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
Downloads
Introduction:Various efforts have been made to improve the self-care management of patients with type 2 diabetes mellitus (T2DM). One of them is by using a Diabetes Self-Management Education and Support (DSME/S) program. DSME/S produces positive effects in relation to patient behavior and health status. This is a systematic review of randomized controlled trials published where the aim was to evaluate the impact of the DSME/S program in term of biological. psychological and social aspects.
Methods: The articles were searched for using the PRISMA approach from within Scopus, Sage Journal, ProQuest, Google Scholar and PubMed to identify the relevant English publications on DSME over the last 5 years (2013-2018). In total, 15 studies met the inclusion criteria.
Results: The articles included at least one result that covered the biological, psychological, and social aspects that are more general and relevant for T2DM patients who received the DSME program. DSME had a positive impact on T2DM, namely the reduction of HbA1c, blood glucose, LDL, cholesterol, blood pressure, weight, waist circumference, decreased distress, anxiety and increased self-efficacy and self-empowerment.
Conclusion: It can increase the social and family support, improve self-management motivation, increase knowledge and improve the behavior of T2DM patients. The findings of our review showed that DSME has a positive impact on the biological, psychological and social aspects of type 2 diabetes mellitus.
Abdulah, D. M., Hassan, A. B., Saadi, F. S., & Mohammed, A. H. (2018). Impacts of self-management education on glycaemic control in patients with type 2 diabetes mellitus. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 12(6), 969–975. https://doi.org/10.1016/j.dsx.2018.06.007
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, 1–8. https://doi.org/10.1016/j.jcjd.2017.11.003
Albikawi, Z. F., Petro-Nustas, W., & Abuadas, M. (2016). Self-care Management Intervention to Improve Psychological Wellbeing for Jordanian Patients with Type Two Diabetes Mellitus. Issues in Mental Health Nursing, 37(3), 190–201. https://doi.org/10.3109/01612840.2015.1122118
Azami, G., Soh, K. L., Sazlina, S. G., Salmiah, M. S., Aazami, S., Mozafari, M., & 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, 1–12.
Beck, J., Greenwood, D. A., Blanton, L., Bollinger, S. T., Butcher, M. K., Condon, J. E., ... Wang, J. (2018). 2017 National Standards for Diabetes Self-Management Education and Support. Diabetes Educator, 44(1), 35–50. https://doi.org/10.1177/0145721718754797
Busch, M., Kahl, K. G., Schweiger, U., Correll, C., Conrad, M., Bauer, M., & Schwarz, P. (2015). Depression , anxiety disorders , and metabolic syndrome in a population at risk for type 2 diabetes mellitus, 1, 1–7. https://doi.org/10.1002/brb3.306
Cai, C., & Hu, J. (2016). Effectiveness of a Family-based Diabetes Self-management Educational Intervention for Chinese Adults With Type 2 Diabetes in Wuhan, China. Diabetes Educator, 42(6), 697–711. https://doi.org/10.1177/0145721716674325
Chai, S., Yao, B., Xu, L., Wang, D., Sun, J., Yuan, N., ... 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
Chrousos, G. P. (2009). reviews Stress and disorders of the stress system. Nature Publishing Group, 5(7), 374–381. https://doi.org/10.1038/nrendo.2009.106
Chrvala, C. A., Sherr, D., & Lipman, R. D. (2016). Patient Education and Counseling 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
Costa, D. S. et al. (2016). Prevalence of subclinical hypercortisolism in type 2 diabetic patients from the Rio de Janeiro Type 2 Diabetes Cohort Study. Of Diabetes and Its Complications, 30(6), 1032–1038.
Farhangi, M. A. et al. (2017). A randomized controlled trial on the efficacy of resistant dextrin, as functional food, in women with type 2 diabetes: Targeting the hypothalamic–pituitary–adrenal axis and immune system. Clinical Nutrition, 37(4), 1216–1223.
García, A. A., Brown, S. A., Horner, S. D., Zuñiga, J., & Arheart, K. L. (2014). Home-based diabetes symptom self-management education for Mexican Americans with type 2 diabetes. Health Education Research, 30(3), 484–496. https://doi.org/10.1093/her/cyv018
Habibzadeh, H., Sofiani, A., Alilu, L., & Gillespie, M. (2017). The effect of group discussion-based education on self-management of adults with type 2 diabetes mellitus compared with usual care: A randomized control trial. Oman Medical Journal, 32(6), 499–506. https://doi.org/10.5001/omj.2017.95
Kargar Jahromi, M., Ramezanli, S., & Taheri, L. (2014). Effectiveness of Diabetes Self-Management Education on Quality of Life in Diabetic Elderly Females. Global Journal of Health Science, 7(1), 10–15. https://doi.org/10.5539/gjhs.v7n1p10
Kementrian Kesehatan RI. (2018). Hasil Utama Riset Kesehatan Dasar Jawa Timur 2018. Jakarta: Badan Penelitian Dan Pengembangan Kesehatan, Kementrian Kesehatan Republik Indonesia, 1–82.
