Integrasi RITME MANIS dalam Self-Management Penyandang Diabetes Melitus: Teknik Injeksi Insulin yang Aman dan Upaya Pencegahan Komplikasi
DOI:
https://doi.org/10.47134/phms.v3i1.534Keywords:
Diabetes Melitus, Self-Management, Edukasi, Injeksi Insulin, Pencegahan KomplikasiAbstract
Diabetes melitus merupakan salah satu penyakit tidak menular dengan beban tinggi dan risiko komplikasi serius, sementara kemampuan self-management penyandang diabetes, khususnya terkait teknik injeksi insulin dan pencegahan komplikasi, masih sering terbatas di tingkat pelayanan primer. Tujuan penelitian ini menganalisis efektivitas program RITME MANIS sebagai model self-management berbasis keluarga dan komunitas dalam meningkatkan pengetahuan dan keterampilan penyandang diabetes melitus tipe 2 di wilayah kerja Puskesmas Dlingo II. Penelitian menggunakan desain kuantitatif pra-eksperimen one-group pretest–posttest pada 30 penyandang diabetes yang tergabung dalam Prolanis. Data dikumpulkan melalui kuesioner pengetahuan mengenai lima pilar penatalaksanaan diabetes, prinsip RITME MANIS, dan pencegahan komplikasi, serta lembar observasi keterampilan teknik injeksi insulin yang aman. Intervensi dilaksanakan selama tiga bulan melalui edukasi kelompok, pelatihan praktik menggunakan media skema rotasi dan injection pad, diskusi terarah, konseling, serta pemantauan kesehatan berkala. Hasil menunjukkan peningkatan proporsi peserta dengan pengetahuan dan keterampilan baik dari 70% menjadi 85% setelah intervensi. Temuan ini mengindikasikan bahwa program RITME MANIS efektif memperkuat self-management, terutama pada aspek teknik injeksi insulin dan kewaspadaan terhadap komplikasi, serta berpotensi diimplementasikan secara operasional di layanan primer dengan keterbatasan sumber daya.
References
Alagamy, Z. G. A., El-Saidy, T. M. K., Sayed, M. A., & Soultan, A. A. A. (2019). Effect of Nursing Intervention Based on Self-Efficacy Theory on Promotion of Foot Self-Care and Its Acceptability among Diabetic Elderly people. IOSR Journal of Nursing and Health Science. https://doi.org/10.9790/1959-0805051630
Carpenter, R., Dichiacchio, T., & Barker, K. (2018). Interventions for self-management of type 2 diabetes: An integrative review. International Journal of Nursing Sciences, 6, 70–91. https://doi.org/10.1016/j.ijnss.2018.12.002 DOI: https://doi.org/10.1016/j.ijnss.2018.12.002
Chen, M., Liu, Y., & Jin, J. (2024). Regarding the role of self-management in patients with diabetic retinopathy. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16396 DOI: https://doi.org/10.1111/jan.16396
Chowdhury, H., Harrison, C., Siddiquea, B., Tissera, S., Afroz, A., Ali, L., Joham, A., & Billah, B. (2024). The effectiveness of diabetes self-management education intervention on glycaemic control and cardiometabolic risk in adults with type 2 diabetes in low- and middle-income countries: A systematic review and meta-analysis. PLOS ONE, 19. https://doi.org/10.1371/journal.pone.0297328 DOI: https://doi.org/10.1371/journal.pone.0297328
Dinas Kesehatan Kabupaten Bantul. (2024). Profil kesehatan Kabupaten Bantul 2023. Dinas Kesehatan Kabupaten Bantul.
Famulla, S., Hövelmann, U., Fischer, A., Coester, H. V., Hermanski, L., Kaltheuner, M., Kaltheuner, L., Heinemann, L., Heise, T., & Hirsch, L. J. (2016). Insulin Injection Into Lipohypertrophic Tissue: Blunted and More Variable Insulin Absorption and Action and Impaired Postprandial Glucose Control. Diabetes Care. https://doi.org/10.2337/DC16-0610 DOI: https://doi.org/10.2337/dc16-0610
Frid, A., Kreugel, G., Grassi, G., Halimi, S., Hicks, D., Hirsch, L., Smith, M., Wellhoener, R., Bode, B., Hirsch, I., Kalra, S., Ji, L., & Strauss, K. (2016). New insulin delivery recommendations. Mayo Clinic Proceedings, 91(9), 1231–1255. https://doi.org/10.1016/j.mayocp.2016.06.010 DOI: https://doi.org/10.1016/j.mayocp.2016.06.010
Grau, M. V., & Pericas, C. (2022). Diabetes: A Multifaceted Disorder. Biomedicines. https://doi.org/10.3390/biomedicines10071698 DOI: https://doi.org/10.3390/biomedicines10071698
Gupta, S., Lakshmi, P., Chakrapani, V., Rastogi, A., & Kaur, M. (2024). Understanding the diabetes self-care behaviour in rural areas: Perspective of patients with type 2 diabetes mellitus and healthcare professionals. PLOS ONE, 19. https://doi.org/10.1371/journal.pone.0297132 DOI: https://doi.org/10.1371/journal.pone.0297132
Hapsari, A. R., Purwaningsih, I., Rohayati, M., & Nuryani, I. (2024). Application of educational media of insulin injection rotation scheme to improve insulin injection skills of T2DM patients. Indonesian Journal of Global Health Research, 6(S6), 1489–1494.
