Self-Management Education to Control Blood Sugar Levels and Hba1c Value for Type 2 Diabetes Patients

Authors

  • Derison Marsinova Bakara Health Polytechnic of Kemenkes Bengkulu, Bengkulu 38225, Indonesia
  • Kurniyati Health Polytechnic of Kemenkes Bengkulu, Bengkulu 38225, Indonesia

DOI:

https://doi.org/10.31674/mjn.2022.v14i01.012

Abstract

Backgroud: Self-care education can be carried out patients with diabetes through the Diabetes Self-Management Education (DSME) method. The DSME method helps people to perform with type 2 diabetes self-management in managing and treating type 2 diabetes, such as controlling blood sugar levels and HbA1c values. Objective: The purpose of this research is to understand the effect of DSME for reducing blood sugar levels and decreasing HbA1c values ​​in type 2 diabetes patients. Methods: The design of this research is a Pre-Experimental with Pretest-Posttest Group Design with a Pretest-Posttest Group Design, approach which aims to see the use of the DSME method for reducing blood sugar levels and decreasing HbA1c values ​​in type 2 diabetes patients. This research was conducted from July to October 2021. The research location was at the Curup Regional General Hospital, Rejang Lebong Regency. Respondents in this study were 35 patients with type 2 diabetes. The instrument used was the DSME method consisting of 3 instruments, including the theoretical concept of diabetes, care and treatment of diabetes, and complications of diabetes. Results: The results of the study show a significant change in blood sugar levels before and after the DSME. Before being carried out, blood sugar levels were with a Mean±SD of 341.60±157.589; meanwhile, after the intervention, blood sugar levels became 107.97±9.984 with a p:0.001. On the other hand, the HbA1c Value before intervention was Mean±SD 8.4313±2.2610, and after the intervention, the HbA1c value became 6.4553±1.2426 with p=0.001. Conclusion: DSME can be used as an alternative intervention that decreases in blood sugar levels and HbA1c values ​​in patients with type 2 diabetes.

 

Keywords:

DSME, HbA1c, Blood Sugar, Type 2 Diabetes Patient

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References

Ahrari, F., Mohaqiq, Z., Moodi, M., & Bijari, B. (2021). The Effect of Self-Care Training on Blood Sugar Control, HbA1C Level, and Life Quality of Diabetic Patients in Birjand, East of Iran: A Randomized Clinical Trial Study. Advances in Preventive Medicine, 2021, 1. https://doi.org/10.1155/2021/8846798

Brunisholz, K. D., Briot, P., Hamilton, S., Joy, E. A., Lomax, M., Barton, N., … Cannon, W. (2014). Diabetes self-management education improves quality of care and clinical outcomes determined by a diabetes bundle measure. Journal of Multidisciplinary Healthcare, 7, 533–542. https://doi.org/10.2147/JMDH.S69000

Cheng, L. S., Aagaard-Hansen, J., Mustapha, F. I., & Bjerre-Christensen, U. (2018). Malaysian Diabetes Patients’perceptions, Attitudes And Practices In Relation To Self-Care and Encounters With Primary Health Care Providers. Malaysian Journal of Medical Research (MJMR), 2(3), 1-10.

Emara, R. A., Hamed, M., Awad, M., & Zeid, W. (2021). Effect of diabetes self-management education program on glycemic control in diabetic patients attending the family medicine outpatient clinic, Suez Canal University Hospital, Ismailia, Egypt. The Egyptian Journal of Internal Medicine, 33(1). https://doi.org/10.1186/s43162-021-00058-9

Fajriyah, N., Firmanti, T. A., Mufidah, A., & Septiana, N. T. (2019). A Diabetes Self-Management Education/Support (DSME/S) Program in Reference to the Biological, Psychological and Social Aspects of a Patient with Type 2 Diabetes Mellitus: A Systematic Review. Jurnal Ners, 14(3), 55. https://doi.org/10.20473/jn.v14i3.16979

