Pemberdayaan Masyarakat melalui Aplikasi Website: Spiritual Group Therapy untuk Pencegahan Diabetes Melitus dan Komplikasi Luka Gangren di Kuala Lumpur, Malaysia

Siti Nur Hasina, Nur Ainiyah, Misutarno Misutarno, Khairiyatul Afiyah, Rahmadaniar Aditya Putri

Sari


ABSTRAK

 

Prevalensi Diabetes Melitus (DM) di Malaysia terus menunjukkan eskalasi yang mengkhawatirkan, khususnya di kalangan lansia perkotaan yang rentan mengalami komplikasi serius seperti diabetic foot disease dan luka gangren akibat kurangnya literasi serta perawatan mandiri. Pengabdian masyarakat  ini bertujuan untuk meningkatkan kesadaran, pengetahuan, dan perilaku perawatan diri (self-care) dalam mencegah DM serta komplikasi gangren pada lansia di Pusat Aktiviti Warga Emas (PAWE) Kuala Lumpur melalui integrasi Spiritual Group Therapy (SGT) dan portal web interaktif sgtdmcorner.com. Program ini menggunakan pendekatan partisipatif berkolaborasi dengan PCI Muslimat NU Kuala Lumpur. Sebanyak 44 lansia terlibat secara intensif dalam program yang terdiri atas edukasi lima pilar DM, demonstrasi perawatan kaki, sesi psikospiritual SGT secara berkelompok, serta pendampingan digital harian menggunakan website. Evaluasi pre-test dan post-test kuantitatif digunakan untuk mengukur luaran. Sebagian besar peserta adalah perempuan (95,45%, n=42) dan masih aktif bekerja (88,64%, n=39). Edukasi terstruktur secara signifikan melipatgandakan kognitif peserta, di mana pengetahuan baik melonjak dari 18,18% (n=8) menjadi 75,00% (n=33), sedang berubah dari 25,00% (n=11) menjadi 18,18% (n=8), dan kurang menyusut dari 56,82% (n=25) menjadi hanya 6,82% (n=3). Evaluasi target luaran lainnya menunjukkan terbentuknya kepatuhan self-management harian yang tinggi (diet, aktivitas, obat), kemandirian perawatan kaki serta peningkatan ketenangan batin lansia pasca SGT. Kolaborasi program pemberdayaan berbasis spiritual dan platform kesehatan digital berhasil secara efektif memperkuat kapasitas lansia dalam mengelola diabetes serta memitigasi risiko amputasi luka gangren. Pemberdayaan kader Muslimat NU direkomendasikan sebagai langkah keberlanjutan program.

 

Kata Kunci: Diabetes Melitus, Spiritual Group Therapy, Perawatan Mandiri, Lansia, Gangren Kaki.

 

 

ABSTRACT

 

The prevalence of Diabetes Mellitus (DM) in Malaysia continues to escalate, particularly among urban elderly who are highly vulnerable to serious complications such as diabetic foot ulcers and gangrenous wounds due to low health literacy and inadequate self-care. This community services program aimed to enhance health literacy, self-care behaviors, and emotional resilience among the elderly at the Pusat Aktiviti Warga Emas (PAWE) Kuala Lumpur through the integration of Spiritual Group Therapy (SGT) and the interactive digital platform sgtdmcorner.com. Collaborating with PCI Muslimat NU Kuala Lumpur, 44 elderly participants actively engaged in five-pillar DM education, diabetic foot care demonstrations, group SGT sessions, and digital daily monitoring. A pre-post quantitative evaluation was conducted to measure outcomes across all designated targets. Participants were mostly female (95.45%, n=42) and actively employed (88.64%, n=39). The program significantly doubled the cognitive capacity of participants, where good knowledge skyrocketed from 18.18% (n=8) to 75.00% (n=33), moderate level became 18.18% (n=8), and poor knowledge shrank dramatically from 56.82% (n=25) to 6.82% (n=3). Evaluation of other target outputs revealed significant improvements in self-management compliance, foot-care independent practice, and spiritual well-being. Integrating spiritual support with health technology effectively empowers the elderly in diabetes management and early detection of gangrenous risks. Utilizing trained Muslimat NU cadres is crucial for long-term program sustainability.

 

Keywords: Diabetes Mellitus, Spiritual Group Therapy, Self-Care, Elderly, Diabetic Foot.


