UPAYA MENURUNKAN JUMLAH KASUS DIABETES MELLITUS PADA MASYARAKAT DESA TALAGASARI, WILAYAH KERJA PUSKESMAS CIKUPA

Authors

  • Alexander Axel Program Studi Profesi Dokter, Fakultas Kedokteran Universitas Tarumanagara, Jakarta, Indonesia
  • Ellen Ashiana Chen Program Studi Profesi Dokter, Fakultas Kedokteran Universitas Tarumanagara, Jakarta, Indonesia
  • Gina Fitriani Program Studi Profesi Dokter, Fakultas Kedokteran Universitas Tarumanagara, Jakarta, Indonesia
  • Jeni Noprianti Program Studi Profesi Dokter, Fakultas Kedokteran Universitas Tarumanagara, Jakarta, Indonesia
  • Tom Surjadi Departemen Ilmu Kesehatan Masyarakat, Universitas Tarumanagara, Jakarta, Indonesia

DOI:

https://doi.org/10.31004/prepotif.v9i3.53334

Keywords:

Diabetes Melitus, Edukasi Kesehatan, Senam DM, Diagnosa Komunitas

Abstract

Secara global, sekitar 589 juta individu berusia 20-79 tahun mengalami diabetes mellitus (DM), yang mewakili 1 dari 9 orang dewasa di dunia dan akan mencapai 853 juta pada tahun 2050. Indonesia berada pada urutan ke-5 dengan jumlah kasus DM tertinggi di seluruh dunia dengan prevalensi sebesar 10,9% pada tahun 2018. Puskesmas Cikupa melaporkan kasus DM sebagai peringkat ke-9 sepanjang tahun 2024 namun naik ke peringkat 4 pada Desember 2024 hingga Januari 2025. Kegiatan diagnosis komunitas ini bertujuan untuk mengetahui penyebab meningkatnya jumlah kasus DM sehingga dapat dirumuskan solusi dengan tujuan untuk menurunkan jumlah kasus DM di wilayah kerja Puskesmas Cikupa. Paradigma Blum digunakan untuk mengidentifikasi penyebab dari masalah yang dihadapi. Setelah itu ditentukan prioritas masalah menggunakan teknik non skoring Delphi dan akar penyebab masalah menggunakan diagram fishbone. Kegiatan dimonitoring menggunakan PDCA cycle dan evaluasi kegiatan menggunakan pendekatan sistem. Ditemukan bahwa penyebab yang berkontribusi signifikan terhadap peningkatan kasus DM adalah faktor lifestyle. Dalam studi ini terjadi peningkatan skor pengetahuan yang substansial, yaitu dari 90% peserta dengan skor pre-test < 85 menjadi 80% peserta dengan skor post-test ³ 85. Intervensi yang dilakukan hanya dapat meningkatkan pengetahuan masyarakat dalam jangka pendek sehingga diharapkan dapat terjadi penurunan jumlah kasus DM di wilayah kerja Puskesmas Cikupa pada jangka panjang.

References

Amaravadi, S.K., Maiya, G.A., Vishali, K., Shastry, B.A. (2024) Effectiveness of structured exercise program on insulin resistance and quality of life in type 2 diabetes mellitus–A randomized controlled trial. PLoS ONE 19(5): e0302831. https://doi.org/10.1371/journal.pone.0302831

Amir, H., & Munir, N.W. (2021). Effect of Health Education on Improving the Knowledge among Diabetes Mellitus Patients in the Prevention of Diabetic Ulcer in Regional Hospital of Tidore Island. International Journal of Nursing and Health Services (IJNHS), 4(4), 379-384. http://doi.org.10.35654/ijnhs.v4i4.452

American Diabetes Association Professional Practice Committee. (2024). 2.Diagnosis and Classification of Diabetes: Standards of Care in Diabetes-2024. Diabetes care, 47(Suppl 1), S20–S42. https://doi.org/10.2337/dc24-S002

Anggraeni, N. D., Novaria, A. A., Utami, R. P., & Wiryanto, W. (2024). The Effectiveness of Leaflet and Video Educational Media Toward the Knowledge of Type 2 Diabetes Mellitus Patients. Journal of Health and Nutrition Research, 3(2), 172–176. https://doi.org/10.56303/jhnresearch.v3i2.200

Ayuso-Diaz, V. M., Colli-Garcia, J. J., & Hernandez-Pat, M. A. (2025). Nurse-Led Educational Intervention Improves Self-Care Knowledge in Type 2 Diabetes: A Pre-Post Study Using the Diabetes Knowledge Questionnaire. Cureus, 17(7), e87477. https://doi.org/10.7759/cureus.87477

Banday, M. Z., Sameer, A. S., & Nissar, S. (2020). Pathophysiology of diabetes: An overview. Avicenna journal of medicine, 10(4), 174–188. https://doi.org/10.4103/ajm.ajm_53_20

Cembun, C., Fathoni, A., & Nadirah, N. (2025). Health Education Using Booklet Improve Knowledge of Type II Diabetes Mellitus Patients in Mataram City, Indonesia. Jurnal Keperawatan Terpadu (Integrated Nursing Journal), 7(1), 1–8. https://doi.org/10.32807/jkt.v7i1.593

Ernawati, U., Wihastuti, T. A., & Utami, Y. W. (2021). Effectiveness of diabetes self-management education (DSME) in type 2 diabetes mellitus (T2DM) patients: Systematic literature review. Journal of public health research, 10(2), 2240. https://doi.org/10.4081/jphr.2021.2240

International Diabetes Federation [IDF]. (2025). Diabetes Atlas. 11th Edition. IDF [Internet]. https://diabetesatlas.org/media/uploads/sites/3/2025/04/IDF_Atlas_11th_Edition_2025_Global-Factsheet.pdf

Kementerian Kesehatan Republik Indonesia [Kemenkes RI]. (2019). Laporan Nasional Riskesdas 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan.

