scholarly journals Diabetes Mellitus, Diabetes Self Management Education (DSME), and Self Care Diabetik

2018 ◽  
Author(s):  
ANDI AKIFA SUDIRMAN

Diabetes Self Management Education (DSME) which integrates the four pillars of Diabetes Mellitus Management independently emphasize the behavioral interventions which help people with diabetes to change their lifestyles in terms of diabetic self care. The implementation of DSME related to the continual education covers the basic concepts of DSME itself, diet time arrangement, physical activity, foot care and exercises for people with diabetes. The objective of this research was to find out the effectiveness of Diabetes Self Management Education (DSME) group method on the type 2 Diabetes Mellitus Outpatient at Public Health Center Gorontalo Regency. The design of this research was Quasi Experimental Design with Pre-Test and Post Test. The samples were taken by using cluster sampling technique. The number of samples were 24 which was divided into two groups, 12 people of control group and 12 people of intervention group. The data were analized by using paired t test. The result of this research showed that there were significant differences of diabetic self care in type 2 Diabetes Mellitus patients after the implementation of Diabetes Self Management Education (DSME) group method with p value = 0,00. In conclusion, the program of DSME that related to diabetic self care can be applied systematically and sustainably as the nursing intervention to patients by using proper media and method of education. By applying the method and media properly, people with diabetes can control and prevent the type 2 Diabetes Mellitus complication.

Author(s):  
Nadia Rohmatul Laili ◽  
Yulis Setiya Dewi ◽  
Erna Dwi Wahyuni

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.


2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Ucik Ernawati ◽  
Titin Andri Wihastuti ◽  
Yulian Wiji Utami

Diabetes mellitus is a chronic disease characterized by high glucose levels (hyperglycemia) due to metabolic disorders that prevent patients from producing sufficient amounts of insulin. This research aims to test the effectiveness of implementing diabetes self-management education in patients with Type 2 diabetes mellitus. The search for relevant articles was carried out through Google Scholar, PubMed, Proquest, and Science Direct using the keywords diabetes mellitus, management education, self-care, diabetes self-management education, DSME, T2DM. The articles were then selected based on inclusion and exclusion criteria. Furthermore, the data were extracted, grouped, and concluded. Based on 15 articles, diabetes self-management education intervention provides significant effectiveness to lifestyle changes and the self-care of T2DM patients. In conclusion, diabetes self-management education intervention has been shown to be effective in dealing with type 2 diabetes mellitus. Furthermore, DSME has a positive effect on lifestyle changes and the self-care of T2DM patients.


2021 ◽  
Vol 9 (E) ◽  
pp. 1398-1402
Author(s):  
Netha Damayantie ◽  
Mursidah Dewi ◽  
Rusmimpong Rusmimpong ◽  
Cek Masnah

BACKGROUND: Diabetes self-management education (DSME) is a health education process for individuals or families in managing diabetes. AIM: This research was aimed to evaluate DSME effect on family knowledge of hypoglycemia episodes detection on Type 2 diabetes mellitus (T2DM). METHODS: Quasi-experimental design with simple random sampling was used in this study. A total of 62 family members of T2DM patients were collected from the Public Health Center, Jambi Province, Indonesia. They were divided into the intervention group (n = 31) and control group (n = 31). The intervention group received 2-month intervention, including DSME of diabetes mellitus with following stages of activity: Socialization, implementation, monitoring, and evaluation. The control group received standard education. Data were collected from pre- and post-test questionnaire followed by statistical analysis using paired t-test. RESULTS: There were different mean values in the family knowledge pretest-posttest between experimental groups (10.71–12.39) and control groups (9.45–12.26) to detect hypoglycemic episodes before and after DSME mentoring. There was effectiveness of DSME on family knowledge to hypoglycemia episodes detection among T2DM (p = 0.0001), including in the control group (p = 0.002) CONCLUSIONS: This study found out the significant improvements in the intervention with DSME participants hypoglycemia episodes detection knowledge. This demonstrates that our DSME may be clinical importance.


