EFEKTIVITAS FREKUENSI PSIKOEDUKASI DALAM MENINGKATKAN KESEJAHTERAAN PSIKOLOGIS PADA PASIEN DENGAN ULKUS DIABETIK
Keywords:
Psikoedukasi, Kesejahteraan Psikologis, Ulkus Diabetik
Abstract
Latar belakang: Diabetes Melitus mempengaruhi kesejahteraan psikologis pasien karena pengobatan yang lama. Oleh karena itu diperlukan metode psikoedukasi untuk meningkatkan PWB.
Tujuan: Penelitian ini bertujuan untuk mengetahui berapa lama psikoedukasi dapat meningkatkan PWB pada penderita Ulkus Diabetik.
Metode: Penelitian ini menggunakan desain Quasy-Experiment pre-posttest no control group design dan sampel penelitian ini adalah pasien yang memiliki PWB rendah sebanyak 60 orang yang dibagi dalam kelompok psikoedukasi dengan tiga kali pertemuan dan satu kali pertemuan. Pengumpulan data dilakukan pada tanggal 12 Agustus-4 September di Wound Care Center dan RSUD Jogjakarta. Analisis data yang digunakan adalah analisis Univariat untuk menggambarkan karakteristik responden dan analisis Bivariat menggunakan Paired t-test dan Un-Paired t-test.
Hasil: Hasil penelitian menunjukkan bahwa kelompok intervensi dengan tiga kali pertemuan mengalami peningkatan skor PWB yaitu 296-397 (PWB tinggi) sedangkan kelompok dengan satu kali pertemuan yaitu 260-331. Hasil uji statistik pada nilai selisih skor didapatkan nilai signifikansi (p=0,000). Psikoedukasi dengan tiga kali pertemuan efektif untuk meningkatkan PWB pada pasien Ulkus Diabetikum.
Kesimpulan: Hasil ini diharapkan dapat membantu perawat memahami kebutuhan psikologis pasien Ulkus Diabetik.
References
Ahmad, A. et al. (2018) ‘Anxiety and Depression Among Adult Patients With Diabetic Foot: Prevalence and Associated Factors’, Journal of Clinical Medicine Research, 10(5), pp. 411–418. Available at: https://doi.org/10.14740/jocmr3352w.
Baccolini, L. et al. (2022) ‘A Psycho-educational Intervention for The Prevention of Foot Lesions in People with Diabetes: Report of a Clinical Audit’, Nutrition, Metabolism and Cardiovascular Diseases, 32(9), pp. 2264–2272. Available at: https://doi.org/10.1016/j.numecd.2022.06.011.
Bangun, A.V. and Ningsih, F. (2021) ‘Terapi Psikoedukasi Terhadap Self Care Activity pada Penderita Diabetes Melitus’, Journal of Telenursing (JOTING), 3(1), pp. 1–7. Available at: http://www.ufrgs.br/actavet/31-1/artigo552.pdf.
Bolier, L. et al. (2013) ‘Positive psychology interventions: A meta-analysis of randomized controlled studies’, BMC Public Health, 13(1), pp. 1–20. Available at: https://doi.org/10.1186/1471-2458-13-119.
Budiman, M.E.A., Yusuf, Ah. and Suhardiningsih, AV.S. (2020) ‘Hubungan Ulkus Diabetik Dengan Citra Tubuh Klien Diabetes Mellitus Tipe 2’, Jurnal Penelitian Kesehatan ‘SUARA FORIKES’ (Journal of Health Research ‘Forikes Voice’), 11(3), p. 283. Available at: https://doi.org/10.33846/sf11312.
Cai, C. and Hu, J. (2016) ‘Effectiveness of a Family-based Diabetes Self-management Educational Intervention for Chinese Adults With Type 2 Diabetes in Wuhan, China’, Diabetes Educator, 42(6), pp. 697–711. Available at: https://doi.org/10.1177/0145721716674325.
Crews, R.T. et al. (2016) ‘Physiological and Psychological Challenges of Increasing Pysical Activity and Exercise in Patients at Risk of Diabetic Foot Ulcer: A Critical Review’, Diabetes/Metabolism Research and Reviews, 32, pp. 791–804. Available at: https://doi.org/10.1002/dmrr.
Fejfarová, V. et al. (2014) ‘Does the Diabetic Foot Have a Significant Impact on Selected Psychological or Social Characteristics of Patients with Diabetes Mellitus?’, Journal of Diabetes Research, 2014, pp. 1–8. Available at: https://doi.org/10.1155/2014/246403.