Kata Kunci


Diabetes Melitus; Spiritual Group Therapy; Perawatan Mandiri; Lansia; Gangren Kaki.

Teks Lengkap:

Download Artikel

Referensi


Armstrong, D. G., Boulton, A. J. M., & Bus, S. A. (2023). Diabetic Foot Ulcers And Their Recurrence. New England Journal Of Medicine, 389(12), 1111-1120. Https://Doi.Org/10.1056/Nejmra2208444

Bolhari, J., Naziri, G. H., & Zamanian, S. (2012). Effectiveness Of Spiritual Group Therapy In Reducing Depression, Anxiety, And Stress Of Women With Breast Cancer. Quarterly Journal Of Woman And Society, 3(9), 87-117.

Bus, S. A., Sacco, I. C. N., Monteiro-Soares, M., Raspovic, A., Paton, J., Rasmussen, A., Lavery, L. A., & Van Netten, J. J. (2024). Guidelines On The Prevention Of Foot Ulcers In Persons With Diabetes (Iwgdf 2023 Update). Diabetes/Metabolism Research And Reviews, 40(3), E3651. Https://Doi.Org/10.1002/Dmrr.3651

Hasanović, M., Et Al. (2011). The Spiritual Approach To Group Psychotherapy Treatment Of Psychotraumatized Persons In Post-War Bosnia And Herzegovina. Religions, 2(3), 330-344. Https://Doi.Org/10.3390/Rel2030330

Hasina, S. N., Shodiq, M., Ikwan, M., Putri, R. A., Noventi, I., & Setianto, B. (2023). The Effect Of Ergonomic Exercise Based On Spiritual Care On Distress Levels In Elderly With Diabetes Mellitus. Bali Medical Journal, 12(3), 2930-2935. Https://Doi.Org/10.15562/Bmj.V12i3.4358

Hasina, S. N., Shodiq, M., Misutarno, P. R., Noventi, I., & Rohmawati, R. (2024). The Effect Of Mindfulness Meditation Based On Spiritual Care With Rose Aromatherapy On Stress And Blood Pressure In Type 2 Diabetes Mellitus (Dm) Patients. Revista De Gestão Social E Ambiental, 18(5), 1-17. Https://Doi.Org/10.52783/Rgsa.V18i5.6461

Hasina, S. N., Shodiq, M., Misutarno, Putri, R. A., & Noventi, I. (2024). The Effect Of Spiritual Group Therapy On Meaning Of Life And Spiritual Well Being In Type 2 Diabetes Mellitus. Frontiers In Health Informatics, 13(3), 7041-7053. Https://Doi.Org/10.52783/Fhi.Vi.646

Imeni, M., Sabouhi, F., Abazari, P., & Iraj, B. (2018). The Effect Of Spiritual Care On The Body Image Of Patients Undergoing Amputation Due To Type 2 Diabetes: A Randomized Clinical Trial. Iranian Journal Of Nursing And Midwifery Research, 23(4), 322-327. Https://Doi.Org/10.4103/Ijnmr.Ijnmr_113_15

International Diabetes Federation. (2025). Malaysia Diabetes Statistics & Insights. Retrieved August 12, 2026, From Https://Diabetesatlas.Org/Data-By-Location/Country/Malaysia/

Jafari, N., Farajzadegan, Z., Loghmani, A., Majlesi, M., & Jafari, N. (2014). Spiritual Well-Being And Quality Of Life Of Iranian Adults With Type 2 Diabetes. Evidence-Based Complementary And Alternative Medicine, 2014, 1-8. Https://Doi.Org/10.1155/2014/619028

Lutfi, B., Rayasari, F., & Irawati, D. (2019). Peningkatan Self Efficacy Melalui Spiritual Care Pada Pasien Diabetes Melitus Tipe 2. Indonesian Journal Of Nursing Sciences And Practice, 2(1), 12-19.

Maleki Avarsin, F., Et Al. (2023). The Effectiveness Of Spiritual Group Therapy On Psychological Well-Being And Self-Efficacy Of Patients With Type 2 Diabetes In Tehran In 2023. The Journal Of Tolooebehdasht, 22(4), 45-56.

