Panduan Penulisan
Gambaran Pengetahuan Keluarga dengan Pasien Diabetes Melitus Tipe 2 dalam Menjalankan Self-Management
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ABSTRACT
The family has an important role in the health care of patients with type 2 diabetes mellitus (T2DM), including diabetes mellitus self-management (DMSM). To carry out the role properly, the family must have adequate knowledge. Previous research has found that the implementation of DMSM in T2DM sufferers and family support is low. This study aims to identify family knowledge related to DMSM. This quantitative descriptive study with a cross-sectional approach involved 188 families of T2DM patients who were taken through a purposive sampling technique. Data were collected through a respondent characteristic questionnaire, and a family knowledge questionnaire related to DMSM which had been translated through the back-forward translation method into Indonesian and modified with an inter-item correlation between 0.205-0.527, and Chronbach alpha 0.660. The collected data were analyzed descriptively. Half of the respondents had good knowledge (50%) with the lowest mean in the domain of pharmacological therapy (1.07±0.60), foot care (1.40±0.73), and physical exercise (1.69±0. 54). The low pharmacological therapy domain, physical exercise, and foot care need special attention. It is important for health workers to seek to increase family knowledge so that they can help patients carry out DMSM, especially aspects of pharmacological therapy, physical exercise, and foot care.
Keywords: Family Support, Knowledge, Self Management, Type 2 Diabetes Mellitus
ABSTRAK
Keluarga memiliki peran penting dalam perawatan kesehatan pasien diabetes melitus tipe 2 (DMT2) termasuk dalam melakukan self-management diabetes melitus (SMDM). Untuk menjalankan perannya dengan baik, keluarga harus memiliki pengetahuan yang adekuat. Penelitian terdahulu menemukan pelaksanaan SMDM pada penderita DMT2 dan dukungan keluarga yang rendah. Penelitian ini bertujuan untuk mengidentifikasi pengetahuan keluarga terkait SMDM. Penelitian deskriptif kuantitatif dengan pendekatan cross-sectional ini melibatkan 188 keluarga pasien DMT2 yang diambil melalui teknik purposive sampling. Data dikumpulkan melalui kuesioner karakteristik responden, dan kuesioner pengetahuan keluarga terkait SMDM yang telah dialihbahasakan melalui back-forward translation method ke Bahasa Indonesia dan dimodifikasi dengan inter intem correlation antara 0,205-0,527, dan chronbach alpha 0,660. Data yang terkumpul dianalisis secara deskriptif. Setengah responden memiliki pengetahuan baik (50%) dengan mean terendah pada domain terapi farmakologi (1,07±0,60), perawatan kaki (1,40±0,73), dan latihan fisik (1,69±0,54). Rendahnya domain terapi farmakologi, latihan fisik, serta perawatan kaki perlu mendapatkan perhatian khusus. Penting bagi petugas kesehatan untuk mengupayakan peningkatan pengetahuan keluarga sehingga dapat membantu pasien menjalankan SMDM terutama aspek terapi farmakologi, latihan fisik, dan perawatan kaki.
Kata Kunci: Diabetes Melitus Tipe 2, Dukungan Keluarga, Pengetahuan, Self-Management
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Al-Adsani, A. M. S., & Abdulla, K. A. (2015). Reasons for hospitalizations in adults with diabetes in Kuwait. International Journal of Diabetes Mellitus, 3(1), 65–69. https://doi.org/10.1016/j.ijdm.2011.01.008
Alhunayni, N. M., Mohamed, A. E., & Hammad, S. M. (2020). Prevalence of Depression among Type-II Diabetic Patients Attending the Diabetic Clinic at Arar National Guard Primary Health Care Center, Saudi Arabia. Psychiatry Journal, 2020, 1–7. https://doi.org/10.1155/2020/9174818
Bansal, V., Mottalib, A., Pawar, T. K., Abbasakoor, N., Chuang, E., Chaudhry, A., Sakr, M., Gabbay, R. A., & Hamdy, O. (2018). Inpatient diabetes management by specialized diabetes team versus primary service team in non-critical care units: impact on 30-day readmission rate and hospital cost. BMJ Open Diabetes Research & Care, 6(1), e000460. https://doi.org/10.1136/bmjdrc-2017-000460
Bos, M., & Agyemang, C. (2013). Prevalence and complications of diabetes mellitus in Northern Africa, a systematic review. BMC Public Health, 13(1), 1–13. https://doi.org/10.1186/1471-2458-13-387
Cheng, Y., Cao, W., Zhang, J., Wang, J., Liu, X., Wu, Q., & Lin, Q. (2022). Determinants of Diabetic Peripheral Neuropathy and Their Clinical Significance: A Retrospective Cohort Study. Frontiers in Endocrinology, 13(July), 1–8. https://doi.org/10.3389/fendo.2022.934020
Dahlan, S. (2014). Statistik Untuk Kedokteran dan Kesehatan (6th ed.). Salemba Medika.
