EFFECTIVENESS OF DIABETES CARE CENTER ON BLOOD GLUCOSE, DSCA, AND QUALITY OF LIFE IN TYPE 2 DIABETES PATIENTS
DOI:
https://doi.org/10.34011/jmp2k.v35i3.3048Keywords:
diabetes tipe 2, DSCA, gula darah, kualitas hidup, pondok DMAbstract
Diabetes mellitus (DM) merupakan penyakit kronis yang terus meningkat jumlahnya di Indonesia dan menjadi masalah kesehatan yang serius. Jika tidak ditangani dengan baik, DM dapat menyebabkan kecacatan dan kematian. Oleh karena itu, diperlukan intervensi yang dapat meningkatkan kualitas hidup pasien DM tipe 2 untuk mencegah komplikasi serius. Penelitian ini bertujuan untuk untuk mengevaluasi efektivitas Pondok DM terhadap gula darah, DSCA, kualitas hidup pasein DM tipe 2 di kota Singkawang. Penelitian ini menggunakan desain quasi-eksperimental dengan metode pretest dan posttest control group, yang dilakukan di sepuluh UPT Puskesmas di Kota Singkawang, Kalimantan Barat. Teknik sampel yaitu Purposive Sampling. Jumlah sampel terdiri dari 60 pasien DM tipe 2, yang dibagi menjadi kelompok intervensi (30 pasien) dan kelompok kontrol (30 pasien). Data dianalisis menggunakan uji t-paired untuk menilai perubahan sebelum dan sesudah intervensi. Hasil penelitian menunjukkan bahwa setelah tiga bulan, kelompok intervensi mengalami penurunan rata-rata Gula Darah Puasa (GDP) sebesar 39,3 dan Gula Darah 2 Jam Post Prandial (GDPP) sebesar 67,6, sementara pada kelompok kontrol penurunan GDP sebesar 17,7 dan GDPP sebesar 2,7. Selain itu, kelompok intervensi menunjukkan peningkatan nilai DSCA sebesar 11,7 dan kualitas hidup (SF36) sebesar 116,6, yang lebih tinggi dibandingkan kelompok kontrol. Kesimpulannya, program Pondok DM efektif dalam meningkatkan kualitas hidup pasien DM tipe 2 melalui penurunan kadar gula darah dan peningkatan aktivitas harian serta kualitas hidup.
References
WHO, “Diabetes.” Accessed: Jun. 01, 2023. [Online]. Available: https://www.who.int/news-room/fact-sheets/detail/diabetes
A. Petersmann et al., “Definition, classification and diagnostics of diabetes mellitus,” J. Lab. Med., vol. 42, no. 3, pp. 73–79, 2018, doi: 10.1515/labmed-2018-0016.
B. Hidayat, R. V. Ramadani, A. Rudijanto, P. Soewondo, K. Suastika, and J. Y. Siu Ng, “Direct Medical Cost of Type 2 Diabetes Mellitus and Its Associated Complications in Indonesia,” Value Heal. Reg. Issues, vol. 28, pp. 82–89, 2022, doi: https://doi.org/10.1016/j.vhri.2021.04.006.
Survei Kesehatan Indonesia, Survei Kesehatan Indonesia dalam Angka. 2023.
U. Galicia-Garcia et al., “Pathophysiology of Type 2 Diabetes Mellitus.,” Int. J. Mol. Sci., vol. 21, no. 17, Aug. 2020, doi: 10.3390/ijms21176275.
A. D. Association, “Diagnosis and Classification of Diabetes Mellitus,” Diabetes Care, vol. 37, no. Supplement_1, pp. S81–S90, Dec. 2013, doi: 10.2337/dc14-S081.
Riset Kesehatan Dasar (Riskesdas), “Laporan Riskesdas 2018 Nasional,” 2018.
S. N. Syaipuddin, Suhartatik, Yasir Haskas, “Efektifitas Dukungan Sosial Dan Keluarga Terhadap Peningkatan Kualitas Hidup Pasien DM Tipe 2 Di Wilayah Kerja Puskesmas Pampang Kota Makassar Prodi Keperawatan Poltekes Kemenkes RI Makassar , Indonesia berdasarkan diagnosis dokter tertinggi di usia 65 hi,” J. Ilm. Kesehat. Masy. DAN Sos., vol. 3, no. 1, pp. 33–46, 2025, doi: : https://doi.org/10.59024/jikas.v3i1.1152.
