Efektifitas penerapan diabetes self management education(DSME)terhadap motivasi penderita dalam mencegah kekambuhan dan komplikasi penyakit diabetes melitus

siti damawiyah; Yurike  Septianingrum

doi:10.33086/jhs.v13i01.1391

Authors

siti damawiyah Fakultas Keperawatan dan Kebidanan Universitas Nahdlatul Ulama Surabaya
Yurike Septianingrum Fakultas Keperawatan dan Kebidanan Universitas Nahdlatul Ulama Surabaya

DOI:

https://doi.org/10.33086/jhs.v13i01.1391

Keywords:

Diabetes Self Management Education, Motivation

Abstract

Diabetes mellitus is a chronic disease that is still a major problem in health both in the world and in Indonesia. Diabetes mellitus is a group of metabolic diseases with characteristics of hyperglycemia that occur due to abnormal insulin secretion, insulin action or both. The purpose of this study was to determine the effect of the application of Diabetes Self Management Education (DSME) on patient's motivation in preventing recurrence and complications of diabetes mellitus inRW01,WonokromoVillage,Surabaya.
               This research is a type of quantitative research using the Quasy Experimental design, Pre Test-Post Test Design Control Group. The population in this study were 24 people with diabetes mellitus. The sample in this study were some DM patients who met the criteria of 10 intervention groups and 10 control groups. The independent variable in this study was the application of DSME, the dependent variable in this study was the motivation of patients to prevent recurrence and complications of DM disease. Data analysis using the Mann Withney test.
              The results showed that the motivation of the treatment group before being given DSME had a good value of 0% where the value was smaller than the value of motivation after the respondent was given DSME that is equal to 60%. While the motivation of the control group when the initial observation has a good value of 0% and when the final observation has a good value of 10%. The increase in motivation value increased smaller than the assessment of the motivation value of the treatment group,whichwas60%.
             DSME application increases patient motivation in preventing recurrence and complications of diabetes mellitus. DSME can be used as a health promotion program to improve self-care capabilities of DM patients.

Downloads

Download data is not yet available.

References

American Diabetes Association. 2010. Position statement: Standards of Medical Care in Diabetes. Diabetes Care (33).
Arief, F. 2008. Profil Penderita Diabetes Mellitus dengan Ulkus Kaki di SMF Penyakit Dalam RSUD dr. Soebandi Jember Periode Januari 2003-Desember 2007. [skripsi]. Jember: Fakultas Kedokteran Universitas Jember.
Asmadi. 2008. Konsep dasar keperawatan. Jakarta: EGC.
Efendi, F. dan Makhfudli. 2009. Keperawatan Kesehatan Komunitas: Teori dan Praktik dalam Keperawatan. Jakata: Salemba Medika.
Funnell, M. M., et.al. 2008. National Standards for Diabetes Self-Management Education. Diabetes Care Volume 31 Supplement 1: p. S87-S94.
Guyton, A. C. & Hall, J. E. 1997. Buku Ajar Fisiologi Kedokteran Edisi 9.Terjemahan oleh Irawati Setiawan, dkk. Jakarta: EGC.
Haas, L., et.al. 2012. National Standards for Diabetes Self-Management Education and Support. Diabetes Care Volume 35: p. 2393-2401.
thinking in client care,Edisi 4. New Jersey: Pearson Prentice Hall.
Mansjoer, A., dkk. 2005. Kapita Selekta Kedokteran. Jakarta: Media Aesculapius.
Maulana, H. D. J. 2009. Promosi Kesehatan. Jakarta: EGC.
McGowan, P. 2011. The Efficacy of Diabetes Patient Education and Self-Management Education in Type 2 Diabetes. Canadian Journal of Diabetes Volume 35 (1): p. 46-53.
Norris, S. L., et.al. 2002. Increasing Diabetes Self-Management Education in Community Settings. Am J Prev Med Volume 22 (4S): p. 39–66.
Notoatmodjo, S. 2003. Pendidikan dan Perilaku Kesehatan. Jakarta : Rineka Cipta.
Notoatmodjo, S. 2007. Promosi Kesehatan dan Ilmu Perilaku. Cetakan Pertama.
Jakarta: Rineka Cipta.
Notoatmodjo, S. 2010. Metode Penelitian Kesehatan. Jakarta: Rineka Cipta.
Nursalam. 2008. Konsep dan Penerapan Metodologi Penelitian Ilmu Keperawatan: Pedoman Skripsi, Tesis, dan Instrumen Penelitian Keperawatan. Jakarta: Salemba Medika.
Potter, P. A. & Perry, A. G. 2005. Buku Ajar Fundamental Keperawatan: konsep,
proses, dan praktik. Jakarta: EGC.
Price, S. A. & Wilson, L. M. 2005. Patofisiologi: Konsep Klinis Proses-Proses Penyakit Volume 2, Edisi 6. Terjemahan oleh Brahm U. Pendit, dkk. Jakarta: EGC.
Sastroasmoro & Ismael. 2010. Dasar-dasar Metodologi Penelitian Klinis. Edisi-3 Jakarta: Bina Rupa Aksara .
Setiadi. 2007. Konsep & Penulisan Riset Keperawatan. Yogyakarta: Graha Ilmu.
Sidani, S. & Fan, L. 2009. Effectiveness of Diabetes Self-management Education Intervention Elements: A Meta-analysis. Canadian Journal of Diabetes Volume 33 (1): p. 18-26.
Smeltzer, S. C., & Bare, B. G. 2001. Buku Ajar Keperawatan Medikal-Bedah Brunner dan Suddarth Volume 2, Edisi 8. Terjemahan oleh Agung Waluyo, dkk. Jakarta: EGC.
Sugiyono. 2012. Statistika Untuk Penelitian. Bandung: Alfabeta.
World Health Organization (WHO). 2003. Adherence To Long-Term Therapies-Evidence for action. [serial online]. adherence@who.int [diakses tanggaL 20 Februari 2019].