Difran Nobel Bistara
Department of Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Surabaya, Indonesia

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Influence Self Monitoring Blood Glucose (SMBG) and Diabetes Self Management Education (DSME) on the Stability of Blood Glucose Levels Susanti Susanti; Difran Nobel Bistara
Jurnal Keperawatan Respati Yogyakarta Vol 10 No 2 (2023): MAY 2023
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v10i2.745

Abstract

Diabetes Mellitus (DM) sufferers must do DM management behavior (self-management) to control their Blood glucose levels and prevent complications. To achieve optimal self-management behavior, one of the efforts made is SMBG and DSME. Self-Monitoring Blood Glucose (SMBG) is self-monitoring blood glucose using a glucometer. Diabetes Self-Management Education (DSME) is an ongoing process of facilitating the knowledge, skills, and abilities needed for diabetes self-care. This study contributes to analyzing the effect of Self-Monitoring Blood Glucose (SMBG) and Diabetes Self-Management Education (DSME) on the stability of Blood glucose levels. The research design used is quasi-experimental. The sample in this study amounted to 40 and was taken using the technique of simple random sampling. Stability of Blood glucose levels using a glucometer measuring instrument. Data analysis using test Wilcoxon Signed-rank. The results of statistical tests on SMBG showed a p-value (0.001), so it could be concluded that there was an effect of SMBG on the stability of Blood glucose levels. Statistical test results on DSME showed a p-value (0.000), so it can be concluded that there is an effect of DSME on the stability of Blood glucose levels. Adherence to structured SMBG allows sufferers to interpret results regarding their activity level and portion size. It motivates them to act on these results for better blood sugar results. DSME components taught to patients can increase patient knowledge and skills and improve patient care that is not correct.
The Relationship between Self-Efficacy and Diet Compliance in Diabetes Mellitus Patients at Jemursari Islamic Hospital, Surabaya: Hubungan Self efficacy dengan Kepatuhan Diet pada Pasien Diabetes Melitus di Rumah Sakit Islam Jemursari Surabaya Fildzah Hendriawati; Difran Nobel Bistara; Khamida; Erika Martining Wardani; Susanti
Jurnal Ilmiah Kesehatan Vol 19 No 02 (2026): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v19i02.7894

Abstract

Patients with diabetes mellitus frequently experience difficulties adhering to recommended dietary regimens, resulting in unstable blood glucose levels and an increased risk of further complications. One significant factor influencing dietary adherence is self-efficacy, or patients' belief in their own ability to manage their diet. This study aims to investigate the relationship between self-efficacy and dietary adherence among diabetes mellitus patients at Jemursari Islamic Hospital, Surabaya. This study employed a correlational analytical design with a cross-sectional approach. A total of 119 respondents were selected using a simple random sampling technique from a population of 170 patients with type 1 and type 2 diabetes mellitus. Data collection instruments included the Diabetes Management Self efficacy Scale (DMSES) for measuring self-efficacy and the Dietary Behaviour Questionnaire (DBQ) for assessing dietary adherence. Data were analyzed using Spearman's Rank correlation test. The results indicated that the majority of respondents had a low level of self-efficacy (fifty-three point eight percent) and moderate dietary adherence (forty-six point two percent). Statistical analysis revealed a significant positive relationship between self-efficacy and dietary adherence among diabetes mellitus patients (p = 0.000), with a strong correlation coefficient of 0.851. Based on these findings, self-efficacy was found to have a strong positive association with dietary adherence. Therefore, healthcare professionals are advised to emphasize simple and repetitive educational approaches, particularly targeting elderly patients with low to moderate educational levels, to enhance patients' confidence in consistently and independently adhering to diabetes dietary regimens. .