Pengaruh Diabetic Self-Management Education (DSME) Menggunaan WhatsApp terhadap Self-Management dan Glukosa Darah Pasien Diabetes Mellitus Tipe 2

Muflihul Huda, Haryani, S.Kp., M.Kes., Ph.D.

2024 | Tesis | S2 Magister Keperawatan

Tujuan: Menganalisa efektifitas Diabetic Self-management Education (DSME) menggunakan  WhatsApp terhadap self-management dan glukosa darah pasien DM tipe 2 (DMT2).

Metode: Design penelitian ini adalah  quasi-Nonequivalent control group design dengan teknik sampling convienence sampling, jumlah responden 56 pada setiap kelompok. Alat ukur menggunakan  The summary Diabetes Self-Care Activities (SDSCA). Menggunakan uji dependent t-test, independent t-test, spearman, person, dan regresi linear menggunakan metode enter.

Hasil: Hasil uji paired sample t-test skor self-management dan glukosa darah pada setiap kelompok adalah <0>p-value<0>independent t-test skor self-management dan glukosa darah kelompok perawatan standar dibandingkan DSME menggunakan WhatsApp adalah < 0>p-value <0>effect size 0,87 pada skor self-management dan 0,81 pada skor glukosa darah. Hasil dari penelitian ini menunjukkan durasi menderita DM mempengaruhi self-management dan glukosa darah pasien DMT2.

Kesimpulan: intervensi perawatan standar dan DSME menggunakan WhatsApp sama-sama efektif dalam meningkatkan self-management dan menurunkan kadar glukosa darah. Namun, intervensi DSME menggunakan WhatsApp secara signifikan lebih efektif meningkatkan self-management dan menurunkan glukosa darah dibandingkan dengan intervensi perawatan standar, dengan tingkat effect size yang tinggi. Durasi lama menderita DM menjadi faktor yang mempengaruhi self-management dan glukosa darah pasien DMT2.

Objective: To analyze the effectiveness of Diabetic Self-management Education (DSME) using WhatsApp on self-management and blood glucose of type 2 DM (DMT2) patients.

Method: The design of this study is quasi-Nonequivalent control group design with sampling convienence sampling technique, the number of respondents 56 in each group. The measuring instrument uses The summary Diabetes Self-Care Activities (SDSCA). Using dependent t-test, independent t-test, spearman test, person test and linear regression using enter method.

Results: The paired sample t-test results of self-management and blood glucose scores in both of group were p<0>

Conclusion: Usual care and DSME using WhatsApp are equally effective in improving self-management and lowering blood glucose levels. However, DSME interventions using WhatsApp were significantly more effective at improving self-management and lowering blood glucose compared usual care, with  a high degree of effect size. The long duration of DM is a factor that affects self-management and blood glucose of T2DM patients.

Kata Kunci : Self-Management, Glukosa Darah, Diabetes Mellitus Tipe 2, Diabetic Self-management Education (DSME), WhatsApp.