D. K. Manado and M. Larira, “Self-Care Management Pada Pasien Penyakit Kronis Dengan Pendekatan Edukasi Di Ruang Hemodialisa Melati RSUP . Prof . Dr . R . Self-Care Management in Chronic Disease Patients with Educational Approach in Melati Hemodialysis Room RSUP . Prof . Dr . R . D .,” Mapalus Nurs. Sci. J. J. Ilm. Keperawatan Mapalus, vol. 02, no. 02, pp. 48–55, 2024, doi: https://doi.org/10.35790/mnsj.v2i2.55324.
D. J. Toobert, S. E. Hampson, and R. E. Glasgow, “The summary of diabetes self-care activities measure: results from 7 studies and a revised scale.,” Diabetes Care, vol. 23, no. 7, pp. 943–950, Jul. 2000, doi: 10.2337/diacare.23.7.943.
S. Salim, M. Yamin, I. Alwi, and S. Setiati, “Validity and Reliability of the Indonesian Version of SF-36 Quality of Life Questionnaire on Patients with Permanent Pacemakers.,” Acta Med. Indones., vol. 49, no. 1, pp. 10–16, Jan. 2017.
L. Erlina, D. S. K. Putri, N. A. Waluya, and A. Hamzah, “Penggunaan Aplikasi Le-Diabet Dalam Pengelolaan Diabetes Melitus: Studi Kesiapan Dengan Technology Acceptance Model,” Media Penelit. dan Pengemb. Kesehat., vol. 35, no. 1, pp. 326–337, 2025, doi: 10.34011/jmp2k.v35i1.3135.
E. L. L. Silvia Nora Anggreini, “Pengaruh Pendidikan Kesehatan Tentang Diabetes Melitus Terhadap Sikap Pasien Diabetes Melitus Tipe 2 Di Wilayah Puskesmas …,” Menara Ilmu, vol. XV, no. 02, pp. 62–71, 2021.
D. Pertiwi and A. Putri, “Edukasi dan Pelatihan Pemeriksaan Glukosa Darah di Desa,” Indones. J. Community Serv., vol. 6, no. 2, pp. 209–216, 2024, doi: http://dx.doi.org/10.30659/ijocs.621.209-216.
S. Sonhaji, U. Hani, and R. Rahmani, “Pengaruh Pendidikan Kesehatan Tentang Manajemen Diri Terhadap Tingkat Kepatuhan Pasien Diabetes Mellitus Di Kabupaten Semarang,” J. Manaj. Asuhan Keperawatan, vol. 8, no. 1, pp. 25–31, 2024, doi: 10.33655/mak.v8i1.180.
U. Ernawati, T. A. Wihastuti, and Y. W. Utami, “Effectiveness of diabetes self-management education (Dsme) in type 2 diabetes mellitus (t2dm) patients: Systematic literature review,” J. Public health Res., vol. 10, no. 2, pp. 404–408, 2021, doi: 10.4081/jphr.2021.2240.
R. Kumar, S. Rehman, G. M. Baloch, M. Vankwani, R. Somrongthong, and S. Pongpanich, “Effectiveness of health education intervention on diabetes mellitus among the teachers working in public sector schools of Pakistan.,” BMC Endocr. Disord., vol. 22, no. 1, p. 194, Jul. 2022, doi: 10.1186/s12902-022-01110-7.
H. Sanaeinasab et al., “Effects of a health education program to promote healthy lifestyle and glycemic control in patients with type 2 diabetes: A randomized controlled trial,” Prim. Care Diabetes, vol. 15, no. 2, pp. 275–282, 2021, doi: https://doi.org/10.1016/j.pcd.2020.09.007.
T. Shirvani et al., “Community-based educational interventions for prevention of type II diabetes: a global systematic review and meta-analysis,” Syst. Rev., vol. 10, no. 1, p. 81, 2021, doi: 10.1186/s13643-021-01619-3.
H. T. K. Thanh and T. M. Tien, “Effect of Group Patient Education on Glycemic Control Among People Living with Type 2 Diabetes in Vietnam: A Randomized Controlled Single-Center Trial,” Diabetes Ther., vol. 12, no. 5, pp. 1503–1521, 2021, doi: 10.1007/s13300-021-01052-8.
