The Effectiveness of Diabetic Self-Management Education (DSME) on Dietary Habit, Obesity, and Physical Activity Among Patients with DM Type II
Downloads
Diabetes mellitus and metabolic disorders are the priority programs in Indonesia. There is one program to reduce the fatality impact of diabetes which is diabetic self-management education (DSME). This study aimed to examine the effectiveness of Diabetes Self-Management Education (DSME) on dietary habits, physical activity, and obesity. This study is a quasi-experimental approach with one group pre-test post-test design. The sample in this study was 75 people with DM type II. The intervention for all samples was done for 4 sessions. Each session lasted 60 to 120 minutes/day with a maximum of 10 patients. The findings revealed that dietary habits were good from 56.0% to 69.3%, physical activity was good from 54.7% to 76.0%, and obesity decreased from 69.3% to 57.35, respectively for pre and post-test. The paired t-test result revealed that DSME correlates with dietary habits, physical activity, and obesity (obesity, physical activity, and dietary habit with p-values 0.024; 0.007; and 0.02, respectively). In conclusion, DSME has significantly influenced dietary habits, physical activity, and obesity. Education is crucial in promoting physical activity among individuals with diabetes. By enhancing self-efficacy, providing education on self-care behaviors, and emphasizing the importance of regular physical activity, these programs contribute to improving metabolic control, quality of life, and overall health outcomes in diabetic patients.
Aljuhani, F. A., Aloqbi, W. J., Alshakhs, I. A., Ali, H. B. A., Abbad, B. E. A., Qari, A. A., Alburaidi, O. M., Aldablan, A. S., Alruwaili, A. N., Alharbi, F. F., & Alghamdi, A. A. (2022). Behaviours and Educational Effect on the Improvement of Self-Care Among the Diabetics. International Journal of Community Medicine and Public Health, 9(11), 4241. https://doi.org/10.18203/2394-6040.ijcmph20222615
Amer, F. A., Mohamed, M. S., Elbur, A. I., Abdelaziz, S. I., & Elrayah, Z. A. B. (2018). Influence of Self-Efficacy Management on Adherence to Self-Care Activities and Treatment Outcome Among Diabetes Mellitus Type 2 Sudanese Patients. Pharmacy Practice, 16(4), 1274. https://doi.org/10.18549/pharmpract.2018.04.1274
Anderson-Loftin, W., Barnett, S., Bunn, P. S., Sullivan, P., Hussey, J. R., & Tavakoli, A. (2005). Culturally Competent Diabetes Education. The Diabetes Educator, 31(4), 555–563. https://doi.org/10.1177/0145721705278948
Boles, A., Kandimalla, R., & Reddy, P. H. (2017). Dynamics of Diabetes and Obesity: Epidemiological Perspective. Biochimica Et Biophysica Acta (Bba) - Molecular Basis of Disease, 1863(5), 1026–1036. https://doi.org/10.1016/j.bbadis.2017.01.016
Booth, A., Lowis, C., Dean, M., Hunter, S., & McKinley, M. C. (2012). Diet and Physical Activity in the Self-Management of Type 2 Diabetes: Barriers and Facilitators Identified by Patients and Health Professionals. Primary Health Care Research & Development, 14(03), 293–306. https://doi.org/10.1017/s1463423612000412
Dewiyanti, N. P. I. M. (2022). Gambaran Kepatuhan Pola Makan Pada Pasien Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas I Denpasar Barat. INSTITUT TEKNOLOGI DAN KESEHATAN BALI DENPASAR 2022 .
Fan, Z., Liu, S., Liu, Y., & Deng, L. (2019). Effects of an Outpatient Diabetes Self-Management Education on Patients With Type 2 Diabetes in China: A Randomized Controlled Trial. Journal of Diabetes Research, 2019, 1–7. https://doi.org/10.1155/2019/1073131
Fitria, N., Rizana, N., Andala, S., Mursal, & Afifah, D. (2023). Effect of Diabetes Self-Management Education on the Prevention of Diabetic Foot Injuries. International Journal of Research and Innovation in Applied Science, VIII(II), 96–100. https://doi.org/10.51584/ijrias.2023.8203
Fitriah, F., Haris, M., Mufarika, M., Megawati, C. D., Suryaningsih, S., & Rodiyatun, R. (2020). The Influence of Diabetes Self Management Education and Support for Self Efficacy and Self Care Behaviour in Client With Type 2 Diabetes Mellitus. International Journal of Nursing and Midwifery Science (Ijnms), 4(1), 100–111. https://doi.org/10.29082/ijnms/2020/vol4/iss1/247
Funnell, M. M., Tang, T. S., & Anderson, R. M. (2007). From DSME to DSMS: Developing Empowerment-Based Diabetes Self-Management Support. Diabetes Spectrum, 20(4), 221–226. https://doi.org/10.2337/diaspect.20.4.221
Hamidi, S., Gholamnezhad, Z., Kasraie, N., & Sahebkar, A. (2022). The Effects of Self-Efficacy and Physical Activity Improving Methods on the Quality of Life in Patients With Diabetes: A Systematic Review. Journal of Diabetes Research, 2022, 1–14. https://doi.org/10.1155/2022/2884933
Hayek, A. A. A., Robert, A. A., Dawish, M. A. A., Zamzami, M., Sam, A. E., & Alzaid, A. (2013). Impact of an Education Program on Patient Anxiety, Depression, Glycemic Control, and Adherence to Self-Care and Medication in Type 2 Diabetes. Journal of Family and Community Medicine, 20(2), 77. https://doi.org/10.4103/2230-8229.114766
IDF. (2019). Global Diabetes Data Report 2010-2045. International Diabetes Federation.
