The Effectiveness of Diabetic Self-Management Education (DSME) on Dietary Habit, Obesity, and Physical Activity Among Patients with DM Type II

Authors

  • Liana Lidia Agow Master of Nursing Program, Faculty of Nursing and Health Science, Universitas Karya Husada Semarang, Semarang, Central Java, Indonesia
  • Fery Agusman Motuho Mendrofa Department of Community Health Nursing, Universitas Karya Husada Semarang, Semarang, Central Java, Indonesia
  • Sonhaji Sonhaji Department of Community Health Nursing, Universitas Karya Husada Semarang, Semarang, Central Java, Indonesia

DOI:

https://doi.org/10.31965/infokes.Vol22.Iss2.1531

Keywords:

DSME (Diabetic Self-Management Education), Dietary Habit, Physical Activity, Obesity

Abstract

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.

Downloads

Download data is not yet available.

References

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

Downloads

Published

2024-06-30

How to Cite

Agow, L. L., Mendrofa, F. A. M., & Sonhaji, S. (2024). The Effectiveness of Diabetic Self-Management Education (DSME) on Dietary Habit, Obesity, and Physical Activity Among Patients with DM Type II . JURNAL INFO KESEHATAN, 22(2), 369–377. https://doi.org/10.31965/infokes.Vol22.Iss2.1531

Issue

Section

Original Articles

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.