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Optimalisasi Self-Management Diabetes melalui Health Coaching bagi Kader Kesehatan Sebagai Upaya Pengontrolan Kadar Gula Darah Penderita DM
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ABSTRAK
Diabetes Mellitus dengan kadar gula tidak terkontrol menyebabkan komplikasi mikrovaskular maupun makrovaskular yang dapat menurunkan dan memperburuk kualitas hidup penderitanya. Komplikasi terjadi diakibatkan oleh self management yang rendah, perilaku perawatan diri yang buruk sehingga kadar gula darah tidak terkontrol. Hal ini, jika tidak diatasi dan melaksanakan self management yang tepat, dampak terburuknya menyebabkan kematian akibat komplikasi. Kegiatan pengabdian ini memiliki tujuan untuk meningkatkan pengetahuan dan ketrampilan kader dan warga tentang self-management diabetes melalui health coaching sebagai upaya pengontrolan kadar gula darah penderita DM. Kegiatan pengabdian masyarakat dilaksanakan di lingkup wilayah RT 09 RW 08 Kelurahan Banyuurip Kota Surabaya. Metode kegiatan menggunakan pelatihan pendekatan partisipatif dengan cara ceramah, diskusi, tukar pendapat dan demonstrasi guna meningkatkan pengetahuan kader dan warga mengenai spiritual diabetes self-management health coaching untuk pengontrolan kadar gula darah penderita DM. kegiatan ini dilaksanakan pada bulan Mei-Juli 2024 dan diikuti oleh 2 kader dan 15 penderita diabetes mellitus. Hasil evaluasi kegiatan pelatihan didapatkan adanya peningkatan pengetahuan dan ketrampilan yang ditunjukkan dengan hasil pretest 54% meningkat menjadi 95% hasil posttest dan disertai ketrampilan yang meningkat baik kader dan warga dapat melaksnakan Self-Management Diabetes Melalui Health Coaching dan kader mampu memberikan penyuluhan terhadap warga secara langsung maupun daring, sehingga dapat menjadi support system bagi warganya mempertahankan status kesehatan di area binaanya.
Keywords: Diabetes Mellitus, Health Coaching, Kadar Gula Darah, Self-Management Diabetes
ABSTRACT
Diabetes Mellitus with uncontrolled sugar levels causes microvascular and macrovascular complications which can reduce and worsen the sufferer's quality of life. Complications occur due to low self-management, and poor self-care behavior so that blood sugar levels are not controlled. This, if not addressed and implemented with proper self-management, can have the worst impact of causing death due to complications. This service activity aims to increase the knowledge and skills of cadres and residents regarding diabetes self-management through health coaching to control blood sugar levels in DM sufferers. Community service activities are carried out in the area of RT 09, Banyuurip Village, Surabaya City. The activity method uses participatory approach training using lectures, discussions, exchange of opinions and demonstrations to increase the knowledge of cadres and residents regarding spiritual diabetes self-management health coaching for controlling blood sugar levels in DM sufferers. This activity was carried out in May-July 2024 and was attended by 2 cadres and 15 diabetes mellitus sufferers. The results of the evaluation of training activities showed that there was an increase in knowledge and skills as shown by the pretest results increasing from 54% to 95% posttest results and accompanied by increased skills, both cadres and residents were able to carry out Diabetes Self-Management through Health Coaching and cadres were able to provide counselling to residents directly. or online, so that it can become a support system for residents to maintain their health status in the areas they support.
