THE EFFECT OF DIABETES SELF MANAGEMENT EDUCATION (DSME) ON SELF EFFICACY IN TYPE II DIABETES MELLITUS PATIENTS

  • Mohammad Subkhan Faculty of Medicine, University of Muhammadiyah Surabaya
  • Firman Firman Faculty of Medicine, University of Muhammadiyah Surabaya
  • Ida Agustiningsih Faculty of Medicine, University of Muhammadiyah Surabaya
DOI: https://doi.org/10.36720/nhjk.v13i1.651
Keywords: Diabetes Self-management Education, Diabetes Management Self-efficacy Scale

Abstract

Background: Diabetes mellitus (DM) is a health problem in the world. Currently, the number of DM cases globally has reached 537 million people, and Indonesia ranks fifth highest in the world. Low knowledge and dietary compliance are a problem that continues to contribute to new cases and relapses of old cases characterized by uncontrolled increases in blood sugar. This is caused by low self-efficacy which is characterized by feelings of hopelessness. Objectives: The aim of this research was to determine the effect of Diabetes Self-Management Education (DSME) on self-efficacy in type II Diabetes Mellitus patients. Methods: This study used a Quasy-experimental design, with a pretest posttest equivalent control group design, the sample size was 68 type II DM patients, consisting of 34 intervention groups and 34 control groups. Self-efficacy data was collected using the DMSES (Diabetes Management Self Efficacy Scale) questionnaire. Univariate analysis was used to describe the frequency distribution of respondents, mean, median and standard deviation. Next, bivariate analysis used the Wilcoxon test. Results: There was a significant difference in the difference in mean value self-efficacy between before and after intervention with p-value 0.000 < 0.05. Conclusion: Diabetes Management Self Efficacy Scale is effective increase self-efficacy. Thus, DSME can be an alternative intervention to overcome problems and prevent complications in DM patients.

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References

Boyko, E.J., Zelnick, L.R., Braffett, B.H., Pop-Busui, R., Cowie, C.C., Lorenzi, G.M., Gubitosi-Klug, R., Zinman, B., & de Boer, I.H. (2022). Risk of Foot Ulcer and Lower-Extremity Amputation Among Participants in the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Study. Diabetes Care, 45(2), 357–364. https://doi.org/10.2337/dc21-1816 DOI: https://doi.org/10.2337/dc21-1816

Camargo-Plazas, P., Robertson, M., Alvarado, B., Paré, G.C., Costa, I.G., & Duhn, L. (2023). Diabetes self-management education (DSME) for older persons in Western countries: A scoping review. In PLoS ONE (Vol. 18, Issue 8 August). https://doi.org/10.1371/journal.pone.0288797 DOI: https://doi.org/10.1371/journal.pone.0288797

Han, H., Cao, Y., Feng, C., Zheng, Y., Dhana, K., Zhu, S., Shang, C., Yuan, C., & Zong, G. (2022). Association of a Healthy Lifestyle With All-Cause and Cause-Specific Mortality Among Individuals With Type 2 Diabetes: A Prospective Study in UK Biobank. Diabetes Care, 45(2), 319–329. https://doi.org/10.2337/dc21-1512 DOI: https://doi.org/10.2337/dc21-1512

Handelsman, Y., Chovanes, C., Dex, T., Giorgino, F., Skolnik, N., Souhami, E., Stager, W., Niemoeller, E., & Frias, J.P. (2019). Efficacy and safety of insulin glargine/lixisenatide (iGlarLixi) fixed-ratio combination in older adults with type 2 diabetes. Journal of Diabetes and Its Complications, 33(3), 236–242. https://doi.org/10.1016/j.jdiacomp.2018.11.009 DOI: https://doi.org/10.1016/j.jdiacomp.2018.11.009

He, Q., Liu, Y., Lin, K., Zhao, F., Guo, H., & Shen, Y. (2023). Diabetes self-management and its related factors among Chinese young adults with type 2 diabetes mellitus. Nursing Open, 10(9), 6125–6135. https://doi.org/10.1002/nop2.1834 DOI: https://doi.org/10.1002/nop2.1834

IDF. (2021). International Diabetes Federation. In Diabetes Research and Clinical Practice (Vol. 102, Issue 2). https://doi.org/10.1016/j.diabres.2013.10.013 DOI: https://doi.org/10.1016/j.diabres.2013.10.013

Dungga EF, & Indiarti, Y., (2024). Risk Factors For Type 2 Diabetes Mellitus Patients At The Monano Health Center, North Gorontalo District. Medicine, F., Gorontalo,. 6(1), 40–56. DOI: https://doi.org/10.37311/jnj.v6i1.23400

Nurkamilah, N. and Widayati, N. (2018) '(DSME/S) on Diabetes Distress in Type 2 Diabetes Mellitus Patients at RSD dr. Soebandi Jember [DSME/S] on Diabetes Distress in Patients with Type 2 Diabetes Mellitus in dr. Soebandi Hospital of Jember)', e-Jurnal of Health Literature, 6(1), pp. 133–140. DOI: https://doi.org/10.19184/pk.v6i1.6868

