S223123.
Hurst, C. P., Rakkapao, N., & Hay, K. (2020). Impact of diabetes self-management, diabetes management self-efficacy and diabetes knowledge on glycemic control in people with Type 2 Diabetes (T2D): A multicenter study in Thailand. PLoS ONE, 15(12 December), 1–14. https://doi.org/10.1371/journal.pone.0244692.
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. https://ejournal3.undip.ac.id/index.php/jkm/article/view/22865.
International Diabetic Federation Diabetic (IDF). (2021). Atlas 10th edition. https://diabetesatlas.org/atlas/tenth-edition/
Kementerian Kesehatan RI Badan Penelitian dan Pengembangan. (2018). Hasil Riset Kesehatan Dasar Tahun 2018. Lembaga Penerbit Balitbangkes: Jakarta.
Nita, Y., Arfina, A., Devita, Y., & Dwiguna, S. (2021). Penerapan Diabetes Self Management Education (DSME) dalam Meningkatkan Self Care Penderita Diabetes Melitus. ADMA : Jurnal Pengabdian Dan Pemberdayaan Masyarakat, 2(1), 65–72. https://doi.org/10.30812/adma.v2i1.1277.
Okaniawan, P. E. P., & Agustini, N. N. M. (2021). Penurunan Fungsi Kognitif Akibat Diabetes Melitus. Ganesha Medicine, 1(1), 28. https://doi.org/10.23887/gm.v1i1.31708.
Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., Maryniuk, M. D., Siminerio, L., & Vivian, E. (2015). Diabetes self-management education and support in type 2 diabetes: A joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Care, 38(7), 1372–1382. https://doi.org/10.2337/dc15-0730.
Sanjaya, P. B., Yanti, N. L. P. E., & Puspita, L. M. (2019). Pengaruh Senam Kaki Diabetik Terhadap Sensitivitas Kaki pada Pasien DM Tipe 2. Community of Publishing in Nursing (COPING), 7(2), 97–102.
Sun, H., Saeedi, P., Karuranga, S., Pinkepank, M., Ogurtsova, K., Duncan, B. B., Stein, C., Basit, A., Chan, J. C. N., Claude Mbanya, J., Pavkov, M. E., Ramachandaran, A., Wild, S. H., James, S., Herman, W. H., Zhang, P., Bommer, C., Kuo, S., Boyko, E. J., & Magliano, D. J. (2023). Erratum to “IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045” [Diabetes Res. Clin. Pract. 183 (2022) 109119] (Diabetes Research and Clinical Practice (2022) 183, (S0168822721004782), Diabetes Research and Clinical Practice, 204(October), 110945. https://doi.org/10.1016/j.diabres.2023.110945.
Trikkalinou, A., Papazafiropoulou, A. K., & Melidonis, A. (2017). Type 2 diabetes and quality of life. World J Diabetes, 8(4): 120-129.
World Health Organization. (2023). Diabetes https://www.who.int/news-room/fact-sheets/detail/diabetes.
Wijayanti, S., Keperawatan, P. S., Tinggi, S., Kesehatan, I., & Bhakti, P. (2024). Pemberdayaan Kader dalam Manajemen Diabetes dengan Pendampingan Diabetes Self-Management Education Berbasis Keluarga, 3(1), 60–66. https://doi.org/10.37905/ljpmt.v3i1.24413.
Referensi
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.
Ahdiah, N., & Arofiati, F. (2020). Metode-Metode Penyampaian Diabetes Self-Management Education (DSME). Dinamika Kesehatan Jurnal Kebidanan Dan Keperawatan, 10(1), 303–317. https://doi.org/10.33859/dksm.v10i1.416.
Asnaniar, W. O. S., & Munir, N. W. (2020). Optimalisasi Self care management Diabetes pada Pasien Diabetes Mellitus di Puskesmas Parangloe Kabupaten Gowa. PengabdianMu: Jurnal Ilmiah Pengabdian Kepada Masyarakat, 6(1), 9–14. https://doi.org/10.33084/pengabdianmu.v6i1.1156.
Chai, S., Yao, B., Xu, L., Wang, D., Sun, J., Yuan, N., Zhang, X., & Ji, L. (2018). 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.
Chaidir, R., Wahyuni, A. S., & Furkhani, D. W. (2017). Hubungan Self Care Dengan Kualitas Hidup Pasien Diabetes Melitus. Jurnal Endurance, 2(2), 132. https://doi.org/10.22216/jen.v2i2.1357.
Chatterjee, S., Davies, M. J., Heller, S., Speight, J., Snoek, F. J., & Khunti, K. (2018). Diabetes structured self-management education programmes: a narrative review and current innovations. The Lancet Diabetes and Endocrinology, 6(2), 130–142. https://doi.org/10.1016/S2213-8587(17)30239-5.