Damayanti, S., N, N., & Kurniawan, T. (2014). Dukungan Keluarga pada Pasien Diabetes Melitus Tipe 2 dalam Menjalankan Self-Management Diabetes. Jurnal Keperawatan Padjadjaran, v2(n1), 43–50. https://doi.org/10.24198/jkp.v2n1.6
Dinarqi, A. A. (2021). Gambaran Pengetahuan Neuropati Pada Penderita Diabetes Mellitus Di Kabupaten Kendal. Skripsi Universitas Muhammadiyah Surakarta.http://eprints.ums.ac.id/id/eprint/91652
Fanana Mahdia, F., Setyawan Susanto, H., & Sakundarno Adi Bagian Epidemiologi dan Penyakit Tropik Fakultas Kesehatan Masyarakat, M. (2018). Hubungan antara Kebiasaan Olahraga dengan Kadar Gula Darah Penderita Diabetes Mellitus Tipe 2 (Studi di Puskesmas Rowosari Kota Semarang Tahun 2018). Jurnal Kesehatan Masyarakat, 6(5), 267276.http://ejournal3.undip.ac.id/index.php/jkm
Fata, U. H., Wulandari, N., & Trijayanti, L. (2020). Pengetahuan Dan Sikap Tentang Perawatan Kaki Diabetes Knowledge and Attitude About Diabetik Foot Care in Diabetes Melitus Patients. Jurnal Keperawatan Vo, 12(1), 101–106.
Gunggu, A., Thon, C. C., & Whye Lian, C. (2016). Predictors of Diabetes Self-Management among Type 2 Diabetes Patients. Journal of Diabetes Research, 2016. https://doi.org/10.1155/2016/9158943
Hidayah, M. (2019). Hubungan Perilaku Self-Management Dengan Kadar Gula Darah Pada Pasien Diabetes Mellitus Tipe 2 Di Wilayah Kerja Puskesmas Pucang Sewu, Surabaya. Amerta Nutrition, 3(3), 176. https://doi.org/10.20473/amnt.v3i3.2019.176-182
Horvat, O., Popržen, J., Tomas, A., Paut Kusturica, M., Tomić, Z., & Sabo, A. (2018). Factors associated with non-adherence among type 2 diabetic patients in primary care setting in eastern Bosnia and Herzegovina. Primary Care Diabetes, 12(2), 147–154. https://doi.org/10.1016/j.pcd.2017.10.002
International Diabetes Federation. (2021). IDF Diabetes Atlas. In Diabetes Research and Clinical Practice (10th ed., Vol. 102, Issue 2). https://doi.org/10.1016/j.diabres.2013.10.013
Istiyawanti, H., Udiyono, A., Ginandjar, P., & Adi, M. S. (2019). Gambaran Perilaku Self Care Management Pada Penderita Diabetes Melitus Tipe 2. Jurnal Kesehatan Masyarakat (e-Journal), 7(1), 155167.https://ejournal3.undip.ac.id/index.php/jkm/article/view/22865
Kementerian Kesehatan RI. (2020). Infodatin tetap produktif, cegah, dan atasi Diabetes Melitus 2020. In Pusat Data dan Informasi Kementerian Kesehatan RI (pp. 1–10). https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/Infodatin2020Diabetes-Melitus.pdf
Khoiriyah, L., Effendi, R., & Oktiany, T. (2021). Hubungan Tingkat Pengetahuan Keluarga Dengan Upaya Pencegahan Komplikasi Diabetes Mellitus Tipe 2 Di Wilayah Kerja Puskesmas Babakan Kabupaten Cirebon . 8(1), 1–6.