Nkhoma, D. E., Soko, C. J., Bowler, V., & Szoeke, C. (2021). Digital Health Interventions For Diabetes Self-Management In Low- And Middle-Income Countries: A Systematic Review And Meta-Analysis. Plos One, 16(12), E0297328. Https://Doi.Org/10.1371/Journal.Pone.0297328

Pal, K., Eastwood, S. V., Michie, S., Farmer, A. J., Barnard, M. L., Peacock, R., Et Al. (2020). Computer-Based Diabetes Self-Management Interventions For Adults With Type 2 Diabetes Mellitus. Cochrane Database Of Systematic Reviews, 12, Cd012224. Https://Doi.Org/10.1002/14651858.Cd012224.Pub2

Premaa, S., & Beh, Y. S. (2024). Exploring Mhealth App Utilization For Diabetes Self-Management: Survey Insights From A Northern District In Malaysia. Bmc Public Health, 24(1), 3542. Https://Doi.Org/10.1186/S12889-024-21056-W

Ratnawati, D., Siregar, T., & Wahyudi, C. T. (2018). Terapi Relaksasi Benson Dan Spiritual Care Meningkatkan Kualitas Hidup Lansia Dengan Diabetes Melitus. Jurnal Keperawatan Silampari, 2(1), 44-56.

Schaper, N. C., Van Netten, J. J., Apelqvist, J., Bus, S. A., Hinchliffe, R. J., Lipsky, B. A., & Iwgdf. (2020). Practical Guidelines On The Prevention And Management Of Diabetic Foot Disease (Iwgdf 2019 Update). Diabetes/Metabolism Research And Reviews, 36(S1), E3266. Https://Doi.Org/10.1002/Dmrr.3266

Seid, M. A., Worku, E. Z., & Mideksa, H. B. (2019). Diabetes Patients' Awareness And Extent Of Foot Care Practice At University Of Gondar Referral Hospital. International Journal Of Scientific Reports, 5(3), 593-601. Https://Doi.Org/10.18203/2320-1770.Ijsr20193763

Sharif, N. C., Et Al. (2023). Hubungan Antara Kualiti Hidup Dengan Kebimbangan Dan Kemurungan Warga Emas Demensia: Peranan Pekerja Sosial (Relationship Between Anxiety And Depression With Quality Of Life Among Older Adults With Dementia). Jurnal Psikologi Malaysia, 37(1), 22-34.

Sun, X.-H., Liu, X., Zhang, B., Wang, Y.-M., & Fan, L. (2021). Impact Of Spiritual Care On The Spiritual And Mental Health And Quality Of Life Of Patients With Advanced Cancer. World Journal Of Psychiatry, 11(8), 449-462. Https://Doi.Org/10.5619/Wjp.V11.I8.449

Supramaniam, P., & Beh, Y. S. (2024). Exploring Mhealth App Utilization For Diabetes Self-Management: Survey Insights From A Northern District In Malaysia. Bmc Public Health, 24, 3542. Https://Doi.Org/10.1186/S12889-024-21056-W

Utami, D. D., Farida, D., & Setiawati, A. (2021). Makna Hidup Pada Mahasiswa Rantau: Analisis Faktor Eksploratori Skala Makna Hidup. Jurnal Psikologi Islam, 8(1), 32-45.

Walker, R. J., Lynch, C. P., Williams, J. S., Voronca, D., & Egede, L. E. (2015). Meaning Of Illness And Quality Of Life In Patients With Type 2 Diabetes. Journal Of Diabetes And Its Complications, 29(5), 665-669. Https://Doi.Org/10.1016/J.Jdiacomp.2015.03.012

Weber, J. M., & Doolittle, B. R. (2023). Religion, Spirituality And Improved Glycemic Control Among People With Type 2 Diabetes: A Systematic Review. International Journal Of Psychiatry In Medicine, 58(6), 617–636. Https://Doi.Org/10.1177/00912174231176171

Yaghubi, M., Abdekhoda, M., & Khani, S. (2019). Effectiveness Of Religious-Spiritual Group Therapy On Depression And Stress In Diabetic Patients. Journal Of Diabetes And Metabolic Disorders, 18(2), 345-353. Https://Doi.Org/10.1007/S40200-019-00418-Z




DOI: https://doi.org/10.33024/jkpm.v9i10.27677

Refbacks

  • Saat ini tidak ada refbacks.


Disponsori oleh : Universitas Malahayati Lampung dan DPW PPNI Lampung


Creative Commons License
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.