PEMBERIAN EDUKASI KESEHATAN UNTUK MENINGKATKAN PENGETAHUAN DAN PERAN KELUARGA DALAM MANAJEMEN PENGOBATAN LANSIA DENGAN DIABETES MELLITUS

Authors

  • Shila Wisnasari Program Studi Ilmu Keperawatan, Departemen Keperawatan, Fakultas Ilmu Kesehatan, Universitas Brawijaya http://orcid.org/0000-0002-4942-6438
  • Rustiana Tasya Ariningpraja Program Studi Ilmu Keperawatan, Departemen Keperawatan, Fakultas Ilmu Kesehatan, Universitas Brawijaya
  • Akhiyan Hadi Susanto Program Studi Ilmu Keperawatan, Departemen Keperawatan, Fakultas Ilmu Kesehatan, Universitas Brawijaya

DOI:

https://doi.org/10.31764/jmm.v7i3.14886

Keywords:

diabetes mellitus, education, family, older people, treatment management.

Abstract

Abstrak: Angka kejadian diabetes mellitus (DM) pada lansia terus meningkat dari tahun ke tahun. Manajemen pengobatan menjadi kunci utama pencegahan komplikasi dan peningkatan kualitas hidup lansia dengan DM. Namun, lansia dengan DM seringkali mengalami kesulitan dalam menerapkan perilaku kesehatan untuk mengontrol glukosa darah secara konsisten akibat kurangnya pengetahuan dan komitmen pasien. Salah satu upaya yang dapat dilakukan yaitu dengan melibatkan keluarga dalam manajemen pengobatan. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan dan peran keluarga dalam manajemen pengobatan lansia dengan DM. Kegiatan pengabdian kepada masyarakat ini dilakukan pada 21 lansia dengan DM di wilayah RW 10 Desa Genengan Kecamatan Pakisaji Kabupaten Malang. Kegiatan yang dilakukan meliputi pemeriksaan kesehatan gratis, pemberian edukasi menggunakan leaflet, dan pendampingan lansia dan keluarga dalam manajemen pengobatan DM. Keberhasilan kegiatan pengabdian kepada masyarakat ditunjukkan dengan peningkatan skor pengetahuan dan peran keluarga setelah pemberian edukasi. Hasil evaluasi menunjukkan adanya peningkatan pengetahuan keluarga mengenai manajemen pengobatan DM sebesar 77,75% dan peran keluarga dalam manajemen pengobatan lansia dengan DM sebesar 125,03% dibandingkan dengan sebelum pemberian edukasi. Selain itu, keluarga berkomitmen untuk berperan aktif dalam manajemen pengobatan dan peningkatan kualitas hidup lansia dengan DM.

Abstract: The incidence of diabetes mellitus (DM) in older people continues to increase yearly. Treatment management is the primary key to preventing complications and improving the quality of life of older people with DM. However, due to a lack of knowledge and commitment, they often need help implementing health behaviors to control blood glucose consistently. One effort that can be made is to involve the family in treatment management. This community service activity aims to increase the knowledge and role of the family in the treatment management of older people with DM. This community service activity was conducted for 21 older people with DM in the RW 10 area of Genengan Village, Pakisaji District, Malang Regency. Activities include free health checks, providing education using leaflets, and assisting older people and families in managing DM. Increased knowledge scores and family roles after providing education indicate the success of this community service activities. The evaluation results showed an increase in family knowledge regarding DM treatment management by 77.75% and the role of the family in managing the treatment of elderly with DM by 125.03% compared to before the provision of education. In addition, the family is committed to playing an active role in treatment management and improving the quality of life for older people with DM.

References

Alhaidar, A. M., Alshehri, N. A., & Alhussaini, M. A. (2020). Family Support and Its Association with Glycemic Control in Adolescents with Type 1 Diabetes Mellitus in Riyadh, Saudi Arabia. Journal of Diabetes Research, 2020(5151604), 1–6. https://doi.org/10.1155/2020/5151604

Arisma, B. J. N., Yunus, M., & Fanani, E. (2017). Gambaran Pengetahuan Masyarakat Tentang Resiko Penyakit Diabetes Mellitus Di Kecamatan Pakisaji Kabupaten Malang. Preventia : The Indonesian Journal of Public Health, 2(2), 67. https://doi.org/10.17977/um044v2i2p67-75

Association, A. D. (2014). Standards of Medical Care in Diabetes 2014. https://doi.org/10.2337/dc14-S014

Azmiardi, A., Murti, B., Febrinasari, R. P., & Tamtomo, D. G. (2021). The effect of peer support in diabetes self-management education on glycemic control in patients with type 2 diabetes: A systematic review and meta-Analysis. Epidemiology and Health, 43(3), 164–190. https://doi.org/10.4178/epih.e2021090

