scholarly journals A Literature Review : The Effect Of Diabetes Self Management Education On Self- Efficacy In Diabetes Mellitus Patients

2020 ◽  
Vol 10 (1) ◽  
pp. 38-47
Author(s):  
Desak Putu Fahmi Octaviyanti

Penyakit diabetes mellitus merupakan suatu penyakit suatu penyakit jangka panjang atau kronis dengan prevalensi yang semakin meningkat, pengetahuan tentang penyakit kurang dan masyarakat tidak dapat mengelola penyakit. Salah satu cara untuk dapat mencegah komplikasi dari penyakit diabetes selain dengan terapi farmakologi bisa dengan pemberian edukasi berupa diabetes self management education. diabetes self management education dapat dilakukan untuk meningkatkan pengetahuan dan self efficacy pada penderita diabetes mellitus. Dari literature review ini untuk mengidentifikasi, menelaah, dan memaparkan informasi mengenai pengaruh diabetes self management education terhadap self efficacy pada pasien diabetes mellitus. Literature review ini menggunakan database seperti google scholar, EBSCO, DOAJ, Research Gate dan Microsoft Academic dengan kata kunci diabetes self management education, self efficacy, dan diabetes mellitus yang telah diterbitkan berdasarkan kriteria inklusi dan eksklusi. Dari ke 4 artikel dan 7 jurnal yang didapat, 8 diantaranya menunjukan hasil bahwa diabetes self management education efektif terhadap self efficacy pada pasien diabetes mellitus. Diabetes self management education dapat dijadikan intervensi dalam hal edukasi pada pasien diabetes mellitus untuk meningkatkan pengetahuan maupun self efficacy.

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Heri Budiawan

Pendahuluan : Penerapan program self-management perlu penyesuaian dengan berbagai aspek termasuk aspek sistem, biaya, efektifitas, hambatan dan dukungan dari pihak-pihak terkait. Oleh karena itu, review mengenai efektifitas self management pada pasien diabetes mellitus sangat diperlukan sebagai landasan dalam pengembangan metode peningkatan program self management sesuai dengan kebutuhan masing-masing penderita penyakit diabetes mellitus. Objektif : Study yang dilakukan bertujuan untuk melakukan systematic review mengenai metode yang dapat meningkatkan self management pada pasien diabetes mellitus. Metode : Metode yang digunakan dalam penelusura sumber data pada systematic literature review ini yaitu dengan penulusuran database terdiri dari Google Scholar, Pubmed, Ebsco. Artikel diseleksi berdasarkan kriteria inklusi dan melakukan critical apraisel pada setiap artikel. Hasil : Berdasarkan hasil pencarian ditetapkan 10 artikel dengan design Kuantitatif Randomize Control Trial publikasi 10 tahun terakhir (2009-2019) mengenai artikel yang berhubungan dengan peningkatan  self management  pada pasien dengan diabetes mellitus. Kesimpulan : Metode peningkatan self management pasien diabetes mellitus diantaranya Kunjungan kelompok dan bimbingan kelompok berbasis komunitas, peer coaching dan peer leader, motivasi, dukungan berbasis teknologi.


Author(s):  
FITRIAH FITRIAH ◽  
MUSTOFA HARIS ◽  
Mufarika Mufarika ◽  
CICILIA DESY MEGAWATI ◽  
SURYANINGSIH SURYANINGSIH ◽  
...  

Independent diabetes care management is needed for health maintenance. Low self-care is caused by low self-efficacy. The purpose of this study was to analyze the effects of diabetes self-management education and support for self-efficacy and independent behavior in clients with type 2 diabetes mellitus. This observational research used a cross sectional approach. Sample which used clusster sampling method consisted of of 200 people. Independent variable was education and support for independent diabetes management, and dependent variable was self-efficacy and independence. Research analysis techniques used bivariate statistical logistic regression test. The results of Binary Logistic Regression test showed that education and independent management support for diabetes significantly influence self-efficacy with a result of sig 0.001 <α 0.05. Education and support for independent diabetes management significantly influence self-care with sig 0,000 <α 0,05. Self-efficacy affects self-care significantly with sig 0,000 <α 0,05. Self-management education and diabetes support are beneficial for people with type 2 diabetes in increasing self-confidence to control and manage the disease they experience. Keywords: Self-management education, self-efficacy and self-reliance behavior


