The Effect of 4 Pillars of Health Education on Blood Sugar Levels in Type 2 Diabetes Mellitus
Keywords:
Health Education, DM, 4 PillarsAbstract
Diabetes mellitus occurs more frequently in rural areas than urban areas and occurs more frequently in groups with low education. Type 2 Diabetes Mellitus disease management through the implementation of the four pillars of diabetes treatment, including education, dietary nutrients, exercise, and pharmacology. The study aimed to determine the effect of the 4 pillars of DM health education on blood sugar levels. Pre-experimental research design with a one-group pre-test and post-test design approach using paired t-test. The number of samples is determined by the sample formula to test the hypothesis on the average of two populations with a 33 sample. The samples involved in this study were selected by simple random sampling who met the criteria, namely DM > 3 months, could read and write and were willing to participate in the study. The results of this research is the 4 pillars of health education gave a change in the blood sugar levels of patients before and after health education with a P value of 0.0005 and did not affect the length of suffering from DM. The conclusion is there is an effect of health education on the 4 pillars of DM on the value of blood sugar levels. It is hoped that health workers will maximize health education on the 4 pillars of DM.
References
Soelistijo SA, Novida H, Rudijanto A, Soewondo P, Suastika K, Manaf A, Sanusi H, Lindarto D, Shahab A, Pramono B, Langi Y. Konsensus pengelolaan dan pencegahan diabetes melitus tipe 2 di Indonesia 2015. Jakarta: PB Perkeni. 2015;2(1):1-93.
Grory BM, Piccini JP, Yaghi S, Poli S, De Havenon A, Rostanski SK, Weiss M, Xian Y, Johnston SC, Feng W. Hyperglycemia, risk of subsequent stroke, and efficacy of dual antiplatelet therapy: a post hoc analysis of the point trial. Journal of the American Heart Association. 2022 Feb 1;11(3):e023223.
PERKENI. Tatalaksana pasien dengan hiperglikemia di rumah sakit. 2022.
Asadollahi K, Beeching N, Gill G. Hyperglycaemia and mortality. Journal of the Royal Society of Medicine. 2007 Nov;100(11):503-7.
Khoshnoudi-Rad B, Hosseinpour-Niazi S, Javadi M, Mirmiran P, Azizi F. Relation of dietary insulin index and dietary insulin load to metabolic syndrome depending on the lifestyle factors: Tehran lipid and glucose study. Diabetol Metab Syndr [Internet]. 2022;14(1):1–11. Available from: https://doi.org/10.1186/s13098-022-00968-w
Black JM, Hawks JH. Medical-Surgical Nursing: Clinical Management for Positive Outcomes Eigth Edition. Vol 1. eigth Edit. St Louis Missiouri: Elsevier Ltd; 2009.
Kementerian Kesehatan Republik Indonesia. Hasil utama RISKESDAS 2018. Jakarta; 2019.
Buston E, Efendi P, Heriyanto H. Pengaruh Implementasi 4 Pilar Penatalaksanaan Diabetes Melitus Terhadap Status Nutrisi Pada Penderita Diabetes Melitus Di Puskesmas Kandang Kota Bengkulu. Jakiyah J Ilm Umum dan Kesehat Aisyiyah. 2021;6(1):15–21.
Kementerian Kesehatan RI. Tetap produktif, cegah, dan atasi Diabetes Melitus 2020. Pusat Data dan Informasi Kementerian Kesehatan RI. 2020.
LeMone P, Burke K, Bauldoff G. Medica–Surgical Nursing Critical Thinking in Patient Care; 2011.
Syauqy A, Mattarahmawati SA, Pramono A. Food Consumption in Relation to Hyperglycemia in Middle-Aged Adults (45− 59 years): A Cross-Sectional National Data Analysis. Jurnal Gizi dan Pangan. 2022 Nov 30;17(3):187-94.
Fung J. The Diabetes Code. Canada: Greystone Books; 2018. 1–276 p.
