Abstract
Abstract: The purpose of this study was to analyze the effect of diabetes self management education (DSME) on distress of type 2 diabetes melitus patients which is hospitalized in Ulin General Hospital. This Study used Pre-Experiment with One Group Pretest-Posttest Design. The sample size was 32 patients. The results showed that the average of emotional burden before and after DSME was decrease, with difference number 0.325. The result of Distress among healthcare services before and after DSME was increase (0.211). The result of distress due to diabetes management before and after DSME was decrease (0.119). The result of distress interpersonal relationship before and after DSME was up (0,021). The analysis used Wilcox on Sign Rank test with p= 0,135 (p> 0,05) for emotional distress, p = 0,443 (p> 0,05) for Distress healthcare worker, p = 0.656 (p> 0.05) for distress due to diabetes management. P=0,527 (p>0,05) for Distress interpersonal relationship. The conclusion was there is no significant difference of distress level before and after DSME. It is shown that there is no effect of DSME on distress among patients with diabetes mellitus. Keywords: Diabetes Mellitus, Distress, Diabetes Self-Management Education (DSME)
Highlights
Diabetes mellitus is one of metabolic disease
The instrument in this study was an observation questionnaires, that was a Diabetes Distress Scale (DDS) modified[8] consists of 17 items with four domains related to the management of diabetes mellitus
The most respondents was ± 57 years, with range 41-76 years. This result was similar with previous study that mentioned about diabetes mellitus tends to arise in older age
Summary
Diabetes mellitus is one of metabolic disease. It was characterized by increase of levels glucose in the blood. The number of patients with diabetes mellitus in the world was increased, this is related to population boom, life expectancy, urbanization that changes the traditional lifestyle to modern lifestyles, the prevalence of obesity was increase, and otherwise the prevalence of physical activity was decline. Diabetes mellitus is a chronic disease, and it could not be cured, it can cause distress. The causes of diabetes distress was diabetes diagnosis, signs and symptoms of diabetes mellitus and diabetes management such as blood glucose monitoring, consuming oral insulin, using insulin injections, and adherence for treatment.[2]
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