Ernawati, U., Wihastuti, T. A., & Utami, Y. W. (2021). Effectiveness of diabetes self-management education (Dsme) in type 2 diabetes mellitus (t2dm) patients: Systematic literature review. Journal of Public Health Research, 10(2), 404–408. https://doi.org/10.4081/jphr.2021.2240.
Hailu, F. B., Moen, A., & Hjortdahl, P. (2019). Diabetes self-management education (DSME) – Effect on knowledge, self-care behavior, and self-efficacy among type 2 diabetes patients in Ethiopia: A controlled clinical trial. Diabetes, Metabolic Syndrome and Obesity, 12, 2489–2499. https://doi.org/10.2147/DMSO.S223123.
Hurst, C. P., Rakkapao, N., & Hay, K. (2020). Impact of diabetes self-management, diabetes management self-efficacy and diabetes knowledge on glycemic control in people with Type 2 Diabetes (T2D): A multicenter study in Thailand. PLoS ONE, 15(12 December), 1–14. https://doi.org/10.1371/journal.pone.0244692.
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. https://ejournal3.undip.ac.id/index.php/jkm/article/view/22865.
International Diabetic Federation Diabetic (IDF). (2021). Atlas 10th edition. https://diabetesatlas.org/atlas/tenth-edition/
Kementerian Kesehatan RI Badan Penelitian dan Pengembangan. (2018). Hasil Riset Kesehatan Dasar Tahun 2018. Lembaga Penerbit Balitbangkes: Jakarta.
Nita, Y., Arfina, A., Devita, Y., & Dwiguna, S. (2021). Penerapan Diabetes Self Management Education (DSME) dalam Meningkatkan Self Care Penderita Diabetes Melitus. ADMA : Jurnal Pengabdian Dan Pemberdayaan Masyarakat, 2(1), 65–72. https://doi.org/10.30812/adma.v2i1.1277.
Okaniawan, P. E. P., & Agustini, N. N. M. (2021). Penurunan Fungsi Kognitif Akibat Diabetes Melitus. Ganesha Medicine, 1(1), 28. https://doi.org/10.23887/gm.v1i1.31708.
Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., Maryniuk, M. D., Siminerio, L., & Vivian, E. (2015). Diabetes self-management education and support in type 2 diabetes: A joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Care, 38(7), 1372–1382. https://doi.org/10.2337/dc15-0730.
Sanjaya, P. B., Yanti, N. L. P. E., & Puspita, L. M. (2019). Pengaruh Senam Kaki Diabetik Terhadap Sensitivitas Kaki pada Pasien DM Tipe 2. Community of Publishing in Nursing (COPING), 7(2), 97–102.
Sun, H., Saeedi, P., Karuranga, S., Pinkepank, M., Ogurtsova, K., Duncan, B. B., Stein, C., Basit, A., Chan, J. C. N., Claude Mbanya, J., Pavkov, M. E., Ramachandaran, A., Wild, S. H., James, S., Herman, W. H., Zhang, P., Bommer, C., Kuo, S., Boyko, E. J., & Magliano, D. J. (2023). Erratum to “IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045” [Diabetes Res. Clin. Pract. 183 (2022) 109119] (Diabetes Research and Clinical Practice (2022) 183, (S0168822721004782), Diabetes Research and Clinical Practice, 204(October), 110945. https://doi.org/10.1016/j.diabres.2023.110945.
Trikkalinou, A., Papazafiropoulou, A. K., & Melidonis, A. (2017). Type 2 diabetes and quality of life. World J Diabetes, 8(4): 120-129.
World Health Organization. (2023). Diabetes https://www.who.int/news-room/fact-sheets/detail/diabetes.
Wijayanti, S., Keperawatan, P. S., Tinggi, S., Kesehatan, I., & Bhakti, P. (2024). Pemberdayaan Kader dalam Manajemen Diabetes dengan Pendampingan Diabetes Self-Management Education Berbasis Keluarga, 3(1), 60–66. https://doi.org/10.37905/ljpmt.v3i1.24413.
Ahdiah, N., & Arofiati, F. (2020). Metode-Metode Penyampaian Diabetes Self-Management Education (DSME). Dinamika Kesehatan Jurnal Kebidanan Dan Keperawatan, 10(1), 303–317. https://doi.org/10.33859/dksm.v10i1.416.
Asnaniar, W. O. S., & Munir, N. W. (2020). Optimalisasi Self care management Diabetes pada Pasien Diabetes Mellitus di Puskesmas Parangloe Kabupaten Gowa. PengabdianMu: Jurnal Ilmiah Pengabdian Kepada Masyarakat, 6(1), 9–14. https://doi.org/10.33084/pengabdianmu.v6i1.1156.
