Pengaruh Edukasi Online Peer Group Berbasis Smartphone (OPS) Terhadap Self Efficacy Pasien Diabetes Melitus Tipe 2 Di Kota Yogyakarta

MARINA KRISTI LAYUN, Dr. Heny Suseani Pangastuti, S.Kp.,M.Kes.; dr. Widyandana, MHPE.,Ph.D.,Sp.M.

2019 | Tesis | MAGISTER KEPERAWATAN

ABSTRAK Pengaruh Edukasi Online Peer Group Berbasis Smartphone (OPS) Terhadap Self Efficacy Pasien Diabetes Melitus Tipe 2 Marina Kristi Layun Rining1, Heny Suseani Pangastuti2, Doni Widyandana3 Latar Belakang: Pasien diabetes dihadapkan pada kemungkinan terjadinya komplikasi, untuk mencegahnya mereka perlu mempertahankan manajemen diri yang berlangsung seumur hidup. Hal tersebut didukung oleh adanya self efficacy. Salah satu upaya meningkatkan self efficacy pasien diabetes adalah dengan memberikan Diabetes Self-Management Education And Support (DSMES). Dalam peyampaiannya akan lebih efektif jika dikemas dalam bentuk e-health tools. Penelitian ini bertujuan untuk menganalisis pengaruh edukasi oneline peer group berbasis smartphone (OPS) terhadap self efficacy pada pasien diabetes melitus tipe 2. Metode: Penelitian ini merupakan penelitian kuantitatif dengan rancangan quasi eksperimen pre and post test design with control group. Pengambilan sampel menggunakan teknik non-probability sampling dengan purposive sampling (n=71). Penelitian dilakukan di Puskesmas wilayah kota Yogyakarta. Kelompok intervensi diberikan edukasi, diskusi bersama dan follow up melalui WhatsApp group selama 15 hari dengan frekuensi 3 kali seminggu selama 1-3 jam setiap sesi, dan kelompok kontrol menjalani perawatan reguler. Self efficacy diukur menggunakan Diabetes Management Self Efficacy Scale (DMSES). Uji hipotesis menggunakan uji Mann-Whitney dan uji Wilcoxon. Hasil: Nilai perbedaan self efficacy antara pre test dan post test kelompok intervensi (p=0,003) dan kelompok kontrol (p=0,245), dimana terdapat perbedaan antar pengukuran pada kelompok intervensi. Sementara hasil analisis perbedaan selisih self efficacy pada kelompok intervensi dan kelompok kontrol didapatkan p=0,191, sehingga tidak terdapat perbedaan self efficacy antar kedua kelompok. Kesimpulan: Edukasi online peer group berbasis smarthphone (OPS) dapat mempengaruhi beberapa aspek self efficacy antara lain dalam mengelola diet, mengontrol gula darah dan melakukan aktivitas fisik.

ABSTRACT The Effect of Peer Group Online Education Using Smartphone (OPS) on Self Efficacy Type 2 Diabetes Melitus Patients Marina Kristi Layun Rining1, HenySuseani Pangastuti2, Doni Widyandana3 Background: Patients with diabetes are faced with the possibility of complications, to prevent it they need to maintain self-management that lasts a lifetime. This is supported by the existence of self efficacy. One effort to improve self efficacy of diabetic patients is to provide the Diabetes Self-Management Education And Support (DSMES). In its delivery it will be more effective if it is packaged in the form of e-health tools. This study aimed to analyze the effect of smartphone-based online peer group education (OPS) on self efficacy in type 2 diabetes mellitus patients. Method: This study was a quantitative study with a quasi-experimental design pre and post test design with a control group. Sampling used non-probability sampling technique with purposive sampling (n = 71). The study was conducted at the health center area of the city of Yogyakarta. The intervention group was given education, joined for discussion and followed-up through WhatsApp group for 15 days with a frequency of 3 times a week for 1-3 hours of each session, and the control group underwent regular treatment. Self efficacy was measured using the Diabetes Management Self Efficacy Scale (DMSES). Hypothesis tested using the Mann-Whitney test and Wilcoxon test. Results: The value of self-efficacy differences between pre-test and post-test intervention group (p= 0.003) and the control group (p= 0.245), where there was a difference between measurements in the intervention group. While the results of the analysis of differences in self efficacy in the intervention group and the control group was p= 0.191, so that there was no difference in self efficacy between groups. Discussion: This intervention can effect several aspects of self-efficacy, namely managing diet, controlling blood sugar, and carrying out physical activities.

Kata Kunci : e-Health tools, Diabetes Self-Management Education and Support (DSMES), Diabetes Management Self Efficacy Scale (DMSES), whatshapp group, online peer support