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All Journal Majalah Kedokteran Bandung Althea Medical Journal Global Medical and Health Communication Jurnal Sistem Kesehatan Syntax Literate: Jurnal Ilmiah Indonesia Media Medika Muda 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Journal of Community Empowerment for Health Jurnal Health Sains Narra J
Kuswandewi Mutyara
Departement Of Public Health Faculty Of Medicine Universitas Padjajaran Bandung Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Effect of Diabetes Self-Management Education on Knowledge and HbA1c Levels among Patients with Type 2 Diabetes Mellitus in Occupational Health Care Margarita, Susan; Arya, Insi Farisa Desy; Mariani, Helni; Setiawati, Elsa Pudji; Kusumawati, Maya; Mutyara, Kuswandewi
Althea Medical Journal Vol 12, No 2 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n2.4070

Abstract

Background: Diabetes Self-Management Education (DSME) is a structured self-care program for managing type 2 diabetes mellitus (T2DM), including treatment adherence and complications prevention. This study aimed to evaluate the effect of DSME on diabetes-related knowledge and hemoglobin A1c (HbA1C) levels among patients with T2DM.  Methods: A quasi-experimental pretest-posttest non-equivalent control group design was conducted from August 2023 to January 2024, involving 65 patients with T2DM in occupational health care in Cikarang and Tangerang, Indonesia.  The DSME program included five key components: (1) diabetes mellitus education, (2) medical nutrition therapy, (3) physical exercise, (4) pharmacological intervention; and (5) blood glucose self-monitoring. The intervention group received DSME in six sessions over three weeks (45–60 minutes each), while the control group only reviewed 40 educational slides for 30 minutes. Knowledge was assessed using the Diabetes Knowledge Questionnaire (DKQ-24), and HbA1c levels were measured twice, six months apart. Data were analyzed using independent t-tests, dependent t-tests, and ANOVA. Results: The intervention group (n=26) and control group (n=39) had similar baseline characteristics. A significant improvement in diabetes knowledge was observed in both groups. Interestingly, only the intervention group showed a notable reduction in HbA1c levels (−1.9%), from 8.5% to 6.6%. Post-intervention HbA1c levels differed significantly between groups (p<0.05), with the control group remaining at 8.2%.Conclusions: The DSME program effectively improves knowledge and reduces HbA1c levels in patients with T2DM. It is recommended for integration into occupational health care settings to promote healthy lifestyles and enhance diabetes management.
Co-Authors Abdullah Mushlih Abdullah Mushlih, Abdullah Aisyah Riseta Aini Hendrana Aisyah Riseta Aini Hendrana, Aisyah Riseta Aini Amillia Siddiq Astri Nurdiana B. Kartasasmita, Cissy Budi Setiabudiawan Budi Sujatmiko Chrysanti Murad, Chrysanti Deni Kurniadi Sunjaya Dwi Agustian Eliza Techa Fattima Eliza Techa Fattima, Eliza Techa Elsa Pudji Setiawati Elsa Pudji Setiawati Elsa Pudji Setiawati Elsa Pudji Setiawati Fedri Ruluwedrata Rinawan Firman Fuad Wirakusumah Hanom Husni Syam Hari Peni Julianti Henni Djuhaeni Indah Amelia Insi Farisa Desy Arya Kusumawati, Maya M. Uyeki, Timothy Margareta Suhanika Purnaningsih Margarita, Susan Maria Agnes Kun Mawardani Maria Agnes Kun Mawardani Mariani, Helni Meita Dhamayanti Mohanambehai Subranmiam Mohanambehai Subranmiam, Mohanambehai Nanan Sekarwana Nita Arisanti Nita Arisanti Nita Arisanti Nita Arisanti Nita Arisanti Rasmia Rowawi Reizkiana Feva Kosmah Dewi Ruhiyat, Yayat Sharon Gondodiputro Sheba, Shiane Hanako Simoes, Eric AF. Siska Wiramihardja Siska Wiramihardja Sri Endah Rahayuningsih Sunjaya, Deni K. Viramitha Kusnandi Rusmil Wiwit Widiastuti Wiwit Widiastuti, Wiwit Yudith Setiati Ermaya