Pengaruh Diabetes Self-Management Education and Support (DSME/S) Terhadap Kualitas Hidup pada Pasien Diabetes Melitus Tipe 2

Abstract

Type 2 DM is a chronic disease requiring long-term care, so it needs self-management education to
prevent the complication. The patient's inability to perform self-care can reduce the quality of life. DSME/S
is one of education which facilitates knowledge, skills, patient abilities, and family support in self-care.
DSME/S is given in the form of discharge planning to improve knowledge and skills in self-care. This
research aimed to analyze the effect of Diabetes Self-Management Education and Support (DSME/S) on
quality of life of patients with type 2 diabetes mellitus in RSD dr. Soebandi. The research design was
quasi experimental with pre-test post-test with control group design. A number of samples were 30 people
divided into two groups: 15 people in the treatment group and 15 people in the control group. DSME/S
was conducted in 6 sessions. Sessions 1-4 were performed in the hospital and sessions 5-6 were
performed at the patient’s home. The data were analyzed by using dependent t test and independent t
test which significance level of 0.05. The result of t-dependent test indicated that there was significant
different quality of life between pre-test and post-test in the treatment group (p = 0.001) and control group
(p = 0.002). The result of Independent t test showed a significant difference between treatment group and
control group (p = 0.001). The enhancement of quality of life on the treatment group was greater than the
control group. The conclusion showed that there was significant effect of DSME/S on the quality of life of
type 2 DM patients. DSME/S could improve patient self-care knowledge and abilities in controlling blood
sugar and prevent complications may effect of quality of life. Nurses can apply DSME/S in health
promotion programs to type 2 DM patients in hospital.

Keywords: Type 2 diabetes mellitus, quality of life, DSME/S