Hubungan Tingkat Pengetahuan dan Diabetes Self-management dengan Tingkat Stres Pasien Diabetes Melitus yang Menjalani Diet

Kusnanto Kusnanto, Putri Mei Sundari, Candra Panji Asmoro, Hidayat Arifin
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Abstract

Pengetahuan sangat penting dalam mengembangkan diabetes self-management untuk mencegah resiko komplikasi jangka panjang dengan diet yang ketat. Tujuan penelitian ini untuk mengetahui hubungan antara pengetahuan dan diabetes self-management dengan tingkat stress pasien diabetes melitus yang menjalani diet. Penelitian ini menggunakan desain cross-sectional. Jumlah total sampel didapatkan sebesar 106 responden dengan multistage sampling, Kriteria inklusi meliputi pasien DM <5 tahun dengan rentang usia 35-55 tahun, tidak menggunakan insulin injeksi, Pasien DM masih berkeluarga dan tinggal dengan keluarganya. Data didapatkan dengan kuesioner Knowledge of Diabetic Diet Questionnaire, Self-Management Dietary Behaviors Questionnaire, dan tingkat stress menjalani diet. Kemudian dianalisis dengan uji Spearman test. Hasil penelitian menunjukkan bahwa tingkat pengetahuan (p=0,049; r=-0,192) dan diabetes self-management (p=0,000; r=-0,341) memiliki hubungan terhadap tingkat stress saat menjalani diet. Diabetes self-management memiliki hubungan yang sangat kuat dari pada tingkat pengetahuan terhadap tingkat stress pasien diabetes yang menjalani diet. Penelitian selanjutnya diharapkan bisa menggunakan responden dengan wilayah yang lebih luas dan serta mengembangkan intervensi yang lebih baik untuk meningkatkan pengetahuan tentang diet pada pasien diabetes melitus.

 

Kata Kunci: diabetes melitus, diet, self-management, tingkat stres

 

Abstract

 

The correlation between knowledge level and diabetes self-management towards stress level of patients DM with diet. Knowledge is very important in developing diabetes self-management to prevent the risk of long-term complications with a strict diet. The purpose of this study was to determine the relationship between knowledge and diabetes self-management with stress levels of people with diabetes mellitus who went on a diet. This study uses a cross-sectional design. The total samples obtained were 106 respondents with multistage sampling, inclusion criteria included patients with DM <5 years with a range of ages 35-55 years, did not use insulin injection, DM patients were still married and lived with their families. Data are obtained with questionnaire of Knowledge of Diabetic Diet Questionnaire (KDDQ), a Self-Management Dietary Behaviors Questionnaire (SMDBQ), and a stress level on a diet. Data analyzed by the Spearman Rho. The results showed that the level of knowledge (p=0.049; r=-0.192) and diabetes self-management (p=0,000; r=-0,341) had a relationship to stress levels while on a diet. Diabetes self-management has a very strong relationship to the level of knowledge of the stress level of diabetics with diet. Future studies are expected to be able to use respondents with a wider area and develop better interventions to increase knowledge about diets in people with diabetes mellitus.

 

Keywords: diabetes mellitus, diet, self-management, stress level

Keywords

diabetes mellitus; diet; self-management; stress level

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References

Abbasi, Y.F., See, O.G., Ping, N.Y., Balasubramanian, G.P., Hoon, Y.C., & Paruchuri, S. (2018). Diabetes knowledge, attitude, and practice among type 2 diabetes mellitus patients in Kuala Muda District, Malaysia – A cross-sectional study. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 12(6), 1057–1063. https://doi.org/10.1016/j.dsx.2018.06.025.

Adjei Boakye, E., Varble, A., Rojek, R., Peavler, O., Trainer, A.K., Osazuwa-Peters, N., & Hinyard, L. (2018). Sociodemographic factors associated with engagement in diabetes self-management education among people with diabetes in the United States. Public Health Reports, 133(6), 685–691. https://doi.org/10.1177/0033354918794935

Aikens, J.E. (2012). Prospective associations between emotional distress and poor outcomes in type 2 diabetes. Diabetes Care, 35 (12), 2472–2478. https://doi.org/10.2337/dc12-0181.