Wandini E. Hubungan empat pilar pengendalian diabetes melitus dengan kadar gula darah dan munculnya komplikasi pasien diabetes melitus tipe 2 di RSUD Idaman kota Banjarbaru. Institutional Repos Stikes Husada Borneo [Internet]. 2019;1–2. Available from: https://repository.stikeshb.ac.id/284/
Fardiansyah MA. Konseling Empat Pilar Penanganan Diabetes Melitus Terhadap Penurunan Kadar Gula Darah. J Kesehat Budi Luhur. 2020;13(1):254–62.
Rantung, J., Yetti, K., & Herawati T. Hubungan Self-Care Dengan Kualitas Hidup Pasien Diabetes Mellitus (Dm) Di Persatuan Diabetes Indonesia (Persadia) Cabang Cimahi. J Sk Keperawatan. 2015;1(01).
Sumakul V, Suparlan M, Toreh P, Karouw brigita. Edukasi Diabetes Melitus Dan Pemeriksaan Kadar Glukosa darah Umat Paroki St. Antonius Padua Tataran. J Pengabdi Kpd Masy MAPALUS. 2022;1(1):18–25.
Jasmani J, Rihiantoro T. Edukasi dan kadar glukosa darah pada pasien diabetes. Jurnal Ilmiah Keperawatan Sai Betik. 2017 Jan 30;12(1):140-8.
Creswell JW. Research design Qualitative, quantitative, and mixed methods approachs. Second edi. Sage; 2003.
Sastroasmoro S, Ismael S. Dasar-dasar metodologi penelitian klinis. 5th ed. Jakarta: Sagung Seto; 2014. 522 p.
Sakraida TJ, Robinson M. Health Literacy Self-Management by Patients With Type 2 Diabetes and Stage 3 Chronic Kidney Disease. 2009;627–47.
Carpenter R, Dichiacchio T, Barker K. International Journal of Nursing Sciences Interventions for self-management of type 2 diabetes : An integrative review. Int J Nurs Sci [Internet]. 2019;6(1):70–91. Available from: https://doi.org/10.1016/j.ijnss.2018.12.002
Yunitasari T. The Effectiveness of Four Pillars Management Type 2 Diabetes Mellitus on Knowledge, Attitude, and Behavior of Prolanis Participants. J Ris Gizi. 2019;7:1–4.
Windarwati HD, Lestari R, Hidayah R. Determinant of Effective Family Communication among First-Grade High School Adolescents Aged 15 – 16 Years : A Multi-Centre Cross-sectional Study. 2022;10(2):107–14.
Hidayah M. Hubungan Perilaku Self-Management Dengan Kadar Gula Darah Pada Pasien Diabetes Mellitus Tipe 2 Di Wilayah Kerja Puskesmas Pucang Sewu, Surabaya. Amerta Nutr. 2019;3(3):176
Rismayanti IDA, Sundayana IM, Ariana PA, Heri M. Edukasi Diabetes terhadap Penurunan Glukosa Darah pada Penderita Diabetes Mellitus Tipe 2. J Telenursing. 2021;3(1):110–6.
Leite SA, Locatelli SB, Niece SP, Oliveira AR, Tockus D, Tosin T. Impact of hyperglycemia on morbidity and mortality, length of hospitalization and rates of re-hospitalization in a general hospital setting in Brazil. Diabetol Metab Syndr. 2010;2(1):1–6.
Barmanray RD, Cheuk N, Fourlanos S, Greenberg PB, Colman PG, Worth LJ. In-hospital hyperglycemia but not diabetes mellitus alone is associated with increased in-hospital mortality in community-acquired pneumonia (CAP): a systematic review and meta-analysis of observational studies prior to COVID-19. BMJ open diabetes Res care. 2022;10(4).
Kartika IR, Wahyuni A, Dewi NF. Diabetic Self-Management Education – Effect on Self-Management Care of Type-2 Diabetic Patients. Media Karya Kesehat. 2021;4(2):183–93.
Hati Y, Fadillah F, Pase M. Health Locus of Control Dan Self-Efficacy Pasien Dm Tipe 2 Dengan Penerapan Modifikasi Psikoedukasi. J Keperawatan Prior. 2021;4(1):9–17.
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