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All Journal Jurnal Manajemen Kesehatan Indonesia Sanitas: Journal of Health, Medical, and Psychological Studie
Emilia Puspitasari
Universitas Widya Husada Semarang
Decision Sciences, Operations Research & Management Health Professions Medicine & Pharmacology

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Pengaruh Diabetes Self-Management Education (DSME) Melalui E-Booklet Tehadap Efikasi Diri pada Pasien Diabetes Mellitus  di RSUD Kajen Pekalongan Lia Leonita; Emilia Puspitasari; Rahayu Winarti
Journal of Health, Medical, and Psychological Studies Vol 2 No 1 (2026): : August: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/vtjrqp34

Abstract

Diabetes mellitus (DM) is a chronic metabolic disorder with a steadily increasing prevalence at both global and national levels. This condition poses a high risk of severe complications, including cardiovascular disease, renal failure, and neuropathy. Effective management of DM requires active patient participation through Diabetes Self-Management (DSM), which is strongly influenced by self-efficacy. However, many patients still exhibit low self-efficacy, highlighting the need for educational interventions such as Diabetes Self-Management Education (DSME), including those delivered through digital media like e-booklets. This study aims to examine the effect of DSME delivered via e-booklets on the self-efficacy of DM patients at RSUD Kajen Pekalongan. The study employed a quantitative approach with a quasi-experimental one-group pretest–posttest design without a control group. The population consisted of hospitalized DM patients, with an average of 92 patients per month, and a sample of 92 respondents selected using purposive sampling. Data were collected using the Diabetes Management Self-Efficacy Scale questionnaire and analyzed through frequency distribution and the Wilcoxon test. The results indicate that 90% of respondents had low self-efficacy prior to the intervention, which increased to 66.9% in the moderate category following the intervention. Statistical analysis revealed a significant effect (p = 0.000), confirming that e-booklet-based DSME effectively enhances self-efficacy among patients with DM.
RELATIONSHIP BETWEEN STRESS LEVEL AND SELF-CARE ACTIVITY AMONG PATIENTS WITH DIABETES MELLITUS AT ROEMANI MUHAMMADIYAH HOSPITAL SEMARANG Devina Purie Patricia Pingkan; Menik Kustriyani; Emilia Puspitasari
Jurnal Manajemen Kesehatan Indonesia Vol 14, No 2 (2026): Agustus 2026
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.14.2.2026.141-150

Abstract

Diabetes mellitus is a chronic non-communicable disease with increasing prevalence and a high risk of complications, requiring continuous and consistent self-care activity. However, the long-term demands of disease management may cause psychological stress, which can reduce patients’ ability and adherence in performing self-care activities. This study aimed to determine the relationship between stress level and self-care activities among patients with diabetes mellitus at Roemani Muhammadiyah Hospital, Semarang. A quantitative correlational design with a cross-sectional approach was used. Data were collected using the DASS-42 and SDSCA questionnaires from 42 respondents selected through consecutive sampling. Data were analyzed using Spearman’s rank correlation test. The results showed that 33.3% of respondents had normal stress levels, and 47.6% engaged in moderate self-care activities. The analysis revealed a significant relationship between stress level and self-care activity (p = 0.000; rho = -0.515), indicating a moderate negative correlation. Higher stress levels were associated with poorer self-care activity. It is recommended that healthcare professionals strengthen stress management education and self-care support, while future researchers should explore other contributing factors such as family support, health literacy, and coping strategies.. Keywords: Stress Level, Self-Care Activity, Diabetes Mellitus
Co-Authors Devina Purie Patricia Pingkan Lia Leonita Menik Kustriyani Rahayu Winarti