2018 ◽  
Vol 6 (1) ◽  
pp. 133
Author(s):  
Novita Nurkamilah ◽  
Rondhianto Rondhianto ◽  
Nur Widayati

Diabetes Mellitus (DM) is a chronic disease that requires a continous self-care. A low level ofknowledge about self-care can worsen health condition and cause diabetes distress. The continuingstress can cause hyperglycemia that lead to complications of DM. DSME/S is a structured healtheducation that facilitates DM patients in implementing and maintaining their behavior for sustainableself-care. This research aimed to analyze the effect of DSME/S on diabetes distress in patients withtype 2 DM. This research was quasi experimental with non randomized control group pretestposttest design. Thirty respondents in this study were divided into 15 respondents as theintervention group and 15 respondents as the control group by consequtive sampling technique.DSME/S was conducted in 6 sessions: 4 sessions in the hospital and 2 sessions at respondent'shouse. The data were analyzed by using dependent t test and independent t test with significancelevel of 0.05. The result of dependent t test revealed a significant difference of diabetes distressbetween pretest and posttest both in the intervention group (p=0.001) and in the control group(p=0.046). Furthermore, independent t test showed a significant difference between interventiongroup and control group (p=0.001). The decrease of diabetes distress was higher in the interventiongroup than control group. This result indicates that there was a significant effect of DSME/S ondiabetes distress in patients with type 2 DM. Nurses are expected to apply DSME/S as a dischargeplanning to reduce diabetes distress in patients with type 2 DM.Keywords: diabetes distress, DSME/S, Diabetes Mellitus


Author(s):  
Andi Akifa Sudirman ◽  
Dewi Modjo

Diabetes Self Management Education (DSME) uses guidelines, counseling, and behavioral intervention methods to increase knowledge about diabetes and improve individual and family skills in managing diabetes mellitus (DM). This research is a quantitative study using a pre-experimental design that provides treatment or intervention to the research subjects then the effect of the treatment is measured and analyzed. This design is used to compare the results of the intervention of the application of Diabetes Self Management Education (DSME) on controlling blood glucose levels in patients with type 2 diabetes mellitus. The analysis used the dependent t-test / paired t-test. The results showed that there were significant differences in blood glucose levels in the measurement after giving DSME to the respondents, indicating that the measurement of blood glucose levels after treatment was smaller than the measurement before treatment. It is necessary to develop a program to increase the competence of nurses in nursing care for diabetic clients and education related to diabetic self-care to increase the knowledge and skills of nurses in managing diabetes.


2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Chuang Yuan ◽  
Christopher W. K. Lai ◽  
Lawrence W. C. Chan ◽  
Meyrick Chow ◽  
Helen K. W. Law ◽  
...  

Aims.To comprehensively evaluate the effect of a short-term diabetes self-management education (DSME) on metabolic markers and atherosclerotic parameters in patients with type 2 diabetes.Methods.76 patients with type 2 diabetes were recruited in this study. They were divided into the intervention group(n=36)and control group(n=40). The patients in the intervention group received a 3-month intervention, including an 8-week education on self-management of diabetes mellitus and subsequent 4 weeks of practice of the self-management guidelines. The patients in the control group received standard advice on medical nutrition therapy. Metabolic markers, carotid intima-media thickness (CIMT), and carotid arterial stiffness (CAS) of the patients in both groups were assessed before and after the 3-month intervention.Results.There was a significant reduction in hemoglobin A1c (HbA1c,-0.2±0.56% versus0.08±0.741%;P<0.05) and body weight (-1.19±1.39 kg versus-0.61±2.04 kg;P<0.05) in the intervention group as compared to the control group. However, no significant improvements were found in other metabolic markers, CIMT and CAS(P>0.05).Conclusions.DSME can improve HbA1c and body weight in patients with type 2 diabetes.


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