2019 ◽  
Vol 6 (2) ◽  
pp. 558
Author(s):  
Ratna Agustiningrum ◽  
Kusbaryanto Kusbaryanto

Diabetes Mellitus adalah salah satu penyakit yang masih mengancam kesehatan masyarakat di dunia. Beberapa upaya pencegahan dapat dilakukan dengan upaya primer, sekunder, dan tersier. Salah satu upaya tersier yang dapat dilakukan untuk mencegah komplikasi atau cacat melalui penyuluhan atau pendidikan kesehatan (pendidikan). Makalah ini bertujuan untuk menguji penerapan Edukasi Manajemen Diri Diabetes untuk perawatan diri pasien dengan diabetes mellitus. Pencarian artikel mulai dari Desember 2017. Tinjauan literatur dilakukan dengan mencari artikel publikasi tentang Proquest, PubMed, Sciencedirect, dan Cochrane Library dengan menggunakan kata kunci diabetes mellitus tipe 2 dan manajemen diri diabetes mellitus + perawatan diri, kemudian melakukan pemilihan berdasarkan kriteria inklusi dan dilakukan penilaian kritis sehingga artikel yang relevan berjumlah 6 artikel. Data akan diekstraksi dari artikel tersebut dan kemudian dikelompokkan untuk diskusi dan disimpulkan. Dari 5 artikel penelitian diindikasikan bahwa edukasi manajemen diri diabetes efektif dalam meningkatkan perawatan diri pada pasien DM. Satu artikel menunjukkan bahwa selain edukasi manajemen diabetes mellitus mandiri salah satu faktor pendukungnya adalah dukungan keluarga. Penerapan Edukasi Diabetes Self Management efektif terhadap peningkatan perawatan diri pada penderita Diabetes Mellitus.


2019 ◽  
Vol 10 (1) ◽  
pp. 48
Author(s):  
Fitri Andi Sabil ◽  
Kusrini S Kadar ◽  
Elly Lilianty Sjattar

ABSTRAK Latar belakang: Diabetes Melitus tipe 2 merupakan diabetes melitus yang paling sering dijumpai dan merupakan penyakit yang tidak dapat disembuhkan. Tingginya angka kejadian Diabetes mellitus ini menjadi dasar bagi masyarakat dan tenaga dalam perawatan yang lebih jauh dengan cara melakukan manajemen perawatan diri ( Self care management ) yang tepat.Tujuan: Untuk mengetahui faktor-faktor Yang mendukung Perawatan diabetes mellitus Pasien tipe 2.Metode: Data base yang dalam studi literatur ini adalah Google Scholar, Science Direct dan Pubmed. Didapatkan 58 artikel terkait perawatan diri dan diabetes mellitus tipe 2 yang sempurna dan dari tahun 2009-2017. Dari 58 artikel 10 artikel yang memenuhi syarat review.Hasil : Dari 10 artikel di dapatkan bahwa faktor- faktor yang mendukung self care management adalah health literacy, self efficacy  dan dukungan keluarga. Namun dari beberapa hasil penelitian tersebut health literacy  dan self efficacy merupakan faktor yang lebih mendominasi untuk mendukung Self care management yang tepat.Kata kunci: Literasi kesehatan dan self efficacy merupakan faktor yang mendukung manajemen perawatan diri yang tepat. Namun masih diperlukan beberapa literatur untuk mengetahui lebih jauh tentang kedua faktor tersebut untuk manajemen perawatan diri. Kata Kunci: Diabetes melitus tipe 2, literasi kesehatan, self efficacy , Keluarga, manajemen perawatan diri. 


2019 ◽  
Vol 9 (9) ◽  
pp. 98 ◽  
Author(s):  
Kisokanth G. ◽  
Indrakumar J. ◽  
Prathapan S. ◽  
Joseph J. ◽  
Ilankoon I.M.P.S.

