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All Journal Journal of Tropical Life Science : International Journal of Theoretical, Experimental, and Applied Life Sciences Jurnal NERS Jurnal Endurance: Kajian Ilmiah Problema Kesehatan South East Asia Nursing Research Jurnal Keperawatan Widya Gantari Indonesia Jurnal Kesehatan Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Edu Masda Journal
Ratna Sitorus
Faculty of Nursing Universitas Airlangga
Agriculture, Biological Sciences & Forestry Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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Combination of Diabetes Self-Management Education and Support Through Telehealth and Hypnotherapy Optimizes Self-Care Behaviors and Lowering HbA1c Levels in Patients with Type 2 Diabetes Mellitus: Combination of Diabetes Self-Management Education and Support Subiyanto, Paulus; Saifulaman, Muhammed; Sitorus, Ratna
Journal of Tropical Life Science Vol. 15 No. 1 (2025)
Publisher : Journal of Tropical Life Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.15.01.03

Abstract

This study aims to explore the effectiveness of the combination of Diabetes Self-Management Education and Support (DSMES) through telehealth and hypnotherapy in optimizing self-care behavior and reducing hemoglobin A1c (HbA1c) levels in patients with type 2 diabetes mellitus (T2DM). The study used a quasi-experimental approach and comparative study with a pretest-posttest design and a 3-month cohort design. This study was conducted after obtaining a letter of ethical eligibility involving 40 T2DM patients divided into two groups. The control group received conventional medical services face-to-face. The intervention group received a DSMES program of seven self-care behaviors via telehealth with additional hypnotherapy sessions. The respondents in this study are women (60%) with an average age of 55.3 (31–65) years, who are highly educated (80%). A significant increase in DSM scores before and after the intervention occurred in the intervention group, (49.35–81.20) or (+31.85), and in the control group, (55.70–55.52) or (−0.18). The decrease in A1c in the intervention group (8.9%–7.37%) was (−1.53) and in the control group (8.12%–8.10%) was (−0.02). There were significant differences in DSM attainment and HbA1c levels in both types of interventions (p = 0.000; p = 0.030 with alpha 5%). DSMES, through telehealth combined with hypnotherapy, can provide a synergistic effect with medical treatment commonly given to patients with T2DM during and after the COVID-19 pandemic. This approach not only improves healthcare accessibility but also addresses the psychological barriers associated with lifestyle change.
Co-Authors Agung Waluyo Aryani, Denissa Faradita Aulia, Gina Beny Maulana Satria Dasat, Mariam Ede Surya Darmawan Herlina, Santi Herlina, Santi I Made Kariasa Ikaningtyas, Nurlia Komalawati, Dedeh Komang Noviantari Kurnia, Anna Lestari Sukmarini Maemun, Siti Masfuri - Mulyatsih, Enny Nur Hasanah Nurwulan Adi Ismaya Paulus Subiyanto Pratiwi, Tiara Zakiyah Rola Oktorina NE Saifulaman, Muhammed Tintin Sukartini Sukartini, Tintin Sukartini Tuti Herawati Widia Astuti