The Effectiveness of Self-Management Education on Reducing Blood Glucose Levels in Patients with Type II Diabetes Mellitus in the Working Area of UPT Puskesmas Paleleh, Buol Regency
Keywords:
Self-management, Blood Glucose, Type II Diabetes Mellitus
Abstract
Diabetes mellitus can increase mortality rates globally, nationally, and locally, and may cause severe long-term complications if not properly managed. One of the ways to control this problem is through the implementation of diabetes self-management education. The purpose of this study was to determine the effectiveness of self-management education in reducing blood glucose levels among patients with Type II Diabetes Mellitus in the working area of UPT Puskesmas Paleleh, Buol Regency. This study employed a pre-experimental method with a One Group Pretest-Posttest design. The population consisted of 42 respondents, selected using a purposive sampling technique. Data analysis was conducted using the SPSS program with the Wilcoxon Signed-Rank Test, a non-parametric comparative statistical test. The results showed that the effectiveness of diabetes self-management education on reducing blood glucose levels in patients with diabetes mellitus obtained a p-value = 0.000 with alpha < 0.05. Based on the results of the study, it can be concluded that self-management education is effective in reducing blood glucose levels among patients with Type II Diabetes Mellitus in the working area of Puskesmas Paleleh, Buol Regency. This study is expected to serve as a reference for improving health services and to contribute ideas and references for future research.
References
1. American Diabetes Association. (2022). Introduction: Standards of Medical Care in Diabetes—2022. Diabetes Care, 45(Suppl. 1), S1–S2. https://doi.org/10.2337/dc22-SINT
2. Adriayanto, A., Janes, C., & Akbar, N. (2021). Implementation of Diabetes Self-Management Education (DSME) on Family Independence in Caring for Patients with Diabetes Mellitus. Indonesia Journal of Nursing Health Science, 6(1), 23–30.
3. Asdie, A. (2007). Exercise/Physical Training: As Therapy and Part of Life for Diabetes Mellitus Patients. FKUI.
4. Abdullah, K., Jannah, M., Aiman, U., Hasda, S., Fadilla, Z., Taqwin, Aziz, Masita, Ardiawan, K. N., & Sari, M. E. (2022). Quantitative Research Methods. Yayasan Penerbit Muhammad Zaini.
5. Astiyah, S. C. (2022). The 3J Principles for Diabetes Patients. Ministry of Health of the Republic of Indonesia.
https://yankes.kemkes.go.id/view_artikel/1671/prinsip-3j
6. Brutsaert, E. F. (2023). Diabetes Mellitus (DM). MSD Manual.
7. Cembun, C., & Fathoni, A. (2025). Health Education Using Booklets Improves Knowledge of Type II Diabetes Mellitus Patients in Mataram City, Indonesia. Jurnal Keperawatan Terpadu, Poltekkes Mataram.
8. Dewi, E. R., & Suriadi. (2024). Nursing Care for Diabetes Mellitus Patients: A Literature Review. Jurnal Review Pendidikan dan Pengajaran, 7(4), 18644.
http://journal.universitaspahlawan.ac.id/index.php/jrpp
9. Eli, M., Thatoi, R., Hasan, F., & Rias, Y. A. (2023). Effectiveness of Family-Based Diabetes Management Intervention on Glycated Hemoglobin Among Adults with Type II Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Biological Research for Nursing, 0(0), 1–19.
https://doi.org/10.1177/10998004231218887
10. Febrinasari, R. P., Sholikah, T. A., Pakha, D. N., & Putra, S. E. (2020). Pocketbook of Diabetes Mellitus for the General Public. UNS Press.
11. Farida, F., Yitno, Y., & Nizar, A. M. (2021). Home Care Services in Improving Family Independence in Caring for Family Members with Diabetes Mellitus. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 11(4), 639–648.
https://doi.org/10.32583/permas.v11i4.138
12. Hidayah, S. N. (2021). The Effect of Home Care Counseling on the Quality of Life of Type II DM Patients at Talise Health Center, Palu City. Preventif Jurnal Kesehatan Masyarakat, 12(2), 332.
https://doi.org/10.22487/preventif.v12i2.449
13. Hardani, Andriani, H., Auliya, N. H., Fardani, R. A., Ustiawaty, J., Utami, E. F., Sukmana, D. J., & Istiqomah, R. R. (2020). Qualitative and Quantitative Research Methods Book.
14. Husna, A. R., Mumtaz, D. F., Kristin, G., & Jannah, N. (2024). The Effect of Diabetes Self-Management Education on Quality of Life and Family Support in Type II Diabetes Mellitus Patients.