Kim, M. T., Kim, K. B., Huh, B., Nguyen, T., Han, H. R., Bone, L. R., & Levine, D. (2015). The Effect of a Community-Based Self-Help Intervention: Korean Americans With Type 2 Diabetes. American Journal of Preventive Medicine, 49(5), 726–737. https://doi.org/10.1016/j.amepre.2015.04.033
Ku, G. M. V., & Kegels, G. (2014). Effects of the First Line Diabetes Care (FiLDCare) self-management education and support project on knowledge, attitudes, perceptions, self-management practices and glycaemic control: A quasi-experimental study conducted in the Northern Philippines. BMJ Open, 4(8). https://doi.org/10.1136/bmjopen-2014-005317
Kumah, E., Sciolli, G., Toraldo, M. L., & Murante, A. M. (2018). The diabetes self-management educational programs and their integration in the usual care : A systematic literature review. Health Policy, 122(8), 866–877. https://doi.org/10.1016/j.healthpol.2018.06.003
Kumar S, Nayak RR, D. S. (2015). Effectiveness Jacobson's progressive muscle relaxation technique (PMRT) to relieve anxiety among alcoholic patients MHI, SCB, Cuttack, Odisha. J Nurs Health Sci, 4, 1–6.
Kyrou, I., & Tsigos, C. (2009). Stress hormones : physiological stress and regulation of metabolism, 787–793. https://doi.org/10.1016/j.coph.2009.08.007
Moulton, C. D., Costafreda, S. G., Horton, P., Ismail, K., & Fu, C. H. Y. (2015). Meta-analyses of structural regional cerebral effects in type 1 and type 2 diabetes. https://doi.org/10.1007/s11682-014-9348-2
Nguyen, T., Levine, D., Kim, K. B., Huh, B., Bone, L. R., Kim, M. T., & Han, H.-R. (2015). The Effect of a Community-Based Self-Help Intervention. American Journal of Preventive Medicine, 49(5), 726–737. https://doi.org/10.1016/j.amepre.2015.04.033
Paz-Pacheco, E., Sandoval, M. A., Ardena, G. J. R., Paterno, E., Juban, N., Lantion-Ang, F. L., ... Bongon, J. (2017). Effectiveness of a community-based diabetes self-management education (DSME) program in a rural agricultural setting. Primary Health Care Research and Development, 18(1), 35–49. https://doi.org/10.1017/S1463423616000335
Rusdiana, M., S., & R., A. (2018). The effect of diabetes self-management education on Hba1c level and fasting blood sugar in type 2 diabetes mellitus patients in primary health care in binjai city of north Sumatera, Indonesia. Open Access Macedonian Journal of Medical Sciences, 6(4), 715–718. https://doi.org/10.3889/oamjms.2018.169
Spencer, M. S., Kieffer, E. C., Sinco, B., Piatt, G., Palmisano, G., Hawkins, J., ... Funnell, M. (2018). Outcomes at 18 Months From a Community Health Worker and Peer Leader Diabetes Self-Management Program for Latino Adults, 1–9.
Trikkalinou, A., AK, P., & A, M. (2017). Type 2 diabetes and quality of life. World Journal of Diabetes, 8(4), 120–129.
Yuan, C., Lai, C. W., Chan, L. W., Chow, M., Law, H. K., & Ying, M. (2014). The effect of diabetes self-management education on body weight, glycemic control, and other metabolic markers in patients with type 2 diabetes mellitus. J Diabetes Res, 2014, 789761. https://doi.org/10.1155/2014/789761
Authors who publish with Jurnal Ners agree to the following terms:
- Authors transfer the Copyright and grant Jurnal Ners the right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to remix, adapt and build upon the work with an acknowledgment of the work's authorship and of the initial publication in Jurnal Ners.
- Authors are permitted to copy and redistribute the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Ners.
Jurnal Ners requires a formal written declaration and transfer of copyright from the author(s) for each article published. We, therefore, ask you to complete and return this form, retaining a copy for your own records. Your cooperation is essential and appreciated. Any delay will result in a delay in publication. The form can be downloaded HERE.
