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ABSTRAK

Manajemen perawatan diri merupakan komponen penting dalam penatalaksanaan Diabetes Mellitus Tipe 2 (DMT2). Pengetahuan, kesadaran diri dan kepatuhan diabetesi menentukan keberhasilan dalam peningkatan kualitas hidup dan pecegahan komplikasi. Intervensi keperawatan komunitas melalui pendidikan kesehatan dengan Diabetes Self-management Education (DSME), pemanfaatan aplikasi DIMAS serta kelompok swabantu diharapkan dapat meningkatkan manajemen perawatan diri. Karya ilmiah akhir ini bertujuan untuk memberikan gambaran implementasi program DIMAS (Diabetes Management Support) sebagai inovasi dalam asuhan keperawatan komunitas untuk meningkatkan perilaku perawatan diri kelompok diabetesi. Pelaksanaan intervensi DIMAS dilakukan pada keluarga dan komunitas di kelurahan Sukmajaya Kota Depok selama 8 bulan. Hasil evaluasi menunjukkan terjadi peningkatan perawatan diri dan penurunan gula darah sewaktu (GDS) pada diabetesi. Terdapat perubahan yang signifikan pada kelompok diabetesi (n=48) sebelum dan sesudah intervensi pada perawatan diri dan GDS (p=0,000 dan p=0,011). Program DIMAS diharapkan dapat diterapkan perawat sebagai salah satu strategi pelaksanaan program perawatan kesehatan masyarakat (PERKESMAS) di lingkup pelayanan kesehatan primer.

 

Kata kunci :

DSME, aplikasi smart-phone, kelompok swabantu, perawatan diri

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ABSTRACT

Self-care management is an important component in the management of Diabetes Mellitus Type 2 (DMT2). Knowledge, self-efficacy and compliance in self-care are the main factor to improving quality of life and preventing complications. Community nursing interventions through health education with Diabetes Self-management Education (DSME), DIMAS applications and self-help groups are expected to improve diabetes self-care management. This paper aims is to provide an overview of the implementation of the DIMAS (Diabetes Management Support) as an innovation to improve the self-care management. The implementation was carried out on families and communities in Sukmajaya Depok City for 8 months. The results show an increase in self-care and a decrease in blood sugar (GDS). There were significant changes in the intervenstion group (n = 48) before and after the intervention in self-care and GDS (p = 0,000 and p = 0.011). The DIMAS program is expected to be implemented as a public health care strategy (PERKESMAS) in primary health services.

 

Key words:

DSME, smart-phone application, self-help groups, self-care

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"Penderita DM (diabetesi) tidak hanya kalangan lansia tetapi juga sudah banyak diderita oleh kalangan pada usia produktif. Permasalahan terkait dengan perawatan diri sering ditemukan pada diabetesi yang baru saja didiagnosa atau sudah lama didiagnosa DM. Beberapa hambatan yang terjadi pada diabetesi dalam melaksanakan perilaku peraatan diri yaitu keterbatasan dalam pengetahuan dan keterampilan dalam penyusunan menu, kekurangan informasi kurangnya aktivitas fisik, kepatuhan terhadap pengobatan yang rendan dan juga dukungan dari keluarga dan lingkungan sekitar yang minim.Pengendalian DM pada diabetesi sangata diperlukan untuk mengurangi komplikasi DM. Berdasarkan kondisi tersebut dikembangkan program GEPARI. Tujuan dari program ini adalah meningkatkan perilaku perawatan diri para diabetesi. Metode yang digunakan yaitu studi kasus keluarga dan aggregate dewasa DM menggunakan pendekatan proses keluarga dan komunitas yang melibatkan 10 keluarga dan 34 diabetesi dewasa. Program ini didasarkan pada lima pilar pengendalian DM yaitu edukasi, manajemen nutrisi, aktivitas fisik, pengobatan dan juga pemeriksaan gula darah yang dilaksanakan selama 12 sesi. Evaluasi terhadap pengetahuan, sikap dan keterampilan dan tingkat kemandirian keluarga menggunakan kuesioner sedangkan gula darah sewaktu diukur menggunakan glucometer yang dilaksanakan sebelum dan sesudah pelaksanaan program GEPARI. Hasil implementasi didapatkan hasil bahwa terjadi peningkatan pengetahuan, sikap dan keterampilan (p>0,05), penurunan glukosa darah sewaktu dan peningkatan kemandirian keluarga. Program GEPARI disarankan dapat dilaksanakan dalam pelayanan kesehatan komunitas. 

