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All Journal JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Peduli Masyarakat Indonesian Journal of Global Health research Avicenna : Journal of Health Research Jurnal Kesehatan Tambusai Intan Husada : Jurnal Ilmiah Keperawatan Proceedings of the International Conference on Nursing and Health Sciences International Journal of Public Health Excellence (IJPHE) Jurnal Keperawatan Duta Medika Jurnal Abdi Kesehatan dan Kedokteran Proceeding of International Conference Health, Science And Technology (ICOHETECH) Jurnal Masyarakat Madani Indonesia Prosiding Seminar Informasi Kesehatan Nasional Jurnal Keperawatan GSH TRIAGE Jurnal Abdi Mahosada Jurnal Medika Usada
Widiastuti, Agung
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Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Inpatient-tailored diabetes self-management education and short-term glycemic change in type 2 diabetes: A pilot case series from RSUD dr. Darsono Pacitan Arifah, Kun; Widiastuti, Agung; Ernawati, Ucik; Dwi Kurniawan, Yanti
Avicenna : Journal of Health Research Vol 9, No 1 (2026): MARET
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36419/avicenna.v9i1.1741

Abstract

Background: Type 2 diabetes mellitus (T2DM) commonly presents with uncontrolled hyperglycemia among inpatients, where self-management gaps compound clinical instability. Diabetes Self-Management Education (DSME) is recommended, yet evidence for inpatient-tailored, short-horizon DSME remains limited. Objective: To evaluate the short-term effect of a ward-adapted DSME adjunct on capillary blood glucose and self-management behaviors in hospitalized adults with T2DM. Methods: purposive sampling (n=2) in the Wijaya Kusuma Inpatient Ward, RSUD dr. Darsono (July-August 2025). The intervention comprised individual bedside DSME (two sessions; 60-90 minutes total) plus discharge reinforcement, delivered by diabetes-trained nurses. Primary outcome: change in capillary glucose (mg/dL) from baseline to post-intervention over 4 days with consistent testing conditions. Secondary outcome: Diabetes Self-Management Questionnaire (DSMQ-16; 0-64). Analyses emphasized descriptive trajectories; exploratory paired t-test/Wilcoxon and bootstrap 95% CIs were reported with α=0.05 (hypothesis-generating). Results: Baseline glucose was 837 and 511 mg/dL; by day 4, values declined to 130 and 120 mg/dL, respectively (absolute change -707 [-84.5%] and -391 [-76.5%]); no hypoglycemia/adverse events occurred. DSMQ-16 improved from 15 to 50 and 17 to 60 (poor to good). Exploratory tests were underpowered (paired t=3.47, p=0.18; Wilcoxon p=0.25), but the effect size was very large (Cohen’s d=2.46), consistent with observed trajectories. Conclusion: A ward-tailored DSME delivered over four days was feasible and associated with rapid, clinically meaningful glycemic improvement and substantial gains in self-management among acutely uncontrolled inpatients with T2DM. Findings are hypothesis-generating and support larger, controlled studies to confirm efficacy, durability post-discharge, and scalability.
Co-Authors Akhirana, Fadira Nindya AM, Ady Irawan Anggraini, Sinta Dewi Arifah, Kun Astuti, Andriani Mei Ayuningtyas, Devina Budiati, Dhiani Buyu prakoso, Adi Che Azmi, Norhaida Dini Tri Wahyuni dita tiyana, alivia Dwi Kurniawan, Yanti Dwi Lestari Mukti Palupi Ermawati , Muzaroah Ermawati, Muzaroah Ernawati, Ucik Fakhrudin Nasrul Sani Irawan , Ady Irawan, Ady Irawan. AM, Ady Jatmika Siwi, Alfarizky Kartikasari, Annisa Yuli Kartiko Utomo, Endrat Kholifa, Siti Nurul Kresna Agung Yudhianto Lidiana, Exda Hanung Marni Marni, Marni Murwanti, Murwanti Musta'in Muzaroah Ermawati Ulkhasanah Nisha, Mheru Nourma Nurlita Sari, Nourma Nur Kasanah, Nia Nurhansyah, Hasna Huwaida Anggraini Pamungkas, Dewi Nur Dias Pradana Putri, Anggie Prakoso, Adi Buyu Putri, Anggie Pradana Putri, Erni Fatmawati putri, wahyu clariesta Raharja, Muhammad Langlang Tahta Rahmasari , Ikrima Rahmasari, Ikrima Risky Ain, Risky Rista, Rista Ristanto, Saskia Sefiana Salomo, Antonius Salsabila, Syafira Sari, Anju Puspita Shinta Dewi, Febrianti Sitti Rahma Soleman Syafiq Darul Redzuan, Ilyas Utomo, Endrat Kartiko Vallisya sabrina sabil, vallisya Wijayanti, Fitria Eka Resti Witriyani, Witriyani Wulandari, Septiyana Indri Yuli Kartikasari, Annisa