EDUKASI PERAWATAN PALIATIF PASIEN DIABETES MELLITUS: UPAYA MENGOPTIMALKAN SUPPORT SYSTEM DI LINGKUP KOMUNITAS

Syarifah Lubbna, Asiah Asiah

Abstract


Abstract:

The number of patients with Diabetes Mellitus increases globally. Negative impacts can be felt physically, psychologically, socially, and spiritually. Impaired fulfillment of basic needs may decrease the quality of life. Therefore, efforts to optimize the support system are needed, one of which is offering health education.  The purpose is to raise new awareness and change in the behavior of the participants in order to provide social support in the community. This activity was carried out in Astapada Village, Tengah Tani District, Cirebon Regency, West Java, on 22 October, 2022, attended by 25 participants consisting of village officials, health cadres, and patients with DM and their families. There are three stages of process: the problem identification, implementation, and evaluation. The aim was achieved characterized by the increased participants’ understanding about the topics presented, and the emergence of mutual agreement to strive to increase their respective roles in providing support and assistance to patients with DM and their families. This is important in supporting society to play an active role as part of the support system, so that the quality of life of patients and their families can be more optimal, and the risks of worse complications can be reduced.

Keywords: Palliative care, Diabetes Mellitus, Support, Community

Abstrak:

Jumlah pasien dengan Diabetes Mellitus terus meningkat secara global. Dampak negatif dapat dirasakan secara fisik, psikologis, sosial, dan spiritual. Gangguan pemenuhan kebutuhan dasar pada akhirnya dapat menurunkan kualitas hidup pasien dengan DM dan keluarganya. Sehingga, upaya-upaya untuk mengoptimalkan support system sangat diperlukan salah satunya dengan melakukan penyuluhan kesehatan sesuai kebutuhan. Tujuan dari kegiatan ini untuk memunculkan kesadaran baru dan perubahan perilaku para peserta guna memberikan dukungan sosial dan pendampingan yang baik di lingkup komunitas. Kegiatan dilakukan di Desa Astapada, Kecamatan Tengah Tani, Kabupaten Cirebon, Jawa Barat, pada tanggal 22 Oktober 2022 diikuti oleh 25 peserta yang terdiri dari pejabat desa, para kader kesehatan, dan pasien dengan DM serta keluarganya. Terdapat tiga tahapan proses, yaitu tahap identifikasi masalah dan perencanaan bersama, tahap implementasi, dan tahap evaluasi. Proses berjalan sesuai dengan harapan dan tujuan tercapai ditandai dengan kemampuan peserta yang meningkat dalam memahami topik yang dipaparkan, dan timbulnya kesepakatan bersama untuk berupaya meningkatkan peran masing-masing dalam memberikan dukungan dan pendampingan pada pasien dengan DM dan keluarganya. Upaya-upaya peningkatan kesadaran masyarakat untuk berperan aktif sebagai bagian dari support system adalah hal yang penting untuk terus menerus dilakukan sehingga kualitas hidup pasien dan keluarganya dapat lebih optimal, dan resiko-resiko komplikasi yang lebih buruk dapat dikurangi.

Kata Kunci: Perawatan paliatif, Diabetes Mellitus, Support, Komunitas


Full Text:

PDF

References


Alshayban, D., & Joseph, R. (2020). Health-related quality of life among patients with type 2 diabetes mellitus in Eastern Province, Saudi Arabia: A cross-sectional study. PLoS ONE, 15(1). https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0227573

Bosić-Zivanović, D., Medić-Stojanoska, M., & Kovacev-Zavisić, B. (2012). The quality of life in patients with diabetes mellitus type 2. Vojnosanitetski Pregled, 69(10), 858–863. https://doi.org/https://doi.org/10.2298/vsp1210858b

Davis, B., Cowley, S., & Ryland, R. (2015). The effects of terminal illness on patients and their carers. Journal of Advanced Nursing, 23(3), 512–520. https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1365-2648.1996.tb00013.x

Dunning, T., & Martin, P. (2019). Diabetes and Palliative Care: A Framework to Help Clinicians Proactively Plan for Personalized care. Palliative Care. In M. Mollaoglu (Ed.), Palliative Care (Turkey, pp. 1–15). IntechOpen. https://doi.org/doi: 10.5772/intechopen.77739

Eren, I., Erdi, O., & Sahin, M. (2008). The effect of depression on quality of life of patients with type II diabetes mellitus. Journal of Depression and Anxiety, 25(2). https://pubmed.ncbi.nlm.nih.gov/17311266/

IDF. (2023). IDF Diabetes Atlas 2022 Reports. https://diabetesatlas.org/2022-reports/

Kemenkes RI. (2023). Tahun 2030 Prevalensi Diabetes Melitus Di Indonesia Mencapai 21,3 Juta Orang. https://www.kemkes.go.id/article/view/414/tahun-2030-prevalensi-diabetes-melitus-di-indonesia-mencapai-213-juta-orang.html

Malamed, S., & Orr, D. (2014). Diabetes Mellitus: Hyperglichemia dan Hipoglichemia. In Complications of Diabetes Mellitus: Aminoff’s Neurology and General Medicine (Fifth Edition) (pp. 255–280). https://www.sciencedirect.com/sdfe/pdf/download/eid/3-s2.0-B9780323171229000172/first-page-pdf

Mohebi, S., Rad, G., Bakht, L., & Feizi, A. (2013). Importance of social support in diabetes care. Journal of Education and Health Promotion, 2(1), 62. https://doi.org/10.4103/2277-9531.120864

Ramkisson, S., Pillay, B. J., & Sibanda, W. (2017). Social support and coping in adults with type 2 diabetes. African Journal of Primary Health Care and Family Medicine, 9(1), 1–8. https://doi.org/10.4102/phcfm.v9i1.1405

Riskesdas. (2018). Laporan Riskesdas 2018 Kementrian Kesehatan Republik Indonesia. In Laporan Nasional Riskesdas 2018 (Vol. 53, Issue 9, pp. 154–165). http://www.yankes.kemkes.go.id/assets/downloads/PMK No. 57 Tahun 2013 tentang PTRM.pdf

WHO. (2017). Global report on diabetes.

WHO. (2022). Diabetes. https://www.who.int/news-room/fact-sheets/detail/diabetes

WHO. (2023). The top 10 causes of death. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death




DOI: https://doi.org/10.38165/jirah.v2i1.369

Refbacks

  • There are currently no refbacks.