Manajemen “KEPO” dalam Perawatan Diabetes Melitus Tipe 2 pada Keluarga Jawa dan Batak
Abstract
This study aims to analyze the effect of KEPO management in diabetes care on self-care and blood sugar levels of patients with DM in Javanese and Batak families. The method used was quasy experimental nonequivalent control group design. Respondents in this study were diabetics accompanied by one family member totaling 84 people. Data were collected using The Summary of Diabetes Self Care Activities (SDSCA) instrument and blood sugar level observation sheet (KGD). Data were analyzed by parametric T-test for self-care and non-parametric Wilcoxon and Mann Whitney for KGD. The results showed that there was a difference in the average self-care and blood sugar levels of patients with DM in Javanese and Batak families before and after being given KEPO management with a p-value = 0.001 (p <0.005). In conclusion, there is an effect of KEPO management on self-care and blood sugar levels of diabetics in Javanese and Batak families.
Keywords: Diabetes Mellitus, Blood Sugar Levels, KEPO Management, Javanese Batak Families, Self-Care
References
Afifa, Q., Singarimbu, J., & Nasution, R. (2022). Pola Komunikasi antara Etnis Jawa dan Batak di Lingkungan VI Kelurahan Pangkalan Mansyur. Jurnal Ilmu-ilmu Sosial 19(1), 621-630. https://doi.org/10.29100/insp.v19i1.3059
Alzaben, A. S., Bakry, H. M., Alnashwan, N. I., Alatr, A. A., Alneghamshi, N. A., Alshatowy, A., Alshimali, N., & Bawazeer, N. M. (2023). The Influence of a Diabetes Awareness Program on Diabetes Knowledge, Risk Perception, and Practices among University Students. Primary Care Diabetes, 17(4), 327–333. https://doi.org/10.1016/j.pcd.2023.04.01
Anita, E., & Hasibuan, M., T., D. (2021). Hubungan Dukungan Keluarga dengan Kontrol Gula Darah pada Pasien Diabetes Melitus Tipe 2 yang Menjalani Perawatan di Rumah Sakit Aminah. Indonesian Trust Health Journal, 4(2), 511-516. https://doi.org/10.37104/ithj.v4i2.86
Ardiani, H. E., Permatasari, T. A. E., & Sugiatmi, S. (2021). Obesitas, Pola Diet, dan Aktifitas Fisik dalam Penanganan Diabetes Melitus pada Masa Pandemi Covid-19. Muhammadiyah Journal of Nutrition and Food Science (MJNF), 2(1), 1-12. https://doi.org/10.24853/mjnf.2.1.1-12
Basu, T., Sehar, U., Selman, A., Reddy, A. P., & Reddy, P. H. (2023). Support Provided by Caregivers for Community-Dwelling Obesity Individuals: Focus on Elderly and Hispanics. Healthcare (Switzerland), 11(10), 1-20. https://doi.org/10.3390/healthcare11101442
Davis, J., Fischl, A. H., Beck, J., Browning, L., Carter, A., Condon, J. E., Dennison, M., Francis, T., Hughes, P. J., Jaime, S., Lau, K. H. K., McArthur, T., Karen, M., Magee, M., Newby, O., Ponder, S. W., Quraishi, U., Rawlings, K., Socke, J., Villalobos, S. (2022). National Standards for Diabetes Self-Management Education and Support. Diabetes Care, 45(2), 484–494. https://doi.org/10.2337/dc21-2396
Fajrian Noor, M., Pusparina, I., Intan Martapura, S., & Abstrak, I. (2022). Hubungan Peran Keluarga dengan Motivasi Pasien Diabetes Militus dalam Kontrol Kadar Gula Darah The Relationship of Family Roles with Diabetes Militus Patient Motivation in Control of Blood Sugar Levels. Journal of Intan Nursing, 1(1), 23-27. https://doi.org/10.54004/join.v1i2.xx
Fuller, H., Moore, J. B., Iles, M. M., & Zulyniak, M. A. (2022). Ethnic-Specific Associations between Dietary Consumption and Gestational Diabetes Mellitus Incidence: A Meta-Analysis. PLOS Global Public Health, 2(5), 1-13. https://doi.org/10.1371/journal.pgph.0000250