15. International Diabetes Federation. (2025). IDF Diabetes Atlas (11th ed.). International Diabetes Federation.
16. Kawuryan, U., Andrianur, F., Gustini, Mumtaz, D. F., Nooir, M. A., Karlina, N., Bariroh, S. E., & Suyanto. (2024). Nursing Care for Patients with Diabetes Mellitus (N. Sulung, Ed.). Get Press Indonesia.
17. Kadirvelu, A., Sadasivan, S., & Ng, S. H. (2012). Social Support in Type II Diabetes Care: A Case of Too Little, Too Late. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 5, 407–417.
https://doi.org/10.2147/DMSO.S37183
18. Ministry of Health of the Republic of Indonesia. (2023). Decree of the Minister of Health Number HK.01.07/MENKES/2180/2023 concerning Guidelines for Palliative Home Care Services.
19. Ministry of Health of the Republic of Indonesia. (2019). National Report of Basic Health Research (Riskesdas) 2018. Health Research and Development Agency, Ministry of Health of the Republic of Indonesia.
20. Lasmadasari, N., & Sulastri, W. (2021). Evaluation of Self-Care Behavior Through Home Care-Based Nursing Care for Type II Diabetes Mellitus Patients During the Pandemic. Jurnal Keperawatan Muhammadiyah Bengkulu, 9(1), 56–62.
https://doi.org/10.36085/jkmb.v9i1.1530
21. Machali, I. (2021). Quantitative Research Methods: A Practical Guide to Planning, Conducting, and Analyzing Quantitative Research (3rd ed.). Yogyakarta: Faculty of Tarbiyah and Teacher Training, State Islamic University (UIN) Sunan Kalijaga Yogyakarta.
22. Mumtaz, D. F., Effendy, C., & Haryani. (2022). Impact of Pre-Chemotherapy Education with Audio-Visual Methods on the Self-Efficacy of Symptom Management in Patients with Cancer. Journal of Cancer Education, 37(95), 1546–1552.
https://doi.org/10.1007/s13187-021-02006-
23. Oktaviana, E., Nadrati, B., Supriyatna, L. D., & Mataram, S. Y. (2022). Blood Glucose Examination to Prevent Increased Blood Glucose Levels in Diabetes Mellitus Patients. Nursing and Midwifery Journal, 3(1), 232–237.
https://doi.org/10.26714/nm.v3i1.7487
24. Indonesian Endocrinology Association (PERKENI). (2021). Guidelines for the Management and Prevention of Type II Diabetes Mellitus in Adults in Indonesia – 2021. PERKENI.
25. Regulation of the Minister of Health of the Republic of Indonesia Number 41 of 2014 concerning Balanced Nutrition Guidelines. (2014).
26. Scalvini, S., Zanelli, E., Fiorini, G., Giudici, V., et al. (2025). Telemedicine Home-Based Management in Patients with Chronic Heart Failure and Type II Diabetes: A Randomized Controlled Trial. European Journal of Preventive Cardiology, 32(Suppl. 1), zwaf236.053.
https://academic.oup.com/eurjpc/article/32/Supplement_1/zwaf236.053/8136958?login=false
2. Adriayanto, A., Janes, C., & Akbar, N. (2021). Implementation of Diabetes Self-Management Education (DSME) on Family Independence in Caring for Patients with Diabetes Mellitus. Indonesia Journal of Nursing Health Science, 6(1), 23–30.
3. Asdie, A. (2007). Exercise/Physical Training: As Therapy and Part of Life for Diabetes Mellitus Patients. FKUI.
4. Abdullah, K., Jannah, M., Aiman, U., Hasda, S., Fadilla, Z., Taqwin, Aziz, Masita, Ardiawan, K. N., & Sari, M. E. (2022). Quantitative Research Methods. Yayasan Penerbit Muhammad Zaini.
5. Astiyah, S. C. (2022). The 3J Principles for Diabetes Patients. Ministry of Health of the Republic of Indonesia.
https://yankes.kemkes.go.id/view_artikel/1671/prinsip-3j
6. Brutsaert, E. F. (2023). Diabetes Mellitus (DM). MSD Manual.
7. Cembun, C., & Fathoni, A. (2025). Health Education Using Booklets Improves Knowledge of Type II Diabetes Mellitus Patients in Mataram City, Indonesia. Jurnal Keperawatan Terpadu, Poltekkes Mataram.
8. Dewi, E. R., & Suriadi. (2024). Nursing Care for Diabetes Mellitus Patients: A Literature Review. Jurnal Review Pendidikan dan Pengajaran, 7(4), 18644.
http://journal.universitaspahlawan.ac.id/index.php/jrpp
9. Eli, M., Thatoi, R., Hasan, F., & Rias, Y. A. (2023). Effectiveness of Family-Based Diabetes Management Intervention on Glycated Hemoglobin Among Adults with Type II Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Biological Research for Nursing, 0(0), 1–19.
https://doi.org/10.1177/10998004231218887
10. Febrinasari, R. P., Sholikah, T. A., Pakha, D. N., & Putra, S. E. (2020). Pocketbook of Diabetes Mellitus for the General Public. UNS Press.
