Effectiveness of Implementation of Nursing Intervention with Innovation “DEKADEE” in Controlling Blood Sugar in Elderly Diabetes Patients in the Community
DOI:
https://doi.org/10.69606/jps.v2i04.160Keywords:
Diabetes Mellitus, DEKADEE, Elderly, Temporary Blood SugarAbstract
Introduction: Diabetes Mellitus (DM) is one of the leading non-communicable diseases (NCDs) in Indonesia, ranking as the sixth leading cause of death. The impact of DM on health has been increasingly detrimental over the years, necessitating serious mitigation efforts. As a response, an innovative nursing intervention known as "DEKADEE" (Diet, Foot Exercise, and Benson Relaxation) was developed. This study aims to evaluate the effect of the DEKADEE nursing intervention on reducing blood sugar levels in elderly diabetes patients. Methods: A community case study design with a pre-experimental approach was used to evaluate the effect of the DEKADEE intervention (Diet, Foot Exercise, Benson Relaxation) on the behavior and blood sugar levels of 44 elderly individuals with diabetes in Jatijajar, Depok. Pre- and post-intervention data were measured using the Easy Touch device and a behavior assessment instrument, analyzed with a paired T-test (p < 0.05). Results: Significant improvements were observed in elderly behavior, with knowledge increasing by 3.95 points, attitudes by 2.53 points, skills by 3.66 points, and a reduction in blood sugar levels by 61.045 mg/dL. A paired T-test on behavior variables and blood sugar levels showed significant results, with a p-value of 0.000 (p < 0.05). Conclusion: The DEKADEE Nursing Intervention significantly influenced behavior and had a profound impact on controlling random blood sugar levels in elderly individuals in Jatijajar Subdistrict, Depok City.
References
Abdelkareem, N., & Suleiman, H. (2020). Effect of Diabetes Education at Primary Health Care Level in Type 2 Diabetes Patients in Khartoum State. American Journal of Public Health Research, 8(1), 1–6. https://doi.org/10.12691/ajphr-8-1-1
Al-Qahtani, A. M. (2020). Frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus in Najran, Saudi Arabia. Saudi Medical Journal, 41(9), 955–964. https://doi.org/10.15537/smj.2020.9.25339
Carol A. Miller. (2012). Nursing for Wellness in Older Adults (Elizabeth Nieginski (ed.); Sixth Edit). Wolters Kluwer Health|Lippincott Williams & Wilkins.
Dinas Kesehatan Kota Depok. (2020). Jumlah penderita diabetes melitus berdasarkan kabupaten/kota di Provinsi Jawa Barat dari tahun 2019 s.d. 2020.
Jawed, K., Nisar, N., Hussain, M., & Nawab, F. (2019). A study based on use of Complementary and Alternative Medicine among Diabetic Patients in Karachi, Pakistan. Journal of the Dow University of Health Sciences, 13(1), 10–16. https://doi.org/10.36570/jduhs.2019.1.626
Kwak, G., Gardner, K., Bolaji, B., Franklin, S., Aung, M., & Jolly, P. E. (2021). Knowledge, attitudes and practices among healthcare professionals regarding complementary alternative medicine use by patients with hypertension and type 2 diabetes mellitus in Western Jamaica. Complementary Therapies in Medicine, 57(June 2020), 102666. https://doi.org/10.1016/j.ctim.2021.102666
Lumu, W., Bahendeka, S., Wesonga, R., Kibirige, D., Kasoma, R. M., & Ssendikwanawa, E. (2023). Atherogenic index of plasma and its cardiovascular risk factor correlates among patients with type 2 diabetes in Uganda. African Health Sciences, 23(1), 515–527. https://doi.org/10.4314/ahs.v23i1.54
Megawati, F., Agustini, N. P. D., & Krismayanti, N. L. P. D. (2020). Studi Retrospektif Terapi Antidiabetik Pada Penderita Diabetes Melitus Rawat Inap Di Rumah Sakit Umum Ari Canti Periode 2018. Jurnal Ilmiah Medicamento, 6(1), 28–32. https://doi.org/10.36733/medicamento.v6i1.718
Nies, M. A., & McEwen, M. (2019). Keperawatan Kesehatan Komunitas dan Keluarga (J. Sahar, A. Setiawan, & M. Riasmini, N (eds.); Edisi Indo). Elsevier Ltd.
