Science Midwifery
Vol 14 No 2 (2026): June: Health Sciences and related fields

Effectiveness of the putri self-management module in improving knowledge, attitudes, and blood glucose levels among patients with type 2 diabetes mellitus

Ratna Indah Sari Dewi (Universitas Syedza Saintika, Indonesia)
Ramah Hayu (Universitas Syedza Saintika, Indonesia)
Herman Susilo (Universitas Syedza Saintika, Indonesia)
Putri Dafriani (Universitas Syedza Saintika, Indonesia)



Article Info

Publish Date
25 Jun 2026

Abstract

Poor glycemic control among patients with Type 2 Diabetes Mellitus (T2DM) is often associated with inadequate diabetes knowledge, low self-efficacy, and suboptimal self-management practices. The PUTRI (Pemberdayaan Untuk Tatalaksana dan Regulasi Individu) module was developed as a structured educational tool to support diabetes self-management in primary care settings. This study aimed to evaluate the effectiveness of the PUTRI module on patients’ knowledge, attitudes, and random blood glucose (RBG) levels. A quasi-experimental one-group pretest–posttest study was conducted among 50 patients with T2DM enrolled in a chronic disease management program at a primary healthcare center. Participants received a 7-day intervention using the PUTRI module. Knowledge and attitude were assessed using structured questionnaires, while RBG levels were measured using calibrated glucometers. Data were analyzed using the Wilcoxon Signed-Rank Test and Spearman’s correlation analysis. Significant improvements were observed in knowledge scores (0.176 ± 0.222 vs. 0.940 ± 0.121; p<0.001) and attitude scores (1.95 ± 0.505 vs. 2.91 ± 0.252; p<0.001) following the intervention. Mean RBG levels decreased from 267.54 mg/dL at baseline to 185.52 mg/dL on Day 7 (p<0.001). A moderate positive correlation was identified between post-test knowledge and attitude scores (rs=0.566, p<0.001), while self-efficacy was negatively correlated with Day-7 RBG levels (rs=-0.282, p=0.047). The PUTRI module was associated with improvements in diabetes-related knowledge, attitudes, and short-term glycemic outcomes among patients with T2DM. Further studies using randomized controlled designs and longer follow-up periods are recommended to confirm these findings.

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Journal Info

Abbrev

midwifery

Publisher

Subject

Dentistry Health Professions Nursing Public Health Veterinary

Description

Jurnal Kebidanan dan ilmu kesehatan ini adalah di terbitkan 2 kali dalam setahun, dalam bidang kebidanan dan ...