Diabetes Self-Care and Quality of Life Improvement Through Community Self-Help Group
Main Article Content
Abstract
Background: Type 2 diabetes mellitus (T2DM) remains a major cause of death worldwide due to complications, and its incidence is fairly high and predicted to continue to rise each year. This contributes to a low quality of life and poor self-care management, necessitating an effective treatment strategy consisting of self-help group (SHG) therapy that expands social networks, receives information, and receives emotional support from group members in order to provide numerous benefits. The purpose of this study was to assess if community-based self-help group interventions improve the quality of life and self-care management of individuals with T2DM.
Methods: This study employed a Quasi-experiment non-equivalent control group pre-test and post-test design with a self-help group intervention (n=30) for one month. The sample was selected using the approach of purposive selection with the following inclusion criteria: age between 40 and 65 years, T2DM experience between 3 and 5 years, and the ability to converse, read, and write effectively. Statistical paired sample t-test and independent sample t-test were used to assess the data.
Results: In both groups, self-care management, quality of life, and blood glucose levels at baseline were comparable. After one month of intervention, self-care management, quality of life, and blood glucose levels were significantly better in the intervention group than in the control group (p<0.05).
Conclusion: In this study, the self-care management and quality of life of individuals with T2DM improved following SHG intervention. Integrating public health effort with an interpersonal collaboration approach will provide an optimal integrated contribution to resolving chronic deseases.
Article Details
References
AbuAlhommos, A. K., Alturaifi, A. H., Al-Bin Hamdhah, A. M., Al-Ramadhan, H. H., Al Ali, Z. A., & Al Nasser, H. J. (2022a). The health-related quality of life of patients with type 2 diabetes in Saudi Arabia. Patient Preference and Adherence, Volume 16(May), 1233–1245. https://doi.org/10.2147/ppa.s353525
Anggarawati, T., & Sari, N. W. (2021). Peningkatan kualitas hidup lansia melalui self help group di rumah pelayanan sosial lanjut usia. Indonesia Jurnal Perawat, 6(1), 33–41.
Belsti, Y., Akalu, Y., & Animut, Y. (2020). Attitude, practice and its associated factors towards Diabetes complications among type 2 diabetic patients at Addis Zemen District hospital, Northwest Ethiopia. BMC Public Health, 20(1), 1–12. https://doi.org/10.1186/s12889-020-08953-6
Ben-Ari, A. T. (2002). Dimensions and predictions of professional involvement in self-help groups: A view from within. National Association of Social Workers, 27(2), 95–103. https://doi.org/10.1093/hsw/27.2.95
Borkman, T., & Munn-giddings, C. (2020). Self-Help Groups. Springer Nature Switzerland AG, 1–7. https://doi.org/https://doi.org/10.1007/978-3-319-99675-2_84-1
Cosentino, F., Grant, P., & Aboyans, V. (2019). ESC guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD. Eur Heart J 2019, 1–69.
Dinyati, A. I., Wilandika, A., & Supriyatna, I. D. (2019). Pengaruh self help group terhadap self care pada pasien diabetes melitus di Persadia cabang Rumah Sakit Muhammadiyah Bandung. Jurnal Keperawatan ’Aisyiyah, 6(1), 37–45.
Embuai, S., Siauta, M., & Tuasikal, H. (2019). Efektitifitas diabetes sef care activity status vaskuler pasien diabetes melitus. Moluccas Health Journal, 1(April), 1–9.
Esmaeilpour-BandBoni, M., Gholami-Shilsar, F., & Khanaki, K. (2021). The Effects of telephone-based telenursing on glycated hemoglobin among older adults with type 2 diabetes mellitus: A randomized controlled trial. Journal for Nurse Practitioners, 17(3), 305–309. https://doi.org/10.1016/j.nurpra.2020.09.015
Fadli. (2022). The impact of self-management-based care interventions on quality of life in type 2 diabetes mellitus patients: A philosophical perspective. Retrieved June 19, 2023, from https://www.medrxiv.org/content/10.1101/2022.06.27.22276988v1.full.pdf
Glasgow, R., & Eakin, E. (1998). Issues in diabetes self-management. in the handbook of behaviour change (S. Shumaker, E. Schron, J. Ockene, & W. McBee, Eds.). New York: Springer Publishing Company.
Halder, S., Samajdar, S., & Mahato, A. K. (2020). An exploratory study of cognitive functioning and psychological well-being in middle-aged adults with diabetes mellitus. Journal of Social Health and Diabetes, 8(01), 008–012. https://doi.org/10.1055/s-0040-1719223
International Diabetes Federation. (2021). IDF diabetes atlas 10th edition. In Diabetes Research and Clinical Practice, 102. https://doi.org/10.1016/j.diabres.2013.10.013
Ishwari Adhikari, B., & Santosh, B. (2021). Self-care Management among Patients with Type 2 Diabetes Mellitus in Tanahun, Nepal. Archives of Community Medicine and Public Health, 7, 037–042. https://doi.org/10.17352/2455-5479.000131
Kulsum, U., Ulfa, M., & Wicaksono, K. E. (2021). Pengaruh self help group terhadap pengetahuan pasien dengan penyakit kronis. Media Husada Journal of Nursing Science, 2(1), 64–69. https://doi.org/10.33475/mhjns.v1i2.15
Kusumastiwi, T., Suryani, L., & P, D. A. (2019). Meningkatkan kesehatan mental penderita diabetes melitus di komunitas dengan kegiatan kelompok Swabantu (Self Help Group). Jurnal Surya Masyarakat, 1(2), 92. https://doi.org/10.26714/jsm.1.2.2019.92-98
Ministry of Health Republic of Indonesia. (2023). Indonesian health survey. Jakarta. Retrieved June 19, 2024 from https://www.badankebijakan.kemkes.go.id/en/hasil-ski-2023/
Mulya, A. P., & Kosassy, S. M. (2020). Pola aktivitas self care pada pasien diabetes mellitus tipe II. Fundamental and Management Nursing Journal, 3(2), 59. https://doi.org/10.20473/fmnj.v3i2.21194
Noviyanti, L. W., Suryanto, & Rahman, R. T. (2021). Peningkatan Perilaku Perawatan Diri Pasien Melalui Diabetes Self Management Education And Support. Media Karya Kesehatan, 4(1), 67–77.