Keywords: Diabetes Mellitus, Health Coaching, Blood Sugar Levels, Diabetes Self-Management
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Abuhegazy, H., Mujairi, A., Banah, F., Agdi, Y., Elkeshishi, H., Kamel, A., Abdullah, A., & Elsheikh, M. (2022). Depression and Associated Risk Factors Among Type 2 Diabetic Patients: A Cross Sectional Study on a Convenience Sample from the Diabetic Center, Khamis Mushait; Saudi Arabia. Neuropsychiatric Disease and Treatment, 18, 1975–1984. https://doi.org/10.2147/NDT.S374752
Alkaff, F. F., Illavi, F., Salamah, S., Setiyawati, W., Ramadhani, R., Purwantini, E., & Tahapary, D. L. (2021). The Impact of the Indonesian Chronic Disease Management Program (PROLANIS) on Metabolic Control and Renal Function of Type 2 Diabetes Mellitus Patients in Primary Care Setting. Journal of Primary Care & Community Health, 12, 2150132720984409. https://doi.org/10.1177/2150132720984409
Alkhormi, A. H., Mahfouz, M. S., Alshahrani, N. Z., Hummadi, A., Hakami, W. A., Alattas, D. H., Alhafaf, H. Q., Kardly, L. E., & Mashhoor, M. A. (2022). Psychological Health and Diabetes Self-Management among Patients with Type 2 Diabetes during COVID-19 in the Southwest of Saudi Arabia. Medicina (Kaunas, Lithuania), 58(5). https://doi.org/10.3390/medicina58050675
Almulhim, A. N., Goyder, E., & Caton, S. J. (2022). Assessing the Feasibility and Acceptability of Health Coaching as a New Diabetes Management Approach for the People with Type 2 Diabetes in Saudi Arabia: A Protocol for a Mixed Methods Feasibility Study. International Journal of Environmental Research and Public Health, 19(22). https://doi.org/10.3390/ijerph192215089
Badan Penelitian dan Pengembangan, & Kementerian Kesehatan RI. (2018). Hasil Utama RISKESDAS. https://kesmas.kemkes.go.id/assets/upload/dir_ 519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf
Bialo, S. R., White, J., & Satin Rapaport, W. (2016). Comment on Powers et al. 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. Diabe. In Diabetes care (Vol. 39, Issue 1, pp. e15-6). https://doi.org/10.2337/dc15-1408
Black, J. M. & H. J. H. (2014). Medical Surgical Nursing Clinical Managemen for Positive Outcome. Elsevier.
Chaghari, M., Saffari, M., Ebadi, A., & AMERYOUN, A. (2017). Empowering Education: A New Model for In-service Training of Nursing Staff. Journal of Advances in Medical Education & Professionalism, 5, 26–32.
Chrvala, C. A., Sherr, D., & Lipman, R. D. (2016). Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Education and Counseling, 99(6), 926–943. https://doi.org/10.1016/j.pec.2015.11.003
Conn, S., & Curtain, S. (2019). Health coaching as a lifestyle medicine process in primary care. Australian Journal of General Practice, 48(10), 677–680. https://doi.org/10.31128/AJGP-07-19-4984
Darvyri, P., Christodoulakis, S., Galanakis, M., Avgoustidis, A., Thanopoulou, A., & Chrousos, G. (2018). On the Role of Spirituality and Religiosity in Type 2 Diabetes Mellitus Management—A Systematic Review. Psychology, 09, 728–744. https://doi.org/10.4236/psych.2018.94046
Di, S., Petch, J., Gerstein, H. C., Zhu, R., & Sherifali, D. (2022). Optimizing Health Coaching for Patients With Type 2 Diabetes Using Machine Learning: Model Development and Validation Study. JMIR Formative Research, 6(9), e37838. https://doi.org/10.2196/37838
Eseadi, C., Ossai, O. V., Onyishi, C. N., & Ilechukwu, L. C. (2022). Assisting individuals with diabetes in the COVID-19 pandemic period: Examining the role of religious factors and faith communities. World Journal of Clinical Cases, 10(26), 9180–9191. https://doi.org/10.12998/wjcc.v10.i26.9180
Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., Maryniuk, M., Peyrot, M., Piette, J. D., Reader, D., Siminerio, L. M., Weinger, K., & Weiss, M. A. (2011). National Standards for diabetes self-management education. Diabetes Care, 34 Suppl 1(Suppl 1), S89-96. https://doi.org/10.2337/dc11-S089
Gurmu, Y., Gela, D., & Aga, F. (2018). Factors associated with self-care practice among adult diabetes patients in West Shoa Zone, Oromia Regional State, Ethiopia. BMC Health Services Research, 18(1), 732. https://doi.org/10.1186/s12913-018-3448-4
Hatmanti, N. M. (2017). Hubungan antara self efficacy dengan quality of life pada pasien diabetes mellitus tipe 2 di wilayah kerja Puskesmas Kebonsari Surabaya. Journal of Health Sciences, 10(2).
Kalra, S., Jena, B. N., & Yeravdekar, R. (2018). Emotional and Psychological Needs of People with Diabetes. Indian Journal of Endocrinology and Metabolism, 22(5), 696–704. https://doi.org/10.4103/ijem.IJEM_579_17
Kalra, S., Sridhar, G. R., Balhara, Y. P. S., Sahay, R. K., Bantwal, G., Baruah, M. P., John, M., Unnikrishnan, A. G., Madhu, K., Verma, K., Sreedevi, A., Shukla, R., & Prasanna Kumar, K. M. (2013). National recommendations: Psychosocial management of diabetes in India. Indian Journal of Endocrinology and Metabolism, 17(3), 376–395. https://doi.org/10.4103/2230-8210.111608
Kusnanto, K. (2016). Asuhan Keperawatan Klien Dengan Diabetes Mellitus: Pendekatan Holistic Care. Fakultas Keperawatan Universitas Airlangga.