Hirsch, L. J., & Strauss, K. (2019). The Injection Technique Factor: What You Don’t Know or Teach Can Make a Difference. Clinical Diabetes. https://doi.org/10.2337/CD18-0076 DOI: https://doi.org/10.2337/cd18-0076
International Diabetes Federation. (2021). IDF diabetes atlas (10th Edition). https://www.diabetesatlas.org
Kaveh, M., Montazer, M., Karimi, M., & Hassanzadeh, J. (2022). Effects of a theory-based training program with follow-up home visits on self-management behavior, glycemic index, and quality of life among Iranian patients with type 2 diabetes mellitus. BMC Public Health, 22. https://doi.org/10.1186/s12889-022-13959-3 DOI: https://doi.org/10.1186/s12889-022-13959-3
Kementerian Kesehatan Republik Indonesia. (2018). Laporan nasional Riskesdas 2018. Kementerian Kesehatan Republik Indonesia.
Klonoff, D., Berard, L., Franco, D., Gentile, S., Gomez, O., Hussein, Z., Jain, A., Kalra, S., Anhalt, H., Mader, J., Miller, J., Omeara, M., Robins, M., Strollo, F., Watada, H., & Heinemann, L. (2025). Advance insulin injection technique and education with FITTER Forward expert recommendations. Mayo Clinic Proceedings, 100(4), 682–699. https://doi.org/10.1016/j.mayocp.2025.01.004 DOI: https://doi.org/10.1016/j.mayocp.2025.01.004
Ko, J., Wang, J., Mbue, N., Schembre, S., & Cron, S. (2024). Effect of the Implementation of a Multiple-Behavior Self-Monitoring Intervention on Dietary Intake in Type 2 Diabetes: Secondary Data Analysis. JMIR Formative Research. https://doi.org/10.2196/49589 DOI: https://doi.org/10.2196/preprints.49589
Kumah, E., Otchere, G., Ankomah, S., Fusheini, A., Kokuro, C., Aduo-Adjei, K., & Amankwah, J. (2021). Diabetes self-management education interventions in the WHO African Region: A scoping review. PLOS ONE, 16. https://doi.org/10.1371/journal.pone.0256123 DOI: https://doi.org/10.1371/journal.pone.0256123
Lambrinou, E., Hansen, T., & Beulens, J. (2019). Lifestyle factors, self-management and patient empowerment in diabetes care. European Journal of Preventive Cardiology, 26, 55–63. https://doi.org/10.1177/2047487319885455 DOI: https://doi.org/10.1177/2047487319885455
Liang, K., Xie, Q., Nie, J., & Deng, J. (2021). Study on the effect of education for insulin injection in diabetic patients with new simulation tools. Medicine, 100. https://doi.org/10.1097/MD.0000000000025424 DOI: https://doi.org/10.1097/MD.0000000000025424
Maina, P., Pienaar, M., & Reid, M. (2023). Self-management practices for preventing complications of type II diabetes mellitus in low and middle-income countries: A scoping review. International Journal of Nursing Studies Advances, 5. https://doi.org/10.1016/j.ijnsa.2023.100136 DOI: https://doi.org/10.1016/j.ijnsa.2023.100136
Narahaubun, I. R., Handayani, D., Kristianto, H., & Kristianto, H. (2024). Insulin injection rotation and Diabetes Mellitus nutritional management education. Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2024.13065 DOI: https://doi.org/10.4081/hls.2024.13065
Ntakirutimana, G. K. (2024). Various Diabetes Management Activities: A Comprehensive Overview. Idosr Journal of Biochemisry Biotechnology and Allied Fields. https://doi.org/10.59298/idosr/jbbaf/24/93.3540000 DOI: https://doi.org/10.59298/IDOSR/JBBAF/24/93.3540000
Perkumpulan Endokrinologi Indonesia (PERKENI). (2021). Pedoman pengelolaan dan pencegahan diabetes melitus tipe 2 dewasa di Indonesia 2021. PB PERKENI.
Purwaningsih, I., Rayasari, F., Anggraeni, D., Jumaiyah, W., & Hernani, E. (2024). Utilization of injection pad set technology and educational videos in optimizing insulin therapy in type 2 diabetes mellitus patients. 5(2), 895–902.
Romero-Castillo, R., Pabón-Carrasco, M., Jiménez-Picón, N., & Ponce-Blandón, J. A. (2022). Effects of Nursing Diabetes Self-Management Education on Glycemic Control and Self-Care in Type 1 Diabetes: Study Protocol. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph19095079 DOI: https://doi.org/10.3390/ijerph19095079
Sonmez, A., Haymana, C., Demirci, I., Cesur, M., Rizzo, M., & Tasci, I. (2022). Critical questions in diabetes management: What are the most compelling challenges and how can we handle them? International Journal of Cardiology Cardiovascular Risk and Prevention. https://doi.org/10.1016/j.ijcrp.2022.200160 DOI: https://doi.org/10.1016/j.ijcrp.2022.200160
Von Storch, K., Graaf, E., Wunderlich, M., Rietz, C., Polidori, M., & Woopen, C. (2019). Telemedicine-assisted self-management program for type 2 diabetes patients. Diabetes Technology & Therapeutics. https://doi.org/10.1089/dia.2019.0056 DOI: https://doi.org/10.1089/dia.2019.0056
Downloads
Published
How to Cite
License
Copyright (c) 2025 Iswanti Purwaningsih, Agustina Retno Hapsari, Istiqomah

This work is licensed under a Creative Commons Attribution 4.0 International License.