Kopelowicz, A., Nandy, K., Ruiz, M. E., Polzin, R., Kurator, K., & Wali, S. (2023). Improving Self-management of Type 2 Diabetes in Latinx Patients: Protocol for a Sequential Multiple Assignment Randomized Trial Involving Community Health Workers, Registered Nurses, and Family Members. JMIR Research Protocols, 12(1), 1-12. https://doi.org/10.2196/44793
Oluchina, S. (2022). The Effectiveness of an Education Intervention based on Self-Care Model on Diabetes Self-Management Behaviors and Glycemic Control. International Journal of Africa Nursing Sciences, 17(1), 1-8 https://doi.org/10.1016/j.ijans.2022.100505
Pramita, R., Nasution, S. S., & Purba, J. M. (2021). Intervensi Pemberdayaan Berbasis Keluarga terhadap Peningkatan Perilaku Perawatan Diri Pasien dengan Diabetes Mellitus Tipe 2. Journal of Telenursing (JOTING), 3(2), 784–796. https://doi.org/10.31539/joting.v3i2.2389
Ren, B., Wang, N., Lei, S., Lin, S., Chen, Y., Liu, L., Xiang, Y., & Feng, B. (2022). Effects of Community Family Doctors-Led Intervention for Self-Management and Medication Adherence in Type 2 Diabetes Mellitus Patients: Study Protocol of A Cluster Randomised Controlled Trial. BMJ Open, 12(7), 1-8. https://doi.org/10.1136/bmjopen-2021-058670
Rismayanti, I. D. A., Sundayana, I. M., Ariana, P. A., & Heri, M. (2021). Edukasi Diabetes terhadap Penurunan Glukosa Darah pada Penderita Diabetes Mellitus Tipe 2. Journal of Telenursing (JOTING), 3(1), 110–116. https://doi.org/10.31539/joting.v3i1.2111
Sanaeinasab, H., Saffari, M., Yazdanparast, D., Karimi Zarchi, A., Al-Zaben, F., Koenig, H. G., & Pakpour, A. H. (2021). Effects of a Health Education Program to Promote Healthy Lifestyle and Glycemic Control in Patients with Type 2 Diabetes: A Randomized Controlled Trial. Primary Care Diabetes, 15(2), 275–282. https://doi.org/10.1016/j.pcd.2020.09.007
Sari, Y., Yusuf, S., Haryanto, Kusumawardani, L. H., Sumeru, A., Sutrisna, E., & Saryono. (2022). The Cultural Beliefs and Practices of Diabetes Self-Management in Javanese Diabetic Patients: an Ethnographic Study. Heliyon, 8(2), 1-9. https://doi.org/10.1016/j.heliyon.2022.e08873
Septiwi, C. (2021). Manajemen Diet pada Orang Jawa dengan Diabetes Tipe 2. Jurnal Ilmiah Kesehatan Keperawatan, 17(2), 129-140. https://doi.org/10.26753/jikk.v17i2.669
Shiferaw, W. S., Akalu, T. Y., Desta, M., Kassie, A. M., Petrucka, P. M., & Aynalem, Y. A. (2021). Effect of Educational Interventions on Knowledge of the Disease and Glycaemic Control in Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomised Controlled Trials. BMJ Open, 11(12), 1-14. https://doi.org/10.1136/bmjopen-2021-049806
Theresia, M., Lilyana, A., & Pae, K. (2022). Studi Fenomenologi: Budaya Manajemen Diet bagi Lanjut Usia dengan Diabetes Melitus. Jurnal Ners LENTERA, 10(2), 75-80. http://repository.ukwms.ac.id/id/eprint/36804/3/14-Studi_fenomenologi_budaya_hasil%20cek%20similarity.pdf
Trismayangsari, R., Yuliana Hanami, Hendriati Agustiani, & Shally Novita. (2023). Gambaran Nilai dan Kebiasaan Budaya Jawa dan Batak pada Pengendalian Diri: Analisis Psikologi Budaya. Satwika : Kajian Ilmu Budaya Dan Perubahan Sosial, 7(1), 113–125. https://doi.org/10.22219/satwika.v7i1.25225
Walker, D. M., Garner, J. A., Hefner, J. L., Headings, A., Jonas, D. E., Clark, A., Bose-Brill, S., Nawaz, S., Seiber, E., McAlearney, A. S., Brock, G., Zhao, S., Reopell, L., Coovert, N., Shrodes, J. C., Spees, C. K., Sieck, C. J., Di Tosto, G., DePuccio, M. J., Joseph, J. J. (2023). Rationale and Design of the Linking Education, Produce Provision, and Community Referrals to Improve Diabetes Care (LINK) Study. Contemporary Clinical Trials, 130(1), 1-9. https://doi.org/10.1016/j.cct.2023.107212