Mikhael, E. M., Hassali, M. A., & Hussain, S. A. (2020). Effectiveness of Diabetes Self-Management Educational Programs For Type 2 Diabetes Mellitus Patients In Middle East Countries: A Systematic Review. Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy, 13, 117–138. https://doi.org/10.2147/DMSO.S232958
Notoatmodjo, S. (2022). Promosi kesehatan teori dan aplikasi.
Nurmala, I., & KM, S. (2020). Promosi kesehatan. Airlangga University Press.Of, S., & Carediabetes, M. (2018). American Diabetes Association Standards Of Medical Care In Diabetes-2018. Diabetes Care, 41(9), 2045–2047. https://doi.org/10.2337/dc18-su09
Onyishi, C. N., Ilechukwu, L. C., Victor-Aigbodion, V., & Eseadi, C. (2021). Impact of spiritual beliefs and faith-based interventions on diabetes management. World Journal of Diabetes, 12(5), 630–641. https://doi.org/10.4239/wjd.v12.i5.630
PERKENI. (2015). Panduan Penatalaksanaan DM Tipe 2 pada Individu Dewasa di Bulan Ramadan. https://pbperkeni.or.id/wp-content/uploads/2019/01/2.-Panduan-penatalaksanaan-DM-Tipe-2-pada-individu-dewasa-di-bulan-Ramadan-PERKENI-2015.pdf
Perlman, A. I., & Abu Dabrh, A. M. (2020). Health and Wellness Coaching in Serving the Needs of Today’s Patients: A Primer for Healthcare Professionals. Global Advances in Health and Medicine, 9, 2164956120959274. https://doi.org/10.1177/2164956120959274
Putri, R. Y. S. R. R. I. F. S. N. H. R. A. (2023). Training For Health Cadres In Controlling Risk Factors For Non-Communicable Diseases As An Effort To Realize A Healthy Productive Age. Community Service Journal of Indonesia, Vol 5 No 1 (2023): Community Service Journal of Indonesia, 13–19. https://ejournal-kertacendekia.id/index.php/csji/article/view/468/412
Sari, R. Y., Hatmanti, N. M., Faizah, I., Rohmawati, R., Muhith, A., & Afiyah, R. K. (2023). Spiritual diabetes self-management health coaching on self-efficacy, self-care, and blood glucose levels in type 2 diabetes mellitus patients. Bali Medical Journal, 12(3), 2768–2773.
Sari, R. Y., Muhith, A., Rohmawati, R., Soleha, U., Faizah, I., Afiyah, R. K., & Rahman, F. S. (2021). Spiritual Emotional Freedom Technique against Anxiety and Psychological Well-being of Type 2 DM Patients during the COVID-19 Pandemic. Open Access Macedonian Journal of Medical Sciences, 9(G), 260–265.
Sridhar, G. R. (2022). Can the management of depression in type 2 diabetes be democratized? World Journal of Diabetes, 13(3), 203–212. https://doi.org/10.4239/wjd.v13.i3.203
Thom, D. H. (2019). Keeping Pace with the Expanding Role of Health Coaching. In Journal of general internal medicine (Vol. 34, Issue 1, pp. 5–6). https://doi.org/10.1007/s11606-018-4730-1
Uddin, R., Lee, E.-Y., Khan, S. R., Tremblay, M. S., & Khan, A. (2020). Clustering of lifestyle risk factors for non-communicable diseases in 304,779 adolescents from 89 countries: a global perspective. Preventive Medicine, 131, 105955.
Winkley, K., Upsher, R., Stahl, D., Pollard, D., Kasera, A., Brennan, A., Heller, S., & Ismail, K. (2020). Psychological interventions to improve self-management of type 1 and type 2 diabetes: a systematic review. In Health technology assessment (Winchester, England) (Vol. 24, Issue 28, pp. 1–232). https://doi.org/10.3310/hta24280
Wong-Rieger, D., & Rieger, F. P. (2013). Health coaching in diabetes: empowering patients to self-manage. Canadian Journal of Diabetes, 37(1), 41–44. https://doi.org/10.1016/j.jcjd.2013.01.001
DOI: https://doi.org/10.33024/jkpm.v7i9.15984
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