The Effectiveness of Diabetes Self-Management Education on Changes in Blood Sugar Levels in Type II DM Patients at the Klatak Public Health Center, Banyuwangi Regency
Keywords:
DSME, Type II DM, Peer Group Support
Abstract
Introduction: Providing self-skills education and training to improve the ability of type II DM sufferers to carry out self-care management (DSME) including 8 important components and applying peer support to increase motivation and improve their health, avoid complications to early death.
Objective: This study aimed to determine the effectiveness of Diabetes Self-Management Education on changes in blood glucose levels in patients with type II DM at Banyuwangi Regency in 2023.
Method: Experimental research with the design of True Experimental Pretest pos-ttest control group design. The population were all type II DM patients who were treated regularly at the Klatak Public Health Center. A sample of 24 respondents in the control and 24 in the intervention groups used the MSD sample size formula. Respondents in this study were examined pre- & post-test venous plasma blood glucose levels. The sampling technique used is an RCT. Data analysis used SPSS 21 for Windows statistical T-test.
Result: The paired T-test results indicated that the P-value for the intervention group was less than 0.05, specifically 0.000. It means Ha is accepted. So, the blood glucose levels differ before and after undergoing DSME with the Peer Support Group method. Then, with a significance value of 0.015 being less than 0.05, it can be inferred that there is a noteworthy difference. Statistical test results of the N-gain score in the intervention group were 50.3% in the Less Effective category, while in the control group was -4.4% in the Ineffective category.
Conclusion: There is a significant mean difference between the two groups. The N-gain score test results in the intervention group were higher than control group. It is hoped that the implementation of DSME with the Peer Support Group will be more systematic, sustainable, and focused on changing behavior.
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References
ADA. (2018). Standard medical care in diabetes 2018. The Journal of Clinical and Applied Research and Education. https://doi.org/10.2337/dc18-Sint01
Adelita, M. … Deliana, M. (2020). Kontrol Metabolik pada Diabetes Melitus Tipe-1. Fakultas Kedokteran Universitas Sumatera Utara/RS Pendidikan Universitas Sumatera Utara, Medan, Indonesia, 47(3), 227–232. http://www.cdkjournal.com/index.php/CDK/article/viewFile/377/175
Afandi, A. T. (2016). Peer Group Support Effectivity Toward the Quality of Life Among Pulmonary Tuberculosis and Chronic Disease Client: A Literature Review. NurseLine Journal, 1(2), 219–227.
Agustiningrum, R., & Kusbaryanto, K. (2019). Efektifitas Diabetes Self Management Education Terhadap Self Care Penderita Diabetes Mellitus: A Literature Review. Jurnal Keperawatan Respati Yogyakarta, 6(2), 558–563. https://doi.org/10.35842/jkry.v6i2.309
Amaze. (2018). Literature Review Best practice in peer support. April.
Amran, P., & Rahman, R. (2018). GAMBARAN HASIL PEMERIKSAAN HbA1C PADA PENDERITA DIABETES MELITUS TIPE II DI RSUD LABUANG BAJI MAKASSAR. Jurnal Media Analis Kesehatan, 9(2), 149–155. https://doi.org/10.32382/mak.v9i2.686
Anzani, T. P. (2019a). Pengaruh diabetes self-management education ( dsme ) terhadap kadar gula darah klien diabetes melitus tipe 2 di wilayah kerja puskesmas wonorejo samarinda. Jurnal Kesehatan.
Anzani, T. P. (2019b). Pengaruh Diabetes Self Management Education (DSME) Terhadap Kadar Gula Darah Klien Diabetes Melitus Tipe 2 Di Wilayah Kerja Puskesmas Wonorejo Samarinda.