Fares, J. E., Kanaan, M., Chaaya, M., & Azar, S. T. (2010). Fluctuations in glycosylated hemoglobin (HbA1C) as a predictor for the development of diabetic nephropathy in type 1 diabetic patients. International Journal of Diabetes Mellitus, 2(1), 10–14. https://doi.org/10.1016/j.ijdm.2009.12.012

Grillo, M. D. F. F., Neumann, C. R., Scain, S. F., Rozeno, R. F., Gross, J. L., & Leitão, C. B. (2013). Effect of different types of self-management education in patients with diabetes. Revista Da Associacao Medica Brasileira, 59(4), 400–405. https://doi.org/10.1016/j.ramb.2013.02.006

Joint Working Group of the SEC and SEEN for the 2019 ESC guidelines on diabetes, prediabetes, and cardiovascular diseases, Expert Reviewers for the 2019 ESC guidelines on diabetes, prediabetes, and cardiovascular diseases, and the SEC Guidelines Committee, Joint Working Group of the Spanish Society of Cardiology and Spanish Society of Endocrinology and Nutrition on the 2019 ESC guidelines on diabetes, prediabetes, and cardiovascular diseases, Spanish Society of Cardiology, Spanish Society of Endocrinology and Nutrition, Expert reviewers for the 2019 ESC guidelines on diabetes, prediabetes, and cardiovascular diseases, & SEC Guidelines Committee (2020). Comments on the 2019 ESC guidelines on diabetes, prediabetes, and cardiovascular disease. Revista Espanola De Cardiologia (English ed.), 73(5), 354–360. https://doi.org/10.1016/j.rec.2019.11.018

Kementerian Kesehatan Republik Indonesia. (2016). Profil Kesehatan Indonesia 2016. In Profil Kesehatan Provinsi Bali. https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-Indonesia-2016.pdf

Lalić, N. M., Lalić, K., Jotić, A., Stanojević, D., Živojinović, D., Janićijević, A., & Parkin, C. (2017). The Impact of Structured Self-Monitoring of Blood Glucose Combined with Intensive Education on HbA1c Levels, Hospitalizations, and Quality-of-Life Parameters in Insulin-Treated Patients with Diabetes at Primary Care in Serbia: The Multicenter SPA-EDU Stud. Journal of Diabetes Science and Technology, 11(4), 746–752. https://doi.org/10.1177/1932296816681323

Lambrinou, E., Hansen, T. B., & Beulens, J. W. J. (2019). Lifestyle factors, self-management and patient empowerment in diabetes care. European Journal of Preventive Cardiology, 26(2_suppl), 55–63. https://doi.org/10.1177/2047487319885455

Lavelle, D., Zeitoun, J., Stern, M., Butkiewicz, E., Wegner, E., & Reinisch, C. (2016). Diabetes Self-Management Education in the Home. Cureus, 8(7), 4–11. https://doi.org/10.7759/cureus.710

Lee, S. K., Shin, D. H., Kim, Y. H., & Lee, K. S. (2019). Effect of diabetes education through pattern management on self-care and self-efficacy in patients with type 2 diabetes. International Journal of Environmental Research and Public Health, 16(18). https://doi.org/10.3390/ijerph16183323

Luan, L. L., Yang, J., He, Y. F., Huang, Z. X., Liu, L., & Huang, Z. S. (2017). Impact of diabetes education and self-management support on the 4D series of diabetes patients. Biomedical Research, 28(3), 1172-1177. https://www.alliedacademies.org/articles/impact-of-diabetes-education-and-selfmanagement-support-on-the-4d-series-of-diabetes-patients.html

McGowan, P. (2011). The efficacy of diabetes patient education and self-management education in type 2 diabetes. Canadian Journal of Diabetes, 35(1), 46-53. https://doi.org/10.1016/S1499-2671(11)51008-1

Mohamed, A., Staite, E., Ismail, K., & Winkley, K. (2019). A systematic review of diabetes self-management education interventions for people with type 2 diabetes mellitus in the Asian Western Pacific (AWP) region. Nursing Open, 6(4), 1424–1437. https://doi.org/10.1002/nop2.340

