Effectiveness of Nutrition and Physical Activity Intervention Adherence in Diabetes Management: A Systematic Review
DOI:
https://doi.org/10.62872/xfmf4j57Keywords:
Effectiveness-Compliance, Nutrition-Intervention, Type-2-Diabetes-ManagementAbstract
Type 2 diabetes has developed into a global epidemic with a significant increase in prevalence, both in the world and in Indonesia. This disease not only impacts quality of life, but also places a large economic burden on the health care system. Although most diabetes interventions still focus on pharmacological treatment, non-pharmacological approaches such as nutritional interventions and increased physical activity have been shown to be effective in lowering blood glucose levels, increasing insulin sensitivity, and improving patients' metabolic profiles. However, the effectiveness of these interventions is highly dependent on patient compliance. Compliance with these interventions is influenced by psychological, socioeconomic, and health literacy factors. Intrinsic motivation and positive perceptions of the disease can increase patient commitment, while stress, depression, and limited access to healthy food and sports facilities can hinder compliance. High health literacy affects patients' understanding of treatment and their readiness to make behavioral changes. Approaches based on education, social support, and the use of digital technology can strengthen diabetes management and improve patient compliance. Therefore, effective interventions require a more personalized, interdisciplinary approach that is oriented towards long-term behavioral change to achieve sustainable results.
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Abdelrazig, O. A. O. (2021). Perbandingan Efektivitas Penggunaan Obat Antidiabetik Tunggal Dan Kombinasi Pada Pasien Diabetes Mellitus Tipe Ii Di Rumah Sakit Nasional Al Amal Sudan (Doctoral Dissertation, Universitas Islam Negeri Maulana Malik Ibrahim).
Al Fatih, H., Ningrum, T. P., & Handayani, H. (2024). Hubungan Literasi Kesehatan Dan Self Efficacy Dengan Kepatuhan Diabetes Self Management. Jurnal Keperawatan Bsi, 12(1), 34-43.
Batubara, S. O., Wang, H. H., & Chou, F. H. (2020). Literasi Kesehatan: Suatu Konsep Analisis. Jurnal Keperawatan Muhammadiyah, 5(2).
Bn, I. R., Haskas, Y., & Dewi, I. (2019). Manajemen Pengendalian Diabetes Mellitus Melalui Peningkatan Health Literacy Diabetes. Indonesian Journal Of Community Dedication, 1(1), 1-5.
Djati, S. P. (Ed.). (2023). Manajemen Strategis Dalam Pelayanan Kesehatan Masyarakat. Indonesia Emas Group.
Fajriyah, N., Trisnawati, I., & Samudera, W. S. (2020). Program Pendidikan Dan Dampak Aktivitas Fisik Pada Penanda Biokimia Pasien Diabetes Mellitus Tipe 2: A Systematic Review. Jurnal Penelitian Kesehatan" Suara Forikes"(Journal Of Health Research" Forikes Voice"), 11(3), 237-244.
Farida, I. (2018). Determinan Perilaku Manajemen Perawatan Diri Pada Pasien Diabetes Melitus Tipe 2 Di Kota Tangerang Selatan. Jurnal Ilmu Kesehatan Masyarakat, 7(04), 207-217.
Hananto, S. Y., Putri, S. T., & Puspita, A. P. W. (2022). Studi Kasus: Penatalaksanaan Diabetes Self Management Education (Dsme) Terhadap Kadar Glukosa Darah Pada Pasien Diabetes Melitus Tipe 2. Jurnal Keperawatan, 20(4), 128-137.
Harna, H., Kusharto, C. M., Roosita, K., Irawan, A. M. A., Sa’pang, M., & Swamilaksita, P. D. (2022). Effect Of High-Protein Milk On Lipid Profiles And Blood Glucose In Young Adult. Jurnal Gizi Klinik Indonesia, 19(1), 1-9.
Karingga, D. D., Jayani, I., Suharto, I. P. S., Alimansur, M., & Ramayanti, E. D. (2024). Pengaruh Dukungan Keluarga Dan Sosial Pada Peningkatan Status Kesehatan Dan Self-Care Managemen Diabetes Melitus: Tinjauan Sistematis. Jurnal Keperawatan Florence Nightingale, 7(1), 262-271.