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People with DM (diabetes) are not only among the elderly but also have suffered by many people of productive age. Problems related to self-care are often found in people with diabetes who have just been diagnosed or have been diagnosed with diabetes for a long time. Some of the obstacles that occur in diabetes in carrying out self-care behavior are limitations in knowledge and skills in preparing menus, lack of information, lack of physical activity, low adherence to medication and also minimal support from family and the surrounding environment. reduce DM complications. Based on these conditions, the GEPARI program was developed. The aim of this program is to improve self-care behavior of diabetics. The method used is a family case study and aggregated adult DM using a family and community process approach involving 10 families and 34 adult diabetes. This program is based on the five pillars of DM control, namely education, nutrition management, physical activity, medication and also blood sugar checks which were carried out for 12 sessions. Evaluation of knowledge, attitudes and skills and level of family independence using a questionnaire, while blood sugar is measured using a glucometer which is carried out before and after the implementation of the GEPARI program. The results of the implementation showed that there was an increase in knowledge, attitudes and skills (p>0.05), a decrease in blood glucose and an increase in family independence. The GEPARI program is recommended to be implemented in community health services."

"ABSTRAKDiabetes mellitus tipe 2 DM tipe 2 merupakan penyakit kronis yang membutuhkan perawatan berkelanjutan seumur hidup untuk mencegah komplikasi akut dan kronik. Manajemen perawatan diri merupakan aspek dasar dari perawatan diabetes. Salah satu faktor yang dapat meningkatkan perilaku perawatan diri yaitu dukungan sosial yang diperoleh dari keluarga, tenaga kesehatan, teman, atau sesama pasien diabetes. Penelitian ini bertujuan untuk mengetahui gambaran perilaku perawatan diri pasien DM tipe 2 di Persadia Depok. Penelitian kuantitatif deskriptif ini menggunakan desain cross-sectional, melibatkan 52 responden pasien DM tipe 2 yang begabung di Persadia kota Depok. Instrumen yang digunakan untuk mengukur perilaku perawatan diri yaitu kuesioner The Summary of Diabetes Self-Care Activities. Hasil penelitian menunjukkan bahwa aktivitas perawatan diri responden dalam satu minggu terakhir adalah 4,4 hari Median 4,4; Minimal-Maksimal 2,6-5,4; 95 CI 4,1-4,5 , dan hanya setengah 50 responden yang memiliki perilaku perawatan diri kategori baik. Perilaku yang sudah baik yaitu diet, latihan fisik, dan kepatuhan medikasi, sedangkan perilaku yang masih buruk yaitu pemantauan glukosa darah mandiri dan perawatan kaki. Penelitian ini merekomendasikan agar perawat dan tenaga kesehatan lainnya meningkatkan edukasi dan dukungan terkait perilaku perawatan diri pasien diabetes, terutama pemantauan glukosa darah dan perawatan kaki.

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ABSTRACTType 2 diabetes mellitus type 2 DM is a chronic disease that requires long term management throughout the life to prevent acute and chronic complications. Self care is a fundamental and integral part of diabetes management. Social support obtained from family, health professional, friends, or diabetic peers may predict good self care behaviour. The purpose of this study is to evaluate the self care behaviour of adult with type 2 DM in Persadia Depok. This quantitative study used a cross sectional design. A consecutive sample of 52 subjects with type 2 DM who joined in Persadia Depok was included. The instrument used to measure self care behaviour is The Summary of Diabetes Self Care Activities questionnaire. The results showed that self care behaviour of participants in the last seven days is 4,4 days Median 4.4, Minimal Maximum 2.6 5.4, 95 CI 4.1 4.5 . Self care was described as ldquo good rdquo in only half of the participant 50 . Self care behaviour was reported good in diet, physical exercise, and taking medication, but it was poor in self monitoring of blood glucose SMBG and foot care. This study recommends that nurses and other health professionals should promote education and support to improve patients self care behaviour, especially SMBG and foot care."