Niknami, S., Haidarnia, A., Rakhshani, F., Zareban, I., & Karimy, M. (2014). The effect of self-care education program on reducing HbA1c levels in patients with type 2 diabetes. Journal of Education and Health Promotion, 3(1), 123. https://doi.org/10.4103/2277-9531.145935

Ningsih, R., Fatmasari, D., Johan, T., & Yuswanto, A. (2018). International Journal of Allied Medical Sciences and Clinical Research ( IJAMSCR ) Combination of Diabetic Self Management Education ( DSME ) with Diabetic Foot Exercises on Blood Sugar Level in Type II Diabetes Patients. 6(3).

Nooseisai, M., Viwattanakulvanid, P., Kumar, R., Viriyautsahakul, N., Muhammad Baloch, G., & Somrongthong, R. (2021). Effects of diabetes self-management education program on lowering blood glucose level, stress, and quality of life among females with type 2 diabetes mellitus in Thailand. Primary Health Care Research and Development, 22. https://doi.org/10.1017/S1463423621000505

Norris, S. L., Nichols, P. J., Caspersen, C. J., Glasgow, R. E., Engelgau, M. M., Jack, L., … McCulloch, D. (2002). Increasing diabetes self-management education in community settings: A systematic review. American Journal of Preventive Medicine, 22(4 SUPPL. 1), 39–66. https://doi.org/10.1016/S0749-3797(02)00424-5

Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., … Vivian, E. (2015). 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. The Diabetes Educator, 41(4), 417–430. https://doi.org/10.1177/0145721715588904

Schoo, K. (2018). An Evaluation of the Effects of a Diabetes Self-Management Education Program on the HbA1c in Patients with Type 2 Diabetes. DNP Projects. 204. https://uknowledge.uky.edu/dnp_etds/204

Song, D., Xu, T. Z., & Sun, Q. H. (2014). Effect of motivational interviewing on selfmanagement in patients with type 2 diabetes mellitus: A meta-analysis. International Journal of Nursing Sciences, 1(3), 291–297. https://doi.org/10.1016/j.ijnss.2014.06.002

Surucu, H. A., Kizilci, S., & Ergor, G. (2017). The Impacts of Diabetes Education on Self Care Agency, Self-Care Activities and HbA1c Levels of Patients with Type 2 Diabetes: A Randomized Controlled Study. International Journal of Caring Sciences. 10(1), 479.

Svartholm, S. (2010). Self care activities of patients with Diabetes Mellitus Type 2 in Ho Chi Minh City. Uppsala Universitet, 47. urn:nbn:se:uu:diva-126200%5Cnhttp://uu.diva-portal.org/smash/record.jsf?pid=diva2:322414

Vandenbosch, J., Van den Broucke, S., Schinckus, L., Schwarz, P., Doyle, G., Pelikan, J., ... & Terkildsen-Maindal, H. (2018). The impact of health literacy on diabetes self-management education. Health Education Journal, 77(3), 349-362. https://doi.org/10.1177/0017896917751554

Wahyuni, A., & Ramayani, D. (2020). The Relationship Between Self-Eficacy and Self-Care in Type 2 Diabetes Mellitus Patients. The Malaysian Journal of Nursing (MJN), 11(3), 68-75. https://doi.org/10.31674/mjn.2020.v11i03.011

Zibaeenezhad, M. J., Aghasadeghi, K., Bagheri, F. Z., Khalesi, E., Zamirian, M., Moaref, A. R., & Abtahi, F. (2015). The effect of educational interventions on glycemic control in patients with type 2 diabetes mellitus. International Cardiovascular Research Journal, 9(1), 17–21. https://doi.org/10.1155/2021/8846798

Published

2022-07-01

How to Cite

Bakara, D. M., & Kurniyati. (2022). Self-Management Education to Control Blood Sugar Levels and Hba1c Value for Type 2 Diabetes Patients. The Malaysian Journal of Nursing (MJN), 14(1), 84-89. https://doi.org/10.31674/mjn.2022.v14i01.012