Iriana, P. (2022). How Is the SelfCare Management of Patients With Type II Diabetes Mellitus ?- Characteristics and Knowledge. Asian Journal of Pharmaceutical Research and Development, 10(5), 1–5. https://doi.org/10.22270/ajprd.v10i5.1171
Juarez, L., Presley, C. A., Howell, C. R., Agne, A. A., & Cherrington, A. (2021). The Mediating Role of Self-Efficacy in the Association Between Diabetes Education and Support and Self-Care Management. Health Education & Behavior, 49(4), 689–696. https://doi.org/10.1177/10901981211008819
Lawless, M. E., Kanuch, S., Martin, S., Kaiser, D., Blixen, C., Fuentes-Casiano, E., Sajatovic, M., & Dawson, N. V. (2016). A Nursing Approach to Self-Management Education for Individuals With Mental Illness and Diabetes. Diabetes Spectrum, 29(1), 24–31. https://doi.org/10.2337/diaspect.29.1.24
Lee, S.-K., Shin, D., Kim, Y. H., & Lee, K. (2019). Effect of Diabetes Education Through Pattern Management on Self-Care and Self-Efficacy in Patients With Type 2 Diabetes. International Journal of Environmental Research and Public Health, 16(18), 3323. https://doi.org/10.3390/ijerph16183323
Li-Geng, T., Kilham, J., & McLeod, K. M. (2020). Cultural Influences on Dietary Self-Management of Type 2 Diabetes in East Asian Americans: A Mixed-Methods Systematic Review. Health Equity, 4(1), 31–42. https://doi.org/10.1089/heq.2019.0087
Mamed, M. D. S., & Gastaldi, G. (2022). COVID: The Missing Trigger to Start a Remote FIT Course. Frontiers in Clinical Diabetes and Healthcare, 3. https://doi.org/10.3389/fcdhc.2022.834082
Miller, S. T., Cunningham-Erves, J., & Akohoue, S. A. (2016). Diabetes Education, Specialty Care, and Self-Care Advice Among Obese African American Women With Type 2 Diabetes. Ethnicity & Disease, 26(2), 229. https://doi.org/10.18865/ed.26.2.229
Ministry of Health Indonesia. (2018). Report of National Basic Health Research 2018. Jakarta: Ministry of Health Indonesia.
Ministry of Health Indonesia. (2024). Body Mass Index (BMI) cut off. Jakarta: Ministry of Health Indonesia.
Ministry of Health Republic of Indonesia. (2019). Indonesia Health Profile 2019. Jakarta: Ministry of Health Indonesia.
Nakawatase, Y., Taru, C., Tsutou, A., Shiotani, H., Kido, Y., Ohara, T., Ogawa, W., & Miyawaki, I. (2007). Development of an Evaluation Scale for Self-Management Behavior Related to Physical Activity of Type 2 Diabetic Patients. Diabetes Care, 30(11), 2843–2848. https://doi.org/10.2337/dc07-0685
Norris, S. L., Lau, J., Sj, S., Schmid, C. H., & Engelgau, M. M. (2002). Self-Management Education for Adults With Type 2 Diabetes. Diabetes Care, 25(7), 1159–1171. https://doi.org/10.2337/diacare.25.7.1159
PERKENI. (2015). Konsensus pengelolaan dan pencegahan diabetes melitus tipe 2. Perkumpulan Endokrinologi Indonesia.