Azami, G. … Taghinejad, H. (2018). Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes. Journal of Diabetes Research, 2018. https://doi.org/10.1155/2018/4930157
Boels, A. M. … Rutten, G. E. H. M. (2019). Effectiveness of diabetes self-management education and support via a smartphone application in insulin-treated patients with type 2 diabetes: Results of a randomized controlled trial (TRIGGER study). BMJ Open Diabetes Research and Care, 7(1), 1–10. https://doi.org/10.1136/bmjdrc-2019-000981
Chrvala, C. A. … Lipman, R. D. (2016). Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Education and Counseling, 99(6), 926–943. https://doi.org/10.1016/j.pec.2015.11.003
Dale, J. R. … Bowyer, V. (2012). Review Article: What is the effect of peer support on diabetes outcomes in adults ? A systematic review. 1361–1377. https://doi.org/10.1111/j.1464-5491.2012.03749.x
Davis, J. … Villalobos, S. (2022). 2022 National Standards for Diabetes Self-Management Education and Support. Science of Diabetes Self-Management and Care, 48(1), 44–59. https://doi.org/10.1177/26350106211072203
Dennis, C. L. (2003). Peer Support within A Health Care Context : A Concept Analysis. International Journal of Nursing Studies, 40(3), 321–332. https://doi.org/10.1016/S0020-7489(02)00092-5
Dinas Kesehatan Kabupaten Banyuwangi. (2019). Profil Kesehatan Kabupaten Banyuwangi Tahun 2019. Profil Kesehatan Kabupaten Banyuwangi Tahun 2019, 1–212.
Endrawati, N. R. (2020). HUBUNGAN DIABETES SELF MANAGEMENT EDUCATION DENGAN STATUS GIZI PADA PENDERITA DIABETES MELLITUS TIPE 2. Kaos GL Dergisi, 8(75), 147–154.
Fajriyah, N. … Septiana, N. T. (2019). A Diabetes Self-Management Education/Support (DSME/S) Program in Reference to the Biological, Psychological and Social Aspects of a Patient with Type 2 Diabetes Mellitus: A Systematic Review. Jurnal Ners, 14(3), 55–64. https://doi.org/10.20473/jn.v14i3.16979
Funnell, M. M. … Weiss, M. A. (2011). National standards for diabetes self-management education. Diabetes Care, 34(SUPPL.1). https://doi.org/10.2337/dc11-S089
Guntur. (2019). SISTEM KARDIOVASKULER (S. Carsel (ed.); I). Uwai Inspirasi Indonesia.
Hapsari, E. G. … Wahyu, F. D. (2017). Pengaruh Penyuluhan Tentang Pola Makan pada Penderita Diabetes Dengan dan Tanpa Komplikasi di Kecamatan Getasan. Jurnal Ilmu Kesehatan, 5(2), 88–93. https://doi.org/10.30650/jik.v5i2.56
Hasanuddin, I., & AL, J. purnama. (2022). efektifitas olahraga jalan kaki terhadap kadar gula darah pada lansia dengan diabetes mellitus tipe 2 (M. A. Ns. Ruslang, S.Kep. & Kes (eds.); I, p. 77). Penerbit Lakeisha. https://www.google.co.id/books/edition/EFEKTIFITAS_OLAHRAGA_JALAN_KAKI_TERHADAP/0I-kEAAAQBAJ?hl=id&gbpv=1&dq=latihan+fisik+penderita+DM&printsec=frontcover
Hendro, I. (2018). Hidup sehat pasca diabetes (T. arie Prabawati (ed.)). ANDI OFFSET.
Istiarini, chatarina hatri, & Lorica, josephine D. (2017). Patients’ Experiences on the Implementation of the Five Pillars of Diabetes Mellitus Management.pdf. III No 1. http://repo.stikesbethesda.ac.id/id/eprint/580
Johnson, E. L. … Trujillo, J. (2020). Standards of medical care in diabetes—2020 abridged for primary care providers. Clinical Diabetes, 38(1), 10–38. https://doi.org/10.2337/cd20-as01
Julia, M., & Utari, A. (2015). Konsensus Nasional Pengelolaan Diabetes Melitus tipe 2 pada anak dan remaja (A. G. Moelyo & Nur Rochmah (eds.)). Badan Penerbit Ikatan Dokter Anak Indonesia. https://www.gendhismanis.id/pengelolaan-diabetes-melitus.html
Kemenkes.RI. (2016). Tanya Jawab Seputar diabetes 30 Menit Sehari. 101.
Kemenkes RI. (2018). Bagiaman mengetahui penyakit diabetes melitus (DM) secara dini? Kemenkes.
Kementerian Kesehatan RI. (2018). Hasil Utama Riskesdas 2018 Provinsi Jawa Timur. 1–82.
Kementerian Kesehatan RI. (2020). Infodatin Tetap Produktif, Cegah, dan Atasi Diabetes Melitus 2020. Pusat Data Dan Informasi Kementerian Kesehatan RI.
