Community-Based Supportive Educative Improves Self-Care Management of Type II Diabetes Mellitus in the Era of the COVID-19 Pandemic

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Emdat Suprayitno
Elyk Dwi Mumpuningtias
Cory Nelia Damayanti


Background: Diabetes is the most serious, threatening and growing global health problem, leading to high morbidity and mortality and increasing health care costs. A patient's lack of understanding and self-help about the disease only exacerbates the situation. Community-based, supported learning is a skill that helps improve the patient experience. This study aims to determine the effect of a supportive community education program on self-management in patients with type 2 diabetes. \

Methods: The design of this study is quasi-empirical. The number of samples was 86, a simple randomized sample divided into two groups, 43 in the treatment group supporting community education activities, and 43 in the control group distributing leaflets on diabetes management. The Personal Care Behavioral Data Collection Tool uses the Diabetes Self-Management Summary (SDSCA). Results from studies were analyzed using the Wilcoxon test and the Mann-Whitney U test.

Result. According to the Wilcoxon signed rank test, the self-management score was 0.001 in the intervention group and p = 0.014 in the control group. Based on the Mann-Whitney test, the difference in self-help index between the experimental group and the control group after intervention was p = 0.001. Conclusion: The results of this study demonstrate that supportive community-based educational activities are effective in increasing self-management opportunities in people with type 2 diabetes. This intervention can help increase independence in people with type 2 diabetes.

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How to Cite
Suprayitno, E., Mumpuningtias, E. D., & Damayanti, C. N. (2022). Community-Based Supportive Educative Improves Self-Care Management of Type II Diabetes Mellitus in the Era of the COVID-19 Pandemic. Interest : Jurnal Ilmu Kesehatan, 21–28.


Ahrary, Z., Khosravan, S., Alami, A., & Najafi Nesheli, M. (2020). The effects of a supportive-educational intervention on women with type 2 diabetes and diabetic peripheral neuropathy: a randomized controlled trial. Clinical Rehabilitation, 34(6), 794–802.

Alligood, M. R., & Fawcett, J. (2017). The theory of the art of nursing and the practice of human care quality. Visions: The Journal of Rogerian Nursing Science, 23(1), 4–13.

Brownson, R. C., Fielding, J. E., & Green, L. W. (2018). Building capacity for evidence-based public health: reconciling the pulls of practice and the push of research. Annual Review of Public Health, 39, 27. 10.1146/annurev-publhealth-040617-014746

Dalal, J., Williams, J. S., Walker, R. J., Campbell, J. A., Davis, K. S., & Egede, L. E. (2020). Association between dissatisfaction with care and diabetes self-care behaviors, glycemic management, and quality of life of adults with type 2 diabetes mellitus. The Diabetes Educator, 46(4), 370–377.

Duarte, A. P. P., Rodrigues, P. R. M., Ferreira, M. G., Cunha, D. B., Moreira, N. F., Sichieri, R., & Muraro, A. P. (2019). Socio-economic and demographic characteristics associated with risk behaviour patterns for chronic non-communicable diseases in Brazil: data from the National Health Survey, 2013. Public Health Nutrition, 22(11), 2083–2091.

Guo, S. H.-M., Hsing, H.-C., Lin, J.-L., & Lee, C.-C. (2021). Relationships between mobile ehealth literacy, diabetes self-care, and glycemic outcomes in Taiwanese patients with type 2 diabetes: Cross-sectional study. JMIR MHealth and UHealth, 9(2), e18404.

Habibah, U., Ezdha, A. U. A., Harmaini, F., & Fitri, D. E. (2019). Pengaruh diabetes self management education (DSME) dengan metode audiovisual terhadap self care behavior pasien diabetes melitus. HEALTH CARE: JURNAL KESEHATAN, 8(2), 23–28.

Kim, K., Choi, J. S., Choi, E., Nieman, C. L., Joo, J. H., Lin, F. R., Gitlin, L. N., & Han, H.-R. (2016). Effects of community-based health worker interventions to improve chronic disease management and care among vulnerable populations: a systematic review. American Journal of Public Health, 106(4), e3–e28.

Kosiborod, M., Gomes, M. B., Nicolucci, A., Pocock, S., Rathmann, W., Shestakova, M. V, Watada, H., Shimomura, I., Chen, H., & Cid-Ruzafa, J. (2018). Vascular complications in patients with type 2 diabetes: prevalence and associated factors in 38 countries (the DISCOVER study program). Cardiovascular Diabetology, 17(1), 1–13.

Li, J., Wang, X., Chen, J., Zuo, X., Zhang, H., & Deng, A. (2020). COVID‐19 infection may cause ketosis and ketoacidosis. Diabetes, Obesity and Metabolism, 22(10), 1935–1941.

Li, Y., Zhou, W., Yang, L., & You, R. (2020). Physiological and pathological regulation of ACE2, the SARS-CoV-2 receptor. Pharmacological Research, 157, 104833.

Moghadam, S. T., Ms, S. S. N., & Ms, S. Y. (2018). The effect of self-care education on emotional intelligence and HbA1c level in patients with type 2 diabetes mellitus: a randomized controlled clinical trial. International Journal of Community Based Nursing and Midwifery, 6(1), 39.

Montazami, M., Khalifehzadeh-Esfahani, A., & Keshvari, M. (2021). Investigating the effect of family-centered self-care program based on home visits regarding dietary and medication regimen adherence of discharged patients with acute coronary syndrome. Iranian Journal of Nursing and Midwifery Research, 26(2), 113.

Mumpuningtias, E. D., Suprayitno, E., & Damayanti, C. N. (2022). Caring-Based Supportive Educative Enhance Prevention Ability Of Diabetic Ulcers In Patients With Type II Diabetes. Interest: Jurnal Ilmu Kesehatan, 198–206.

Nejhaddadgar, N., Darabi, F., Rohban, A., & Solhi, M. (2019). The effectiveness of self-management program for people with type 2 diabetes mellitus based on PRECEDE-PROCEDE model. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 13(1), 440–443.

Noviyanti, Li. Wi., Suryanto, S., & Rahman, R. T. (2021). Peningkatan Perilaku Perawatan Diri Pasien melalui Diabetes Self Management Education and Support. Media Karya Kesehatan, 4(1).

Rantung, J., Yetti, K., & Herawati, T. (2015). Hubungan self-care dengan kualitas hidup pasien diabetes mellitus (DM) di persatuan diabetes indonesia (Persadia) Cabang Cimahi. Jurnal Skolastik Keperawatan, 1(01), 38–51.

Regmi, K., & Jones, L. (2020). A systematic review of the factors–enablers and barriers–affecting e-learning in health sciences education. BMC Medical Education, 20(1), 1–18.

Sari, N. P. W. P. (2017). Nursing Agency Untuk Meningkatkan Kepatuhan, Self-Care Agency (SCA) Dan Aktivitas Perawatan Diri Pada Penderita Diabetes Mellitus (DM). Jurnal Ners LENTERA, 5(1), 77–95.

Silalahi, L. E., Prabawati, D., & Hastono, S. P. (2021). Efektivitas Edukasi Self-Care Terhadap Perilaku Manajemen Diri pada Pasien Diabetes Melitus di Wilayah Puskesmas Sukapura Jakarta. MPPKI (Media Publikasi Promosi Kesehatan Indonesia): The Indonesian Journal of Health Promotion, 4(1), 15–22.

Summers-Gibson, L. (2021). The Relationships Between Diabetes Self-Care, Diabetes Time Management, and Diabetes Distress in Women With Type 2 Diabetes Mellitus. The Science of Diabetes Self-Management and Care, 26350106211014440.