11. Farida, F., Yitno, Y., & Nizar, A. M. (2021). Home Care Services in Improving Family Independence in Caring for Family Members with Diabetes Mellitus. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 11(4), 639–648.
https://doi.org/10.32583/permas.v11i4.138
12. Hidayah, S. N. (2021). The Effect of Home Care Counseling on the Quality of Life of Type II DM Patients at Talise Health Center, Palu City. Preventif Jurnal Kesehatan Masyarakat, 12(2), 332.
https://doi.org/10.22487/preventif.v12i2.449
13. Hardani, Andriani, H., Auliya, N. H., Fardani, R. A., Ustiawaty, J., Utami, E. F., Sukmana, D. J., & Istiqomah, R. R. (2020). Qualitative and Quantitative Research Methods Book.
14. Husna, A. R., Mumtaz, D. F., Kristin, G., & Jannah, N. (2024). The Effect of Diabetes Self-Management Education on Quality of Life and Family Support in Type II Diabetes Mellitus Patients.
15. International Diabetes Federation. (2025). IDF Diabetes Atlas (11th ed.). International Diabetes Federation.
16. Kawuryan, U., Andrianur, F., Gustini, Mumtaz, D. F., Nooir, M. A., Karlina, N., Bariroh, S. E., & Suyanto. (2024). Nursing Care for Patients with Diabetes Mellitus (N. Sulung, Ed.). Get Press Indonesia.
17. Kadirvelu, A., Sadasivan, S., & Ng, S. H. (2012). Social Support in Type II Diabetes Care: A Case of Too Little, Too Late. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 5, 407–417.
https://doi.org/10.2147/DMSO.S37183
18. Ministry of Health of the Republic of Indonesia. (2023). Decree of the Minister of Health Number HK.01.07/MENKES/2180/2023 concerning Guidelines for Palliative Home Care Services.
19. Ministry of Health of the Republic of Indonesia. (2019). National Report of Basic Health Research (Riskesdas) 2018. Health Research and Development Agency, Ministry of Health of the Republic of Indonesia.
20. Lasmadasari, N., & Sulastri, W. (2021). Evaluation of Self-Care Behavior Through Home Care-Based Nursing Care for Type II Diabetes Mellitus Patients During the Pandemic. Jurnal Keperawatan Muhammadiyah Bengkulu, 9(1), 56–62.
https://doi.org/10.36085/jkmb.v9i1.1530
21. Machali, I. (2021). Quantitative Research Methods: A Practical Guide to Planning, Conducting, and Analyzing Quantitative Research (3rd ed.). Yogyakarta: Faculty of Tarbiyah and Teacher Training, State Islamic University (UIN) Sunan Kalijaga Yogyakarta.
22. Mumtaz, D. F., Effendy, C., & Haryani. (2022). Impact of Pre-Chemotherapy Education with Audio-Visual Methods on the Self-Efficacy of Symptom Management in Patients with Cancer. Journal of Cancer Education, 37(95), 1546–1552.
https://doi.org/10.1007/s13187-021-02006-
23. Oktaviana, E., Nadrati, B., Supriyatna, L. D., & Mataram, S. Y. (2022). Blood Glucose Examination to Prevent Increased Blood Glucose Levels in Diabetes Mellitus Patients. Nursing and Midwifery Journal, 3(1), 232–237.
https://doi.org/10.26714/nm.v3i1.7487
24. Indonesian Endocrinology Association (PERKENI). (2021). Guidelines for the Management and Prevention of Type II Diabetes Mellitus in Adults in Indonesia – 2021. PERKENI.
25. Regulation of the Minister of Health of the Republic of Indonesia Number 41 of 2014 concerning Balanced Nutrition Guidelines. (2014).
26. Scalvini, S., Zanelli, E., Fiorini, G., Giudici, V., et al. (2025). Telemedicine Home-Based Management in Patients with Chronic Heart Failure and Type II Diabetes: A Randomized Controlled Trial. European Journal of Preventive Cardiology, 32(Suppl. 1), zwaf236.053.
https://academic.oup.com/eurjpc/article/32/Supplement_1/zwaf236.053/8136958?login=false
Published
2026-05-25
How to Cite
Budi Utomo, Rona Febriyona, & Nur Uyuun I. Biahimo. (2026). The Effectiveness of Self-Management Education on Reducing Blood Glucose Levels in Patients with Type II Diabetes Mellitus in the Working Area of UPT Puskesmas Paleleh, Buol Regency. International Journal of Health, Economics, and Social Sciences (IJHESS), 8(3), 1866~1871. https://doi.org/10.56338/ijhess.v8i3.11204
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