Chai, S., Yao, B., Xu, L., Wang, D., Sun, J., Yuan, N., Zhang, X., & Ji, L. (2018). 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.
Chaidir, R., Wahyuni, A. S., & Furkhani, D. W. (2017). Hubungan Self Care Dengan Kualitas Hidup Pasien Diabetes Melitus. Jurnal Endurance, 2(2), 132. https://doi.org/10.22216/jen.v2i2.1357.
Chatterjee, S., Davies, M. J., Heller, S., Speight, J., Snoek, F. J., & Khunti, K. (2018). Diabetes structured self-management education programmes: a narrative review and current innovations. The Lancet Diabetes and Endocrinology, 6(2), 130–142. https://doi.org/10.1016/S2213-8587(17)30239-5.
Ernawati, U., Wihastuti, T. A., & Utami, Y. W. (2021). Effectiveness of diabetes self-management education (Dsme) in type 2 diabetes mellitus (t2dm) patients: Systematic literature review. Journal of Public Health Research, 10(2), 404–408. https://doi.org/10.4081/jphr.2021.2240.
Hailu, F. B., Moen, A., & Hjortdahl, P. (2019). Diabetes self-management education (DSME) – Effect on knowledge, self-care behavior, and self-efficacy among type 2 diabetes patients in Ethiopia: A controlled clinical trial. Diabetes, Metabolic Syndrome and Obesity, 12, 2489–2499. https://doi.org/10.2147/DMSO.S223123.
Hurst, C. P., Rakkapao, N., & Hay, K. (2020). Impact of diabetes self-management, diabetes management self-efficacy and diabetes knowledge on glycemic control in people with Type 2 Diabetes (T2D): A multicenter study in Thailand. PLoS ONE, 15(12 December), 1–14. https://doi.org/10.1371/journal.pone.0244692.
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. https://ejournal3.undip.ac.id/index.php/jkm/article/view/22865.
International Diabetic Federation Diabetic (IDF). (2021). Atlas 10th edition. https://diabetesatlas.org/atlas/tenth-edition/
Kementerian Kesehatan RI Badan Penelitian dan Pengembangan. (2018). Hasil Riset Kesehatan Dasar Tahun 2018. Lembaga Penerbit Balitbangkes: Jakarta.
Nita, Y., Arfina, A., Devita, Y., & Dwiguna, S. (2021). Penerapan Diabetes Self Management Education (DSME) dalam Meningkatkan Self Care Penderita Diabetes Melitus. ADMA : Jurnal Pengabdian Dan Pemberdayaan Masyarakat, 2(1), 65–72. https://doi.org/10.30812/adma.v2i1.1277.
Okaniawan, P. E. P., & Agustini, N. N. M. (2021). Penurunan Fungsi Kognitif Akibat Diabetes Melitus. Ganesha Medicine, 1(1), 28. https://doi.org/10.23887/gm.v1i1.31708.
Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., Maryniuk, M. D., Siminerio, L., & Vivian, E. (2015). Diabetes self-management education and support in type 2 diabetes: A joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Care, 38(7), 1372–1382. https://doi.org/10.2337/dc15-0730.
Sanjaya, P. B., Yanti, N. L. P. E., & Puspita, L. M. (2019). Pengaruh Senam Kaki Diabetik Terhadap Sensitivitas Kaki pada Pasien DM Tipe 2. Community of Publishing in Nursing (COPING), 7(2), 97–102.
Sun, H., Saeedi, P., Karuranga, S., Pinkepank, M., Ogurtsova, K., Duncan, B. B., Stein, C., Basit, A., Chan, J. C. N., Claude Mbanya, J., Pavkov, M. E., Ramachandaran, A., Wild, S. H., James, S., Herman, W. H., Zhang, P., Bommer, C., Kuo, S., Boyko, E. J., & Magliano, D. J. (2023). Erratum to “IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045” [Diabetes Res. Clin. Pract. 183 (2022) 109119] (Diabetes Research and Clinical Practice (2022) 183, (S0168822721004782), Diabetes Research and Clinical Practice, 204(October), 110945. https://doi.org/10.1016/j.diabres.2023.110945.
Trikkalinou, A., Papazafiropoulou, A. K., & Melidonis, A. (2017). Type 2 diabetes and quality of life. World J Diabetes, 8(4): 120-129.
World Health Organization. (2023). Diabetes https://www.who.int/news-room/fact-sheets/detail/diabetes.
Wijayanti, S., Keperawatan, P. S., Tinggi, S., Kesehatan, I., & Bhakti, P. (2024). Pemberdayaan Kader dalam Manajemen Diabetes dengan Pendampingan Diabetes Self-Management Education Berbasis Keluarga, 3(1), 60–66. https://doi.org/10.37905/ljpmt.v3i1.24413.