Khoirunnisa, I., & Halimah, L. (2015). Hubungan antara Peer Support dengan Konsep Diri pada Remaja Putri yang Delikuen di Pondok Remaja Inabah XVII Ciamis. 108–115.
Kolb, L. (2021). An Effective Model of Diabetes Care and Education: The ADCES7 Self-Care BehaviorsTM. Science of Diabetes Self-Management and Care, 47(1), 30–53. https://doi.org/10.1177/0145721720978154
Kshanti, I. A. M. … Pase, M. A. (2019). Pedoman Pemantauan Glukosa Darah Mandiri. Perkumpulan Endokrinologi Indonesia, 28 halaman.
Kumah, E. … Amankwah, J. A. (2021). Diabetes self-management education interventions in the WHO African Region: A scoping review. PLoS ONE, 16(8 August), 1–20. https://doi.org/10.1371/journal.pone.0256123
Lemone, P. … Bauldoff, G. (2016). Buku ajar keperawatan medikal bedah vol. 2 edisi 5 (5th ed.). penerbit buku kedokteran EGC.
Megawaty, I. … Wabula, I. (2023). Efektifitas DSME Pada Penderita Dan Keluarga Terhadap Penurunan Kadar Gula Darah. 5, 278–286. https://doi.org/10.36339/j-hest.v5i2.108
Nababan, B. … Muniroh, M. (2018). Faktor - Faktor yang berhubungan dengan kadar gula darah pada penderita diabetes mellitus tipe 2 di RSUD K.R.M.T Wongsonegoro Semarang. Jurnal Kesehatan Masyarakat (e-Journal), 6(1), 200–206. https://ejournal3.undip.ac.id/index.php/jkm/article/view/19866
Nuradhayani, N., & Arman A, S. S. (2017). Pengaruh Diabetes Self Management Education (DSME) Terhadap Kadar Gula Darah Pasien Diabetes Type II Di Balai Besar Laboratorium Kesehatan Makassar. Ilmu Kesehatan Diagnosis, 11(4), 393.
Peimani, M. … Nasli-Esfahani, E. (2017). A peer support intervention in improving glycemic control in patients with type 2 diabetes. Patient Education and Counseling, 101(3), 460–466. https://doi.org/10.1016/j.pec.2017.10.007
PERKENI. (2021). Pedoman Diabetes Melitus Tipe 2 Dewasa Diabetes Melitus Tipe 2 Dewasa Di Indonesia Di Indonesia. PB. PERKENI.
Pienaar, M., & Reid, M. (2020). Self-management in face-to-face peer support for adults with type 2 diabetes living in low- or middle-income countries : a systematic review. 1–10.
Pratiwi, E. A. (2020). Efektivitas Diabetes Self Management Education Terhadap Self Care Behavior Penderita Diabetes Mellitus: Sebuah Tinjauan Sistematis. Stikes Bina Husada.
Prof. Dr. Soekidjo Notoatmodjo. (2012). Metodologi penelitian kesehatan. Penerbit Rineka cipta.
Puspita, T. … Firdaus, R. (2019). PENGARUH DIABETES SELF-MANAGEMENT EDUCATION TERHADAP KADAR GULA DARAH PASIEN DIABETES MELLITUS TIPE 2 DI WILAYAH KERJA PUSKESMAS WONOREJO SAMARINDA. 000, 6–9.
Putra, I. W. A., & Berawi, K. N. (2015). Empat Pilar Penatalaksanaan Pasien Diabetes Mellitus Tipe 2. Majority, 4(9), 8–12.
Qurniawati, D. … Anggeria, E. (2020). Pengaruh Diabetes Self-Management Education (DSME) Terhadap Perawatan Diri Pasien Luka Diabetes Melitus. Jurnal Ilmu Keperawatan, 8(1), 10–21.
Resti, D. D. N. D. (2018). HUBUNGAN KUALITAS TIDUR DENGAN KADAR GLUKOSA DARAH PADA PASIEN DIABETES MELLITUS TIPE II. Prosiding Seminar Kesehatan Perintis, 1, 1–18.