"Gangguan pada fungsi insulin membuat pasien diabetes mellitus tipe 2 mengalami kondisi hiperglikemia. Kondisi tersebut membuat pasien diabetes mudah terbangun di malam hari karena nokturia dan mempunyai durasi tidur yang pendek. Penurunan kualitas tidur pada pasien diabetes mellitus tipe 2 dapat mengganggu aktivitas sehari-hari, perubahan emosional dan dapat menurunkan kualitas hidup pasien. Tujuan dari penelitian ini adalah untuk melihat hubungan antara kualitas tidur dengan manajemen perawatan diri. Penelitian ini juga meneliti variabel yang dapat mempengaruhi manajemen perawatan diri seperti usia, jenis kelamin, tingkat pendidikan, lama penyakit diabetes, tingkat stress, dukungan keluarga dan ulkus diabetikum. Metode penelitian yang digunakan dalam penelitian ini adalah cross-sectional dengan menggunakan kuesioner karakteristik responden, pittsburgh sleep quality index, perceived stress scale, diabetes self-management questionnaire dan dukungan keluarga. Penelitian ini dilakukan pada 152 pasien diabetes mellitus tipe 2 yang terbagi menjadi 79 responden tanpa ulkus diabetikum dan 73 responden dengan ulkus diabetikum. Hasil penelitian ini menunjukkan bahwa sebanyak 63.2 responden memiliki kualitas tidur yang buruk, 59.2 responden memiliki stress ringan, 57.2 responden memiliki dukungan keluarga buruk dan 56.6 memiliki perilaku manajemen perawatan diri diabetes baik. Penelitian ini juga menemukan bahwa terdapat hubungan yang bermakna antara kualitas tidur dengan manajemen perawatan diri diabetes p < 0.05. Hubungan yang bermakna juga ditemukan pada variabel lama penyakit DM dan tingkat stress p < 0.05. Tidak ada hubungan yang bermakna antara usia, jenis kelamin, tingkat pendidikan, dukungan keluarga dan ulkus diabetikum dengan manajemen perawatan diri diabetes. Kesimpulan yang diambil dari penelitian ini adalah terdapat hubungan yang bermakna antara kualitas tidur dengan manajemen perawatan diri diabetes pada pasien diabetes mellitus tipe 2.

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Insulin disturbance on diabetes mellitus patients has lead them to have hyperglycemia. This condition makes diabetics had to wake up at night due to nocturia and they also had a short duration of sleep. Decreased sleep quality in patients with type 2 diabetes can interfere their daytime functions, alterations in emotions and decrease their quality of life. Purpose of this study was to examine relationship between sleep quality and self care management among diabetes type 2 patients. This study also added some variables that may affect management of self care such as age, gender, education level, duration of diabetes, stress levels, family support and diabetic foot ulcers. This research using cross sectional methods with questionnaire consist of patient characteristic, Pittsburgh sleep quality index, perceived stress scale, diabetes self management questionnaire and family support. This research has been conducted in 152 diabetes type 2 patients who were divided into 79 respondents without diabetic foot ulcers and 73 respondents with diabetic foot ulcers. Result of this study showed that 63.2 of respondents have poor sleep quality, 59.2 of respondents have mild stress, 57.2 of respondents have poor family support and 56.6 have good diabetes self management behavior. This study also found that there is a significant relationship between sleep quality with diabetes self care management p 0.05. This study also found that there is significant relationship between duration of diabetes and stress level p 0.05. There is no significant relationship between age, sex, education level, family support and diabetic ulcers with diabetes self management care. Conclusion of this study is significant relationship between sleep quality and diabetes self care management on diabetes type 2 patients."