Powers, M. A., Bardsley, J. K., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., Maryniuk, M. D., Siminerio, L. M., & Vivian, E. (2015). Diabetes Self-Management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Care, 38(7), 1372–1382. https://doi.org/10.2337/dc15-0730
Rusdiana, R., Maya, S., Widjaja, S. S., & Ardinata, D. (2020). The Effect of Health Education on Control Glycemic at Type 2 Diabetes Mellitus Patients. Open Access Macedonian Journal of Medical Sciences, 8(E), 133–137. https://doi.org/10.3889/oamjms.2020.3371
Sadeghian, H. A., Madhu, S. V, Agrawal, K., Kannan, A. T., & Agrawal, K. (2016). Effects of a Self-Management Educational Program on Metabolic Control in Type 2 Diabetes. Turkish Journal of Medical Sciences, 46, 719–726. https://doi.org/10.3906/sag-1501-115
Sami, W., Alabdulwahhab, K., Hamid, M. R. A., Alasbali, T., Alwadani, F. A., & Ahmad, M. S. (2020). Dietary Attitude of Adults With Type 2 Diabetes Mellitus in the Kingdom of Saudi Arabia: A Cross-Sectional Study. Medicina, 56(2), 91. https://doi.org/10.3390/medicina56020091
Sherr, D., & Lipman, R. D. (2015). The Diabetes Educator and the Diabetes Self-Management Education Engagement. The Diabetes Educator, 41(5), 616–624. https://doi.org/10.1177/0145721715599268
Tamayo, R., & Reyes, K. (2022). Acceptability of Task Shifting Primary Care Diabetes Self-Management Education Services to Volunteer Barangay Health Workers in a Philippine City. Acta Medica Philippina, 57(12). https://doi.org/10.47895/amp.vi0.6316
Uly, N., Fadli, F., & Iskandar, R. (2022). Relationship Between Self-Care Behavior and Diabetes Self-Management Education in Patients With Diabetes Mellitus Type 2. Open Access Macedonian Journal of Medical Sciences, 10(E), 1648–1651. https://doi.org/10.3889/oamjms.2022.10879
Utama, R. D., Indasah, I., & Layla, S. F. N. (2021). The Effect of Diabetes Self-Management Education (DSME) on Improving Self-Management and Quality of Life in Millitus Type 2 Diabetes. Journal for Quality in Public Health, 4(2), 31–37. https://doi.org/10.30994/jqph.v4i2.176
Wahyuni, L., & Wahyuningsih, B. D. (2017). Effect of Diabetes Self Management Education (Dsme) on Knowledge on Control of Blood Sugar on Diabetes Mellitus Patients. International Journal of Nursing and Midwifery Science (Ijnms), 1(1), 74–82. https://doi.org/10.29082/ijnms/2017/vol1/iss1/43
Willig, A. L., Richardson, B. S., Agne, A. A., & Cherrington, A. (2014). Intuitive Eating Practices Among African-American Women Living With Type 2 Diabetes: A Qualitative Study. Journal of the Academy of Nutrition and Dietetics, 114(6), 889–896. https://doi.org/10.1016/j.jand.2014.02.004
World Health Organization. (2012). Global physical activity questionnaire (GPAQ) analysis guide. World Health Organization, .
Zhang, Z., Monro, J., & Venn, B. (2019). Development and Evaluation of an Internet-Based Diabetes Nutrition Education Resource. Nutrients, 11(6), 1217. https://doi.org/10.3390/nu11061217
Copyright (c) 2024 JURNAL INFO KESEHATAN
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright notice
Ownership of copyright
The copyright in this website and the material on this website (including without limitation the text, computer code, artwork, photographs, images, music, audio material, video material and audio-visual material on this website) is owned by JURNAL INFO KESEHATAN and its licensors.
Copyright license
JURNAL INFO KESEHATAN grants to you a worldwide non-exclusive royalty-free revocable license to:
- view this website and the material on this website on a computer or mobile device via a web browser;
- copy and store this website and the material on this website in your web browser cache memory; and
- print pages from this website for your use.
- All articles published by JURNAL INFO KESEHATAN are licensed under the Creative Commons Attribution 4.0 International License. This permits anyone to copy, redistribute, remix, transmit and adapt the work provided the original work and source is appropriately cited.
JURNAL INFO KESEHATAN does not grant you any other rights in relation to this website or the material on this website. In other words, all other rights are reserved.
For the avoidance of doubt, you must not adapt, edit, change, transform, publish, republish, distribute, redistribute, broadcast, rebroadcast or show or play in public this website or the material on this website (in any form or media) without appropriately and conspicuously citing the original work and source or JURNAL INFO KESEHATAN prior written permission.
Permissions
You may request permission to use the copyright materials on this website by writing to jurnalinfokesehatan@gmail.com.
Enforcement of copyright
JURNAL INFO KESEHATAN takes the protection of its copyright very seriously.
If JURNAL INFO KESEHATAN discovers that you have used its copyright materials in contravention of the license above, JURNAL INFO KESEHATAN may bring legal proceedings against you seeking monetary damages and an injunction to stop you using those materials. You could also be ordered to pay legal costs.
If you become aware of any use of JURNAL INFO KESEHATAN copyright materials that contravenes or may contravene the license above, please report this by email to jurnalinfokesehatan@gmail.com
Infringing material
If you become aware of any material on the website that you believe infringes your or any other person's copyright, please report this by email to jurnalinfokesehatan@gmail.com.