Baig, A. A., Benitez, A., Quinn, M. T., & Burnet, D. L. (2016). Baig A, Benitez A, Quinn M. Family interventions to improve diabetes outcomes for adults. Ann N Y Acad Sci. Author manuscript [revista en Internet] 2015 [acceso 13 de mayo de 2022]; 1353(1): 89-112. 1353(1), 89–112. https://doi.org/10.1111/nyas.12844.Family

Chai, S., Yao, B., Xu, L., Wang, D., Sun, J., Yuan, N., Zhang, X., & Ji, L. (2018). The effect of diabetes self-management education on psychological status and blood glucose in newly diagnosed patients with diabetes type 2. Patient Education and Counseling, 101(8), 1427–1432. https://doi.org/10.1016/j.pec.2018.03.020

Davis, J., Fischl, A. H., Beck, J., Browning, L., Carter, A., Condon, J. E., Dennison, M., Francis, T., Hughes, P. J., Jaime, S., Lau, K. H. K., McArthur, T., McAvoy, K., Magee, M., Newby, O., Ponder, S. W., Quraishi, U., Rawlings, K., Socke, J., … Villalobos, S. (2022). 2022 National Standards for Diabetes Self-Management Education and Support. Science of Diabetes Self-Management and Care, 48(1), 44–59. https://doi.org/10.1177/26350106211072203

Fauziah, N., Pelawi, A. M. P., Ernauli, M., & Karo, M. B. (2020). Pengetahuan Dalam Pencegahan Ulkus Kaki Diabetik pada Penderita Diabetes Melitus Tipe 2 di Puskesmas Padurenan 2019. Binawan Student Journal, 2(3), 314–321.

Kemenkes. (2020). Infodatin tetap produktif, cegah, dan atasi Diabetes Melitus 2020. In Pusat Data dan Informasi Kementrian Kesehatan RI (pp. 1–10).

Kurnia, A. (2022). Family Support and Diabetes Self-Management Program for Type 2 Diabetes Mellitus: Systematic Review. Healthcare Nursing Journal, 4(2), 278–290. https://www.journal.umtas.ac.id/index.php/healtcare/article/view/2409

Mphasha, M., Skaal, L., Mothiba, T., Ngoatle, C., & Hlahla, L. (2023). Primary health care–family partnership for better diabetes outcomes of patients: a systematic review. Journal of Endocrinology, Metabolism and Diabetes of South Africa, 28(1), 1–6. https://doi.org/10.1080/16089677.2022.2140517

Oktorina, R., Sitorus, R., & Sukmarini, L. (2019). Pengaruh Edukasi Kesehatan dengan Self Instructional Module Terhadap Pengetahuan Tentang Diabetes Melitus. Jurnal Endurance, 4(1), 171. https://doi.org/10.22216/jen.v4i1.2995

Saeedi, P., Petersohn, I., Salpea, P., Malanda, B., Karuranga, S., Unwin, N., Colagiuri, S., Guariguata, L., Motala, A. A., Ogurtsova, K., Shaw, J. E., Bright, D., & Williams, R. (2019). Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research and Clinical Practice, 157(1–10), 107843. https://doi.org/10.1016/J.DIABRES.2019.107843

Shrivastava, S. R. B. L., Shrivastava, P. S., & Ramasamy, J. (2013). Role of self-care in management of diabetes mellitus. Journal of Diabetes and Metabolic Disorders, 12(1), 1. https://doi.org/10.1186/2251-6581-12-14

Sun, H., Saeedi, P., Karuranga, S., Pinkepank, M., Ogurtsova, K., Duncan, B. B., Stein, C., Basit, A., Chan, J. C. N., Mbanya, J. C., Pavkov, M. E., Ramachandaran, A., Wild, S. H., James, S., Herman, W. H., Zhang, P., Bommer, C., Kuo, S., Boyko, E. J., & Magliano, D. J. (2022). IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Research and Clinical Practice, 183(2022), 109119. https://doi.org/10.1016/j.diabres.2021.109119

Tong, W. T., Vethakkan, S. R., & Ng, C. J. (2015). Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study. BMJ Open, 5(1), 1–9. https://doi.org/10.1136/bmjopen-2014-006407

Downloads

Published

2023-06-03

Issue

Vol. 7 No. 3 (2023): Juni

Section

Articles

License

Authors who publish articles in JMM (Jurnal Masyarakat Mandiri) agree to the following terms:

  1. Authors retain copyright of the article and grant the journal right of first publication with the work simultaneously licensed under a CC-BY-SA or The Creative Commons Attribution–ShareAlike License.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).