Aweko, J., De Man, J., Absetz, P., Östenson, C.G., Swartling Peterson, S., Mölsted Alvesson, H., & Daivadanam, M. (2018). Patient and provider dilemmas of type 2 diabetes self-management: A qualitative study in socioeconomically disadvantaged communities in Stockholm. International Journal of Environmental Research and Public Health, 15 (9), 1810. https://doi.org/10.3390/ijerph15091810.

Bader, A., Gougeon, R., Joseph, L., Da Costa, D., & Dasgupta, K. (2013). Nutritional education through internet-delivered menu plans among adults with type 2 diabetes mellitus: Pilot study. JMIR Research Protocols, 2 (2), e41. https://doi.org/10.2196/resprot.2525

Chai, S., Yao, B., Xu, L., Wang, D., Sun, J., Yuan, N., … Ji, L. (2018). The effect of diabetes self-management education on psychological status and blood glucose in newly diagnosed patients with diabetes type 2. Patient Education and Counseling, 101 (8), 1427–1432. https://doi.org/10.1016/j.pec.2018.03.020.

Chatterjee, S., Davies, M. J., Heller, S., Speight, J., Snoek, F. J., & Khunti, K. (2018). Diabetes structured self-management education programmes: a narrative review and current innovations. The Lancet Diabetes & Endocrinology, 6(2), 130–142. https://doi.org/10.1016/S2213-8587(17)30239-5

Chen, L., Pei, J.H., Kuang, J., Chen, H.M., Chen, Z., Li, Z.W., & Yang, H.Z. (2015). Effect of lifestyle intervention in patients with type 2 diabetes: A meta-analysis. Metabolism, 64 (2), 338–347. https://doi.org/10.1016/j.metabol.2014.10.018.

Chin, Y.W., Lai, P.S.M., & Chia, Y.C. (2017). The validity and reliability of the English version of the diabetes distress scale for type 2 diabetes patients in Malaysia. BMC Family Practice, 18 (1), 1–8. https://doi.org/10.1186/s12875-017-0601-9.

Chouhan, V.L. & Shalini, V. (2006). Coping strategis for stres adjusment among diabetes. Journal of the Indian Academy of Applied Psychology, 32 (2), 106–111.

Darmono, D. (2005). Pengaturan pola hidup pasien diabetes untuk mencegah komplikasi kerusakan organ-organ tubuh. Semarang: Universitas Diponegoro.

Eva, J.J., Kassab, Y.W., Neoh, C.F., Ming, L.C., Wong, Y.Y., Abdul Hameed, M., … Sarker, M.M.R. (2018). Self-care and self-management among adolescent T2DM patients: A review. Frontiers in Endocrinology, 9, 489. https://doi.org/10.3389/fendo.2018.00489.

Fanning, J., Osborn, C.Y., Lagotte, A.E., & Mayberry, L.S. (2018). Relationships between dispositional mindfulness, health behaviors, and hemoglobin A1c among adults with type 2 diabetes. Journal of Behavioral Medicine, 41(6), 798–805. https://doi.org/10.1007/s10865-018-9938-3

Fitzgerald, J.T., Funnell, M.M., Anderson, R.M., Nwankwo, R., Stansfield, R.B., & Piatt, G.A. (2016). Validation of the revised brief diabetes knowledge test (DKT2). Diabetes Educ., 42 (2), 178–187. https://doi.org/10.1177/0145721715624968

Friedman, Bowden, D., & Jones, M. (2003). Family nursing: Theory and practice. Philadephia: Appleton & Lange.

Galveia, A., Cruz, S., & Deep, C. (2012). Impact of social demographic variables on adherence to diabetes treatment and in the prevalence of stress, anxiety and depression. Advanced Research in Scientific Areas, 3 (7), 2145-2152.

