EFEKTIVITAS EDUKASI FLIPCHART TERHADAP PENGETAHUAN, SIKAP, PERSEPSI DAN GULA DARAH PASIEN DM TIPE 2 DENGAN TERAPI INSULIN
Abstract
ABSTRAK Latar belakang: Diabetes Mellitus (DM) merupakan penyakit metabolik yang ditandai hiperglikemia dan gangguan metabolisme karbohidrat, protein, dan lemak akibat gangguan insulin, baik sekresi,kerja atau keduanya. Edukasi merupakan salah satu cara yang efektif untuk mengurangi komplikasi dan meningkatkan pengelolaan DM. Penelitian terdahulu menunjukan bahwa edukasi dengan flipchart memberikan pengaruh terhadap pengelolaan diabetes mellitus. Tujuan dari penelitian ini adalah untuk mengetahui efektivitas dari pemberian edukasi flipchart terhadap pengetahuan pasien DM tipe 2. Metode: Survey dilakukan menggunakan metode penelitian pre-experimental dengan desain pre-posttest study. Kuesioner digunakan untuk mengukur tingkat pengetahuan,sikap, persepsi pasien. Sampel adalah pasien diabetes mellitus tipe 2 di RSUD Sanjiwani Gianyar yang memenuhi kriteria inklusi. Penelitian dilakukan Juni-November 2017. Hasil data dianalisis menggunakan Wilcoxon Signed Ranks Test. Hasil: analisa pada empat puluh pasien diabetes mellitus tipe 2 menunjukkan terdapat perbedaan signifikan (p<0,005 ) pada pengetahuan, sikap, persepsi dan kadar gula darah acak sebelum dan setelah diberikan edukasi flipchart. Kesimpulan: Pemberian edukasi terapi insulin dengan media flipchart pada pasien diabetes mellitus tipe 2 dapat meningkatkan pengetahuan, sikap, persepsi dan kadar gula darah acak.
Kata Kunci: Diabetes Mellitus tipe 2, Pengetahuan, Sikap, Persepsi, Gula darah acak
Background: Diabetes Mellitus (DM) is a metabolic disease characterized by hyperglycemia and metabolic disorders of carbohydrates, proteins, and fats due to insulin disorders, secretions, work or both. Education is one effective way to reduce complications and improve the management of DM. Previous research has shown that education with flipcharts has an effect on the management of diabetes mellitus. The purpose of this study is to determine the effectiveness of flipchart education on the knowledge of patients with type 2 diabetes mellitus. Methods: The survey was conducted using pre-experimental research method with preposttest study design. Questionnaires were used to measure the level of patient knowledge, attitude, and perception. The sample was a patient of type 2 diabetes mellitus at RSUD Sanjiwani Gianyar who fulfilled the inclusion criteria. The study was conducted from June to November 2017. The results were analyzed using Wilcoxon Signed Ranks Test. Result: The results of analysis on forty patients with type 2 diabetes mellitus showed significant differences (p<0,005) in knowledge, attitude, perception, and blood glucose before and after given flipchart education. Conclution: Provision of insulin therapy education with flipchart media in patients with type 2 diabetes mellitus can improve patient knowledge, attitude, perception, and random blood glucose.
Keywords: Type 2 Diabetes Mellitus, Knowledge, Attitude, Perception, Blood Glucose
Downloads
References
Managemen of diabetes: A national clinical guideline. New York: Scottish Intercollegiate Guidelines Network (SIGN); (2010)
IDF diabetes atlas seventh edition [serial online] (2015) [cited; 97B-2-930229-81-2: available from www.diabetesatlas.org]
Soelistijo S A, Novida H, Rudijanto A, et al. (2015) Konsensus pengelolaan dan pencegahan diabetes mellitus tipe 2 di Indonesia. Jakarta: PB Perkeni
Type 2 diabetes practical target and treatments fourth edition: Western Pacific Area: International Diabetes Federation; 2005
Trief PM, Cibula D, Rodrigues E, Akel B, Weinstock RS. (2016) Incorrect insulin administration: a problem that warrant attention. Clinical Diabetes Journal. 2016; Volume 34, Number 1: 25-33.
Stotland NL. (2006) Overcoming psychological barriers in insulin therapy. Excerpta Medica Inc. 1: 38-45.
Khan AR, Lateef A, Aithan MA, Bu-Khamseen MA, Ibrahim A, Shabbir AK. (2012) Factor contributing to non-compliance among diabetics attending primary health centers in the Al Hasa district of Saudi Arabia. Journal of family and community medicine. April; 19(1): 26-32.
Wexler DJ, Catherine CB, Susan R, David MN, Enrico C, dan Mary EL. (2012) Impact of inpatient diabetes management, education, and improved discharge transition on glycemic control 12 months after discharge. Diabetes Res Clin Pract. November ; 98(2): 249–256
Malathy R, Narmadha MP, Ramesh SR, Alvin J, Dinesh B. (2011) Effect of Diabetes Counseling Programme on Knowladge, Attitude and Practice among Diabetic Patients in Erode District of Shouth India. Journal of Young Pharmacist. 3(1): 65-72
Marathe KR, Thomash TH, Sam M. A (2016) Sistematic Review on the KAP-O Framework for Diabetes Education and Research. Medical Research Archive; 4(1): 1-21
Norris SL, Engelgau MM, Narayan, KMV (2001): Effectiveness of SelfManagement Training in Type 2 Diabetes: A systematic review of randomized controlled trials. Diabetes Care. 24(3):561–587
Ayele K, Bisrat T, Lakew A, Tizta T, Eshetu G. (2012) Self Care Behavior among Patient with Diabetes in Hirari, Eastern Ethiopia: The Health Belief Model Perspective. PLoS ONE 7(4): e35515.
Huffman B. Random Plasma Glucosa Test. [serial online] (2017) [cited; 23-09-2017: available from www.diabetes.co.uk]
Cefalu W T, editor. (2017) Standards of medical care in diabetes. America: American Diabetes Association
- Articles published in CALYPTRA are licensed under a Creative Commons Attribution-ShareAlike 4.0 International license. You are free to copy, transform, or redistribute articles for any lawful purpose in any medium, provided you give appropriate credit to the original author(s) and the journal, link to the license, indicate if changes were made, and redistribute any derivative work under the same license.
- Copyright on articles is retained by the respective author(s), without restrictions. A non-exclusive license is granted to CALYPTRA to publish the article and identify itself as its original publisher, along with the commercial right to include the article in a hardcopy issue for sale to libraries and individuals.
- By publishing in CALYPTRA, authors grant any third party the right to use their article to the extent provided by the Creative Commons Attribution-ShareAlike 4.0 International license.