Macdonald, C. S., Ried‐Larsen, M., Soleimani, J., Alsawas, M., Lieberman, D. E., Ismail, A. S., ... & Barwise, A. (2021). A Systematic Review Of Adherence To Physical Activity Interventions In Individuals With Type 2 Diabetes. Diabetes/Metabolism Research And Reviews, 37(8), E3444.
Mandowa, R. (2022). Intervensi Mobile Application Terhadap Peningkatkan Literasi Nutrisi Ibu Dengan Anak Stunting: A Systematic Review= Mobile Application Intervention On Improving Nutritional Literature Of Mothers With Stunting Children: A Systematic Review (Doctoral Dissertation, Universitas Hasanuddin).
Mauldy Akhmad, R., & Ibnu, F. (2024). Hubungan Dukungan Keluarga Dengan Kepatuhan Melakukan Kontrol Rutin Pada Penderita Diabetes Melitus Di Uptd Puskesmas Modopuro (Doctoral Dissertation, Perpustakaan Universitas Bina Sehat).
Ningrum, T. P., Al Fatih, H., & Handayani, H. (2022). Gambaran Kepatuhan Diabetes Self Management Pada Penderita Dm Tipe Ii Pada Puskesmas Babakan Sari. Jurnal Keperawatan Bsi, 10(1), 163-167.
Prats-Arimon, M., Puig-Llobet, M., Barceló-Peiró, O., Ribot-Domènech, I., Vilalta-Sererols, C., Fontecha-Valero, B., ... & Moreno-Arroyo, M. C. (2024). An Interdisciplinary Intervention Based On Prescription Of Physical Activity, Diet, And Positive Mental Health To Promote Healthy Lifestyle In Patients With Obesity: A Randomized Control Trial. Nutrients, 16(16), 2776.
Safitri, R., & Syafiq, A. (2022). Hubungan Literasi Kesehatan Dengan Kualitas Hidup Pasien Diabetes Melitus. Media Publikasi Promosi Kesehatan Indonesia (Mppki), 5(12), 1616-1625.
Samudera, W. S., Fajriyah, N., & Trisnawati, I. (2020). Efektivitas Mobile Health Intervention Terhadap Manajemen Diri Dan Kontrol Glikemik Pada Pasien Dengan Diabtes Melitus Tipe 2: A Systematic Review. Jurnal Penelitian Kesehatan" Suara Forikes"(Journal Of Health Research" Forikes Voice"), 11(4), 342-345.
Sundari, P. M., Asmoro, C. P., & Arifin, H. (2019). Hubungan Tingkat Pengetahuan Dan Diabetes Self-Management Dengan Tingkat Stres Pasien Diabetes Melitus Yang Menjalani Diet. Jurnal Keperawatan Indonesia, 22(1), 31-42.
Syahid, Z. M. (2021). Faktor Yang Berhubungan Dengan Kepatuhan Pengobatan Diabetes Mellitus. Jurnal Ilmiah Kesehatan Sandi Husada, 10(1), 147-155
Wasir, R., Abdullah, P., Aisyah, S., Gunawan, A. I., Fadlilah, F., & Safitri, A. (2024). Strategi Komunikasi Kesehatan Dengan Pendekatan Etis Untuk Beragam Kepribadian Pasien Dalam Praktik Klinis. Jurnal Inovasi Kesehatan Adaptif, 6(12).
Widyanata, K. A. J. (2018). Penerapan Kalender Dm Berbasis Aplikasi Android Sebagai Media Dsme (Diabetes Self Management Education) Terhadap Self Efficacy Dan Kadar Hba1c Pada Pasien Diabetes Mellitus Tipe 2 (Doctoral Dissertation, Universitas Airlangga).
Zairina, E., Nugraheni, G., Sulistyarini, A., Mufarrihah, Setiawan, C. D., Kripalani, S., & Lestari, S. I. (2022). Factors Related To Barriers And Medication Adherence In Patients With Type 2 Diabetes Mellitus: A Cross-Sectional Study. Journal Of Diabetes & Metabolic Disorders, 21(1), 219-228.
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