Rismayanti, I. D. A. … Heri, M. (2021). Edukasi Diabetes terhadap Penurunan Glukosa Darah pada Penderita Diabetes Mellitus Tipe 2. Journal of Telenursing (JOTING), 3(1), 110–116. https://doi.org/10.31539/joting.v3i1.2111
Sopiyudin, M. (2019). Besar sampel dalam penelitian kedokteran dan kesehatan (5th ed.). Epidemiologi Indonesia.
Suardi, S. … Maria, I. L. (2021). Effectiveness of Diabetes Self-Management Education Against Diet Behavior in Patients Type 2 Diabetes Mellitus: A Literature Review. Journal of Medical Sciences, 9, 364–368. https://doi.org/10.3889/oamjms.2021.6033
Suciana, F., & Arifianto, D. (2019). Penatalaksanaan 5 Pilar Pengendalian Dm Terhadap Kualitas Hidup Pasien Dm Tipe 2. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 9(4), 311–318.
Sudirman, A. A., & Modjo, D. (2021). Efektifitas Diabetes Self Management Education (DSME) terhadap Kadar Glukosa Darah pada Pasien Diabetes Mellitus Tipe 2 di Wilayah Puskesmas Limboto Barat. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 4(2), 151–156. https://doi.org/10.56338/mppki.v4i2.1489
Sugiyono, P. D. (2019). Metode penelitian Kuantitatif kualitatif dan R&D. ALFABETA.
Suyono, prof dr slamet … Subekti, I. (2018). penatalaksanaan diabetes mellitus terpadu bagi dokter dan edukator (11th ed.). Balai penerbit FKUI.
Tjahjono, H. D. (2019). Analisis Kejadian Komplikasi Akut dan Kronis Pada Pasien Diabetes Melitus Tipe-2. Jurnal Keperawatan, 8(1), 37–41.
Umaroh, L. (2017). Hubungan Diabetes Self Management Education Dengan Status Gizi Pada Penderita Diabetes Melitus Tipe 2 Di RT 001-Desa Mlideg Kedungadem Bojonegoro.
V.A.R.Barao … J.G.S.Souza. (2022). Summary of changes in 2022 National Standards. Braz Dent J., 33(1), 1–12.
Yap, A. … Sadeli, L. (2013). Glukometer Pada Penderita Diabetes Melitus the Comparability of Capillary Blood Glucose Level To Venous Blood Glucose Level Using Glucometer in Diabetes Mellitus Patient. Maranatha. http://repository.maranatha.edu/view/creators/Yap=3AAlbert_=28_1010143_=29=3A=3A.html
Zhang, R. … Ji, L. (2016). The Association of Retinopathy and Plasma Glucose and HbA1c : A Validation of Diabetes Diagnostic Criteria in a Chinese Population. Journal of Diabetes Research, 2016(March 2012), 1–7.
Zhang, X. … Sun, X. (2016). How to achieve better effect of peer support among adults with type 2 diabetes : A meta-analysis of randomized clinical trials. Patient Education and Counseling, 99(2), 186–197. https://doi.org/10.1016/j.pec.2015.09.006
Adelita, M. … Deliana, M. (2020). Kontrol Metabolik pada Diabetes Melitus Tipe-1. Fakultas Kedokteran Universitas Sumatera Utara/RS Pendidikan Universitas Sumatera Utara, Medan, Indonesia, 47(3), 227–232. http://www.cdkjournal.com/index.php/CDK/article/viewFile/377/175
Afandi, A. T. (2016). Peer Group Support Effectivity Toward the Quality of Life Among Pulmonary Tuberculosis and Chronic Disease Client: A Literature Review. NurseLine Journal, 1(2), 219–227.
Agustiningrum, R., & Kusbaryanto, K. (2019). Efektifitas Diabetes Self Management Education Terhadap Self Care Penderita Diabetes Mellitus: A Literature Review. Jurnal Keperawatan Respati Yogyakarta, 6(2), 558–563. https://doi.org/10.35842/jkry.v6i2.309
Amaze. (2018). Literature Review Best practice in peer support. April.
Amran, P., & Rahman, R. (2018). GAMBARAN HASIL PEMERIKSAAN HbA1C PADA PENDERITA DIABETES MELITUS TIPE II DI RSUD LABUANG BAJI MAKASSAR. Jurnal Media Analis Kesehatan, 9(2), 149–155. https://doi.org/10.32382/mak.v9i2.686
Anzani, T. P. (2019a). Pengaruh diabetes self-management education ( dsme ) terhadap kadar gula darah klien diabetes melitus tipe 2 di wilayah kerja puskesmas wonorejo samarinda. Jurnal Kesehatan.