Wang, C. H., Yen, H. R., Lu, W. L., Ho, H. H., Lin, W. Y., Kuo, Y. W., Huang, Y. Y., Tsai, S. Y., & Lin, H. C. (2022). Adjuvant Probiotics of Lactobacillus Salivarius subsp. salicinius AP-32, L. johnsonii MH-68, and Bifidobacterium Animalis subsp. lactis CP-9 Attenuate Glycemic Levels and Inflammatory Cytokines in Patients with Type 1 Diabetes Mellitus. Frontiers in Endocrinology, 13(1), 1-13. https://doi.org/10.3389/fendo.2022.754401
White Perkins, D., Milan, P., Miazek, K., Havstad, S., & Wegienka, G. (2021). Identifying Factors Affecting Diabetes Education Program Participation within a Metro Detroit Integrated Health System. Preventive Medicine Reports, 24(1), 1-8. https://doi.org/10.1016/j.pmedr.2021.101646
Alzaben, A. S., Bakry, H. M., Alnashwan, N. I., Alatr, A. A., Alneghamshi, N. A., Alshatowy, A., Alshimali, N., & Bawazeer, N. M. (2023). The Influence of a Diabetes Awareness Program on Diabetes Knowledge, Risk Perception, and Practices among University Students. Primary Care Diabetes, 17(4), 327–333. https://doi.org/10.1016/j.pcd.2023.04.01
Anita, E., & Hasibuan, M., T., D. (2021). Hubungan Dukungan Keluarga dengan Kontrol Gula Darah pada Pasien Diabetes Melitus Tipe 2 yang Menjalani Perawatan di Rumah Sakit Aminah. Indonesian Trust Health Journal, 4(2), 511-516. https://doi.org/10.37104/ithj.v4i2.86
Ardiani, H. E., Permatasari, T. A. E., & Sugiatmi, S. (2021). Obesitas, Pola Diet, dan Aktifitas Fisik dalam Penanganan Diabetes Melitus pada Masa Pandemi Covid-19. Muhammadiyah Journal of Nutrition and Food Science (MJNF), 2(1), 1-12. https://doi.org/10.24853/mjnf.2.1.1-12
Basu, T., Sehar, U., Selman, A., Reddy, A. P., & Reddy, P. H. (2023). Support Provided by Caregivers for Community-Dwelling Obesity Individuals: Focus on Elderly and Hispanics. Healthcare (Switzerland), 11(10), 1-20. https://doi.org/10.3390/healthcare11101442
Davis, J., Fischl, A. H., Beck, J., Browning, L., Carter, A., Condon, J. E., Dennison, M., Francis, T., Hughes, P. J., Jaime, S., Lau, K. H. K., McArthur, T., Karen, M., Magee, M., Newby, O., Ponder, S. W., Quraishi, U., Rawlings, K., Socke, J., Villalobos, S. (2022). National Standards for Diabetes Self-Management Education and Support. Diabetes Care, 45(2), 484–494. https://doi.org/10.2337/dc21-2396
Fajrian Noor, M., Pusparina, I., Intan Martapura, S., & Abstrak, I. (2022). Hubungan Peran Keluarga dengan Motivasi Pasien Diabetes Militus dalam Kontrol Kadar Gula Darah The Relationship of Family Roles with Diabetes Militus Patient Motivation in Control of Blood Sugar Levels. Journal of Intan Nursing, 1(1), 23-27. https://doi.org/10.54004/join.v1i2.xx
Fuller, H., Moore, J. B., Iles, M. M., & Zulyniak, M. A. (2022). Ethnic-Specific Associations between Dietary Consumption and Gestational Diabetes Mellitus Incidence: A Meta-Analysis. PLOS Global Public Health, 2(5), 1-13. https://doi.org/10.1371/journal.pgph.0000250
Kopelowicz, A., Nandy, K., Ruiz, M. E., Polzin, R., Kurator, K., & Wali, S. (2023). Improving Self-management of Type 2 Diabetes in Latinx Patients: Protocol for a Sequential Multiple Assignment Randomized Trial Involving Community Health Workers, Registered Nurses, and Family Members. JMIR Research Protocols, 12(1), 1-12. https://doi.org/10.2196/44793
Oluchina, S. (2022). The Effectiveness of an Education Intervention based on Self-Care Model on Diabetes Self-Management Behaviors and Glycemic Control. International Journal of Africa Nursing Sciences, 17(1), 1-8 https://doi.org/10.1016/j.ijans.2022.100505
Pramita, R., Nasution, S. S., & Purba, J. M. (2021). Intervensi Pemberdayaan Berbasis Keluarga terhadap Peningkatan Perilaku Perawatan Diri Pasien dengan Diabetes Mellitus Tipe 2. Journal of Telenursing (JOTING), 3(2), 784–796. https://doi.org/10.31539/joting.v3i2.2389
