THE EFFECT OF DIABETES SELF MANAGEMENT EDUCATION (DSME) ON SELF EFFICACY IN TYPE II DIABETES MELLITUS PATIENTS
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.Downloads
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.
Copyright (c) 2024 Firman Firman, Mohammad Subkhan, Ida Agustiningsih
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with Nurse and Health: Jurnal Keperawatan agree to the following terms:
- Authors retain copyright licensed under a Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0), which allows others to remix, tweak, and build upon the authors' work non-commercially, and although the others' new works must also acknowledge the authors and be non-commercial, they don't have to license their derivative works on the same terms.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). Authors can archive pre-print and post-print or publisher's version/PDF.