Family-Based Diabetes Self Management Education (DSME) Terhadap Self Care  Pasien Dengan Luka Ulkus Diabetikum

Lucia Andi Chrismilasari; Theresia Jamini; Candra Kusuma Negara; Septi Machelia Champaca

doi:10.32524/jksp.v8i3.1701

Authors

Lucia Andi Chrismilasari STIKES Suaka Insan Banjarmasin, Indonesia
Theresia Jamini STIKES Suaka Insan Banjarmasin, Indonesia
Candra Kusuma Negara Universitas Lambung Mangkurat, Indonesia
Septi Machelia Champaca STIKES Suaka Insan Banjarmasin, Indonesia

DOI:

https://doi.org/10.32524/jksp.v8i3.1701

Keywords:

Diabetes Mellitus, Diabetic Foot Ulcers, Self Care.

Abstract

Diabetes mellitus (DM) is a chronic disease with an increasing prevalence and often leads to serious complications such as diabetic foot ulcers. In Indonesia, this complication frequently occurs due to patients' poor self-care abilities, particularly in foot care and blood glucose monitoring, which increases the risk of amputation. Diabetes Self-Management Education (DSME) is an educational approach aimed at improving patients' knowledge and skills in managing their condition independently. This study aimed to evaluate the effectiveness of DSME interventions in enhancing self-care among DM patients with diabetic foot ulcers. A quasi-experimental design with a one-group pre-test and post-test approach was used. A total of 30 respondents participated in a seven-day DSME intervention that included face-to-face education sessions on foot care, glucose monitoring, dietary management, physical activity, and medication adherence. Self-care ability was measured before and after the intervention using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. Data were analyzed using paired sample t-tests. The results showed a significant increase in self-care scores from a mean of 17.9 ± 3.4 at pre-test to 22.6 ± 3.1 at post-test (p < 0.001). These findings indicate that the DSME intervention is effective in improving patients' self-care abilities. It is recommended as a standard educational strategy in healthcare facilities to prevent complications and improve diabetic wound management.

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