"Penelitian ini bertujuan untuk mengetahui arti dan makna pengalaman klien dalam pengendalian DM tipe 2 di Sukatani Kota Depok. Penelitian ini menggunakan desain fenomenologi deskriptif. Pengumpulan data dilakukan dengan wawancara mendalam terhadap tujuh partisipan. Partisipan dalam penelitian ini adalah klien DM tipe 2 yang tinggal dengan keluarganya. Data yang dikumpulkan berupa rekaman wawancara dan catatan lapangan. Hasil transkrip verbatim dianalisis menggunakan metode Colaizzi. Penelitian mengidentifikasi 8 tema yaitu pemahaman, respon fisik, respon psikososial, penyesuaian pola hidup sehat, pemahaman terapi, kesulitan dalam pengendalian, dukungan keluarga dan dukungan tenaga kesehatan terhadap DM tipe 2.

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The aim of research was to explore the experience of client in controlling type 2 DM in Sukatani Depok. This research used descriptive phenomenology method. The data collected by in-depth interview with seven partisipants. Participants were client with type 2 DM selected by criterion sampling technique. The data gathered were in form of the results from the recording of indepth interview and field note. Data were transcribed and analyzed by using the Collaizi?s method. This study identified into eight themes, consist of knowing, physical responds, phycosocial responds, healthy lifestyle adaptation, understanding therapy, difficulty of controlling, family support and health care support of type 2 DM."

"Penderita diabetes tipe 2 berisiko mengalami depresi yang secara negatif memengaruhi penurunan aktivitas perawatan diri. Bukti terbaru menunjukkan dukungan sosial bermanfaat dalam menurunkan risiko depresi dan meningkatkan aktivitas perawatan diri. Penelitian ini bertujuan untuk mengetahui efek mediasi dukungan sosial antara hubungan gejala depresi terhadap aktivitas perawatan diri penderita diabetes tipe 2 melalui pendekatan cross sectional pada 94 responden. Hasil analisis regresi linier berganda menunjukkan komplikasi penyakit diabetes tipe2 signifikan memengaruhi aktivitas perawatan diri (p=0,000; R2=0,515). Hasil analisis jalur dan tes sobel menunjukkan bahwa dukungan sosial memediasi efek secara signifikan pada hubungan gejala depresi terhadap aktivitas perawatan diri (z=-0,162 > ttabel 1.96; pengaruh langsung -0,499; pengaruh tidak langsung= -0,0789; total efek=40,3%). Skrining gejala depresi dan intervensi yang melibatkan dukungan sosial perlu dilakukan pada pasien diabetes tipe 2 yang dicurigai mengalami penurunan aktivitas perawatan diri.

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People with type 2 diabetes are at risk of experiencing depression which which affects in self-care activities. Recent evidence shows that social support is beneficial in reducing the risk of depression and positively affect the increase in self-care activities. This study aims to determine the mediating effect of social support on the relationship between depressive symptoms and self-care activities of people with type 2 diabetes through a cross sectional approach on 94 respondents. The results of multiple linear regression analysis showed that complications of type 2 diabetes significantly affects activities related to depression treatment (p = 0,000; R2 = 0.515). The results of path analysis and the sobel test show that social support significantly mediates the effect of relationship between depressive symptoms and self-care activities (z = -0,162> table 1.96; direct effect -0,499; indirect effect = -0,0789; total effect = 40, 3%). Screening for depressive symptoms and interventions which involves social support are strongly suggested for patients with type 2 diabetes who are suspected of showing decline in self-care activities."

