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Effect of Diabetes Self-Management Education on Self-Care Management Among Patients with Type 2 Diabetes Mellitus in Gedangan Endah Palupi; Kartiningrum, Eka Diah; fardiansyah, Arief; Pratiwi, Revi Ekasetya
Promotif : Jurnal Kesehatan Masyarakat Vol. 15 No. 2: DECEMBER 2025 (On Progress)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/promotif.v15i2.9085

Abstract

Introduction: Patients with diabetes mellitus continue to face difficulties in performing self-care management based on the information they receive. Diabetes Self-Management Education (DSME) can serve as a reference for health education programs to improve patients’ knowledge and self-care management skills. This study aimed to analyze the effect of DSME on self-care management among patients with type 2 diabetes mellitus. Methods: This study employed a quasi-experimental two-group pre–posttest control design. The sample was 102 patients with type 2 diabetes mellitus selected using simple random sampling. The instrument utilized was the Diabetes Management Self-Efficacy Scale (DMSES). Data were analyzed using Wilcoxon test and multivariate ANOVA. Results: The results of the multivariate analysis showed a p-value < 0.001, indicating that Diabetes Self-Management Education (DSME) had a significant effect on self-care management, including dietary patterns (R² = 0.313), physical activity (R² = 0.737), blood glucose monitoring (R² = 0.430), foot care (R² = 0.427), and medication adherence (R² = 0.349) among patients with type 2 diabetes mellitus. Physical activity demonstrated the most significant effect attributable to DSME. Conclusion: Diabetes Self-Management Education (DSME) effectively improves self-care management in patients with type 2 diabetes mellitus, with the greatest impact on physical activity. These findings support DSME as an evidence-based strategy to promote independent self-care and as a standard operating protocol in Gedangan Community Health Center.
Analysis Of Factors Related To Delay Time of Ischaemic Stroke Patients at dr. R.Koesma Hospital, Tuban Regency Sudiyanto, Henry; Prasetyo, Sudigdo Dwi; Fardiansyah, Arief; Kartiningrum, Eka Diah
Journal of Nursing Management Innovations Vol. 1 No. 1 (2025): Journal of Nursing Management Innovations
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/jnmi.v1i1.4

Abstract

Background of study: Delay time in arrival of ischemic stroke patients to the hospital is a special concern because the "golden period" for receiving thrombolysis therapy is missed.Aims and scope of paper: The purpose of this study was to analyze the relationship between knowledge, residence status, distance of residence and use of ambulances with delays time in arrival of ischemic stroke patients.Methods: The design of this study was correlational analytic with a cross-sectional design. The total population was 79 ischemic stroke patients in May 2025. The number of samples was 66 patients taken using the simple random sampling technique. Data collection using questionnaires, data analysis using the Spearman test.Result: The results of the study based on the Spearman statistical test with a significance level = 0.05, obtained the results that there was a relationship between the knowledge factor and delays time in arrival (0.001 <0.05), there was a relationship between the residence status factor and delays time  in arrival (0.001 <0.05), there was a relationship between the ambulance use factor and delays time in arrival (0.002 <0.05) and there was no relationship between distance of residence factor and delays time in arrival (0.160>0.05).Conclusion: There are many factors that cause delays time in the arrival of ischemic stroke patients. The researcher hopes that further researchers can continue research on factors that influence the delay time in arrival of ischemic stroke patients so that they can find the right solution to overcome the problem of late arrival of ischemic stroke patients.
Co-Authors Abdurrahman, Adam Achmad Choiruddin Ajeng Fitria Alamudi, Mohammad Yusuf Anggraeni, Dhonna Anis Sukowati Anjar Istianto Anjar Istianto, Anjar Anndy Prastya Arief Fardiansyah Arief Fardiansyah ARIF HIDAYAT Asih Media Yuniarti Atikah Rahadiani Basar Auli Ningtyas Baehaqi Baitun Nur Rochma Andhini Bakti Tunjung Pranoto Bambang Widjanarko Otok beastbeast, Thabita Bella Febriyanti Fitriana Budi Cahyono Devita Anggraini Dewi, Fany Rosita Dhonna Anggreni Dwi Helynarti Syurandhari Elyana Mafticha Endah Palupi Fardiansyah, Arief Fardiansyah, Arief Fefi Aryani Kuswandi Fernandes, Angelina da Costa Ginka, Mochammad Ivan Abdillah Putra Hari Basuki Notobroto Henry Sudiyanto I Putu Aprilia Pratama Ika Suhartanti Ika Suhartanti, Ika Ike Prafita Sari Ikrimah, Umi Habibatul Inike Kusuma Dewi Jerry Dwi Trijoyo Purnomo Jorge Mateu Karina Fahmi Amilia Kusuma, Yudha Laga Hadi Lestari, Irma Dhian Linda Wahyudi M. Aris Munandar Mohammad Yusuf Alamudi Monika Julian Nurwidia Arum Ni Ketut Dian Erlyawati Nike Wardani Nurhayati, Risa Nursaidah Nursaidah Nursaidah Nursaidah, Nursaidah Nurul Mawaddah Nurul Mawaddah Nurwidia Arum, Monika Julian Nurwidji Nurwidji, Nurwidji Patty, Siti Hajar Prasetyo, Sudigdo Dwi Pratiwi, Revi Ekasetya Purhadi Putri Lestari, Putri Raudhatul Jannah Revi Ekasetya Pratiwi Ridha Rahayu Rifaatul laila Mahmudah Rifaatul laila Mahmudah Santi Wulan Purnami Santoso, Mohamad Arif Budi Santy Wahyu Nuraini Sari Priyanti, Sari Shofi Andari Silfiyah Siti Rachmah Siti Rachmah Sri Wardini Puji Lestari Sri Wardini, Sri Sudianto, Henry Sulis Diana SUTIKNO Umar Faruk USWATUNIKMA Venny Riska Wulan Cahyani Vettaria Sulita Utama Widy Setyowati Widya Puspitasari Yudha Laga Hadi Kusuma Yudha Laga Hadi Kusuma, M.Kep Yudha Laga Hadikusuma