Pengaruh Program Edukasi Manajemen Diabetes Melitus (Promedia) terhadap Parameter Metabolik pada Pasien Diabetes Melitus Tipe II di RSUD dr. Slamet Garut
Abstract
Diabetes mellitus is one of the chronic diseases with the incidence of disease is increasing from year to year. Without good management of diabetes mellitus may cause some complications that impact on the decrease of patient's life quality, therefore an effort is needed so that patients can manage the disease to avoid complications. One of the first steps in disease management is education. Promedia is one of the educational programs on DM disease management followed by regular follow-up through telenursing (follow up via phone). The purpose of this study was to see the effect of diabetes mellitus management education program (Promedia) on metabolic parameters in patients with type II DM who were outpatient in RSUD dr. Slamet Garut. Implementation in 4 months consists of educational phase (4 meetings) and followed follow up for 12 weeks through telenursing. Research design with quasi experiment with control group pre and posttest design; total sampling, parametric measurement data analysis using t test. The results of the measurement analysis in the intervention group were obtained BB (P value 0,00), systolic BP (P value 0.01), diastolic BP (P value 0.02), blood sugar level (P value 0,00), Cholesterol (P value 0.02), so it can be concluded there are significant differences between first and second measurement. Meanwhile, the results of the measurement analysis in the control group obtained BB (P value 0.08), Systolic BP (0.085), diastolic BP (P value 0.33), blood sugar level (P value 0.75), Cholesterol (P value 0.18), so it can be concluded there is no significant difference between first and second measurement. Based on the result of the research, it can be concluded that there is a significant influence between Diabetes Melitus Management Education Program (Promedia) on metabolic weight, blood pressure, blood sugar and cholesterol. From these results it is recommended to use Promedia as an integral part of the management diabetes mellitus handling of diabetes type II.
References
Abdo, N. M., & Mohamed, M. E. (2010). Effectiveness of health education program for type 2 diabetes mellitus patients attending zagazig university diabetes clinic, egypt. J Egypt Public Health Assoc.
Aghamolaei, T., Eftekhar, H., Mohammad, K., Nakhjavani, M., Shojaeizadeh, D., Ghofranipour, F., & Safa, O. (2005). Effects of a health education program on behavior, HbA1c and health-related quality of life in diabetic patients. Acta Medica Iranica, 43(May 2016)
Agrimon, O. H. (2014). Exploring the Feasibility of Implementing Self-Management and Patient Empowerment through a Structured Diabetes Education Programme in Yogyakarta City Indonesia : A Pilot Cluster Randomised Controlled Trial Faculty of Health Sciences The University of Ade, (July).
Aliha, J. M., Asgari, M., Khayeri, F., Ramazani, M., Farajzadegan, Z. (2013). Group education and nurse-telephone follow-up effects on blood glucose control and adherence to treatment in type 2 diabetes patients. Int J Prev Med.
American Diabetes Association. (2014). Diagnosing Diabetes and Learning About Prediabetes. http://doi.org/1-800-DIABETES (800-342-2383)
Badan penelitian dan pengembangan kesehatan. (2013). Riset Kesehatan Dasar. Jakarta. Retrieved from http://depkes.go.id/resources/down/general/Hasil Riskesdas 2013.pdf
Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., … Weiss, M. a. (2011). National standards for diabetes self-management education. Diabetes Care, 34. http://doi.org/10.2337/dc
Helmchen, L. a, & Lo Sasso, A. T. (2010). How sensitive is physician performance to alternative compensation schedules? Health Economics, 19(August), 1300–1317. http://doi. org/10.1002/hec
Hermanns, N., Schmitt, A., Gahr, A., Herder, C., Nowotny, B., Roden, M., … Kulzer, B. (2015). The Effect of a Diabetes-Specific Cognitive Behavioral Treatment Program (DIAMOS) for Patients With Diabetes and Subclinical Depression: Results of a Randomized Controlled Trial. Diabetes Care, 38(4), 551–560.
