THE INFLUENCES OF DIABETES SELF-MANAGEMENT EDUCATION (DSME) BASED ON HEALTH COACHING (HC) ON THE CHANGES IN KNOWLEDGE AND BEHAVIOR OF HEALTH CADRES IN PROVIDING EDUCATION IN THE RUMPA VILLAGE

Abstract

Backgrounds: Diabetes mellitus (DM) is a chronic condition and/or a group of metabolic diseases that occur when the body cannot produce enough insulin hormone or cannot effectively use the insulin it produces, resulting in hyperglycemia. The higher cases of DM are directly correlated with the risk of complications. Poorly controlled blood glucose levels can lead to damage to the heart vessels, eyes, kidneys and nerves, resulting in various diseases such as cardiovascular disease, stroke, nephropathy, blindness, kidney failure, impotence in men, amputation and infections. Diabetes mellitus is treated with pharmacological and non-pharmacological therapy. One non-pharmacological treatment for diabetes mellitus is by providing education such as Diabetes Self-Management Education (DSME); Objectives: This research aims to determine the effect of DSME based on health coaching on cadres’ knowledge and behavior in providing education. Methods: This research is Quasy Experimental Design with a pre and post without control approach. The sampling method was conducted using a total sampling technique of 20 people. Results: The results of the normality test on Shapiro Wilk show pre knowledge p=0.203, post knowledge p=0.557 <0.05, pre DSME behavior p=0.187 <0.05 and post DSME behavior p=0.061 <0.05, meaning that the data is normally distributed. Furthermore, knowledge data is analyzed using a paired sample t test with a result of p=0.000, and behavioral data is analyzed using an independent t test with a result of p=0.000. Conclusions: There is an influence of DSME based on HC on cadres’ knowledge and behavior in providing education in the Rumpa village.