Klein, D. M., White, J. M., & Martin, T. F. (2015). Family theories: An introduction (4th ed.). Sage.
Kurnia, A. (2022). Family Support And Diabetes Self-Management Program For Type 2 Diabetes Mellitus : Systematic Review. 4(2), 278–290.
Malini, H., Yeni, F., Pratiwi, C. A., & Lenggogeni, D. P. (2020). Associated Factors of Self-Management in Type 2 Diabetes Mellitus at Community Health Center. Jurnal Keperawatan Soedirman, 15(2).https://doi.org/10.20884/1.jks.2020.15.2.1229
Mersha, G. A., Alimaw, Y. A., & Woredekal, A. T. (2022). Prevalence of diabetic retinopathy among diabetic patients in Northwest Ethiopia-A cross sectional hospital based study. PLoS ONE, 17(1 January), 1–13. https://doi.org/10.1371/journal.pone.0262664
Mphasha, M., Skaal, L., & Mothiba, T. (2022). Nutrition and exercise diabetes knowledge and practices of family members of patients in rural areas of Limpopo Province, South Africa.
Muhibuddin, N., Sugiarto, S., & Wujoso, H. (2016). Hubungan Pengetahuan dan Sikap Keluarga dengan Terkendalinya Kadar Gula Darah Pada Pasien Diabetes Melitus Tipe 2 (Studi di Rumah Sakit Umum Daerah Kabupaten Kediri). Jurnal Sistem Kesehatan, 2(1), 1–7. https://doi.org/10.24198/jsk.v2i1.10407
Munali, M., Kusnanto, K., Nihayati, H. E., Arifin, H., & Pradipta, R. O. (2019). Edukasi Kesehatan: Perawatan Kaki terhadap Pengetahuan, Sikap dan Tindakan Pencegahan Ulkus Kaki Diabetik. Critical Medical and Surgical Nursing Journal, 8(1), 23.https://doi.org/10.20473/cmsnj.v8i1.13241
Mursafitri, E., Herlina, & Safri. (2015). Hubungan Fungsi Afektif Keluarga Dengan Perilaku Kenakalan Remaja. JOM, 2(2), 1058–1067.
Nurwati, I. (2015). Gambaran Pengetahuan Pasien Tentang Perawatan Diabetes Melitus (DM) Type II di Poliklinik DM Rumah Sakit Umum Daerah Sumedang Tahun 2015. Karya Tulis Ilmiah Poltekkes Bandung, 1–75. https://www.poltekkesbdg.info/perpustakaan/opac/index.php?p=show_detail&id=2888
Omowhara, B., & Alabere, I. (2022). Knowledge , Attitude, and Practice of Self-Care Among Diabetic Patients in A Tertiary Health Facility in Rivers State. European Journal of Biomedical and Pharmaceutical Sciences, 9(9).
Ostling, S., Wyckoff, J., Ciarkowski, S. L., Pai, C.-W., Choe, H. M., Bahl, V., & Gianchandani, R. (2017). The relationship between diabetes mellitus and 30-day readmission rates. Clinical Diabetes and Endocrinology, 3, 3. https://doi.org/10.1186/s40842-016-0040-x
Pesantes, M. A., Del Valle, A., Diez-Canseco, F., Bernabé-Ortiz, A., Portocarrero, J., Trujillo, A., Cornejo, P., Manrique, K., & Miranda, J. J. (2018). Family Support and Diabetes: Patient’s Experiences From a Public Hospital in Peru. Qualitative Health Research, 28(12), 1871–1882. https://doi.org/10.1177/1049732318784906
Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., Hooks, B., Isaacs, D., Mandel, E. D., Maryniuk, M. D., Norton, A., Rinker, J., Siminerio, L. M., & Uelmen, S. (2020). Diabetes Self-management Education and Support in Adults with Type 2 Diabetes: A Consensus Report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy . Diabetes Care, 43(7), 1636–1649. https://doi.org/10.2337/dci20-0023
Pranata, S., & Wulandari, H. (2021). A concept analysis of Self-management among diabetes mellitus. International Journal of Nursing and Health Services (IJNHS), 4(3), 356–367. https://doi.org/http://doi.org.10.35654/ijnhs.v4i3.469
Previarsi, R., Nurhasanah, L., & Widiastuti, F. (2020). Gambaran Tingkat Pengetahuan Tentang Diabetes Melitus (DM) Pada Pasien Yang Berobat Jalan Di Rumah Sakit Cikarang Barat. Jurnal Ilmiah Kesehatan Medika Drg. Suherman, 2(1), 88–93. https://jurnal.medikasuherman.ac.id/imds/index.php/JIKMDS/article/view/146
Putri, D. S. R., Yudianto, K., & Kurniawan, T. (2013). Perilaku Self-Management Pasien Diabetes Melitus (DM) Self-Management Behaviour of Patient with Diabetes Mellitus (DM). Fakultas Keperawatan Universitas Padjadjaran, 1(April 2013), 30. https://doi.org/10.24198/jkp.v1i1.49
Rachmawati, W. C. (2019). Promosi Kesehatan dan Ilmu Perilaku. Wineka Media.