Kementrian Kesehatan Republik Indonesia. (2009). Tahun 2030 prevalensi diabetes melitus di indonesia mencapai 21,3 juta orang (pp. 1–2). Retrieved from http://www.depkes.go.id/pdf.php?
Mash, R., Kroukamp, R., Gaziano, T., & Levitt, N. (2014). Cost-effectiveness of a diabetes group education program delivered by health promoters with a guiding style in underserved communities in Cape Town, South Africa. Patient Education and Counseling. http://doi.org/10.1016/j.pec.2015.0
Mercado, M. M., McLenithan, J. C., Silver, K. D., & Shuldiner, A. R. (2002). Genetics of insulin resistance. Current Diabetes Reports, 2(1), 83–95. http://doi.org/
Peña-Purcell, N. C., Jiang, L., Ory, M. G., & Hollingsworth, R. (2015). Translating an Evidence-Based Diabetes Education Approach Into Rural African-American Communi-ties: The “Wisdom, Power, Control” Program. Diabetes Spectrum : A Publication of the American Diabetes Association, 28(2), 106–115. http://doi.org/10.
Pooranaperundevi, M., Sumiyabanu, M. S., Viswanathan, P., Sundarapandiyan, R., & Anuradha, C. V. (2010). Insulin resistance induced by high-fructose diet potentiates carbon tetrachloride hepatotoxicity. Toxi-cology and Industrial Health, 26, 89–104. http://doi.org/10.1177/
Powers, M. a, Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Hess Fischl, A., … Vivian, E. (2015). FROM THE ACADEMY 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. Journal of the Academy of Nutrition and Dietetics, 115, 1323–1334. http://doi.org/10.1016/j.jand.2015.0
Qatanani, M., & Mitchell, a. (2007). Mechanism of Obesity Associated Insulin Resistance: Many Choices on the Menu. Genes and Development, 21(215), 1443– 1455. http://doi.org/10.1101/gad.1550907
Salinero-Fort, M. a, Carrillo-de Santa, P. E., rrieta-Blanco, F. J., banades-Herranz, J. C., ect. (2011). Effectiveness of PRECEDE model for health education on changes and level of control of HbA1c, blood pressure, lipids, and body mass index in patients with type 2 DM. BMC Public Health, 11, 267.
Schafer, I., Pawels, M., Kuver, C., Pohontsch, N. J., Scherer, M., Van Den Bussche, H., Kaduszkiewicz, H. (2014). Strategies for improving participation in diabetes education. A qualitative study. PLoS ONE, 9(4). http://doi.org/10.1371/journal.
Smeltzer, S., & Bare, B. (2006). Keperawatan Medikal Bedah Bruner & Suddarth. (E.M. Pakaryaningsih Endah, Ed.) (8th ed.). Jakarta.
Sung, K.-C., Park, H.-Y., Kim, M.-J., & Reaven, G. (2016). Metabolic markers associated with insulin resistance predict type 2 diabetes in Koreans with normal blood pressure or prehypertension. Cardiovascular Diabetology, 15, 1–9. http://doi.org/10.1186/s12933
Taha, N. M., Zaton, H. K., & Abd Elaziz, N. A. (2016). Impact of a health educational guidelines on the knowledge, self-management practice and self-efficacy of patients with type-2 diabetes. Journal of Nursing Education and Practice, 6(9). http://doi.org/10.
Tuomilehto, J., Schwarz, P., & Lindström, J. (2011). Long-Term Benefits From Lifestyle Interventions for Type 2 Diabetes Prevention. Diabetes Care, 34(Supplement 2),
S210–S214. Retrieved fromhttp: //care.diabetesjournals.org/content/34/Supplement_2/S210.abstract
Wolf, G. (2007). Serum retinol-binding protein: a link between obesity, insulin resistance, and type 2 diabetes. Nutr Rev, 65(May), 251–256. Retrieved from http://www. ncbi.nlm.nih.gov/pubmd/17566551