Anzani, T. P. (2019b). Pengaruh Diabetes Self Management Education (DSME) Terhadap Kadar Gula Darah Klien Diabetes Melitus Tipe 2 Di Wilayah Kerja Puskesmas Wonorejo Samarinda.
Azami, G. … Taghinejad, H. (2018). Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes. Journal of Diabetes Research, 2018. https://doi.org/10.1155/2018/4930157
Boels, A. M. … Rutten, G. E. H. M. (2019). Effectiveness of diabetes self-management education and support via a smartphone application in insulin-treated patients with type 2 diabetes: Results of a randomized controlled trial (TRIGGER study). BMJ Open Diabetes Research and Care, 7(1), 1–10. https://doi.org/10.1136/bmjdrc-2019-000981
Chrvala, C. A. … Lipman, R. D. (2016). Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Education and Counseling, 99(6), 926–943. https://doi.org/10.1016/j.pec.2015.11.003
Dale, J. R. … Bowyer, V. (2012). Review Article: What is the effect of peer support on diabetes outcomes in adults ? A systematic review. 1361–1377. https://doi.org/10.1111/j.1464-5491.2012.03749.x
Davis, J. … Villalobos, S. (2022). 2022 National Standards for Diabetes Self-Management Education and Support. Science of Diabetes Self-Management and Care, 48(1), 44–59. https://doi.org/10.1177/26350106211072203
Dennis, C. L. (2003). Peer Support within A Health Care Context : A Concept Analysis. International Journal of Nursing Studies, 40(3), 321–332. https://doi.org/10.1016/S0020-7489(02)00092-5
Dinas Kesehatan Kabupaten Banyuwangi. (2019). Profil Kesehatan Kabupaten Banyuwangi Tahun 2019. Profil Kesehatan Kabupaten Banyuwangi Tahun 2019, 1–212.
Endrawati, N. R. (2020). HUBUNGAN DIABETES SELF MANAGEMENT EDUCATION DENGAN STATUS GIZI PADA PENDERITA DIABETES MELLITUS TIPE 2. Kaos GL Dergisi, 8(75), 147–154.
Fajriyah, N. … Septiana, N. T. (2019). A Diabetes Self-Management Education/Support (DSME/S) Program in Reference to the Biological, Psychological and Social Aspects of a Patient with Type 2 Diabetes Mellitus: A Systematic Review. Jurnal Ners, 14(3), 55–64. https://doi.org/10.20473/jn.v14i3.16979
Funnell, M. M. … Weiss, M. A. (2011). National standards for diabetes self-management education. Diabetes Care, 34(SUPPL.1). https://doi.org/10.2337/dc11-S089
Guntur. (2019). SISTEM KARDIOVASKULER (S. Carsel (ed.); I). Uwai Inspirasi Indonesia.
Hapsari, E. G. … Wahyu, F. D. (2017). Pengaruh Penyuluhan Tentang Pola Makan pada Penderita Diabetes Dengan dan Tanpa Komplikasi di Kecamatan Getasan. Jurnal Ilmu Kesehatan, 5(2), 88–93. https://doi.org/10.30650/jik.v5i2.56
Hasanuddin, I., & AL, J. purnama. (2022). efektifitas olahraga jalan kaki terhadap kadar gula darah pada lansia dengan diabetes mellitus tipe 2 (M. A. Ns. Ruslang, S.Kep. & Kes (eds.); I, p. 77). Penerbit Lakeisha. https://www.google.co.id/books/edition/EFEKTIFITAS_OLAHRAGA_JALAN_KAKI_TERHADAP/0I-kEAAAQBAJ?hl=id&gbpv=1&dq=latihan+fisik+penderita+DM&printsec=frontcover
Hendro, I. (2018). Hidup sehat pasca diabetes (T. arie Prabawati (ed.)). ANDI OFFSET.