Nuraeni, N., & Arjita, I. P. D. (2019). Pengaruh Senam Kaki Diabet Terhadap Penurunan Kadar Gula Darah Pada Penderita Diabetes Mellitus Type Ii. Jurnal Kedokteran, 3(2), 618. https://doi.org/10.36679/kedokteran.v3i2.80
Owusu, S., Gaye, Y. E., Hall, S., Junkins, A., Sohail, M., Franklin, S., Aung, M., & Jolly, P. E. (2020). Factors associated with the use of complementary and alternative therapies among patients with hypertension and type 2 diabetes mellitus in Western Jamaica: a cross-sectional study. BMC Complementary Medicine and Therapies, 20(1), 1–11. https://doi.org/10.1186/s12906-020-03109-w
Puspita Sari, N., Harmanto, D., Kurniawan, Y., Studi Keperawatan, P., Tinggi Ilmu Kesehatan Sapta Bakti, S., Studi Rekam Medis dan Informasi Kesehatan, P., & Studi DIII Keperawatan, P. (2022). Implementasi Manajememen Relaksasi Benson terhadap Kadar Glukosa Darah dan Ankle Brachial Index Diabetes Melitus II. Jurnal Ilmu Kesehatan Indonesia (JIKSI), 3(1), 2745–8555. http://jurnal.umitra.ac.id/index.php/JIKSI/article/view/821
Raja, R., Kumar, V., Khan, M. A., Sayeed, K. A., Hussain, S. Z. M., & Rizwan, A. (2019). Knowledge, Attitude, and Practices of Complementary and Alternative Medication Usage in Patients of Type II Diabetes Mellitus. Cureus, 11(8). https://doi.org/10.7759/cureus.5357
Saeedi, P., Petersohn, I., Salpea, P., Malanda, B., Karuranga, S., Unwin, N., Colagiuri, S., Guariguata, L., Motala, A. A., Ogurtsova, K., Shaw, J. E., Bright, D., & Williams, R. (2019). Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research and Clinical Practice, 157, 107843. https://doi.org/10.1016/j.diabres.2019.107843
Safaruddin, & Permatasari, H. (2022). Dukungan Keluarga Dengan Manajemen Diri Diabetes Pada Pasien Diabetes Melitus Tipe 2 : Tinjauan Sistematik Family Support with Diabetes Self-Management in Type 2 Diabetes Mellitus Patients : A Systematic Review. 8(2), 195–204. https://www.cabidigitallibrary.org/doi/full/10.5555/20220428356
Sahwa, A. D., Supriyanti, E., Keperawatan, A., & Husada, W. (2023). Penerapan Diet 3J Untuk Mengatasi Ketidakstabilan Kadar Glukosa Darah Pada Pasien DM Tipe 2. Manajemen Asuhan Keperawatan, 7(1), 22–26. https://jurnal-d3per.uwhs.ac.id/index.php/mak/article/view/156
Soelistijo Soebagijo Adi, et all. (2019). Pengelolaan Dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia. Perkumpulan Endokrinologi Indonesia, 133.
Witna Hastiti, Tina Muzaenah, & Nur Khasanah. (2023). Pengaruh Senam Diabetes Dan Diet Karbohidrat Terhadap Penurunan Kadar Gula Darah Pada Pasien Diabetes Melitus.pdf. jurnal kesehatan. https://jurnal.stikesbethesda.ac.id/index.php/jurnalkesehatan/article/view/255
Yulita, R. F., Waluyo, A., & Azzam, R. (2019). Pengaruh Senam Kaki terhadap Penurunan Skor Neuropati dan Kadar Gula Darah pada Pasien DM Tipe 2 di Persadia RS. TK. II. Dustira Cimahi. Journal of Telenursing (JOTING), 1(1), 80–95. https://doi.org/10.31539/joting.v1i1.498
Zega, B. W., Sembiring, L. P. A. B., Laoli, D. S. A., Silaban, H. T. T., Ginting, & Novalinda, C. (2021). Hubungan Teknik Relaksasi Benson Terhadap Kadar Gula Darah Pasien Penderita Diabetes Militus Tipe 2. Jurnal Penelitian Perawat Profesional, 3(1), 153–158. https://jurnal.globalhealthsciencegroup.com/index.php/JPPP/article/view/1696
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