Improving Self-Care Behavior of Elderly Group with Diabetes Mellitus through Diabetes Self Management Intervention
DOI:
https://doi.org/10.35730/jk.v15i2.1163Keywords:
Diabetes mellitus, Elderly, Chair Based ExerciseAbstract
Background: The elderly are one of the age groups that are easily affected by diabetes mellitus due to the decline in organ function and unhealthy lifestyles. Self-care management of diabetes is crucial for helping to control the blood glucose levels of individuals with diabetes mellitus. Self-care management can be carried out through education, discussions, and the practice of physical exercise to regulate blood glucose levels. The implementation of self-care management interventions is considered effective when conducted in groups among the elderly.
Purpose: This research aims to observe changes in the knowledge and attitudes of the elderly, as well as changes in their independence skills.
Methods: The implementation of the Diabetes Self-Management intervention was carried out on 33 elderly individuals with diabetes who were organized into one group. The intervention was conducted over 12-14 weeks, which included education, simulation, and chair-based exercise (CBE) training performed once a week consecutively.. This research uses a pre-post group design with t-test analysis to determine changes in the self-care behavior of group members.
Results: There was an increase in the average score of 1.54 in the knowledge domain, and an average score of 5.18 in the attitude domain. Additionally, there was a decrease in the average blood glucose level of 61.61 mg/dL in the elderly group with diabetes mellitus. Other improvements were also observed in the changes in the Functional Independence variables for motoric and cognitive functions.
Conclusion: Diabetes self-management intervention has become one of the effective strategies that can be implemented in elderly groups with diabetes in the community.
References
IDF Diabetes Atlas 10th edition [Internet]. Available from: www.diabetesatlas.org
Paolisso G. Pathophysiology of diabetes in elderly people. Acta Biomedica. 2010;81(SUPPL. 1):47–53.
Lee PG, Halter JB. The pathophysiology of hyperglycemia in older adults: Clinical considerations. Diabetes Care. 2017;40(4):444–52.
McClinchy J. Dietary management of older people with diabetes. British Journal of Community Nursing. 2018;23(5):248–51.
IDF. International Diabetes Federation. Vol. 266, The Lancet. 2019. 134–137 p.
Kartika AW, W W, Rekawati E. Diabetes Self-Management Education (DSME) Intervention to Improve Self-Care Management of Diabetes Mellitus Patients. Jurnal Ilmu Keperawatan (Journal of Nursing Science) [Internet]. 2013 Jan 1;9(2):151–7. Available from: https://jik.ub.ac.id/index.php/jik/article/view/431
Schmitt A, Gahr A, Hermanns N, Kulzer B, Huber J, Hakk T. The Diabetes Self-Management Questionnaire ( DSMQ ). Journal Health and Quality of Life Outcomes. 2013;11(1):1.
Garcia AA, Villagomez ET, Brown SA, Kouzekanani K, Hanis CL. The Starr County Diabetes Education Study. Diabetes Care. 2001;24(1):16–21.
Molavynejad S, Miladinia M, Jahangiri M. A randomized trial of comparing video telecare education vs. in-person education on dietary regimen compliance in patients with type 2 diabetes mellitus: a support for clinical telehealth Providers. BMC Endocrine Disorders. 2022;22(1):1–10.
Pai LW, Chiu SC, Liu HL, Chen LL, Peng T. Effects of a health education technology program on long-term glycemic control and self-management ability of adults with type 2 diabetes: A randomized controlled trial. Diabetes Research and Clinical Practice. 2021;175(100):108785.
Torres D. Effectiveness of a Nutritional Education Intervention on Increasing Fruit and Vegetable Consumption in Adults with Type 2 Diabetes. ProQuest Dissertations and Theses. 2018;105.
PERKENI. Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia 2015. (2015). PB PERKENI. Global Initiative for Asthma. 2020;46.
Van den Elzen N, Daman V, Duijkers M, Otte K, Wijnhoven E, Timmerman H, et al. The power of music: Enhancing muscle strength in older people. Healthcare (Switzerland). 2019;7(3):1–8.
Muhammed, D., Adebiyi, Y. H., Odey, B. O., Ibrahim, J., Hassan, O. N., Ugwunnaji, P. I., & Berinyuy, E. B. Nutritional Management of Diabetes Mellitus: An appraisal of the role of Medicinal plants. AROC in Natural Products Research, 01(01), 01–27. 2021. https://doi.org/10.53858/arocnpr01010127
PERKENI. Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia. 2020. PB PERKENI. Global Initiative for Asthma, 46. www.ginasthma.org.
Smith J, Petrovic P, Rose M, De Souz C, Muller L, Nowak B, et al. Placeholder Text: A Study. Citation Styles. 2021 Jul 15;3.
Stojanovi? MDM, Miki? M, Miloševi? Z, Vukovi? J, Jezdimirovi? T, Vu?eti? V. Effects of chair-based, low–load elastic band resistance training on functional fitness and metabolic biomarkers in older women. J Sports Sci Med. 2021;20(1):133–41.
Kertapati Y, Sahar J, Nursasi AY. The effects of chair yoga with spiritual intervention on the functional status of older adults. Enferm Clin [Internet]. 2018;28:70–3. Available from: http://dx.doi.org/10.1016/S1130-8621(18)30040-8
Chen KM, Li CH, Chang YH, Huang HT, Cheng YY. An elastic band exercise program for older adults using wheelchairs in Taiwan nursing homes: A cluster randomized trial. Int J Nurs Stud [Internet]. 2015;52(1):30–8. Available from: http://dx.doi.org/10.1016/j.ijnurstu.2014.06.005
Akhriansyah M, Surahmat R, Agustina N, Rusmarita R. Implementasi Terapi Musik Nature Sound kepada Lansia untuk Mengatasi Ansietas. J Abdimas Kesehat. 2024;6(2):350.
S. P, V. N, S. P, J. T, V. S, A. A, et al. Effect of mind sound resonance technique on physiological and psychological parameters among geriatric population: a structured study protocol for a randomized controlled trial. Int J Clin Trials. 2024;11(3):224–30.
Elliya R, Sari Y, Chrisanto EY. Keefektifan relaksasi nafas dalam terhadap penurunan stres pada lansia di UPTD Pelayanan Sosial Lanjut Usia Tresna Werdha Natar Lampung Selatan. Malahayati Nurs J. 2021;3(1):50-60. doi:10.33024/manuju.v3i1.1624.
Azhar A, Dekawaty A, Yuniza. Pengaruh Terapi Relaksasi Nafas Dalam Terhadap Stres pada Lansia The Effect of Deep Breathing Relaxation Therapy on Stress in the Elderly. J Inspirasi Kesehat. 2023;1(1):72–9.
Simmons, H. Diabetes in Men versus Women. In News Medical Life Sciences. 2021. https://www.news-medical.net/health/Diabetes-in-Men-versus-Women.aspx