Skip to main content Skip to main navigation menu Skip to site footer
Jurnal Keperawatan Indonesia
Articles
VIEWS: 383
10.7454/jki.v22i2.795
Submitted: 2023-04-03
Published: 2019-07-30

Hubungan Antara Diabetes Self Care dengan Score Pedis dan Kontrol Glikemik pada Pasien Diabetes Melitus

Bali Institute of Technology and Health, Denpasar 80227
Faculty of Nursing, Universitas Indonesia, Depok 16424
Faculty of Nursing, Universitas Indonesia, Depok 16424
diabetes self care kontrol glikemik dan score PEDIS

Abstract

Diabetes Self Care (DSC) merupakan bagian dari pengelolaan diabetes. Tujuan penelitian ini adalah menganalisis hubungan DSC dengan score PEDIS (perfusion, extend, depth, infection, sensation) dan kontrol glikemik pasien Diabetes Melitus (DM). Penelitian ini merupakan cross sectional study yang melibatkan 106 pasien, dengan kriteria inklusi pasien DM tipe 1 dan 2 dengan atau tanpa ulkus kaki yang berumur <65tahun, dapat membaca, menulis dan berkomunikasi menggunakan bahasa Indonesia dengan baik. Penelitian dilakukan di Pusat Pelayanan Kesehatan Masyarakat Denpasar Barat II Bali Uji statistik yang digunakan adalah Mann Whitney dan Chi square. Statistik menunjukkan ada hubungan bermakna antara DSC dengan score PEDIS (p= 0,0005) dengan korelasi kuat (r= -0,74) dan kontrol glikemik (p= 0,0005) dengan korelasi sedang (0,45). DSC dapat digunakan untuk memprediksi kondisi kaki pasien diabetes melalui hasil score PEDIS dan dapat digunakan untuk memprediksi kontrol glikemik pasien diabetes. Menurut teori self care Orem, perawatan diri dipandang sebagai sumber daya kesehatan dalam individu. Strategi diabetes self care membutuhkan kesadaran dan tanggung jawab dalam mengelola diabetes untuk pengontrolan gula darah dan perawatan kaki yang adekuat. Kegiatan ini seharusnya dapat diarahkan tenaga keperawatan dengan cara pemberian informasi mengenai pengetahuan terkait penyakit diabetes dan perilaku pencegahan komplikasi.

Abstract

Correlation Between Diabetes Self Care Score PEDIS and Glycemic Control in Diabetes Mellitus. Diabetes selfcare (DSC) is an integrated part in diabetes management. The aim of this study was to analyze the correlation between DSC with PEDIS (perfusion, extend, depth, infection, sensation) score and glycemic control in diabetes patients. This study applied a cross sectional design, involving 106 patients, the inclusions are patient diabetes type 1 and 2 with or without diabetic foot ulcers who are < 65 years old, can read, write and use Bahasa. This research was conducted in the Community Health Center of West Denpasar II Bali. The statistic analyze used are Mann Whitney, and Chi square Statistics showed a significant association between DSC and PEDIS score (p= 0.0005) a strong correlation (r= -0.74) and glycemic control (p= 0.0005) a moderate correlation (0.451). DSC can be used predict the condition of diabetic foot ulcers through the PEDIS score and predict glycemic control in diabetes. In Orem’s self-care theory, self-care is a health resource in individual. The strategy of diabetes self-care requires awareness and responsibility in managing diabetes for controlling blood sugar and adequate foot care. This activity should directed by nurse to providing information about diabetes knowledge and prevention complications