Ren, B., Wang, N., Lei, S., Lin, S., Chen, Y., Liu, L., Xiang, Y., & Feng, B. (2022). Effects of Community Family Doctors-Led Intervention for Self-Management and Medication Adherence in Type 2 Diabetes Mellitus Patients: Study Protocol of A Cluster Randomised Controlled Trial. BMJ Open, 12(7), 1-8. https://doi.org/10.1136/bmjopen-2021-058670
Rismayanti, I. D. A., Sundayana, I. M., Ariana, P. A., & Heri, M. (2021). Edukasi Diabetes terhadap Penurunan Glukosa Darah pada Penderita Diabetes Mellitus Tipe 2. Journal of Telenursing (JOTING), 3(1), 110–116. https://doi.org/10.31539/joting.v3i1.2111
Sanaeinasab, H., Saffari, M., Yazdanparast, D., Karimi Zarchi, A., Al-Zaben, F., Koenig, H. G., & Pakpour, A. H. (2021). Effects of a Health Education Program to Promote Healthy Lifestyle and Glycemic Control in Patients with Type 2 Diabetes: A Randomized Controlled Trial. Primary Care Diabetes, 15(2), 275–282. https://doi.org/10.1016/j.pcd.2020.09.007
Sari, Y., Yusuf, S., Haryanto, Kusumawardani, L. H., Sumeru, A., Sutrisna, E., & Saryono. (2022). The Cultural Beliefs and Practices of Diabetes Self-Management in Javanese Diabetic Patients: an Ethnographic Study. Heliyon, 8(2), 1-9. https://doi.org/10.1016/j.heliyon.2022.e08873
Septiwi, C. (2021). Manajemen Diet pada Orang Jawa dengan Diabetes Tipe 2. Jurnal Ilmiah Kesehatan Keperawatan, 17(2), 129-140. https://doi.org/10.26753/jikk.v17i2.669
Shiferaw, W. S., Akalu, T. Y., Desta, M., Kassie, A. M., Petrucka, P. M., & Aynalem, Y. A. (2021). Effect of Educational Interventions on Knowledge of the Disease and Glycaemic Control in Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomised Controlled Trials. BMJ Open, 11(12), 1-14. https://doi.org/10.1136/bmjopen-2021-049806
Theresia, M., Lilyana, A., & Pae, K. (2022). Studi Fenomenologi: Budaya Manajemen Diet bagi Lanjut Usia dengan Diabetes Melitus. Jurnal Ners LENTERA, 10(2), 75-80. http://repository.ukwms.ac.id/id/eprint/36804/3/14-Studi_fenomenologi_budaya_hasil%20cek%20similarity.pdf
Trismayangsari, R., Yuliana Hanami, Hendriati Agustiani, & Shally Novita. (2023). Gambaran Nilai dan Kebiasaan Budaya Jawa dan Batak pada Pengendalian Diri: Analisis Psikologi Budaya. Satwika : Kajian Ilmu Budaya Dan Perubahan Sosial, 7(1), 113–125. https://doi.org/10.22219/satwika.v7i1.25225
Walker, D. M., Garner, J. A., Hefner, J. L., Headings, A., Jonas, D. E., Clark, A., Bose-Brill, S., Nawaz, S., Seiber, E., McAlearney, A. S., Brock, G., Zhao, S., Reopell, L., Coovert, N., Shrodes, J. C., Spees, C. K., Sieck, C. J., Di Tosto, G., DePuccio, M. J., Joseph, J. J. (2023). Rationale and Design of the Linking Education, Produce Provision, and Community Referrals to Improve Diabetes Care (LINK) Study. Contemporary Clinical Trials, 130(1), 1-9. https://doi.org/10.1016/j.cct.2023.107212
Wang, C. H., Yen, H. R., Lu, W. L., Ho, H. H., Lin, W. Y., Kuo, Y. W., Huang, Y. Y., Tsai, S. Y., & Lin, H. C. (2022). Adjuvant Probiotics of Lactobacillus Salivarius subsp. salicinius AP-32, L. johnsonii MH-68, and Bifidobacterium Animalis subsp. lactis CP-9 Attenuate Glycemic Levels and Inflammatory Cytokines in Patients with Type 1 Diabetes Mellitus. Frontiers in Endocrinology, 13(1), 1-13. https://doi.org/10.3389/fendo.2022.754401
White Perkins, D., Milan, P., Miazek, K., Havstad, S., & Wegienka, G. (2021). Identifying Factors Affecting Diabetes Education Program Participation within a Metro Detroit Integrated Health System. Preventive Medicine Reports, 24(1), 1-8. https://doi.org/10.1016/j.pmedr.2021.101646
Published
2024-04-01
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