Istiarini, chatarina hatri, & Lorica, josephine D. (2017). Patients’ Experiences on the Implementation of the Five Pillars of Diabetes Mellitus Management.pdf. III No 1. http://repo.stikesbethesda.ac.id/id/eprint/580
Johnson, E. L. … Trujillo, J. (2020). Standards of medical care in diabetes—2020 abridged for primary care providers. Clinical Diabetes, 38(1), 10–38. https://doi.org/10.2337/cd20-as01
Julia, M., & Utari, A. (2015). Konsensus Nasional Pengelolaan Diabetes Melitus tipe 2 pada anak dan remaja (A. G. Moelyo & Nur Rochmah (eds.)). Badan Penerbit Ikatan Dokter Anak Indonesia. https://www.gendhismanis.id/pengelolaan-diabetes-melitus.html
Kemenkes.RI. (2016). Tanya Jawab Seputar diabetes 30 Menit Sehari. 101.
Kemenkes RI. (2018). Bagiaman mengetahui penyakit diabetes melitus (DM) secara dini? Kemenkes.
Kementerian Kesehatan RI. (2018). Hasil Utama Riskesdas 2018 Provinsi Jawa Timur. 1–82.
Kementerian Kesehatan RI. (2020). Infodatin Tetap Produktif, Cegah, dan Atasi Diabetes Melitus 2020. Pusat Data Dan Informasi Kementerian Kesehatan RI.
Khoirunnisa, I., & Halimah, L. (2015). Hubungan antara Peer Support dengan Konsep Diri pada Remaja Putri yang Delikuen di Pondok Remaja Inabah XVII Ciamis. 108–115.
Kolb, L. (2021). An Effective Model of Diabetes Care and Education: The ADCES7 Self-Care BehaviorsTM. Science of Diabetes Self-Management and Care, 47(1), 30–53. https://doi.org/10.1177/0145721720978154
Kshanti, I. A. M. … Pase, M. A. (2019). Pedoman Pemantauan Glukosa Darah Mandiri. Perkumpulan Endokrinologi Indonesia, 28 halaman.
Kumah, E. … Amankwah, J. A. (2021). Diabetes self-management education interventions in the WHO African Region: A scoping review. PLoS ONE, 16(8 August), 1–20. https://doi.org/10.1371/journal.pone.0256123
Lemone, P. … Bauldoff, G. (2016). Buku ajar keperawatan medikal bedah vol. 2 edisi 5 (5th ed.). penerbit buku kedokteran EGC.
Megawaty, I. … Wabula, I. (2023). Efektifitas DSME Pada Penderita Dan Keluarga Terhadap Penurunan Kadar Gula Darah. 5, 278–286. https://doi.org/10.36339/j-hest.v5i2.108
Nababan, B. … Muniroh, M. (2018). Faktor - Faktor yang berhubungan dengan kadar gula darah pada penderita diabetes mellitus tipe 2 di RSUD K.R.M.T Wongsonegoro Semarang. Jurnal Kesehatan Masyarakat (e-Journal), 6(1), 200–206. https://ejournal3.undip.ac.id/index.php/jkm/article/view/19866
Nuradhayani, N., & Arman A, S. S. (2017). Pengaruh Diabetes Self Management Education (DSME) Terhadap Kadar Gula Darah Pasien Diabetes Type II Di Balai Besar Laboratorium Kesehatan Makassar. Ilmu Kesehatan Diagnosis, 11(4), 393.
Peimani, M. … Nasli-Esfahani, E. (2017). A peer support intervention in improving glycemic control in patients with type 2 diabetes. Patient Education and Counseling, 101(3), 460–466. https://doi.org/10.1016/j.pec.2017.10.007
PERKENI. (2021). Pedoman Diabetes Melitus Tipe 2 Dewasa Diabetes Melitus Tipe 2 Dewasa Di Indonesia Di Indonesia. PB. PERKENI.
Pienaar, M., & Reid, M. (2020). Self-management in face-to-face peer support for adults with type 2 diabetes living in low- or middle-income countries : a systematic review. 1–10.
Pratiwi, E. A. (2020). Efektivitas Diabetes Self Management Education Terhadap Self Care Behavior Penderita Diabetes Mellitus: Sebuah Tinjauan Sistematis. Stikes Bina Husada.
Prof. Dr. Soekidjo Notoatmodjo. (2012). Metodologi penelitian kesehatan. Penerbit Rineka cipta.
Puspita, T. … Firdaus, R. (2019). PENGARUH DIABETES SELF-MANAGEMENT EDUCATION TERHADAP KADAR GULA DARAH PASIEN DIABETES MELLITUS TIPE 2 DI WILAYAH KERJA PUSKESMAS WONOREJO SAMARINDA. 000, 6–9.
