EDUKASI DENGAN PENDEKATAN PRINSIP DIABETES SELF MANAGEMENT EDUCATION (DSME) MENINGKATKAN PERILAKU KEPATUHAN DIET PADA PENDERITA DIABETES MELLITUS TIPE 2
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Introduction: Diabetes Mellitus (DM) is one of the incurable cronic diseases. The patient's dietary obedience is a principal component in diabetes treatment success. One of the efforts to increase dietary obedience behavior in type 2 Diabetes Mellitus patients is using a Diabetes Self Management Education (DSME) principles approach. Diabetes Self Management Education (DSME) is the ongoing process of facilitating knowledge, skill and ability necessary for diabetes self care. The purpose of this study was to analyze the influence of DSME principles approach toward the dietary obedience behavior that consists of knowledge, attitude, and practice aspects in patients with type 2 Diabetes Mellitus at Puskesmas Kebonsari Surabaya.
Methods: A quasy experimental design was used in this study with 24 people as the sample which taken by using purposive sampling and divided into two groups (treatment and control group). A structured questionnaire and daily meal note for seven days were used to collect the data. The data were analyzed by using Wilcoxon signed rank test and Mann Whitney U test with significant level α≤0.05.
Result: The results showed that there was an influence of DSME principles approach after being applied to the treatment group and control group toward the dietary knowledge with the value of p=0.004 and p=0.083 respectively, the attitude of dietary obedience with p=0.025 and p=0.083 and the dietary obedience practice with p=0.002 and p=0.564.
Discussion: The study showed that DSME approach had a significant influence toward the dietary obedience behavior in type 2 Diabetes Mellitus patients. DSME principles approach used learning based on patient empowerment and behavior strategies. Ongoing support also contributed in maintaining progress achieved so that resulting dietary obedience behavior in type 2 Diabetes Mellitus patients. Larger respondents, more proper instruments and longer duration of study are needed to get a better results of the study concerning diabetic patient's obedience in the future.
American Diabetes Association. 2005. Diagnosis and Classification of Diabetes Mellitus. Diabetes Care. http://care.diabetesjournals.org. Tanggal 23 April 2012 pukul 16.30 WIB.
Anggina, L.L., Hamzah, A., Pandhit. 2010. Hubungan Antara Dukungan Sosial Keluarga Dengan Kepatuhan Pasien Diabetes Mellitus Dalam Melaksanakan Program Diet Di Poli Penyakit Dalam RSUD Cibabat Cimahi. Jurnal Penelitian Kesehatan Suara Forikes. ISSN: 2086-3098. http://isjd.pdii.lipi.go.id/admin/jurnal/edhknnov1019.pdf. Tanggal 4 April 2012.
Ariyanti, M. 2012. Peningkatan Self empowerment Penderita Diabetes Mellitus Tipe 2 dengan Pendekatan Diabetes Self Management Education (DSME) di Puskesmas Kebonsari Surabaya. Skripsi tidak dipublikasikan, Fakultas Keperawatan Universitas Airlangga Surabaya.
Arsana, P.M., Sutjiati, E., Lestari, D.P. 2011. Pengaruh Penyuluhan Gizi Terhadap Kepatuhan Diet Pasien Diabetes Mellitus Di Poli Gizi RSU Dr. Saiful Anwar Malang. Majalah Kesehatan FKUB.http://elibrary.ub.ac.id/bitstream/123456789/24771/8/%28lengkap%29.pdf. Tanggal 4 April 2012.
Funnel, M., Anderson, R. 2005. Patient empowerment: reflections on the challenge of fostering the adoption of a new paradigm. http://www.hphconferences.org/archive/vienna07/htm/plenaryabstracts/PatietEmpowerment.pdf. Tanggal 23 Maret 2012.
Glasgow, R. and Anderson, R. 1999. Moving for Compliance to Adherence is not enough: Something Entirely Different is Need. Diabetes Care, 22: 403-408. http://care.diabetesjournals.org/content/22/12/2090.full.pdf+html. Tanggal 15 Januari 2012.
Jack, L., Liburd, L., Spencer, T., Airhihenbuwa, C.O. 2004. Understanding the Environmental Issues in Diabetes Self-Management Education Research: A Reexamination of 8 Studies in Community-Based Settings. Ann Intern Med. 140:964-971.
Lin, C., Anderson, R. M., Hagerty, B. M., & Lee, B. 2008. Diabetes self-management experience: A focus group study of Taiwanese patients with type 2 diabetes. Journal of Nursing and Health Care of Chronic Illness in association with Journal of Clinical Nursing, 17(5a), 34-42.http://www.ncbi.nlm.nih.gov/pubmed/18093120. Tanggal 23 Maret 2012.
Lukman, A. 2010. Pengaruh Diabetes Self Management Education (DSME) terhadap Pengelolaan Diabetes Mandiri pada Penderita Diabetes Mellitus Tipe 2 di Wilayah Kerja Puskesmas Pacarkeling Surabaya. Skripsi tidak dipublikasikan. Fakultas Keperawatan Universitas Airlangga Surabaya.
Norris, S.L,. Lau, J., Smith, S.J., Schmid, C.H., Engelgau, M.M. 2002. Self Management Education for Adult with Type 2 Diabetes. A Meta-analysis of The Effect on Glicemic Control. Diabetes Care. 25 (7): 1159-1171. http://www.ncbi.nlm.nih.gov/pubmed/12087014>. Tanggal 5 Januari 2012.
PERKENI. 2011. Konsensus Pengelolaan dan Pencegahan Diabetes Mellitus Tipe 2 di Indonesia. http://perkeni.net/. Tanggal 13 Maret 2012 jam 07.25 WIB.
Puskesmas Kebonsari. 2011. Data Kunjungan Pasien Puskesmas Kebonsari, Puskesmas Kebonsari. Surabaya.
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