Pengaruh Diabetes Self Management Education and Support (DSME/S) terhadap Diabetes Distress pada Pasien Diabetes Melitus Tipe 2 di RSD dr. Soebandi Jember (The Effect of Diabetes Self Management Education and Support [DSME/S] on Diabetes Distress in Patie

Abstract

Diabetes Mellitus (DM) is a chronic disease that requires a continous self-care. A low level of
knowledge about self-care can worsen health condition and cause diabetes distress. The continuing
stress can cause hyperglycemia that lead to complications of DM. DSME/S is a structured health
education that facilitates DM patients in implementing and maintaining their behavior for sustainable
self-care. This research aimed to analyze the effect of DSME/S on diabetes distress in patients with
type 2 DM. This research was quasi experimental with non randomized control group pretest
posttest design. Thirty respondents in this study were divided into 15 respondents as the
intervention group and 15 respondents as the control group by consequtive sampling technique.
DSME/S was conducted in 6 sessions: 4 sessions in the hospital and 2 sessions at respondent's
house. The data were analyzed by using dependent t test and independent t test with significance
level of 0.05. The result of dependent t test revealed a significant difference of diabetes distress
between pretest and posttest both in the intervention group (p=0.001) and in the control group
(p=0.046). Furthermore, independent t test showed a significant difference between intervention
group and control group (p=0.001). The decrease of diabetes distress was higher in the intervention
group than control group. This result indicates that there was a significant effect of DSME/S on
diabetes distress in patients with type 2 DM. Nurses are expected to apply DSME/S as a discharge
planning to reduce diabetes distress in patients with type 2 DM.
Keywords: diabetes distress, DSME/S, Diabetes Mellitus