scholarly journals Effectiveness of diabetes self-management education (DSME) in type 2 diabetes mellitus (T2DM) patients: Systematic literature review

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.

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.


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.


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