Kalra, S., Jena, B.N. and Yeravdekar, R. (2018) ‘Emotional and psychological needs of people with diabetes’, Indian Journal of Endocrinology and Metabolism, 22(5), pp. 696–704. Available at: https://doi.org/10.4103/ijem.IJEM_579_17.
Lange, K. et al. (2014) ‘Diabetes Education in Children and Adolescents’, Pediatric Diabetes, 15(SUPPL.20), pp. 77–85. Available at: https://doi.org/10.1111/pedi.12187.
Massey, C.N. et al. (2019) ‘Well-being interventions for individuals with diabetes: A systematic review’, Diabetes Research and Clinical Practice, 147, pp. 118–133. Available at: https://doi.org/10.1016/j.diabres.2018.11.014.
Mirahmadizadeh, A. et al. (2021) ‘Factors related to psychological well-being amongst patients with type 2 diabetes’, Diabetes Research and Clinical Practice, 178, pp. 1–9. Available at: https://doi.org/10.1016/j.diabres.2021.108982.
Norman, G. et al. (2020) ‘Effectiveness of psychosocial interventions for the prevention and treatment of foot ulcers in people with diabetes: a systematic review’, Diabetic Medicine, pp. 1–28. Available at: https://doi.org/10.1111/dme.14326.
Pamungkas, R.A., Chamroonsawasdi, K. and Vatanasomboon, P. (2017) ‘A Systematic Review : Family Support Integrated with Diabetes Self-Management among Uncontrolled Type II Diabetes Mellitus Patients’, Behavioral Sciences, pp. 1–17. Available at: https://doi.org/10.3390/bs7030062.
Pangribowo, S. (2020) INFODATIN (PUSAT DATA DAN INFORMASI KEMENTERIAN KESEHATAN RI: Tetap Produktif, Cegah dan Atasi Diabetes Melitus. Jakarta Selatan: Kementerian Kesehatan Republik Indonesia.
Pibernik-Okanović, M. et al. (2015) ‘Does Treatment of Subsyndromal Depression Improve Depression-Related and Diabetes-Related Outcomes? A Randomised Controlled Comparison of Psychoeducation, Physical Exercise and Enhanced Treatment as Usual’, Trials, 16(1), pp. 1–13. Available at: https://doi.org/10.1186/s13063-015-0833-8.
Risman, Supardi, E. and Jamaluddin, M. (2020) ‘Hubungan Penggunaan Alas Kaki Dengan Luka Kaki Diabetik Di Klinik Perawatan Luka Kota Makassar’, Jurnal Ilmiah Kesehatan Diagnosis, 15(2), pp. 112–116.
Romli, L.Y. and Hariyono (2018) ‘Pengaruh Psikoedukasi Terhadap Motivasi Sembuh dan Glukosa Darah pada Penderita Diabetes Mellitus Tipe 2 dengan Pendekatan Teori Adaptasi ROY’, Jurnal Keperawatan, 15(1), pp. 41–50.
Ryff, C.D. (2014) ‘Psychological Well-Being Revisited: Advances in the Science and Practice of Eudaimonia’, Psychotherapy and Psychosomatics, 83(1), pp. 10–28. Available at: https://doi.org/10.1159/000353263.
Saeedi, P. et al. (2019) ‘Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition’, Diabetes Research and Clinical Practice, 157, p. 107843. Available at: https://doi.org/10.1016/j.diabres.2019.107843.
Sari, N.P.W.P. and Manungkalit, M. (2021) ‘PREDIKTOR TERKUAT TINGGINYA DUKUNGAN KELUARGA PADA PENDERITA ULKUS DIABETIKUM’, Adi Husada Nursing Journal, 7(1), pp. 107–114. Available at: https://doi.org/https:///doi.org/10.37036/ahnj.v7il.204.
Setiawan Herno et al. (2020) ‘Kualitas Hidup Ditinjau dari Tingkat Kecemasan Pasien Penderita Ulkus Diabetikum’, Majalah Kesehatan Indonesia, 1(2), pp. 33–38.
Silalahi, K.L. and Patriona, N. (2018) ‘Hubungan Body Image Dengan Self-Acceptance (Penerimaan Diri) Pada Pasien Ulkus Diabetikum Di Rumah Sakit TK II Putri Hijau Kota Medan Tahun 2016’, Jurnal Keperawatan Priority, 1(1), pp. 61–72.
Tong, W.T., Vethakkan, S.R. and Ng, C.J. (2015) ‘Why do some people with type 2 diabetes who are using insulin have poor glycaemic control ? A qualitative study’, BMJ Open, 5, pp. 1–9. Available at: https://doi.org/10.1136/bmjopen-2014-006407.