Gharaibeh, B., & Tawalbeh, L.I. (2018). Diabetes self-care management practices among insulin-taking patients. Journal of Research in Nursing, 23 (7), 553–565. https://doi.org/10.1177/1744987118782311.

Gonzalez, J.S., Delahanty, L.M., Safren, S.A., Meigs, J.B., & Grant, R.W. (2008). Differentiating symptoms of depression from diabetes-specific distress: Relationships with self-care in type 2 diabetes. Diabetologia, 51 (10), 1822–1825. https://doi.org/10.1007/s00125-008-1113-x.

Handayani, D.S., Yudianto, K., & Kurniawan, T. (2013). Perilaku Self-Management Pasien Diabetes Melitus. Jurnal Keperawatan Padjajaran, 1 (1), 30–38. doi: 10.24198/jkp.v1i1.49.

Haskas, Y. (2016). Determinan locus of control pada theory of planned behavior dalam perilaku pengendalian diabetes melitus (Dissertation, Postgraduate Universitas Airlangga). Universitas Airlangga, Surabaya. Retrieved from http://repository.unair.ac.id/64495/

International Diabetes Federation. (2017). IDF diabetes atlas eighth edition 2017. International Diabetes Federation. https://doi.org/10.1016/j.diabres.2009.10.007.

Irhayani, I. (2012). Hubungan dukungan keluarga dengan stres pada pasien diabetes mellitus Tipe II (Skripsi, Undergraduate Program) Faculty of Psychology, Universitas Islam Negeri Sultan Syarif Kasim Riau. Retrieved from http://repository.uin-suska.ac.id/id/eprint/3976.

Jaramillo, A., Welch, V.A., Ueffing, E., Gruen, R. L., Bragge, P., Lyddiatt, A., & Tugwell, P. (2013). Prevention and self-management interventions are top priorities for osteoarthritis systematic reviews. Journal of Clinical Epidemiology, 66(5), 503–510.e4. https://doi.org/10.1016/j.jclinepi.2012.06.017

Kominfo Jatim. (2015). Masih tinggi, prevalensi diabetes di Jatim. Dinas Komunikasi dan Informatika Provinsi Jawa Timur. Retrieved from http://kominfo.jatimprov.go.id/read/umum/masih-tinggi-prevalensi-diabetes-di-jatim-

Kumah, E., Sciolli, G., Toraldo, M.L., & Murante, A.M. (2018). The diabetes self-management educational programs and their integration in the usual care: A systematic literature review. Health Policy, 122 (8), 866–877. https://doi.org/10.1016/j.healthpol.2018.06.003.

Kurnia, A.D., Amatayakul, A., & Karuncharernpanit, S. (2017). Predictors of diabetes self-management among type 2 diabetics in Indonesia: Application theory of the health promotion model. International Journal of Nursing Sciences, 4 (3), 260–265. https://doi.org/10.1016/j.ijnss.2017.06.010.

Marcy, T.R., Britton, M.L., & Harrison, D. (2011). Identification of barriers to appropriate dietary behavior in low-income patients with type 2 diabetes mellitus. Diabetes Ther., 2 (1), 9–19. https://doi.org/10.1007/s13300-010-0012-6.

Mayer-Davis, E.J., Laffel, L.M., & Buse, J.B. (2018). Management of type 1 diabetes with a very low–carbohydrate diet: A word of caution. Pediatrics, 142 (2), e20181536B. https://doi.org/10.1542/peds.2018-1536B

McEwen, M.M., Pasvogel, A., Gallegos, G., & Barrera, L. (2010). Type 2 diabetes self-management social support intervention at the U.S.-Mexico border. Public Health Nurs., 27 (4), 310 - 319. doi: 10.1111/j.1525-1446.2010.00860.x.

Nejhaddadgar, N., Darabi, F., Rohban, A., Solhi, M., & Kheire, M. (2019). Effectiveness of self-management program for people with type 2 diabetes mellitus based on PRECEDE PROCEED model. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 13 (1), 440–443. https://doi.org/10.1016/j.dsx.2018.08.016.