Rasajati, Q. P., Raharjo, B. B., & Ningrum, D. N. A. (2015). Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Pengobatan Pada Penderita Hipertensi Di Wilayah Kerja Puskesmas Kedungmundu Kota Semarang. Unnes Journal of Public Health, 4(3), 16–23.
Salam, N., & Mahmoud, M. (2017). Life Style Related Risk Factors of Type 2 Diabetes Mellitus and Its Increased Prevalence in Saudi Arabia: A Brief Review Epidemiological study based on oxidative stress in relation with life style and dietary patterns among Type 2 Diabetes Mellitus patien. International Journal of Medical Research & Health Sciences, 6(3), 125–132. www.ijmrhs.com
Sari, N. P. W. P., Susanti, N. L., & Sukmawati, E. (2014). Peran Keluarga Dalam Merawat Klien Diabetik Di Rumah. Jurnal Ners LENTERA, 2(September), 7–18.
Soh, J. G. S., Wong, W. P., Mukhopadhyay, A., Quek, S. C., & Tai, B. C. (2020). Predictors of 30-day unplanned hospital readmission among adult patients with diabetes mellitus: A systematic review with meta-analysis. BMJ Open Diabetes Research and Care, 8(1), 1–9. https://doi.org/10.1136/bmjdrc-2020-001227
Triastuti, N., Irawati, D. N., Levani, Y., & Lestari, R. D. (2020). Faktor yang Mempengaruhi Tingkat Kepatuhan Konsumsi Obat Antidiabetes Oral pada Pasien Diabetes Melitus Tipe 2 di RSUD Kabupaten Jombang. Medica Arteriana (Med-Art), 2(1), 27. https://doi.org/10.26714/medart.2.1.2020.27-37
Trisnadewi, N. W., Adiputra, I. M. S., & Mitayanti, N. K. (2018). Gambaran pengetahuan pasien diabetes mellitus (dm) dan keluarga tentang manajemen dm tipe 2 the description of knowledge of diabetes mellitus (dm) patients and family about the management of diabetes mellitus type 2. Bmj, 5(2), 165–187.
Wahyuningsih. (2018). Pengetahuan Keluarga Tentang Terapi Insulin pada Pasien Diabetes Melitus di Poli Dalam RSUD Dr Harjono Ponorogo. Thesis Universitas Muhammadiyah Ponorogo.
Windani Mambang Sari, C., Haroen, H., & Nursiswati, N. (2016). Pengaruh Program Edukasi Perawatan Kaki Berbasis Keluarga terhadap Perilaku Perawatan Kaki pada Pasien Diabetes Melitus Tipe 2. Jurnal Keperawatan Padjadjaran, 4(3), 305–315. https://doi.org/10.24198/jkp.v4n3.10
Zhang, P., Lu, J., Jing, Y., Tang, S., Zhu, D., & Bi, Y. (2017). Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis†. Annals of Medicine, 49(2), 106–116. https://doi.org/10.1080/07853890.2016.1231932
DOI: https://doi.org/10.33024/mahesa.v3i6.10465
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