Tristiana, R.D. et al. (2016) ‘KESEJAHTERAAN PSIKOLOGIS PADA PASIEN DIABETES MELLITUS TIPE 2 DI PUSKESMAS MULYOREJO SURABAYA’, Jurnal Ners, 11(2), pp. 147–156.
Vileikyte, L., Pouwer, F. and Gonzalez, J.S. (2019) ‘Psychosocial research in the diabetic foot: Are we making progress?’, Diabetes/Metabolism Research and Reviews, 36(S1), pp. 1–5. Available at: https://doi.org/10.1002/dmrr.3257.
Young-Hyman, D. et al. (2016) ‘Psychosocial Care for People with Diabetes: A Position Statement of The American Diabetes Association’, Diabetes Care, 39(12), pp. 2126–2140. Available at: https://doi.org/10.2337/dc16-2053.
Baccolini, L. et al. (2022) ‘A Psycho-educational Intervention for The Prevention of Foot Lesions in People with Diabetes: Report of a Clinical Audit’, Nutrition, Metabolism and Cardiovascular Diseases, 32(9), pp. 2264–2272. Available at: https://doi.org/10.1016/j.numecd.2022.06.011.
Bangun, A.V. and Ningsih, F. (2021) ‘Terapi Psikoedukasi Terhadap Self Care Activity pada Penderita Diabetes Melitus’, Journal of Telenursing (JOTING), 3(1), pp. 1–7. Available at: http://www.ufrgs.br/actavet/31-1/artigo552.pdf.
Bolier, L. et al. (2013) ‘Positive psychology interventions: A meta-analysis of randomized controlled studies’, BMC Public Health, 13(1), pp. 1–20. Available at: https://doi.org/10.1186/1471-2458-13-119.
Budiman, M.E.A., Yusuf, Ah. and Suhardiningsih, AV.S. (2020) ‘Hubungan Ulkus Diabetik Dengan Citra Tubuh Klien Diabetes Mellitus Tipe 2’, Jurnal Penelitian Kesehatan ‘SUARA FORIKES’ (Journal of Health Research ‘Forikes Voice’), 11(3), p. 283. Available at: https://doi.org/10.33846/sf11312.
Cai, C. and Hu, J. (2016) ‘Effectiveness of a Family-based Diabetes Self-management Educational Intervention for Chinese Adults With Type 2 Diabetes in Wuhan, China’, Diabetes Educator, 42(6), pp. 697–711. Available at: https://doi.org/10.1177/0145721716674325.
Crews, R.T. et al. (2016) ‘Physiological and Psychological Challenges of Increasing Pysical Activity and Exercise in Patients at Risk of Diabetic Foot Ulcer: A Critical Review’, Diabetes/Metabolism Research and Reviews, 32, pp. 791–804. Available at: https://doi.org/10.1002/dmrr.
Fejfarová, V. et al. (2014) ‘Does the Diabetic Foot Have a Significant Impact on Selected Psychological or Social Characteristics of Patients with Diabetes Mellitus?’, Journal of Diabetes Research, 2014, pp. 1–8. Available at: https://doi.org/10.1155/2014/246403.
Kalra, S., Jena, B.N. and Yeravdekar, R. (2018) ‘Emotional and psychological needs of people with diabetes’, Indian Journal of Endocrinology and Metabolism, 22(5), pp. 696–704. Available at: https://doi.org/10.4103/ijem.IJEM_579_17.
Lange, K. et al. (2014) ‘Diabetes Education in Children and Adolescents’, Pediatric Diabetes, 15(SUPPL.20), pp. 77–85. Available at: https://doi.org/10.1111/pedi.12187.
Massey, C.N. et al. (2019) ‘Well-being interventions for individuals with diabetes: A systematic review’, Diabetes Research and Clinical Practice, 147, pp. 118–133. Available at: https://doi.org/10.1016/j.diabres.2018.11.014.
Mirahmadizadeh, A. et al. (2021) ‘Factors related to psychological well-being amongst patients with type 2 diabetes’, Diabetes Research and Clinical Practice, 178, pp. 1–9. Available at: https://doi.org/10.1016/j.diabres.2021.108982.
Norman, G. et al. (2020) ‘Effectiveness of psychosocial interventions for the prevention and treatment of foot ulcers in people with diabetes: a systematic review’, Diabetic Medicine, pp. 1–28. Available at: https://doi.org/10.1111/dme.14326.