S. Oluchina, “The effectiveness of an education intervention based on self-care model on diabetes self-management behaviors and glycemic control,” Int. J. Africa Nurs. Sci., vol. 17, p. 100505, 2022, doi: https://doi.org/10.1016/j.ijans.2022.100505.
S. Safaruddin and H. Permatasari, “Teknologi Kesehatan Digital Dalam Penanganan Masalah Diabetes Melitus Literature Review,” Malahayati Nurs. J., vol. 4, no. 4, pp. 960–970, 2022, doi: 10.33024/mnj.v4i4.6201.
N. S. Alharbi, N. Alsubki, S. Jones, K. Khunti, N. Munro, and S. de Lusignan, “Impact of Information Technology-Based Interventions for Type 2 Diabetes Mellitus on Glycemic Control: A Systematic Review and Meta-Analysis.,” J. Med. Internet Res., vol. 18, no. 11, p. e310, Nov. 2016, doi: 10.2196/jmir.5778.
S. Stevens, S. Gallagher, T. Andrews, L. Ashall-Payne, L. Humphreys, and S. Leigh, “The effectiveness of digital health technologies for patients with diabetes mellitus: A systematic review.,” Front. Clin. diabetes Healthc., vol. 3, p. 936752, 2022, doi: 10.3389/fcdhc.2022.936752.
V. Nguyen, P. Ara, D. Simmons, and U. L. Osuagwu, “The Role of Digital Health Technology Interventions in the Prevention of Type 2 Diabetes Mellitus: A Systematic Review,” Clin. Med. Insights Endocrinol. Diabetes, vol. 17, p. 11795514241246420, 2024, doi: 10.1177/11795514241246419.
D. Sunil Kumar et al., “Technological innovations to improve health outcome in type 2 diabetes mellitus: A randomized controlled study,” Clin. Epidemiol. Glob. Heal., vol. 9, pp. 53–56, 2021, doi: https://doi.org/10.1016/j.cegh.2020.06.011.
S. Chen, Y. Shen, F. Gao, Y. Bao, J. Zhou, and W. Jia, “Self-management of type 2 diabetes mellitus utilizing technology based mobile medical assisted blood glucose management: Study protocol for a prospective, multi-center, observational study,” Obes. Med., vol. 17, p. 100194, 2020, doi: https://doi.org/10.1016/j.obmed.2020.100194.
A. A. Baig, A. Benitez, M. T. Quinn, and D. L. Burnet, “Family interventions to improve diabetes outcomes for adults.,” Ann. N. Y. Acad. Sci., vol. 1353, no. 1, pp. 89–112, Sep. 2015, doi: 10.1111/nyas.12844.
P. Hanlon et al., “Self-management interventions for Type 2 Diabetes: systematic review protocol focusing on patient workload and capacity support.,” Wellcome open Res., vol. 6, p. 257, 2021, doi: 10.12688/wellcomeopenres.17238.1.
T. A. F. Alharbi et al., “Diabetes education self-management intervention in improving self-efficacy for people with type 2 diabetes in the Gulf Cooperation Council countries: A systematic review,” Diabetes Metab. Syndr. Clin. Res. Rev., vol. 17, no. 12, p. 102906, 2023, doi: https://doi.org/10.1016/j.dsx.2023.102906.
M. Markle-Reid et al., “Community Program Improves Quality of Life and Self-Management in Older Adults with Diabetes Mellitus and Comorbidity.,” J. Am. Geriatr. Soc., vol. 66, no. 2, pp. 263–273, Feb. 2018, doi: 10.1111/jgs.15173.
M. Lubega, J. Ogwok, B. Nabunya, and S. N. Mbalinda, “Role of community-based health clubs in promoting patients’ health education for diabetes self-care management: an interventional qualitative study in a Ugandan urban setting.,” BMJ open Qual., vol. 12, no. 4, Dec. 2023, doi: 10.1136/bmjoq-2023-002473.
M. Fortin, M. C. Chouinard, B. B. Diallo, and T. Bouhali, “Integration of chronic disease prevention and management services into primary care (PR1MaC): Findings from an embedded qualitative study,” BMC Fam. Pract., vol. 20, no. 1, pp. 1–8, 2019, doi: 10.1186/s12875-018-0898-z.
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