Khan, M. A. B., Hashim, M. J., King, J. K., Govender, R. D., Mustafa, H., & Al Kaabi, J. (2020). Epidemiology of Type 2 Diabetes - Global Burden of Disease and Forecasted Trends. Journal of epidemiology and global health, 10(1), 107–111. https://doi.org/10.2991/jegh.k.191028.001

Magliano, D.J., Boyko, E.J. (2021). IDF Diabetes Atlas [Internet]. 10th edition. Brussels: International Diabetes Federation. https://www.ncbi.nlm.nih.gov/books/NBK581940/

Mahardika, I.M.R., & Widyandari, N.M.A.S. (2023). The Effectiveness of Leaflet and Video Educational Media Through Whatsapp toward the Knowledge of Type 2 DM Patients. Babali Nursing Research, 4(1), 43-53. https://doi.org/10.37363/bnr.2023.41140

Margarita, S., Arya, I.F.D., Mariani, H., Setiawati, E.P., Kusumawati, M., Mutyara, K. (2025). Effect of Diabetes Self-Management Education on Knowledge and HbA1c Levels among Patients with Type 2 Diabetes Mellitus in Occupational Health Care. Althea Medical Journal, 12(2), 95-102. https://doi.org/10.15850/amj.v12n2.4070

Marni, L., Armaita, A., Yoselina, P., & Anggita, K. D. (2025). The Effect of Diabetes Self Management Education on Knowledge Improvement in Type 2 Diabetes Mellitus Patients in the Work Area of the Pariaman Health Center, Pariaman City in 2022. Jurnal Kesehatan Komunitas (Journal of Community Health), 11(1), 74–80. https://doi.org/10.25311/keskom.Vol11.Iss1.2076

Mohamed, E.I.E., Mohamed, A.T., Ali, H.G.E., El Rahman, R.M.M.A., Elgazzar, S.E. (2024). Effect of Structured Educational Program on Diabetic Patients' Knowledge Attitude, and Practices Regarding Self-Administration of Insulin Injection. Egyptian Journal of Health Care, 15(2), 18-35. https://ejhc.journals.ekb.eg/article_349244_48df7e5de5e39ba5db319a64bf7a78c7.pdf

Pan American Health Organization [PAHO]. (2023). Diabetes. PAHO [Internet]. https://www.paho.org/en/topics/diabetes

Perkumpulan Endokrinologi Indonesia [Perkeni]. (2021). Pedoman Pengelolaan dan Pencegahan Diabetes Mellitus Tipe 2 di Indonesia. Jakarta: PB Perkeni.

Rahayu, U. M., Huda, K. K., & Mardiyono. (2025). A Community-Based Approach to Blood Glucose Control in Type 2 Diabetes: Diabetes Exercise and Health Education. Journal of Community Service for Health, 6(1), 010–016. https://doi.org/10.26699/jcsh.v6i1.1205

Sapra, A., & Bhandari, P. (2023). Diabetes. StatPearls Publishing. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551501/

Suryani, P., Yudiernawati, A., Wahyuni, T.D. (2025). Innovative Strategies in Community Empowerment to Promote Sustainable Healthy Living Behavior. The Journal of Academic Science, 2(2), 665-674. https://journals.indexcopernicus.com/api/file/viewByFileId/2296141

Velázquez López, L., Muñoz Torres, A. V., Medina Bravo, P. G., & Escobedo de la Peña, J. (2023). Inadequate diabetes knowledge is associated with poor glycemia control in patients with type 2 diabetes. Atencion primaria, 55(5), 102604. https://doi.org/10.1016/j.aprim.2023.102604

Widayanti, A. W., Heydon, S., Green, J. A., & Norris, P. (2021). Effectiveness of an intensive community-based intervention for people with type 2 diabetes in Indonesia: A pilot study. Diabetes research and clinical practice, 181, 109087. https://doi.org/10.1016/j.diabres.2021.109087

World Health Organization [WHO]. (2024). Diabetes. WHO [Internet]. https://www.who.int/news-room/fact-sheets/detail/diabetes

World Health Organization South-East Asia Region [WHO SEARO]. (2021). Indonesia: Gender and Health. WHO [serial online]. https://iris.who.int/bitstream/handle/10665/344674/GER-Indonesia-eng.pdf?sequence=1&isAllowed=y

Zulkarnaini, Z., Elfrida, E., Idwar, I., Hayani, N., Azwarni, A. (2022). The Effectiveness of Diabetes Self-Management Education on Improving the Self-Efficacy of Diabetes Mellitus Patients in the Puskesmas Kota Langsa. Bulletin Farmatera, 7(2), 1-13. http://jurnal.umsu.ac.id/index.php/buletin_farmatera

Downloads

Published

2025-12-31

How to Cite

Axel, A., Chen, E. A., Fitriani, G., Noprianti, J., & Surjadi, T. (2025). UPAYA MENURUNKAN JUMLAH KASUS DIABETES MELLITUS PADA MASYARAKAT DESA TALAGASARI, WILAYAH KERJA PUSKESMAS CIKUPA. PREPOTIF : JURNAL KESEHATAN MASYARAKAT, 9(3), 10777–10784. https://doi.org/10.31004/prepotif.v9i3.53334