Pelatihan dan Pendampingan Kader tentang Self Monitoring of Blood Glucose (SMBG) dalam Upaya Deteksi Dini dan Menciptakan Warga Bebas DM
Abstract
Diabetes mellitus (DM) is a health problem globally and in Indonesia. One of the pillars of diabetes management is health education. One of the health education materials that can be given is how to measure blood sugar levels independently, known as Self onitoring of Blood Glucose (SMBG). This training and assistance are intended primarily for health cadres, DM patients, or those at risk of developing DM. The service team's assessment results showed that health cadres, patients, and families of DM patients in Padukuhan Gondang Legi, Wedomartani Village, had never received health education about SMBG training. Therefore, the health education material provided is training and assistance in measuring blood sugar levels independently or Self Monitoring of Blood Glucose (SMBG). The purpose of this service is to improve the knowledge and skills of cadres, DM patients, and residents in measuring blood sugar levels independently so that residents can carry out early detection (screening) or monitor their blood sugar levels independently. The service is carried out in 3 stages in September – November 2021 in Padukuhan Gondang Legi, Wedomartani Village, Ngemplak, Sleman. The service is conducted in education using the focus group discussion (FGD) method and direct demonstration of blood sugar levels to cadres, DM patients, and families. The provision of education and training increases the understanding of cadres and residents about SMBG. The change in the average knowledge score from 38.3 before education to 88.7 after education with an average difference of 50.4 Assistance and education to cadres and residents need to be carried out intensively and continuously to increase knowledge, which will impact changing attitudes and behavior of residents in efforts to control and prevent DM.
References
adi sucipto, siti fadlilah. (2019). Pelatihan Kader Tentang Self-Monitoring Of Blood Glucose (SMBG) Untuk Pengendalian Gula Darah Pasien Diabetes Millitus. Jurnal Pengabdian Kesehatan, 2(1), 38. Retrieved from https://jpk.jurnal.stikescendekiautamakudus.ac.id/index.php/jpk/article/download/24/20
Afni Juhairia Laisouw, Herlisa Anggraini, T. A. (2017). Perbedaan Kadar Glukosa Darah Berdasarkan Tetesan Darah Kapiler Tanpa Dan Dengan Hapusan Kapas Kering Metode POCT (Point-Of-Care-Testing). Retrieved from http://repository.unimus.ac.id/1117/
Arikunto, S. (2006). Metode penelitian kualitatif. Jakarta: Bumi Aksara.
Elsa Yunita Herawati, Tulus Ariyadi, B. S. (2017). Perbedaan Kadar Glukosa Darah Sewaktu Pada Darah Kapiler Dan Vena Dengan Test Strip (Glucometer On Call). Retrieved from http://repository.unimus.ac.id/405/
Enggarwati, P., Dahlia, D., & Yona, S. (2020). Potensi Pelaksanaan Self Monitoring Blood Glucose Pada Pasien Diabetes Dalam Meningkatkan Kualitas Hidup dan Kontrol Glikemik. Jurnal Ilmiah Ilmu Keperawatan Indonesia, 10(02), 39–51. https://doi.org/10.33221/jiiki.v10i02.560
Hall, J. E. (John E. (2015). Guyton and Hall textbook of medical physiology. Retrieved from https://books.google.co.id/books?id=krLSCQAAQBAJ&printsec=frontcover&dq=1.%09Guyton,+Arthur+C.+and+Hall,+John+E&hl=id&sa=X&ved=0ahUKEwimraOQkNngAhUNVH0KHTzKAiUQ6AEIOTAC#v=onepage&q=1.%09Guyton%2C Arthur C. and Hall%2C John E&f=false
Husna, C., & Saputra, B. A. (2020). Faktor – Faktor Yang Berhubungan Dengan Kemampuan Melakukan Deteksi Hipoglikemia Pada Pasien Diabetes Mellitus Tipe 2. Jurnal Ilmu Keperawatan Medikal Bedah, 3(2), 9. https://doi.org/10.32584/jikmb.v3i2.515
IDF. (2015). IDF ATLAS Seventh Edition 2015. In Circulation research (Vol. 31). https://doi.org/10.1161/01.RES.31.4.473
Kemenkes. (2019). Hari Diabetes Sedunia Tahun 2018. Pusat Data Dan Informasi Kementrian Kesehatan RI, 1–8.
Mannucci, E., Antenore, A., Giorgino, F., & Scavini, M. (2018). Effects of Structured Versus Unstructured Self-Monitoring of Blood Glucose on Glucose Control in Patients With Non-insulin-treated Type 2 Diabetes: A Meta-Analysis of Randomized Controlled Trials. Journal of Diabetes Science and Technology, 12(1), 183–189. https://doi.org/10.1177/1932296817719290
Mian, Z., Hermayer, K. L., & Jenkins, A. (2019). Continuous Glucose Monitoring: Review of an Innovation in Diabetes Management. American Journal of the Medical Sciences, 358(5), 332–339. https://doi.org/10.1016/j.amjms.2019.07.003
Parsons, S., Luzio, S., Bain, S., Harvey, J., McKenna, J., Khan, A., … Owens, D. R. (2017). Self-monitoring of Blood Glucose in Non-Insulin Treated Type 2 Diabetes (The SMBG Study): Study protocol for a randomised controlled trial. BMC Endocrine Disorders, 17(1), 1–7. https://doi.org/10.1186/s12902-017-0154-x
Puspitasari, F. (2014). Gambaran Tingkat Pengetahuan Dan Sikap Tentang Monitoring Kadar Gula Darah Mandiri Pada Penderita Dm Di Rs Pku Muhammadiyah Yogyakarta. Yogyakarta.
Ramadhani, A. E., Wahyudati, S., Fungsional, G., & Hidup, K. (2015). Gambaran gangguan fungsional dan kualitas hidup pada pasien low back pain mekanik. Jurnal Kedokteran Diponegoro, 4(4), 264–272.
Rikesdas. (2018). Hasil Utama Riset Kesehatan Dasar. Rikesdas, 1–100.
Sepdianto, T. C., Kustinnasari, D., & Sunarno, I. (2019). Pelaksanaan Self Monitoring of Blood Glucose pada Pasien Diabetes Mellitus Tipe 2 di RSUD Mardi Waluyo Kota Blitar 2019. Jurnal Keperawatan Malang, p-ISSN 2088-6098, e-ISSN 2550-0538, 4(1), 49–56.
Siswandari, Wahyu, Pugud Samodro, V. I. (2016). Pengaruh Pelatihan Terhadap Pengetahuan Dan Ketrampilan Pemeriksaan Gula Darah Secara Mandiri Pada Penderita Diabetes Melitus. Prosiding Seminar Nasional, (November), 1–10.
Slamet Hermawan, Tetra Saktika Adinugraha, A. S. (2017). Faktor-Faktor Yang Berhubungan Dengan Self Monitoring Blood Glukose Pada Pasien DM Tipe 2 Di Poliklinik Penyakit Dalam RSUD Panembahan Senopati Bantul. Retrieved from http://repository.unjaya.ac.id/621/
Soebagijo Adi Soelistijo. (2021). Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia 2021. Retrieved from www.ginasthma.org.
Triyanto, E., Isworo, A., & Rahayu, E. (2015). Model Pemberdayaan Terpadu Untuk Meningkatkan Kepatuhan Pasien Diabetes Mellitus. Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin, 11(4), 228–234.