Notoatmojo, S. (2003). Pendidikan dan Perilaku Kesehatan. Jakarta: Rineka Cipta.

Nugroho, S.A., & Purwanti, O.S. (2010). Hubungan antara tingkat stres dengan kadar gula darah pada pasien diabetes melitus di Wilayah Kerja Puskesmas Sukoharjo I Kabupaten Sukoharjo. Jurnal Berita Ilmu Keperawatan, 3 (1), 44–51.

PERKENI. (2015). Konsensus pengelolaan dan pencegahan diabetes melitus tipe 2 di Indonesia 2015. Jakarta: PB PERKENI.

Phitri, H.E., & Widyaningsih, W. (2013). Hubungan antara pengetahuan dan sikap pasien diabetes mellitus dengan kepatuhan diet diabetes mellitus di RSUD AM. Jurnal Keperawatan Medikal Bedah, 1 (1), 58–74.

Primanda, Y., Kritpracha, C., & Thaniwattananon, P. (2011). Dietary behaviors among patients with type 2 diabetes mellitus in Yogyakarta , Indonesia. Nurse Media Journal of Nursing, 1 (2), 211–223. https://doi.org/10.14710/nmjn.v1i2.975

Riyambodo, B., & Purwanti, O.S. (2017). Hubungan antara tingkat pengetahuan dengan tingkat distres pada pasien diabetes melitus di RSUD Dr. Moewardi Surakarta (Skripsi thesis, Universitas Muhammadiyah Surakarta). Nursing Program Study Faculty of Health Science, Universitas Muhammadiyah Surakarta. Retrieved from http://eprints.ums.ac.id/56474/24/Naskah Publikasi.pdf.

Sarafino, E.P. (1990). Health psychology: Biopsychosocial interactions. Canada: John Wiley & Sons.

Seligman, H.K., Smith, M., Rosenmoss, S., Marshall, M.B., & Waxman, E. (2018). Comprehensive diabetes self-management support from food banks: A randomized controlled trial. American Journal of Public Health, 108 (9), 1227–1234. https://doi.org/10.2105/AJPH.2018.304528.

Setiawati, S., Alwi, I., Sudoyo, A.W., & Simadibrata, M., Setiyohadi, B., & Syam, A. F. (2009). Buku ajar ilmu penyakit dalam (Editor: S. Aru, W. Sudoyo, B. Setiyohadi, I. Alwi, M. Simadibrata) (Jilid II E). Jakarta: Interna Publishing.

Setyorini, A. (2017). Stres dan Koping pada pasien dengan DM tipe 2 dalam pelaksanaan manajemen diet di wilayah Puskesmas Banguntapan II Kabupaten Bantul. Health Sciences and Pharmacy Journal, 1 (1), 1–9.

Taylor, E. (2009). Psikologi sosial. Jakarta: Kencana.

Wade, C., & Tavris, C. (2007). Psikologi. Jakarta: Erlangga.

Waspadji, S. (2008). Diabetes mellitus, penyulit kronik, dan pencegahannya. Jakarta: Balai Penerbit FK UI.

Widodo, A. (2012). Stres pada pasien diabetes mellitus tipe-2 dalam melaksanakan program diet di Klinik Penyakit Dalam RSUP Dr. Kariadi Semarang. Medica Hospitalia, 1 (1), 53–56.

World Health Organization. (2017). Diabetes. Genewa: World Health Organization. Retrieved from https://www.who.int/news-room/fact-sheets/detail/diabetes

Zainudin, S.B., Abu Bakar, K.N.B., Abdullah, S. B., & Hussain, A.B. (2018). Diabetes education and medication adjustment in Ramadan (DEAR) program prepares for self-management during fasting with tele-health support from pre-Ramadan to post-Ramadan. Therapeutic Advances in Endocrinology and Metabolism, 9 (8), 231–240. https://doi.org/10.1177/2042018818781669.


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