Pamungkas, R.A., Chamroonsawasdi, K. and Vatanasomboon, P. (2017) ‘A Systematic Review : Family Support Integrated with Diabetes Self-Management among Uncontrolled Type II Diabetes Mellitus Patients’, Behavioral Sciences, pp. 1–17. Available at: https://doi.org/10.3390/bs7030062.
Pangribowo, S. (2020) INFODATIN (PUSAT DATA DAN INFORMASI KEMENTERIAN KESEHATAN RI: Tetap Produktif, Cegah dan Atasi Diabetes Melitus. Jakarta Selatan: Kementerian Kesehatan Republik Indonesia.
Pibernik-Okanović, M. et al. (2015) ‘Does Treatment of Subsyndromal Depression Improve Depression-Related and Diabetes-Related Outcomes? A Randomised Controlled Comparison of Psychoeducation, Physical Exercise and Enhanced Treatment as Usual’, Trials, 16(1), pp. 1–13. Available at: https://doi.org/10.1186/s13063-015-0833-8.
Risman, Supardi, E. and Jamaluddin, M. (2020) ‘Hubungan Penggunaan Alas Kaki Dengan Luka Kaki Diabetik Di Klinik Perawatan Luka Kota Makassar’, Jurnal Ilmiah Kesehatan Diagnosis, 15(2), pp. 112–116.
Romli, L.Y. and Hariyono (2018) ‘Pengaruh Psikoedukasi Terhadap Motivasi Sembuh dan Glukosa Darah pada Penderita Diabetes Mellitus Tipe 2 dengan Pendekatan Teori Adaptasi ROY’, Jurnal Keperawatan, 15(1), pp. 41–50.
Ryff, C.D. (2014) ‘Psychological Well-Being Revisited: Advances in the Science and Practice of Eudaimonia’, Psychotherapy and Psychosomatics, 83(1), pp. 10–28. Available at: https://doi.org/10.1159/000353263.
Saeedi, P. et al. (2019) ‘Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition’, Diabetes Research and Clinical Practice, 157, p. 107843. Available at: https://doi.org/10.1016/j.diabres.2019.107843.
Sari, N.P.W.P. and Manungkalit, M. (2021) ‘PREDIKTOR TERKUAT TINGGINYA DUKUNGAN KELUARGA PADA PENDERITA ULKUS DIABETIKUM’, Adi Husada Nursing Journal, 7(1), pp. 107–114. Available at: https://doi.org/https:///doi.org/10.37036/ahnj.v7il.204.
Setiawan Herno et al. (2020) ‘Kualitas Hidup Ditinjau dari Tingkat Kecemasan Pasien Penderita Ulkus Diabetikum’, Majalah Kesehatan Indonesia, 1(2), pp. 33–38.
Silalahi, K.L. and Patriona, N. (2018) ‘Hubungan Body Image Dengan Self-Acceptance (Penerimaan Diri) Pada Pasien Ulkus Diabetikum Di Rumah Sakit TK II Putri Hijau Kota Medan Tahun 2016’, Jurnal Keperawatan Priority, 1(1), pp. 61–72.
Tong, W.T., Vethakkan, S.R. and Ng, C.J. (2015) ‘Why do some people with type 2 diabetes who are using insulin have poor glycaemic control ? A qualitative study’, BMJ Open, 5, pp. 1–9. Available at: https://doi.org/10.1136/bmjopen-2014-006407.
Tristiana, R.D. et al. (2016) ‘KESEJAHTERAAN PSIKOLOGIS PADA PASIEN DIABETES MELLITUS TIPE 2 DI PUSKESMAS MULYOREJO SURABAYA’, Jurnal Ners, 11(2), pp. 147–156.
Vileikyte, L., Pouwer, F. and Gonzalez, J.S. (2019) ‘Psychosocial research in the diabetic foot: Are we making progress?’, Diabetes/Metabolism Research and Reviews, 36(S1), pp. 1–5. Available at: https://doi.org/10.1002/dmrr.3257.
Young-Hyman, D. et al. (2016) ‘Psychosocial Care for People with Diabetes: A Position Statement of The American Diabetes Association’, Diabetes Care, 39(12), pp. 2126–2140. Available at: https://doi.org/10.2337/dc16-2053.
Published
2025-02-11
How to Cite
Wattimena, C. (2025). EFEKTIVITAS FREKUENSI PSIKOEDUKASI DALAM MENINGKATKAN KESEJAHTERAAN PSIKOLOGIS PADA PASIEN DENGAN ULKUS DIABETIK. Jurnal Mitrasehat, 15(1), 766-777. https://doi.org/10.51171/jms.v15i1.521
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Articles