"[Peningkatan jumlah lansia berkontribusi pada peningkatan penyakit degeneratifkronis seperti diabetes melitus yang memerlukan penatalaksanaan manajemendiri. Penelitian bertujuan untuk mengetahui arti dan makna pengalamanmanajemen diri lansia dengan diabetes melitus di Kota Depok. Penelitianmenggunakan metode kualitatif fenomenologi deskriptif dengan wawancaramendalam pada sembilan partisipan, Hasil wawancara dianalisis menggunakanmetode Colaizzi. Penelitian mengidentifikasi 11 tema yaitu mengenali gejalaawal, pengetahuan tentang diabetes melitus, upaya terhadap respon padaperubahan kadar gula darah, perawatan diri, faktor pendukung perawatan diri,faktor penghambat perawatan diri, dampak diabetes melitus, upaya mengeloladampak diabetes melitus, perubahan aktivitas, dukungan keluarga yang dirasakan,dan kualitas hidup lebih baik.

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ABSTRACTIncreasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.;Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.;Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.;Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.;Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi?s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life., Increasing number of older adult population have contributed to chronicdegenerative disease such as diabetes mellitus that require self management. Theaim of research were explored self management experienced of older adult withdiabetes mellitus in Depok. This research used descriptive phenomenology by indepthinterview to nine participants. Data were transcribed and analyzed usingCollaizi’s method. It identified 11 themes, consist of knowing of earlysymptomps, knowledge of diabetes mellitus, responds of symptoms, self care,support factor of self care, barrier factor of self care, impact of diabetes mellitus,managing the impact of diabetes mellitus, activities changing, family support, andbetter quality of life.]"

"Edukasi pada pasien DM merupakan salah satu bagian dari pilar DM, namun pada beberapa kondisi meskipun tenaga kesehatan telah memberikan edukasi, masih terdapat perilaku yang belum sesuai dengan manajemen diri pada diabetes. Oleh karena itu penelitian ini bertujuan untuk mengeksplorasi secara lebih mendalam mengenai pengalaman penyandang DM dalam penerapan manajemen diri diabetes melitus untuk menjaga kestabilan kadar glukosa darah. Penelitian ini menggunakan pendekatan fenomenologi deskriptif dengan model purposive sampling dan metode wawancara semi-terstruktur pada 10 penyandang DM tipe 2. Hasil penelitian ini terangkum dalam lima tema yaitu gejala klinis menentukan penerapan manajemen diri diabetes, kurangnya motivasi dalam pelaksanaan manajemen diet dan aktivitas, peran keluarga dalam manajemen diet diabetes, capaian dari manajemen diri diabetes belum sesuai harapan, dan kondisi psikologis yang menghambat manajemen diri diabetes. Penerapan manajemen diri diabetes yang ada pada diri pasien perlu untuk diidentifikasi dan dievaluasi lebih lanjut dari segi fisik, psikologis, kesadaran, motivasi, dan peran keluarga, agar dapat membantu penyandang DM tipe 2 dalam mengidentifikasi masalah dan menemukan solusi terbaik untuk mencapai kestabilan kadar glukosa darah

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Education in DM patients is one part of the pillars of DM, but in some conditions even though health workers have provided education, there are still behaviors that are not in accordance with self-management in diabetes. Therefore, this study aims to explore the application of self-management in patients with diabetes mellitus to maintain stable blood glucose levels. This study uses a descriptive phenomenological approach with a purposive sampling model and semi-structured interview method on 10 people with type 2 diabetes. The results of this study are summarized in five themes, including clinical symptoms of diabetes management implementation, lack of motivation in implementing diet and activity management, family role in management diabetes diet, the achievement of diabetes self-management has not been as expected, and psychological conditions that hinder diabetes management. The application of patient diabetes self-management needs to be identified and evaluated in aspect of physical, psychological, awareness, motivation, and family roles in order to help people with type 2 to diabetes identify problems and find the best solution to achieve stable of blood glucose levels."