Malik, F.S., Sauder, KA, Isom, S., Reboussin, B.A., Dabelea, D., Lawrence, J.M., Roberts, A., Mayer-Davis, E.J., Marcovina, S., Dolan, L., Igudesman, D ., & Pihoker, C. (2022). Trends in Glycemic Control Among Youth and Young Adults With Diabetes: The SEARCH for Diabetes in Youth Study. Diabetes Care, 45(2), 285–294. https://doi.org/10.2337/dc21-0507 DOI: https://doi.org/10.2337/dc21-0507

Murtaqib (2019) 'The Effect of Self Management Education and Support in Improving the Self-Efficacy of Patients with Type 2 Diabetes Mellitus', JNC, 2(1), pp. 1–9. DOI: https://doi.org/10.24198/jnc.v2i1.18514

Murtiningsih, MK, Pandelaki, K., & Sedli, BP (2021). Lifestyle as a Risk Factor for Type 2 Diabetes Mellitus. E-CliniC.

Page-Reeves, J., Murray-Krezan, C., Burge, M.R., Mishra, S.I., Regino, L., Bleecker, M., Perez, D., McGrew, H.C., Bearer, E.L., & Erhardt, E. (2023). A patient-centered comparative effectiveness research study of culturally appropriate options for diabetes self-management. MedRxiv : The Preprint Server for Health Sciences. https://doi.org/10.1101/2023.01.31.23285236 DOI: https://doi.org/10.21203/rs.3.rs-3466636/v1

PERKENI (2015). Management and Prevention of Type 2 Diabetes Mellitus in Indonesia, PERKENI, Jakarta:13

Petersen, G. B., Byberg, S., Vistisen, D., Fangel, M. V., Vorum, H., Joensen, L. E., & Kristensen, J. K. (2022). Factors Associated With Nonattendance in a Nationwide Screening Program for Diabetic Retinopathy: A Register-Based Cohort Study. Diabetes Care, 45(2), 303–310. https://doi.org/10.2337/dc21-1380 DOI: https://doi.org/10.2337/dc21-1380

Rahmawati (2016) 'The Effect of the Diabetes Self-Management Education Program on Self-Management in Patients with Diabetes Mellitus Type 2 Effects of Diabetes Self-Management Education Program on Self-Management in Patients with Diabetes Mellitus Type 2', Journal of Nursing Science, 4:1, pp. 46–58

Roberta, L., Amoakoh-Coleman, M., Djobalar, B., Grobbee, D.E., Adjei, G.O., & Klipstein-Grobusch, K. (2023). Diabetes self-management education interventions and self-management in low resource settings; a mixed methods study. PLOS ONE, 18(7 July), 1–19. https://doi.org/10.1371/journal.pone.0286974 DOI: https://doi.org/10.1371/journal.pone.0286974

Seuring, T., Marthoenis, Rhode, S., Rogge, L., Rau, H., Besançon, S., Zufry, H., Sofyan, H., & Vollmer, S. (2019). Using peer education to improve diabetes management and outcomes in a low-income setting: A randomized controlled trial. Trials, 20(1), 1–8. https://doi.org/10.1186/s13063-019-3656-1 DOI: https://doi.org/10.1186/s13063-019-3656-1

Uly Agustine, LRRW (2018). Factors that Influence the Level of Adherence to Taking Medication in Diabetes Mellitus Sufferers Who Seek Treatment at the A and A Rahmat Waingapu Love Service Foundation Medical Center. Journal of Primary Health Care, 3(1). https://doi.org/Journal DOI: https://doi.org/10.31965/jkp DOI: https://doi.org/10.31965/jkp

Wan, Y., Tube, FK, Lee, DH, Fung, TT, Willett, WC, & Giovannucci, EL (2022). Dietary Insulinemic Potential and Risk of Total and Cause-Specific Mortality in the Nurses' Health Study and the Health Professionals Follow-up Study. Diabetes Care, 45(2), 451–459. https://doi.org/10.2337/dc21-1530 DOI: https://doi.org/10.2337/dc21-1530

WHO (World Health Organization). (2021). Advisory Group on Diabetes. December, 1–21.

Published
2024-06-28
How to Cite
Subkhan, M., Firman, F., & Agustiningsih, I. (2024). THE EFFECT OF DIABETES SELF MANAGEMENT EDUCATION (DSME) ON SELF EFFICACY IN TYPE II DIABETES MELLITUS PATIENTS. Nurse and Health: Jurnal Keperawatan, 13(1), 127-134. https://doi.org/10.36720/nhjk.v13i1.651
Issue
Vol 13 No 1 (2024): Nurse and Health: Jurnal Keperawatan
Section
Original Research Article

Copyright (c) 2024 Firman Firman, Mohammad Subkhan, Ida Agustiningsih

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