This study was aimed to assess the effectiveness of diabetes self-management education (DSME) in the improvement of glycemic control among patients with type 2 Diabetes Mellitus (T2DM) in Batticaloa District, Sri Lanka. The study was a prospective interventional study and conducted as a preliminary study at medical clinic, Base hospital, Kaluwanchikudy, Batticaloa. Thirty patients with T2DM were included based on inclusion and exclusion criteria. A structured individual diabetes self-management education for 10 hours (one hour per week) was delivered to diabetic patients by the trained Nurse Health Educator. Glycosylate hemoglobin (HbA1c) was assessed as a main outcome measure and Fasting Blood Sugar (FBS), Body Mass Index (BMI) of each patient were also measured and recorded before and after the intervention. The respondent rate was 96.7% (n = 29). Majority of them were females (n = 25, 86.2%). A Wilcoxon signed rank test showed that DSME had a statistically significant reduction in HbA1c [8.60 (IQR 2.60) vs. 7.40 (IQR 2.10), p = .000] and FBS level [159.00 (IQR 77.50) vs. 134.00 (IQR 40.50), p = .002] at 3 months of intervention. The mean BMI at baseline was higher compared to 3 months of intervention [24.88 (SD ± 3.06) vs. 24.19 (SD ± 2.79)] which was statistically significant (p = .000). Majority of participants (n = 22, 75.9%) had improved their HbA1c level by ≥ 0.5% in 3 months. The diabetes self-management education is an effective measure in improving glycemic control and other clinical parameters among patients with T2DM. Thus, DSME needs to be implemented among clinic patients with T2DM for the better outcome and the preventions of complications.


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Li Yang ◽  
Kun Li ◽  
Yan Liang ◽  
Qiuli Zhao ◽  
Dan Cui ◽  
...  

Abstract Background It has previously been established that patients who have strong barriers to their diet self-management are more likely to have weak social support; however, the key mechanisms underlying the association between these two variables have not yet been established. This study aims to examine the potential role that diet self-efficacy plays in the relationship between social support and diet behavior in patients with type 2 diabetes mellitus (T2DM). Methods It was a cross-sectional survey. Three hundred-eighty patients diagnosed with T2DM were recruited for this study from five community health centers in China. The Chronic Disease Resource Scale (CIRS), Cardiac Diet Self-efficacy Scale (CDSE), and Food Control Behavior Scale (FCBS) were used to estimate participants’ utilization of social resources, diet self-efficacy, and diet self-management, respectively. The data were analyzed utilizing structural equation modelling. Results The results suggest that both higher levels of social support and diet self-efficacy are related to higher levels of diet self-management. The mediating effect that diet self-efficacy has on the relationship between social support and diet self-management was significant (β = .30, p < .05), explaining 55.68% of the total effect of social support on diet self-management. Conclusions Diet self-efficacy plays a mediating role in the association between social support and diet behavior in patients with type 2 diabetes mellitus.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Daisuke Uritani ◽  
Hitoshi Koda ◽  
Sho Sugita

Abstract Background Enhancing self-efficacy to manage symptoms and functions is an important aspect of self-management for patients with knee osteoarthritis (OA). Many reports have investigated the effects of self-management education programmes for arthritis patients. However, a study that exclusively focuses on patients with OA in the same joints is required to clarify the effects of self-management programmes because individuals with knee OA experience physical and psychological difficulties different from those experienced by individuals with other arthritis diseases. Furthermore, previous studies have reported a wide range of delivery styles of self-management education programmes. This systematic review aimed to evaluate the effects of group-based and face-to-face self-management education programmes conducted by health professionals targeting self-efficacy for knee OA exclusively. Methods The MEDLINE, CENTRAL, EMBASE, CINAHL, Web of Science, and PEDro databases were searched to identify quantitative measures used in randomised controlled trials (RCTs) to assess the effects of self-management education programmes targeting self-efficacy in patients with knee OA. We included studies in which medical professional-delivered self-management education programmes were conducted in a group-based and face-to-face manner in community or outpatient settings. Results Seven RCTs from five countries were included in this review. Our retrieved studies included various types of self-management education programmes such as cognitive behavioural counselling, pain management education, physical education, weight management education, and arthritis self-efficacy management education, and control arms. They assessed various aspects of self-efficacy, including pain, physical function, arthritis symptoms excluding pain, weight management, mobility, and self-regulation. The total score of the Arthritis Self-Efficacy Scale was also measured. Some studies have reported beneficial effects of group-based and face-to-face self-management education programmes on self-efficacy for management of pain and other symptoms and for self-regulatory, knee OA. However, the results of the included studies were varied and inconsistent. Conclusions The current review only included seven studies, and there was a wide range of clinical heterogeneity among these studies. Thus, the effects of group-based and face-to-face self-management education programmes conducted by health professionals on self-efficacy for knee OA exclusively are inconclusive to date. Therefore, high-quality studies are required to provide significant information on clinicians, patients, and healthcare professionals in the future.


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