"ABSTRAKPasien Diabetes Melitus (DM) tipe 2 akan mengalami perubahan atau ketidakseimbanganyang meliputi biologi, psikologi, sosial dan spiritual, yang akan memberikan dampak padakehidupan pasien dan keluarganya. Perlu sebuah model pemberdayaan diri dari pasien dalamupaya meningkatkan kemampuan perawatan diri untuk meningkatkan kualitas hidupnya.Tujuan penelitian ini adalah teridentifikasinya pengaruh model pemberdayaan diri pasien DMtipe 2 terhadap peningkatan kemampuan perawatan diri pasien sehari-hari. Penelitian inimenggunakan desain experimental research dengan 2 tahapan. Tahap 1 adalahmengembangkan model pemberdayaan diri pasien DM tipe 2 untuk meningkatkankemampuan perawatan diri. Tahap 2 adalah menguji pengaruh model pemberdayaan diripasien DM tipe 2 terhadap kemampuan perawatan diri. Hasil penelitian pada tahap 1adalah tersusunnya draft model pemberdayaan diri melalui alat e-nose sebagai mediavisual pendidikan kesehatan. Tahap kedua didapatkan hasil uji coba modelpemberdayaan diri memberikan pengaruh terhadap peningkatan kemampuanperawatan diri responden melalui uji t-test dengan hasil Pvalue 0,000 < 0,05.Pengembangan model pemberdayaan diri memberikan pengaruh terhadap peningkatankemampuan perawatan diri pasien DM tipe 2. Saran : pengembangan modelpemberdayaan diri dapat dijadikan rujukan dalam pengembangan asuhan keperawatan yangkomprehensif khususnya bagi pasien DM tipe 2.

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ABSTRACTType 2 Diabetes Mellitus (DM) patients will experience changes or imbalances that includebiology, psychology, social and spiritual aspects, which will have an impact on the lives ofpatients and their families. There is a need of a model of self-empowerment for patients DMtype 2 as an effort to improve the ability of self-care in improving their quality of life. Thepurpose of this study is to identify the influence of the self-empowerment model of type 2DM patients on improving patients' self-care abilities. This study used experimental researchdesign with 2 stages. Stage 1 is to develop a draft self-empowerment model of type 2 DMpatients to improve self-care abilities. Stage 2 is to examine the effect of the selfempowermentmodel of type 2 DM patients on self-care ability. The results of the research instage 1 is the development of a self-empowerment model through e-nose as a visual mediafor health education, whereas, on the second stage, the development of an empowermentmodel has an influence on the improvement of the respondent's self-care ability through a ttestwith p value of 0.000 <0.05. Development of self-empowerment model has an influenceon improving self-care abilities in type 2 DM patients. Suggestion: the development of selfempowermentmodel can be used as a reference in the development of comprehensivenursing care especially for patients with type 2 DM."

"ABSTRAKDiabetes mellitus (DM) adalah kelainan metabolik yang ditandai denganhiperglikemia yang diakibatkan dari kurangnya sekresi insulin, gangguanmetabolisme insulin, atau keduanya. Tingginya prevalensi DM memerlukanperhatian khusus dari perawat, terutama pada aspek manajemen glukosa darahsecara mandiri oleh klien. Penelitian ini adalah penelitian kualitatif denganmetode fenomenologi. Hasil analisa data teridentifikasi lima tema, yaitu:perubahan yang terjadi setelah menderita DM, faktor penghambat kontrolglukosa darah, faktor pendorong kontrol glukosa darah, pelayanan keperawatanyang pernah diterima, dan bentuk dukungan yang diharapkan dari perawat. Hasilpenelitian diharapkan dapat menjadi masukan dalam meningkatkan kualitasasuhan keperawatan dalam membantu klien memperbaiki gaya hidupnya.

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ABSTRACTDiabetes mellitus (DM) is a metabolic disorder characterised by hyperglycemia,as a result of insulin secretion deficit, altered insulin utilization, or both. The highprevalence of DM needs intense attention from nurses, especially on client’sexperience in self blood glucose management. This research employs qualitativemethodology, with phenomenology approach. The data analysis revealed fivethemes as follows: changes after being diagnosed DM, factors inhibiting glucosecontrol, factors facilitating glucose control, received nursing care, andexpectations towards nursing care. The results of this research are expected tocontribute postively in improving nursing care quality, especially in modifyingclient’s lifestyle."