Keywords: diabetes self care, glycemic control and PEDIS score

References

  1. Ahmad, N.S., Ramli, A., Islahudin, F., & Paraidathathu, T. (2013). Medication adherence in patients with type 2 diabetes mellitus treated at primary health clinics in Malaysia. Patient preference and adherence, 7, 525–530. https://doi.org/10.2147/PPA.S44698.
  2. Alligood, M.R. & Tomey, M.A. (2014). Nursing theorists and their work (8th Ed.). St. Louis, Missouri: Mosby Elsevier.
  3. Aumiller, W.D., & Dollahite, H.A. (2015). Pathogenesis and management of diabetic foot ulcers. Journal of the American Academy of Physician Assistants, 28 (5), 28–34. https://doi.org/10.1097/01.JAA.0000464276.44117.b1.
  4. Chuan, F., Tang, K., Jiang, P., Zhou, B., & He, X. (2015). Reliability and validity of the perfusion, extent, depth, infection and sensation (PEDIS)
  5. classification system and score in patients with diabetic foot ulcer. PLoS One, 10 (4). http://dx.doi.org/10.1371/journal.pone.0124739
  6. Coelho, C.R., Zantut-Wittmann, D.E., & Parisi, M.R. (2014). A cross-sectional study of depression and self-care in patients with type 2 diabetes with and without foot ulcers. Ostomy Wound Manage, 60 (2), 46–51.
  7. Gao, J., Wang, J., Zheng, P., Haardörfer, R., Kegler, M.C., Zhu, Y., & Fu, H. (2013). Effects of self-care, self-efficacy, social support on glycemic control in adults with type 2 diabetes. BMC Family Practice, 14 (1), 66–66. doi: 10.1186/1471-2296-14-66.
  8. Gomides, D.D.S., Villas-Boas, L.C.G., Coelho, A.C.M., & Pace, A.E. (2013). Self-care of people with diabetes mellitus who have lower limb complications. Acta Paulista De Enfermagem, 26 (3), 289–293. http://dx.doi.org/10.1590/S0103-21002013000300014.
  9. Harreiter, J., & Kautzky-Willer, A. (2018). Sex and gender differences in prevention of type 2 diabetes. Frontiers in endocrinology, 9, 220. https://doi.org/10.3389/fendo.2018.00220.
  10. Hassaballa, I. (2015). Examining Implementation and Effects of a Diabetes Self-Management Education and Support Program for African American Women Living in Boston Public Housing (Doctoral dissertation, University of Kansas). Kansas: University of Kansas
  11. Huang, M., Zhao, R., Li, S., & Jiang, X. (2014). Self-management behavior in patients with type 2 diabetes: a cross-sectional survey in western urban China. PloS one, 9 (4). https://doi.org/10.1371/journal.pone.0095138.
  12. International Diabetes Federation. (2015). Diabetes atlas. Retrieved from www.idf.org.2015. International Working Group of the Diabetic Foot. (2015). The diagnosis and management of foot infections in persons with diabetes. Retrieved from www.iwgdf.org/files/2015/website_infection.pdf
  13. Lee, J., & Dang, D.K. (2013). Macrovascular and microvascular complications of diabetes mellitus. Drug Topics, 157 (1), 44–52.
  14. Luo, X., Liu, T., Yuan, X., Ge, S., Yang, J., Li, C., & Sun, W. (2015). Factors influencing self-management in Chinese adults with type 2 diabetes: a systematic review and meta-analysis. International journal of environmental research and public health, 12 (9), 11304-11327. https://doi.org/10.3390/ijerph120911304
  15. Minet, L.K.R. (2010). Self-management in diabetes care: The importance of self-care management intervention in chronically ill patients diagnosed with diabetes (Ph.D. Thesis, University of Southern Denmark). Odense, Denmark: University of Southern Denmark.
  16. Nunez, M.A., Yarandi, H., & Nunez-Smith, M. (2011). Self-management among patients living with diabetes in the United States Virgin Islands. Journal of health care for the poor and underserved, 22 (1), 271–283. https://doi.org/10.1353/hpu.2011.0024.
  17. Saurabh, S., Sarkar, S., Selvaraj, K., Kar, S.S., Kumar, S.G., & Roy, G. (2014). Effectiveness of foot care education among people with type 2 diabetes in rural Puducherry, India. Indian journal of endocrinology and metabolism, 18(1), 106–110. http://dx.doi.org/10.4103/2230-8210.126587.
  18. Shrivastava, S.R., Shrivastava, P.S., & Ramasamy, J. (2013). Role of self-care in management of diabetes mellitus. Journal of diabetes & Metabolic disorders, 12 (1), 14. doi: 10.1186/2251-6581-12-14.
  19. Williams, I.C., Utz, S.W., Hinton, I., Yan, G., Jones, R., & Reid, K. (2014). Enhancing diabetes self-care among rural African Americans with diabetes: results of a two-year culturally tailored intervention. The Diabetes Educator, 40 (2), 231–239. https://doi.org/10.1177/0145721713520570.

How to Cite

Megayanti, S. D., Yulia, Y., & Maria, R. (2019). Hubungan Antara Diabetes Self Care dengan Score Pedis dan Kontrol Glikemik pada Pasien Diabetes Melitus. Jurnal Keperawatan Indonesia, 22(2), 122–128. https://doi.org/10.7454/jki.v22i2.795