Putra, I. W. A., & Berawi, K. N. (2015). Empat Pilar Penatalaksanaan Pasien Diabetes Mellitus Tipe 2. Majority, 4(9), 8–12.
Qurniawati, D. … Anggeria, E. (2020). Pengaruh Diabetes Self-Management Education (DSME) Terhadap Perawatan Diri Pasien Luka Diabetes Melitus. Jurnal Ilmu Keperawatan, 8(1), 10–21.
Resti, D. D. N. D. (2018). HUBUNGAN KUALITAS TIDUR DENGAN KADAR GLUKOSA DARAH PADA PASIEN DIABETES MELLITUS TIPE II. Prosiding Seminar Kesehatan Perintis, 1, 1–18.
Rismayanti, I. D. A. … Heri, M. (2021). Edukasi Diabetes terhadap Penurunan Glukosa Darah pada Penderita Diabetes Mellitus Tipe 2. Journal of Telenursing (JOTING), 3(1), 110–116. https://doi.org/10.31539/joting.v3i1.2111
Sopiyudin, M. (2019). Besar sampel dalam penelitian kedokteran dan kesehatan (5th ed.). Epidemiologi Indonesia.
Suardi, S. … Maria, I. L. (2021). Effectiveness of Diabetes Self-Management Education Against Diet Behavior in Patients Type 2 Diabetes Mellitus: A Literature Review. Journal of Medical Sciences, 9, 364–368. https://doi.org/10.3889/oamjms.2021.6033
Suciana, F., & Arifianto, D. (2019). Penatalaksanaan 5 Pilar Pengendalian Dm Terhadap Kualitas Hidup Pasien Dm Tipe 2. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 9(4), 311–318.
Sudirman, A. A., & Modjo, D. (2021). Efektifitas Diabetes Self Management Education (DSME) terhadap Kadar Glukosa Darah pada Pasien Diabetes Mellitus Tipe 2 di Wilayah Puskesmas Limboto Barat. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 4(2), 151–156. https://doi.org/10.56338/mppki.v4i2.1489
Sugiyono, P. D. (2019). Metode penelitian Kuantitatif kualitatif dan R&D. ALFABETA.
Suyono, prof dr slamet … Subekti, I. (2018). penatalaksanaan diabetes mellitus terpadu bagi dokter dan edukator (11th ed.). Balai penerbit FKUI.
Tjahjono, H. D. (2019). Analisis Kejadian Komplikasi Akut dan Kronis Pada Pasien Diabetes Melitus Tipe-2. Jurnal Keperawatan, 8(1), 37–41.
Umaroh, L. (2017). Hubungan Diabetes Self Management Education Dengan Status Gizi Pada Penderita Diabetes Melitus Tipe 2 Di RT 001-Desa Mlideg Kedungadem Bojonegoro.
V.A.R.Barao … J.G.S.Souza. (2022). Summary of changes in 2022 National Standards. Braz Dent J., 33(1), 1–12.
Yap, A. … Sadeli, L. (2013). Glukometer Pada Penderita Diabetes Melitus the Comparability of Capillary Blood Glucose Level To Venous Blood Glucose Level Using Glucometer in Diabetes Mellitus Patient. Maranatha. http://repository.maranatha.edu/view/creators/Yap=3AAlbert_=28_1010143_=29=3A=3A.html
Zhang, R. … Ji, L. (2016). The Association of Retinopathy and Plasma Glucose and HbA1c : A Validation of Diabetes Diagnostic Criteria in a Chinese Population. Journal of Diabetes Research, 2016(March 2012), 1–7.
Zhang, X. … Sun, X. (2016). How to achieve better effect of peer support among adults with type 2 diabetes : A meta-analysis of randomized clinical trials. Patient Education and Counseling, 99(2), 186–197. https://doi.org/10.1016/j.pec.2015.09.006
Published
2024-07-27
How to Cite
Efendi, A., Lidia Hastuti, & Wuriani. (2024). The Effectiveness of Diabetes Self-Management Education on Changes in Blood Sugar Levels in Type II DM Patients at the Klatak Public Health Center, Banyuwangi Regency. PROFESSIONAL HEALTH JOURNAL, 6(1), 345-357. https://doi.org/10.54832/phj.v6i1.829
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