Pardhan, S., Nakafero, G., Raman, R., & Sapkota, R. (2020). Barriers to diabetes awareness and self-help are influenced by people’s demographics: perspectives of South Asians with type 2 diabetes. Ethnicity and Health, 25(6), 843–861. https://doi.org/10.1080/13557858.2018.1455809
Pienaar, M., & Reid, M. (2020). Self-management in face-to-face peer support for adults with type 2 diabetes living in low- or middle-income countries: A systematic review. BMC Public Health, 20(1), 1–11. https://doi.org/10.1186/s12889-020-09954-1
Prabsangob, K. (2018). Effectiveness of self-help group program for improving self-care behavior among type 2 diabetic patients receiving services at Sub-Disdrict Health Promotion Hospitals in Bangkonthee District, Samut Songkram Province, Thailand. International Academic Research Conference in Vienna, 39–45.
Prabsangob, K., Somrongthong, R., Kumar, R., & Anwar, F. (2019). Effectivenes of self-help group program for the management of type-2 diabetes patients in rural Thailand. Pakistan Journal of Nutrition, 18(2), 141–145.
Saputri, R. D. (2020). Komplikasi sistemik pada pasien diabetes melitus tipe 2. Jurnal Ilmiah Kesehatan Sandi Husada, 11(1), 230–236. https://doi.org/10.35816/jiskh.v11i1.254
Schmitt, A., Gahr, A., Hermanns, N., Kulzer, B., Huber, J., & Hakk, T. (2013). The Diabetes Self-Management Questionnaire (DSMQ): Development and evaluation of an instrument to assess diabetes self-care activities associated with glycaemic control. Journal Health and Quality of Life Outcomes, 11(1), 1. https://doi.org/10.1186/1477-7525-11-138
Singh, D. K., Mondol, S., Satpathy, I., & Chandra Mohan Patnaik, B. (2022). Self-Care Practices (SCPs) among the type II diabetics affiliating to the Self-Help Groups (SHGs) in Bangladesh. Journal of Medicinal and Chemical Sciences, 5(6), 1075–1084. https://doi.org/10.26655/JMCHEMSCI.2022.6.20
Singh, M., Pal, R., Ranjan, R., Sarker, G., DR, B., & Pal, S. (2017). Diabetes and dementia: Myth and reality. Journal of Krishna Institute of Medical Sciences University, 6, 7–12.
Srivastava, N., & Singh, R. (2020). Role of self-help group in women empowerment. SSRN Electronic Journal, 8(7), 91–105. https://doi.org/10.2139/ssrn.3623759
Suksatan, W., Prabsangob, K., & Choompunuch, B. (2021). Association between health literacy, self-care behavior, and blood sugar level among older patients with type 2 diabetes in rural Thai communities. Annals of Geriatric Medicine and Research, 25(4), 318–323. https://doi.org/10.4235/agmr.21.0117
Suyanto, S., & Astuti, S. L. D. (2022). Differences in level of spiritual well-being of patients with type 2 diabetes mellitus in urban and rural areas. JKG (Jurnal Keperawatan Global), 7(1), 10–18. https://doi.org/10.37341/jkg.v0i0.404
Than, M. W., Zaw, N. T., Minn, K., Saw, Y. M., Kiriya, J., Jimba, M., … Shibanuma, A. (2021). Assessing depressive symptoms among people living with HIV in Yangon city, Myanmar: Does being a member of self-help group matter? PLoS ONE, 16(3 March), 1–15. https://doi.org/10.1371/journal.pone.0248807
Van Puffelen, A. L., Rijken, M., Heijmans, M. J., Nijpels, G., Rutten, G. E., & Schellevis, F. G. (2014). Living with diabetes: A group-based self-management support programme for T2DM patients in the early phases of illness and their partners, study protocol of a randomized controlled trial. BMC Health Services Research, 14, 1–8. https://doi.org/10.1186/1472-6963-14-144
World Health Organization. (2022). Process of translation and adaptation of instruments. WHO guidelines on translation and adaptation of instruments. Retrieved 9 June, 2024 from Manual for WHO Disability Assessment Schedule WHODAS 2.0 website: https://terrance.who.int/mediacentre/data/WHODAS/Guidelines/WHODAS 2.0 Translation guidelines.pdf
World Health Organization (WHO). (2012). WHOQOL: Measuring Quality of Life (Program on Mental Health, Ed.). Division of Mental Helath and Prevention of Substance Abuse WHO. Retrieved 9 June, 2024 from https://www.who.int/tools/whoqol