Pengaruh Diabetes Self-Management Education Terhadap Kualitas Hidup Penderita Diabetes Melitus Tipe 2

Dana Prayoga Irawan; Muryani; Anida

doi:10.58467/ijons.v5i1.271

Authors

Dana Department of Nursing Science and Nursing Practice, Wira Husada College of Health Sciences, Yogyakarta
Muryani Department of Nursing Science and Nursing Practice, Wira Husada College of Health Sciences, Yogyakarta
Anida Department of Nursing Science and Nursing Practice, Wira Husada College of Health Sciences, Yogyakarta

DOI:

https://doi.org/10.58467/ijons.v5i1.271

Keywords:

diabetes mellitus, diabetes self-management education, self-care, self-management, quality of life

Abstract

Background: Type 2 diabetes mellitus is a chronic disease that requires continuous self-management. Poor disease management may negatively affect patients’ quality of life. Diabetes Self-Management Education (DSME) is an educational intervention designed to improve patients’ ability to manage their condition independently. This study aimed to examine the effect of DSME on the quality of life of patients with type 2 diabetes mellitus. Methods: This study used a quasi-experimental design with a one-group pretest–posttest approach. A total of 15 patients with type 2 diabetes mellitus were recruited using purposive sampling. Quality of life was measured using the Diabetes Quality of Life questionnaire before and after the intervention. The DSME program was delivered in groups through six sessions covering the basic concept of diabetes, symptom management, physical activity, dietary management, medication use, access to health services, and program evaluation. Data were analyzed using the Wilcoxon signed-rank test. Results: The findings showed an improvement in quality-of-life scores after the DSME program. The Wilcoxon signed-rank test indicated a significant difference in quality of life before and after the intervention, with a p-value of 0.002. Conclusion: The DSME program improved the quality of life of patients with type 2 diabetes mellitus. DSME may be considered an educational intervention in community nursing and primary care settings.

References

American Diabetes Association Professional Practice Committee. (2025). 5. Facilitating positive health behaviors and well-being to improve health outcomes: standards of care in diabetes—2025. Diabetes Care, 48(Supplement_1), S86–S127. https://doi.org/10.2337/dc25-S005

Chowdhury, H. A., Harrison, C. L., Siddiquea, B. N., Tissera, S., Afroz, A., Ali, L., Joham, A. E., & Billah, B. (2024). The effectiveness of diabetes self-management education intervention on glycaemic control and cardiometabolic risk in adults with type 2 diabetes in low- and middle-income countries: A systematic review and meta-analysis. PLOS ONE, 19(2), e0297328. https://doi.org/10.1371/journal.pone.0297328

Fithria, F., Husna, C., Ahyana, A., Nurhidayah, I., & Jannah, S. R. (2022). Self-management effectiveness on the quality of life of type 2 diabetes mellitus patients during the Covid-19 Pandemic in Aceh, Indonesia. Open Access Macedonian Journal of Medical Sciences, 10(G), 492–498. https://doi.org/10.3889/oamjms.2022.9634

Hassan, D. A., Helaluddin, F., Chahestani, O. H., Mohamed, O., & Islam, N. (2022). Diabetes self-management and health-related quality of life among primary care patients with diabetes in Qatar: A cross-sectional study. Healthcare, 10(11), 2124. https://doi.org/10.3390/healthcare10112124

International Diabetes Federation. (2021). IDF Diabetes Atlas 10th edition (D. Magliano & E. J. Boyko, Eds.). International Diabetes Federation. https://www.ncbi.nlm.nih.gov/books/NBK581934/

Nooseisai, M., Viwattanakulvanid, P., Kumar, R., Viriyautsahakul, N., Muhammad Baloch, G., & Somrongthong, R. (2021). Effects of diabetes self-management education program on lowering blood glucose level, stress, and quality of life among females with type 2 diabetes mellitus in Thailand. Primary Health Care Research & Development, 22, e46. https://doi.org/10.1017/S1463423621000505

Olesen, K., Hempler, N. F., Drejer, S., Valeur Baumgarten, S., & Stenov, V. (2020). Impact of patient‐centred diabetes self‐management education targeting people with type 2 diabetes: an integrative review. Diabetic Medicine, 37(6), 909–923. https://doi.org/10.1111/dme.14284

PERKENI. (2021). Pedoman pengelolaan dan pencegahan diabetes melitus tipe 2 dewasa di Indonesia 2021. PB Perkeni. https://pbperkeni.or.id/wp-content/uploads/2021/11/22-10-21-Website-Pedoman-Pengelolaan-dan-Pencegahan-DMT2-Ebook.pdf

Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., Hooks, B., Isaacs, D., Mandel, E. D., Maryniuk, M. D., Norton, A., Rinker, J., Siminerio, L. M., & Uelmen, S. (2020). Diabetes self-management education and support in adults with type 2 diabetes. The Diabetes Educator, 46(4), 350–369. https://doi.org/10.1177/0145721720930959

Prabowo, M. H., Febrinasari, R. P., Pamungkasari, E. P., Mahendradhata, Y., Pulkki-Brännström, A.-M., & Probandari, A. (2023). Health-related quality of life of patients with diabetes mellitus measured with the bahasa Indonesia version of EQ-5D in primary care settings in Indonesia. Journal of Preventive Medicine and Public Health, 56(5), 467–474. https://doi.org/10.3961/jpmph.23.229

Speight, J., Holmes‐Truscott, E., Hendrieckx, C., Skovlund, S., & Cooke, D. (2020). Assessing the impact of diabetes on quality of life: what have the past 25 years taught us? Diabetic Medicine, 37(3), 483–492. https://doi.org/10.1111/dme.14196

Thiagarajan, K. D. M. F. (1998). Stress, social support, problem solving coping, acceptance of diabetes & self-management as predictors of metabolic control & quality of life among adults with insulin-dependent diabetes mellitus. University of Washington. https://books.google.co.id/books?id=wOJKNwAACAAJ

Tyas, M. D. C. (2008). Hubungan perawatan diri dan persepsi sakit dengan kualitas hidup pasien diabetes melitus tipe 2 dalam konteks asuhan keperawatan di Kota Blitar [Thesis, Universitas Indonesia]. https://lib.ui.ac.id/detail?id=20437786&lokasi=lokal

Utama, R. D., Indasah, I., & Noor Layla, S. F. (2021). The effect of diabetes self-management education (DSME) on improving self-management and quality of life in mellitus type 2 diabetes. Journal for Quality in Public Health, 4(2), 31–37. https://doi.org/10.30994/jqph.v4i2.176

Yusra, A. (2011). Hubungan antara dukungan keluarga dengan kualitas hidup pasien diabetes melitus tipe 2 di Poliklinik Penyakit Dalam Rumah Sakit Umum Pusat Fatmawati Jakarta. In Universitas Indonesia (Vol. 1). Universitas Indonesia.